scholarly journals In their own words: qualitative study of high-utilising primary care patients with medically unexplained symptoms

2009 ◽  
Vol 10 (1) ◽  
Author(s):  
Francesca C Dwamena ◽  
Judith S Lyles ◽  
Richard M Frankel ◽  
Robert C Smith
Keyword(s):  
Primary Care ◽  
Qualitative Study ◽  
Medically Unexplained Symptoms ◽  
Medically Unexplained ◽  
Primary Care Patients ◽  
Unexplained Symptoms

scholarly journals Exploration of DSM-IV Criteria in Primary Care Patients With Medically Unexplained Symptoms

2005 ◽  
Vol 67 (1) ◽  
pp. 123-129 ◽  
Author(s):  
Robert C. Smith ◽  
Joseph C. Gardiner ◽  
Judith S. Lyles ◽  
Corina Sirbu ◽  
Francesca C. Dwamena ◽  
...  
Keyword(s):  
Primary Care ◽  
Medically Unexplained Symptoms ◽  
Medically Unexplained ◽  
Primary Care Patients ◽  
Unexplained Symptoms ◽  
Dsm Iv

scholarly journals Medically unexplained symptoms in primary care

2008 ◽  
Vol 14 (6) ◽  
pp. 432-440 ◽  
Author(s):  
Else Guthrie
Keyword(s):  
Primary Care ◽  
Health Services ◽  
Physical Abuse ◽  
Medically Unexplained Symptoms ◽  
Psychological Needs ◽  
Stepped Care ◽  
Childhood Neglect ◽  
Medically Unexplained ◽  
Primary Care Patients ◽  
Unexplained Symptoms

Adult patients with medically unexplained symptoms (somatisation) in primary care are numerous and make disproportionately high demands on health services. Most of these individuals are open to the suggestion that their illness reflects psychological needs. Empowering explanations from doctors can enable patient and doctor to work collaboratively in managing the problem and can reduce healthcare contacts. Parental medically unexplained symptoms, sexual and physical abuse in childhood and childhood neglect are associated with a greater risk of medically unexplained symptoms in adulthood. The overall prognosis for the majority of primary care patients with medically unexplained symptoms is very good. The two most common approaches to dealing with medically unexplained symptoms in primary care are stepped-care approaches and teaching general practitioners new skills to manage consultations more effectively.

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