Brief multimodal psychosomatic therapy in patients with medically unexplained symptoms: feasibility and treatment effects.
Fam Pract
; 33(4): 346-53, 2016 08.
Article
en En
| MEDLINE
| ID: mdl-27075027
ABSTRACT
BACKGROUND:
Patients repeatedly presenting with medically unexplained symptoms (MUS) to their GPs, suffer from their symptoms. Experts in the field suggest a multicomponent approach for these patients. Brief multimodal psychosomatic therapy (BMPT) is such an intervention.OBJECTIVES:
To test the systematic identification of eligible patients, acceptability of BMPT and potential treatment effects of BMPT.METHODS:
The participants in this randomized pilot trial, patients consulting their GPs more than once with MUS, were randomized to intervention [usual care (UC) and additional BMPT] or control condition (UC alone).We monitored the number of patients identified and recruited, trial recruitment and retention. Potential treatment effects were measured with perceived symptom severity [Visual Analogue Scale (VAS)]; patients' self-rated symptoms of distress, depression, anxiety and somatization [Four-Dimensional Symptom Questionnaire (4DSQ)]; symptoms of hyperventilation [Nijmegen Hyperventilation List (NHL)]; physical and mental health status and quality of life [Short-Form Health Survey-36 items (SF-36)]; and level of functioning (measure of general functioning). Follow-up was 1 year.RESULTS:
A total of 42 patients could be included in the trial. Four patients withdrew after randomization and two patients were lost to follow-up, resulting in 36 patients (86%). During the 12-month follow-up after BMPT, there was an improvement in perceived symptom severity [adjusted mean difference -2.0, 95% confidence interval (CI) -3.6 to -0.3], in somatization (adjusted mean difference -4.4, 95% CI -7.5 to -1.4) and in symptoms of hyperventilation (adjusted mean difference -5.7, 95% CI -10.5 to -0.8).CONCLUSIONS:
This randomized pilot study shows that a larger trial studying the effectiveness of BMPT in patients with MUS in primary care is feasible and useful.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Ansiedad
/
Trastornos Psicofisiológicos
/
Psicoterapia Breve
/
Depresión
/
Síntomas sin Explicación Médica
Tipo de estudio:
Clinical_trials
/
Diagnostic_studies
/
Qualitative_research
Aspecto:
Patient_preference
Límite:
Adult
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Female
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Humans
/
Male
/
Middle aged
País/Región como asunto:
Europa
Idioma:
En
Revista:
Fam Pract
Año:
2016
Tipo del documento:
Article