Psychosocial interventions for somatizing patients by the general practitioner
Journal of Psychosomatic ResearchPublished 1 December 2004
Astrid Larisch, Axel Schweickhardt, Michael Wirsching, Kurt Fritzsche
Citations97
SJR quartileQ1
SJR score1.31
SNIP1.10
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
Compared with nonspecific PPC, the effects of reattribution techniques were small and limited to physical symptoms.
Abstract
Compared with nonspecific PPC, the effects of reattribution techniques were small and limited to physical symptoms.
Keywords
PsychologyMedicine
Acta Psychiatrica ScandinavicaThe Hospital Anxiety and Depression Scale
46,617 Citations1983A. S. Zigmond, R. P. Snaith
It is suggested that the introduction of the scales into general hospital practice would facilitate the large task of detection and management of emotional disorder in patients under investigation and treatment in medical and surgical departments.
Archives of General PsychiatryThe Composite International Diagnostic Interview
2,901 Citations1988Lee N. Robins
The design and development of the CIDI is described and the current field testing of a slightly reduced "core" version is described, allowing investigators reliably to assess mental disorders according to the most widely accepted nomenclatures in many different populations and cultures.
Journal of Psychosomatic ResearchInternational experiences with the Hospital Anxiety and Depression Scale-A review of validation data and clinical results
2,898 Citations1997Christoph S. Herrmann
Journal of Educational and Behavioral StatisticsUsing SAS PROC MIXED to Fit Multilevel Models, Hierarchical Models, and Individual Growth Models
2,713 Citations1998J. David Singer
This paper is written as a step-by-step tutorial that shows how to fit the two most common multilevel models: (a) school effects models, designed for data on individuals nested within naturally occurring hierarchies (e.g., students within classes); and (b) individual growth models,designed for exploring longitudinal data (on individuals) over time.
American Journal of PsychiatrySomatization: the concept and its clinical application
1,063 Citations1988Z. J. Lipowski
The author discusses the prevalence, clinical manifestations, etiology, and treatment of somatization, and presents a critical review of somatoform disorders.
The Journal of the American Medical Association (JAMA) Network (American Medical Association)SF-36 Health Survey.
953 Citations2008Diane M. Turner‐Bowker, MA DeRosa +1 more
Journal of Educational and Behavioral StatisticsApplication of a Method of Estimating DIF for Polytomous Test Items
606 Citations1999Gregory Camilli, Peter Congdon
Psychotherapy and PsychosomaticsCognitive-Behavioral Therapy for Somatization and Symptom Syndromes: A Critical Review of Controlled Clinical Trials
482 Citations2000Kurt Kroenke, Ralph Swindle
CBT can be an effective treatment for patients with somatization or symptom syndromes and benefits can occur whether or not psychological distress is ameliorated.
The Journal of Nervous and Mental DiseaseSomatic Symptom Index (SSI): A New and Abridged Somatization Construct
381 Citations1989Javier I. Escobar, Maritza Rubio‐Stipec +2 more
An abridged somatized construct derived from the Diagnostic Interview Schedule's somatization disorder items was tested on community epidemiological samples to examine its prevalence, risk factors, and predictive value.
Family PracticeAnalysis of cluster randomized trials in primary care: a practical approach
334 Citations2000Marion Campbell, Jill Mollison +3 more
It is demonstrated that adjustment for clustering can be applied to real-life data and this work encourages more routine adoption of appropriate analytical techniques.
BMJCognitive behavioural therapy for medically unexplained physical symptoms: a randomised controlled trial
332 Citations1995Anne Speckens, Albert M. van Hemert +4 more
Cognitive behavioural therapy seems to be a feasible and effective treatment in general medical patients with unexplained physical symptoms and at 12 months of follow up differences between the groups were largely maintained.
Archives of General PsychiatryA Trial of the Effect of a Standardized Psychiatric Consultation on Health Outcomes and Costs in Somatizing Patients
310 Citations1995G. Richard Smith
Somatizing patients with a lifetime history of six to 12 unexplained physical symptoms reported better physical functioning after their primary care physician was provided appropriate treatment recommendations via a psychiatric consultation, which reduces subsequent charges for medical care, while improving health outcomes in a chronically impaired population.
PubMed[Rejection and identity].
307 Citations1980R. D. Stieglitz
The author shows that the splitting of identity is reversible if the object relations are strong enough (example: Rahel Varnhagen).
BMJStatistics Notes: Units of analysis
273 Citations1997Douglas G. Altman, John M. Bland
Failure to recognise this fact results in multiple counting of individual patients and can seriously distort the results of a randomised trial to compare two treatments.
Journal of Psychosomatic ResearchThe treatment of somatization: Teaching techniques of reattribution
231 Citations1989David Goldberg, Linda Gask +1 more
A three stage model is proposed to encourage patients to reattribute these symptoms, and relate them to psychosocial problems, as a preliminary to video-feedback of actual interviews with such patients.
Journal of Psychosomatic ResearchThe psychological treatment of patients with functional somatic symptoms: A practical guide
178 Citations1992Michael Sharpe, Robert Peveler +1 more
A cognitive-behavioural model of the aetiology of FSS and a psychological treatment approach based on the model, are outlined and the practical details of treatment are described.
PsychosomaticsInterventions to Improve Provider Diagnosis and Treatment of Mental Disorders in Primary Care: A Critical Review of the Literature
166 Citations2000Kurt Kroenke, Anne Taylor‐Vaisey +2 more
A critical review of the literature on interventions to improve provider recognition and management of mental disorders in primary care found 48 usable controlled studies, but was unable to demonstrate an association between efficacy of an intervention and any specific variables.
Psychosomatic MedicinePsychosocial Treatments for Multiple Unexplained Physical Symptoms: A Review of the Literature
141 Citations2002Larry A. Allen
Although seemingly beneficial, psychosocial treatments have not yet been shown to have a lasting and clinically meaningful influence on the physical complaints of polysymptomatic somatizers.
PsychosomaticsAssessment and Treatment of Functional Disorders in General Practice: The Extended Reattribution and Management Model—An Advanced Educational Program for Nonpsychiatric Doctors
136 Citations2002Per Fink, Marianne Rosendal +1 more
The objective of The Extended Reattribution and Management (TERM) model presented here is to assist the process of improving treatment options for patients with physical symptoms with no organic basis and prevent inappropriate illness behavior.
Psychological MedicineThe clinical effectiveness of counselling in primary care: a systematic review and meta-analysis
127 Citations2003Peter Bower, Nancy Rowland +1 more
Counselling is associated with modest improvement in short-term outcome compared with usual general practitioner care, and thus may be a useful addition to mental health services in primary care.
Archives of Internal MedicineSomatization Reconsidered
125 Citations1999Ronald M. Epstein, Timothy E. Quill +1 more
An approach to clinical care is recommended that involves exploring the patient's life context, finding mutually meaningful language to arrive at a name for the illness, normalizing the patients' bodily experience of distress, using a chronic disease model that attends to functioning, and addressing the physician's need for certainty and efficacy.
General Hospital PsychiatryEffectiveness of psychiatric intervention with somatization disorder patients: Improved outcomes at reduced costs
122 Citations1994Kathryn Rost, T. Michael Kashner +1 more
Patients of experimental physicians reported greater physical capacity than patients of control physicians a year following the intervention, and the consultation letter improved physical functioning in a group of highly impaired subjects.
HeartNon-cardiac chest pain and benign palpitations in the cardiac clinic.
122 Citations1994Richard Mayou, Bridget Bryant +2 more
A substantial proportion of the consecutive referrals continued to describe symptoms and disability throughout the three years after clinic attendance, and have implications for defining the role of psychological assessment and for the formulation of cost effective clinical measures to minimise disability associated with cardiac disorder.
PubMedClinical and patient satisfaction outcomes of a new treatment for somatized mental disorder taught to general practitioners.
93 Citations1999Richard Morriss, Linda Gask +4 more
Training GPs clinically benefited patients with somatized mental disorder who believe that their symptoms have a partial physical cause, and there was no overall change in patient satisfaction.
Statistics in MedicineExtending the CONSORT statement to cluster randomized trials: for discussion
91 Citations2001Diana R Elbourne, Marion Campbell
The need for clear reporting of randomized controlled trials has been emphasized recently and evidence-based suggestions for a checklist and a patient flow diagram are suggested for discussion.
Family PracticeCost-effectiveness of a new treatment for somatized mental disorder taught to GPs
86 Citations1998Richard Morriss, Linda Gask +5 more
Training GPs with the reattribution training package for somatized mental disorder appears to be extremely cost-effective.
BMJRandomised controlled trial of disclosure of emotionally important events in somatisation in primary care
80 Citations2001Albert F. Schilte, Piet J. M. Portegijs +5 more
The British Journal of PsychiatrySomatisation in Primary Care in Spain
70 Citations1996António Lobo, Javier García‐Campayo +4 more
ST in primary care is a much broader phenomenon than categories such as somatoform disorders reflect and may be less influenced by sociodemographic factors, but more chronic than previously reported.
The Journal of Nervous and Mental DiseaseThree Forms of Somatization Presenting in Primary Care Settings in Spain
60 Citations1998Javier Garcı́a-Campayo, António Lobo +2 more
This is the first study giving support to the validity of the distinction among three types of somatization in Spain, but overlap was more frequent than reported in North American studies.
Patient Education and CounselingDevelopment and feasibility of a modified reattribution model for somatising patients, applied by their own general practitioners
52 Citations2002Annette H. Blankenstein, Henriëtte E. van der Horst +6 more
It is concluded that the modified reattribution model offers a feasible approach to the broad spectrum of somatisation seen in general practice; only the modification 'dealing with illness worry' showed limited feasibility.
Journal of Psychosomatic ResearchProblem-solving therapy in the treatment of unexplained physical symptoms in primary care: A preliminary study
52 Citations1994Philip Wilkinson, Laurence Mynors‐Wallis
A pilot study of a simple psychological treatment based on reattribution techniques and problem-solving that is both feasible and acceptable and suggests selection criteria for those patients who may benefit from the treatment.
Social Science & MedicinePsychosocial problems in primary care: Some results from the Dutch national study of morbidity and interventions in general practice
38 Citations1992Peter Verhaak, Marja Tijhuis
Many patients with a probable mental illness present only physical symptoms, whereas other patients who express psychosocial problems to their GP are not considered to be in need, according to a standardized measure.
The International Journal of Psychiatry in MedicinePsychosocial Care by General Practitioners—Where are the Problems? Results of a Demonstration Project on Quality Management in Psychosocial Primary Care
35 Citations1999Kurt Fritzsche, Hagen Sandholzer +9 more
Anxiety, depression, and marital/family conflicts were the most frequent symptoms and psychosocial treatment was offered more often to those patients who had the highest level of anxiety and depression.
Scandinavian Journal of Primary Health CareThe doctor, the patient and the body
33 Citations2000Carl Edvard Rudebeck
A bodily empathic basis for clinical interaction is laid on which understanding and diagnosis may reinforce one another in a common endeavour.
Psychological MedicineClinical factors associated with short-term changes in outcome of patients with somatized mental disorder in primary care
25 Citations1998Elin Downes-Grainger, Richard Morriss +2 more
A better psychiatric symptom outcome was associated with the patients' perceived satisfaction with the general practitioner's understanding or explanation of the patient's problems and a better functional outcome wasassociated with having a job, less distress over physical symptoms, not receiving invalidity benefit and no referral to hospital.
Current Opinion in PsychiatryPsychotherapy of somatisation disorders
21 Citations1996Elspeth Guthrie
Studies published in the past 12 months have helped to establish the effectiveness of brief psychotherapies in the treatment of patients with somatisation disorders.
Scandinavian Journal of Primary Health CareTreating patients with functional somatic symptoms
10 Citations2003Kurt Fritzsche, Astrid Larisch
A specific psychosocial treatment model provided by the GP is presented including the following steps: taking a thorough symptom history, conducting aPsychosocial anamnesis and exploring the patient's own perception of the illness, developing alternative perceptions of the illnesses by understanding the psycho-physiological relationship.
Zeitschrift für Medizinische PsychologieBehandlungsverläufe bei Patienten mit somatoformen Störungen
3 Citations2001Claus Buddeberg, Richard Klaghofer +3 more
Low frequent, non-symptom-specific standard medical treatment is a suitable approach to treat patients with medium degrees of somatoform disorder.