Re: Jing et al., the efficacy of cognitive behavioural therapy in somatoform disorders and medically unexplained physical symptoms: A meta-analysis of randomized controlled trials

2019 ◽  
Vol 255 ◽  
pp. 179
Author(s):  
Allan Abbass ◽  
Falk Leichsenring ◽  
Christiane Steinert
Keyword(s):  
Somatoform Disorders ◽  
Meta Analysis ◽  
Behavioural Therapy ◽  
Physical Symptoms ◽  
Controlled Trials ◽  
Medically Unexplained Physical Symptoms ◽  
Randomized Controlled ◽  
Cognitive Behavioural ◽  
Medically Unexplained ◽  
Unexplained Physical Symptoms

Medically unexplained physical symptoms - a multidisciplinary approach

2011 ◽  
Vol 26 (S2) ◽  
pp. 1573-1573
Author(s):  
V. Pais ◽  
D. Correia ◽  
F. Ramalho e Silva
Keyword(s):  
Multidisciplinary Approach ◽  
Somatoform Disorders ◽  
Physical Symptoms ◽  
Medically Unexplained Physical Symptoms ◽  
Daily Work ◽  
Medline Search ◽  
Effective Interventions ◽  
Medically Unexplained ◽  
Unexplained Physical Symptoms

BackgroundMedically unexplained physical symptoms (MUPS) can be defined as physical symptoms that have no currently known physical pathological cause. MUPS account for one in five new consultations in primary care and for one third of new patients when neurology consultations are considered.Patients with MUPS present significant distress and impaired function and their diagnosis is sometimes hard to establish. The classification of somatoform disorders has been found to be insufficiently useful for therapeutic and scientific purposes. Some authors suggest that new classifications should attend to clinical utility, defined as (1) the extent to which a diagnosis can help clinicians understand or conceptualize a disorder in their daily work; (2) the extent to which a diagnosis can help the clinician communicate useful information to others, including practitioners, family members, patients, and administrators; (3) the extent to which the presence of a disorder helps the clinician choose effective interventions, and (4) the extent to which a disorder can predict future clinical management needs.AimThis review aims to discuss the management of MUPS in mental health services, attending to the importance of a multidisciplinary approach.MethodsPubmed Medline search on MUPS and review of recent literature.DiscussionThe management of MUPS implies a multidisciplinary approach that can offer different solutions for different degrees of disorder severity and takes into account the perception of the patient about his own illness. New classifications of somatoform disorders that include comprehensible explanations about these symptoms could be helpful for patients and health professionals.

scholarly journals ICD-10-Coding of Medically Unexplained Physical Symptoms and Somatoform Disorders—A Survey With German GPs

2021 ◽  
Vol 8 ◽  
Author(s):  
Nadine J. Pohontsch ◽  
Thomas Zimmermann ◽  
Marco Lehmann ◽  
Lisa Rustige ◽  
Katinka Kurz ◽  
...  
Keyword(s):  
Somatoform Disorders ◽  
Physical Symptoms ◽  
Simulated Patients ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Response Options ◽  
Medically Unexplained Physical Symptoms ◽  
Icd 10 ◽  
Medically Unexplained ◽  
Unexplained Physical Symptoms

Background: General practitioners (GPs) are reluctant to use codes that correspond to somatization syndromes.Aim: To quantify GPs' views on coding of medically unexplained physical symptoms (MUPS), somatoform disorders, and associated factors.Design and Setting: Survey with German GPs.Methods: We developed six survey items [response options “does not apply at all (1)”—“does fully apply (6)”], invited a random sample of 12.004 GPs to participate in the self-administered cross-sectional survey and analysed data using descriptive statistics and logistic regression analyses.Results: Response rate was 15.2% with N = 1,731 valid responses (54.3% female). Participants considered themselves familiar with ICD-10 criteria for somatoform disorders (M = 4.52; SD =.036) and considered adequate coding as essential prerequisite for treatment (M = 5.02; SD = 1.21). All other item means were close to the scale mean: preference for symptom or functional codes (M = 3.40; SD = 1.21), consideration of the possibility of stigmatisation (M = 3.30; SD = 1.35) and other disadvantages (M = 3.28; SD = 1.30) and coding only if psychotherapy is intended (M = 3.39; SD = 1.46). Exposure, guideline knowledge, and experience were most strongly associated with GPs' self-reported coding behaviour.Conclusions: Subjective exposure, guideline knowledge, and experience as a GP, but no sociodemographic variable being associated with GPs' subjective coding behaviour could indicate that GPs offer a relatively homogeneous approach to coding and handling of MUPS and somatoform disorders. Strengthening guideline knowledge and implementation, and practise with simulated patients could increase the subjective competence to cope with the challenge that patients with MUPS and somatoform disorders present.

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