scholarly journals Medically Unexplained Physical Symptoms in Hospitalized Patients: A 9-Year Retrospective Observational Study

2018 ◽  
Vol 9 ◽  
Author(s):  
Nicola Poloni ◽  
Marta Ielmini ◽  
Ivano Caselli ◽  
Francesca Ceccon ◽  
Lucia Bianchi ◽  
...  
Keyword(s):  
Observational Study ◽  
Physical Symptoms ◽  
Hospitalized Patients ◽  
Retrospective Observational Study ◽  
Medically Unexplained Physical Symptoms ◽  
Medically Unexplained ◽  
Unexplained Physical Symptoms

scholarly journals Hospitalized Patients with Medically Unexplained Physical Symptoms: Clinical Context and Economic Costs of Healthcare Management

2019 ◽  
Vol 9 (7) ◽  
pp. 80 ◽  
Author(s):  
Poloni ◽  
Caselli ◽  
Ielmini ◽  
Mattia ◽  
De Leo ◽  
...  
Keyword(s):  
Physical Symptoms ◽  
Healthcare Management ◽  
Hospitalized Patients ◽  
Economic Costs ◽  
Significant Positive Association ◽  
Medically Unexplained Physical Symptoms ◽  
Number Of Patients ◽  
Hospitalization Costs ◽  
Medically Unexplained ◽  
Unexplained Physical Symptoms

Medically Unexplained Physical Symptoms (MUPS) are physical symptoms without a medical explanation. This study collected data from hospitalized patients presenting MUPS, aiming to draw a clinical and socio-demographic profile of patients with MUPS, to explore psychopathological correlations of Somatic Symptoms Disorder (SSD) diagnosis, and to estimate economic costs related to hospital management for MUPS. The cross-sectional study consisted in the evaluation of data referring to hospitalized patients admitted between 2008 and 2018 in a teaching hospital in Northern Italy. A total of 273 patients presenting MUPS have been hospitalized. The sample showed a prevalence of female, married and employed patients. The most frequent wards involved are Neurology, Internal Medicine and Short Unit Stay. The most common symptoms found are headache, pain, syncope and vertigo. There is no evidence that a history of medical disease is associated with a diagnosis of SSD. A personality disorder diagnosis in patients with MUPS was associated with increased probability of having a diagnosis of SSD. A marginally significant positive association emerged with anxiety disorders, but not with depressive disorder. The overall estimated cost of hospitalization for patients with MUPS is 475'409.73 €. The study provides the investigation of a large number of patients with MUPS and a financial estimate of related hospitalization costs.

scholarly journals Recognition of patients with medically unexplained physical symptoms by family physicians: results of a focus group study

2016 ◽  
Vol 17 (1) ◽  
Author(s):  
Madelon den Boeft ◽  
Danielle Huisman ◽  
Johannes C. van der Wouden ◽  
Mattijs E. Numans ◽  
Henriette E. van der Horst ◽  
...  
Keyword(s):  
Focus Group ◽  
Family Physicians ◽  
Physical Symptoms ◽  
Focus Group Study ◽  
Medically Unexplained Physical Symptoms ◽  
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 The Fish Can Sing by Halldór Laxness: Holding fast against vanity and illusion

2017 ◽  
Vol 23 (6) ◽  
pp. 428-430
Author(s):  
David S. Baldwin
Keyword(s):  
Alcohol Use ◽  
Alcohol Use Disorders ◽  
Nobel Laureate ◽  
Physical Symptoms ◽  
The Novel ◽  
Medically Unexplained Physical Symptoms ◽  
Celebrity Suicide ◽  
Medically Unexplained ◽  
Adaptive Resilience ◽  
Unexplained Physical Symptoms

SummaryIn his early novels, the Icelandic Nobel laureate Halldór Laxness portrayed troubled individuals beset by familial, societal and economic challenges within an unpredictable and often unforgiving landscape; his later work addressed humanistic concerns regarding a well-lived life and the harmony of individual and environment. His 1957 novel The Fish Can Sing lies at the cusp of these preoccupations. Laxness contrasts the economic privations experienced by hard-pressed Icelanders with the ostentatious displays of their Danish colonial overloads; he also portrays individuals afflicted by psychosis, alcohol use disorders and medically unexplained physical symptoms, and delineates the path towards a ‘celebrity’ suicide. The novel warns against self-deceptive vanity and community-endorsed illusions, and celebrates the persistent benefits of nurturing relationships, all within a lyric contemplation of individual adaptive resilience and quotidian domestic pleasures.

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