Religion and Beliefs about Treating Medically Unexplained Symptoms: A Survey of Primary Care Physicians and Psychiatrists

2013 ◽  
Vol 45 (1) ◽  
pp. 31-44 ◽  
Author(s):  
Ryan E. Lawrence ◽  
Kenneth A. Rasinski ◽  
John D. Yoon ◽  
Farr A. Curlin
Keyword(s):  
Primary Care ◽  
Primary Care Physicians ◽  
Medically Unexplained Symptoms ◽  
Medically Unexplained ◽  
Unexplained Symptoms

scholarly journals Cognitive-behavioural therapyv.structured care for medically unexplained symptoms: randomised controlled trial

2008 ◽  
Vol 193 (1) ◽  
pp. 51-59 ◽  
Author(s):  
A. Sumathipala ◽  
S. Siribaddana ◽  
M. R. N. Abeysingha ◽  
P. De Silva ◽  
M. Dewey ◽  
...  
Keyword(s):  
Primary Care ◽  
Cognitive Behavioural Therapy ◽  
Primary Care Physicians ◽  
Medically Unexplained Symptoms ◽  
Behavioural Therapy ◽  
Randomised Control Trial ◽  
Structured Care ◽  
Cognitive Behavioural ◽  
Medically Unexplained ◽  
Unexplained Symptoms

BackgroundA pilot trial in Sri Lanka among patients with medically unexplained symptoms revealed that cognitive-behavioural therapy (CBT) administered by a psychiatrist was efficaciousAimsTo evaluate CBT provided by primary care physicians in a comparison with structured careMethodA randomised control trial (n=75 in each arm) offered six 30 min sessions of structured care or therapy. The outcomes of the two interventions were compared at 3 months, 6 months, 9 months and 12 monthsResultsIn each arm, 64 patients (85%) completed the three mandatory sessions. No difference was observed between groups in mean scores on the General Health Questionnaire or the Bradford Somatic Inventory, or in number of complaints or patient-initiated consultations at 3 months. For both groups, all outcome measures improved at 3 months, and remained constant in the follow-up assessmentsConclusionsCognitive–behavioural therapy given by primary care physicians after a short course of training is no more efficacious than structured care. Natural remission is an unlikely explanation for improvements in people with chronic medically unexplained symptoms, but lack of a ‘treatment as usual’ arm limits further conclusions. Further research on enhanced structured care, medical assessment and structured care incorporating simple elements of CBT principles is worthy of consideration

scholarly journals A Spiritual Problem? Primary Care Physicians’ and Psychiatrists’ Interpretations of Medically Unexplained Symptoms

2012 ◽  
Vol 28 (3) ◽  
pp. 392-398 ◽  
Author(s):  
Jiwon Helen Shin ◽  
John D. Yoon ◽  
Kenneth A. Rasinski ◽  
Harold G. Koenig ◽  
Keith G. Meador ◽  
...  
Keyword(s):  
Primary Care ◽  
Primary Care Physicians ◽  
Medically Unexplained Symptoms ◽  
Medically Unexplained ◽  
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
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