Changes after multicomponent group-based treatment in patients with medically unexplained physical symptoms

被引:1
作者
Polakovska, Lucia [1 ]
Cevelicek, Michal [1 ]
Roubal, Jan [1 ]
Rihacek, Tomas [1 ]
机构
[1] Masaryk Univ, Fac Social Studies, Dept Psychol, Brno, Czech Republic
关键词
Medically unexplained physical symptoms; patient experience; multicomponent treatment; chronic illness; psychosomatics; CHRONIC-FATIGUE-SYNDROME; SOMATOFORM DISORDERS; CHRONIC PAIN; PSYCHOTHERAPY; SOMATIZATION; MANAGEMENT; INTERVENTIONS; FIBROMYALGIA; METAANALYSIS; EFFICACY;
D O I
10.1080/09515070.2022.2142200
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Psychological treatments for patients with medically unexplained physical symptoms (MUPS) reduce somatic symptom severity only moderately. However, patients may profit from changes other than that of symptom reduction. The aim of the present study was to capture the changes that patients with MUPS experience after a multicomponent group-based treatment. Semistructured interviews with 30 patients with MUPS were undertaken after the treatment. Thematic analysis was used to identify the changes the patients reported. The changes included developing a different view of their somatic symptoms, learning how to fulfill their needs, modifying their lifestyle, and becoming open to painful experiences. The patients also noted changes in their somatic symptoms and their quality of life. Multicomponent treatment helps patients with MUPS achieve a variety of changes that reach beyond physical symptoms reduction. Patients' symptoms often worsen after a return to normal life, which calls for continual care.
引用
收藏
页码:571 / 591
页数:21
相关论文
共 49 条
[11]  
Claassen-van Dessel N., 2015, MENTAL HLTH FAMILY M, DOI [10.1186/s12875-018-0709-6, DOI 10.1186/S12875-018-0709-6]
[12]   Using thematic analysis in counselling and psychotherapy research: A critical reflection [J].
Clarke, Victoria ;
Braun, Virginia .
COUNSELLING & PSYCHOTHERAPY RESEARCH, 2018, 18 (02) :107-110
[13]   Fibromyalgia A Clinical Review [J].
Clauw, Daniel J. .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2014, 311 (15) :1547-1555
[14]   Is there a better term than "Medically unexplained symptoms"? [J].
Creed, Francis ;
Guthrie, Elspeth ;
Fink, Per ;
Henningsen, Peter ;
Rief, Winfried ;
Sharpe, Michael ;
White, Peter .
JOURNAL OF PSYCHOSOMATIC RESEARCH, 2010, 68 (01) :5-8
[15]   A review of chronic pain impact on patients, their social environment and the health care system [J].
Duenas, Maria ;
Ojeda, Begona ;
Salazar, Alejandro ;
Antonio Mico, Juan ;
Failde, Inmaculada .
JOURNAL OF PAIN RESEARCH, 2016, 9 :457-467
[16]   In their own words: qualitative study of high-utilising primary care patients with medically unexplained symptoms [J].
Dwamena, Francesca C. ;
Lyles, Judith S. ;
Frankel, Richard M. ;
Smith, Robert C. .
BMC FAMILY PRACTICE, 2009, 10
[17]   Patients with medically unexplained physical symptoms experience of receiving treatment in a primary-care psychological therapies service: a qualitative study [J].
Gerskowitch, Chloe ;
Norman, Ian ;
Rimes, Katharine A. .
COGNITIVE BEHAVIOUR THERAPIST, 2015, 8
[18]   Efficacy of Multicomponent Treatment in Fibromyalgia Syndrome: A Meta-Analysis of Randomized Controlled Clinical Trials [J].
Haeuser, Winfried ;
Bernardy, Kathrin ;
Arnold, Bernhard ;
Offenbaecher, Martin ;
Schiltenwolf, Marcus .
ARTHRITIS & RHEUMATISM-ARTHRITIS CARE & RESEARCH, 2009, 61 (02) :216-224
[19]   Somatoform Disorders and Medically Unexplained Symptoms in Primary Care [J].
Haller, Heidemarie ;
Cramer, Holger ;
Lauche, Romy ;
Dobos, Gustav .
DEUTSCHES ARZTEBLATT INTERNATIONAL, 2015, 112 (16) :279-+
[20]   Medically unexplained symptoms, somatisation disorder and hypochondriasis: Course and prognosis. A systematic review [J].
Hartman, Tim C. Olde ;
Borghuis, Machteld S. ;
Lucassen, Peter L. B. J. ;
van de Laar, Floris A. ;
Speckens, Anne E. ;
van Weel, Chris .
JOURNAL OF PSYCHOSOMATIC RESEARCH, 2009, 66 (05) :363-377