scholarly journals A brief cognitive behavioural intervention is cost-effective for primary care patients with medically unexplained physical symptoms compared to usual care

2020 ◽  
Vol 138 ◽  
pp. 110217 ◽  
Author(s):  
Kate Sitnikova ◽  
Aureliano P. Finch ◽  
Stephanie S. Leone ◽  
Judith E. Bosmans ◽  
Harm W.J. van Marwijk ◽  
...  
Keyword(s):  
Primary Care ◽  
Cost Effective ◽  
Physical Symptoms ◽  
Behavioural Intervention ◽  
Medically Unexplained Physical Symptoms ◽  
Cognitive Behavioural ◽  
Medically Unexplained ◽  
Primary Care Patients ◽  
Cognitive Behavioural Intervention ◽  
Unexplained Physical Symptoms

Kosten-Nutzen-Analyse einer VT-Kurzintervention bei Patienten mit somatoformen Symptomen

2020 ◽  
Vol 21 (04) ◽  
pp. 8-8
Keyword(s):  
Cost Effective ◽  
Physical Symptoms ◽  
Behavioural Intervention ◽  
Medically Unexplained Physical Symptoms ◽  
Cognitive Behavioural ◽  
Oder Nicht ◽  
Medically Unexplained ◽  
Primary Care Patients ◽  
Cognitive Behavioural Intervention ◽  
Unexplained Physical Symptoms

Sitnikova et al. A brief cognitive behavioural intervention is cost-effective for primary care patients with medically unexplained physical symptoms compared to usual care. J Psychosom Res, epub Aug 2020 Personen mit körperlichen Beschwerden, die sich nicht oder nicht hinreichend auf eine organische Erkrankung zurückführen lassen, machen einen beträchtlichen Anteil von Patienten in Allgemeinarztpraxen oder Krankenhäusern aus. Die Symptome können zeitweise auftreten oder bei Chronifizierung als Somatoforme Störung diagnostiziert werden. Die Beschwerden gehen häufig mit einer Beeinträchtigung der Lebensqualität, funktionalen Einschränkungen sowie psychischen Störungen einher.

A Primary Care Perspective on Prevailing Assumptions about Persistent Medically Unexplained Physical Symptoms

2002 ◽  
Vol 32 (2) ◽  
pp. 125-140 ◽  
Author(s):  
Ian M. Stanley ◽  
Sarah Peters ◽  
Peter Salmon
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Mental State ◽  
Physical Symptoms ◽  
Health Care Use ◽  
Medically Unexplained Physical Symptoms ◽  
Wide Range ◽  
Medically Unexplained ◽  
Primary Care Patients ◽  
Unexplained Physical Symptoms

Objective: To re-examine the widespread assumption that medically unexplained physical symptoms represent discrete syndromes resulting from somatization of mental illness. Method: Primary care patients ( N = 223) with medically unexplained symptoms of at least one year's duration were recruited to a study of exercise therapy. Data gathered from patients, from their general practitioners, and from medical records were used to examine relationships between self-defined disability, symptoms, mental state, and use of health care. Results: Levels of disability and health care use were both raised, but were only weakly correlated. While most patients were depressed and/or anxious, a minority (14 percent) were neither. Although mental state correlated with disability, health care use was unrelated to either. Among a wide range of recorded symptoms, few correlations were found to support the existence of discrete syndromes. Analysis of agreement between patients and their doctors in assigning symptoms to broadly defined “syndromes” appears to reflect collaboration that is largely expedient. Conclusions: In this sample of primary care patients with persistent unexplained physical symptoms, we found little evidence of discrete somatic syndromes. The level of health care use is no indication of mental state or level of disability, and the findings are equally consistent with depression or anxiety being secondary to disability and its consequences as with them being primary. The observed collaboration between patients and their doctors carries the risk of shaping, reinforcing, and legitimizing dubious syndromes.

Quality of life in primary care patients with moderate medically unexplained physical symptoms

2019 ◽  
Vol 29 (3) ◽  
pp. 693-703
Author(s):  
P. E. van Westrienen ◽  
M. F. Pisters ◽  
S. A. J. Toonders ◽  
M. Gerrits ◽  
N. J. de Wit ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Primary Care ◽  
Physical Symptoms ◽  
Medically Unexplained Physical Symptoms ◽  
Medically Unexplained ◽  
Primary Care Patients ◽  
Unexplained Physical Symptoms

scholarly journals Identifying Treatment Modalities for a Multidisciplinary and Blended Care Intervention for Patients With Moderate Medically Unexplained Physical Symptoms: Qualitative Study Among Professionals

10.2196/12203 ◽  
2019 ◽  
Vol 6 (4) ◽  
pp. e12203 ◽  
Author(s):  
Paula Elisabeth van Westrienen ◽  
Martijn F Pisters ◽  
Marloes Gerrits ◽  
Cindy Veenhof ◽  
Niek J de Wit
Keyword(s):  
Primary Care ◽  
Focus Groups ◽  
Physical Symptoms ◽  
Nominal Group ◽  
Treatment Modalities ◽  
Medically Unexplained Physical Symptoms ◽  
Care Intervention ◽  
Medically Unexplained ◽  
Unexplained Physical Symptoms ◽  
Blended Intervention

Background Medically unexplained physical symptoms (MUPS) are a substantial health problem in primary care with a high burden for patients, general practitioners, and the health care system. Most studies focus on chronic MUPS patients. Little research is conducted in patients with moderate MUPS, and an effective primary care intervention for prevention of chronic MUPS is lacking. Objective The objective of our study was to identify treatment modalities based on expert opinions for the development of a multidisciplinary and blended intervention for patients with moderate MUPS to prevent chronicity. Methods Two focus groups with 8 and 6 experts (general practitioners, physical therapists, psychologists, and mental health nurses) were carried out. The focus groups were structured using the nominal group technique. Results A total of 70 ideas were generated from two nominal group meetings, and 37 of these got votes, were included in the rank order, and were sorted into 8 separate themes. According to the participants, the most important treatment modalities for a multidisciplinary and blended intervention in patients with moderate MUPS were (1) coaching to a healthier lifestyle, (2) education regarding psychosocial factors, (3) therapeutic neuroscience education, (4) multidisciplinary intake, (5) multidisciplinary cooperation and coordination, (6) relaxation or body awareness exercises, (7) clear communication by professionals to the patient, and (8) graded activity. Five independent researchers checked the ideas and linked them to themes to confirm the content analysis and check the validity of the themes. Conclusions From professional expert perspectives, 8 themes should be included in a multidisciplinary and blended intervention to prevent chronicity. These themes provide a first step in developing an intervention for patients with moderate MUPS. Future research should focus on further development steps in which patients with moderate MUPS should be involved to determine if the intervention matches their needs.

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