Problem-solving therapy in the treatment of unexplained physical symptoms in primary care: A preliminary study

Wilkinson, Philip; Mynors-Wallis, Laurence

doi:10.1016/0022-3999(94)90056-6

Cited by 47 publications

(22 citation statements)

References 21 publications

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“…Researchers have already shown that comprehensive programs that educate physicians to recognize and treat mental health problems improve rates of detection and patient outcome [32,33]. Alternatively, treatment protocols based on symptom reattribution techniques, in which patients learn to identify a link between their physical symptoms and psychosocial stress, also help to reduce the general psychiatric morbidity of patients in primary care settings [34].…”

Section: Interpretation Of Resultsmentioning

confidence: 98%

Global versus Specific Symptom Attributions: Predicting the Recognition and Treatment of Psychological Distress in Primary Care

Greer¹,

Halgin²,

Harvey³

2004

Journal of Psychosomatic Research

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Section: Interpretation Of Resultsmentioning

confidence: 98%

Global versus Specific Symptom Attributions: Predicting the Recognition and Treatment of Psychological Distress in Primary Care

Greer¹,

Halgin²,

Harvey³

2004

Journal of Psychosomatic Research

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“…These resulted from 13 different studies utilising the Reattribution model carried out in the United Kingdom (UK) [8][9][10][11][12][22][23][24][25][26][27]30,31], the Netherlands [13,14,28], Denmark [15][16][17][18][19][20], Germany [21,32,33], and Spain [29] since 1989. The main quantitative findings are summarised in Table 1.…”

Section: Resultsmentioning

confidence: 99%

“…The authors have also As for A but excluding data referring to training (selection and recruitment of trainees, method of training, duration and experience of trainers) and including data on who provided the intervention. extended the model for use with all MUS with the growing evidence that most MUS is related to similar psychosocial problems as depression or anxiety presenting with bodily symptoms [35].Other authors have added to the basic model by inclusion of problemsolving therapy [31] or other elements derived from cognitive therapy such as dealing with persistent worry or use of symptom diaries [13].…”

Section: Modifications To the Modelmentioning

confidence: 99%

Reattribution reconsidered: Narrative review and reflections on an educational intervention for medically unexplained symptoms in primary care settings

Gask

Dowrick

Salmon

et al. 2011

Journal of Psychosomatic Research

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“…Fourth, other nonpharmacologic treatments may be beneficial for patients with chronic symptoms, including operant behavioral therapy, relaxation therapy and biofeedback [9, 10, 13, 20, 21, 22, 24, 28, 54]. Problem-solving therapy has been less well-studied for somatization [55], and in one small study of tinnitus patients was less effective than CBT [56]. …”

Section: Discussionmentioning

confidence: 99%

Cognitive-Behavioral Therapy for Somatization and Symptom Syndromes: A Critical Review of Controlled Clinical Trials

Kroenke

Swindle

2000

Psychother Psychosom

441

247

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Objective: Few treatments for somatization have been proven effective. In the past decade, however, clinical trials of cognitive-behavioral therapy (CBT) have been promising. Our aim was to critically review and synthesize the evidence from these trials. Methods: A search of the Medline database from 1966 through July 1999 was conducted to identify controlled trials designed to evaluate the efficacy of CBT in patients with somatization or symptom syndromes. Results: A total of 31 controlled trials (29 randomized and 2 nonrandomized) were identified. Twenty-five studies targeted a specific syndrome (e.g. chronic fatigue, irritable bowel, pain) while 6 focused on more general somatization or hypochondriasis. Primary outcome assessment included physical symptoms, psychological distress and functional status in 28, 26 and 19 studies, respectively. Physical symptoms appeared the most responsive: CBT-treated patients improved more than control subjects in 71% of the studies and showed possibly greater improvement (i.e., a trend) in another 11% of the studies. A definite or possible advantage of CBT for reducing psychological distress was demonstrated in only 38 and 8% of studies, and for improving functional status in 47 and 26%. Group therapy and interventions as brief as 5 sessions proved efficacious. Benefits were sustained for up to 12 months. Conclusion: CBT can be an effective treatment for patients with somatization or symptom syndromes. Benefits can occur whether or not psychological distress is ameliorated. Since chronic symptoms are exceptionally common and most studies were conducted in referral populations, the optimal sequencing of CBT in treating primary care patients and the identification of those most likely to accept and respond to therapy should be further evaluated.

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Problem-solving therapy in the treatment of unexplained physical symptoms in primary care: A preliminary study

Cited by 47 publications

References 21 publications

Global versus Specific Symptom Attributions: Predicting the Recognition and Treatment of Psychological Distress in Primary Care

Global versus Specific Symptom Attributions: Predicting the Recognition and Treatment of Psychological Distress in Primary Care

Reattribution reconsidered: Narrative review and reflections on an educational intervention for medically unexplained symptoms in primary care settings

Cognitive-Behavioral Therapy for Somatization and Symptom Syndromes: A Critical Review of Controlled Clinical Trials

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