General practitioners' views on reattribution for patients with medically unexplained symptoms: A questionnaire and qualitative study

BMC Family Practice

Volumn 9, Issue , 2008, Pages

  Dowrick, Christopher ^a   Gask, Linda ^b   Hughes, John G ^a   Charles Jones, Huw ^c   Hogg, Judith A ^a   Peters, Sarah ^b   Salmon, Peter ^a   Rogers, Anne R ^b   Morriss, Richard K ^d  

^a UNIVERSITY OF LIVERPOOL   (United Kingdom)

^b UNIVERSITY OF MANCHESTER   (United Kingdom)

^c Lache Health Centre   (United Kingdom)

^d UNIVERSITY OF NOTTINGHAM   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; ARTICLE; CLINICAL COMPETENCE; CLINICAL PRACTICE; CONCEPTUAL FRAMEWORK; FEMALE; GENERAL PRACTICE; GENERAL PRACTITIONER; HEALTH SURVEY; HUMAN; MALE; MEDICAL ASSESSMENT; MEDICAL EDUCATION; MEDICALLY UNEXPLAINED SYMPTOM; PHYSICIAN ATTITUDE; PRIMARY MEDICAL CARE; QUESTIONNAIRE; SEMI STRUCTURED INTERVIEW; SYMPTOM; UNITED KINGDOM; AGED; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DIAGNOSTIC PROCEDURE; DOCTOR PATIENT RELATION; EDUCATION; HEALTH PERSONNEL ATTITUDE; INTERVIEW; MIDDLE AGED; PSYCHOLOGICAL ASPECT; QUALITATIVE RESEARCH; RANDOMIZED CONTROLLED TRIAL; SOMATOFORM DISORDER; STATISTICS;

ADULT; AGED; ATTITUDE OF HEALTH PERSONNEL; CLINICAL COMPETENCE; DIAGNOSTIC TECHNIQUES AND PROCEDURES; EDUCATION, MEDICAL, CONTINUING; ENGLAND; FEMALE; HUMANS; INTERVIEWS AS TOPIC; MALE; MIDDLE AGED; PHYSICIAN-PATIENT RELATIONS; PHYSICIANS, FAMILY; QUALITATIVE RESEARCH; QUESTIONNAIRES; SOMATOFORM DISORDERS;

EID: 51649109980     PISSN: None     EISSN: 14712296     Source Type: Journal    
DOI: 10.1186/1471-2296-9-46     Document Type: Article

References (29)

1. Medically unexplained physical symptoms in primary care: a comparison of self-report screening questionnaires and clinical opinion. R Peveler L Kilkenny AL Kinmoth, Journal of Psychosomatic Research 1997 42 245 252 10.1016/S0022-3999(96)00292-9 9130181
2. Unexplained complaints in general practice: prevalence, patients' expectations, and professionals' test-ordering behavior. T Weijden van der M Velsen van G-J Dinant CM Hasselt van R Grol, Medical Decision Making 2003 23 226 231 10.1177/0272989X03023003004 12809320
3. A comparative study of iatrogenesis, medication abuse and psychiatric morbidity in chronic pain patients with and without medically explained symptoms. K Kouyanou C Pither Rabe-Hesketh S Wessely, Pain 1998 76 417 426 10.1016/S0304-3959(98)00074-8 9718260
4. A primary care perspective on prevailing assumptions about persistent medically unexplained physical symptoms. IM Stanley S Peters P Salmon, International Journal of Psychiatry in Medicine 2002 32 125 140 10.2190/AVM3-8GU8-JW70-5RX5 12269594
5. The somatizing effect of clinical consultation: what patients and doctors say and do not say when patients present medically unexplained physical symptoms. A Ring CF Dowrick GM Humphris J Davies P Salmon, Social Science and Medicine 2005 61 1505 1515 10.1016/j.socscimed.2005.03.014
6. Somatization increases medical utilization and costs independent of psychiatric and medical comorbidity. AJ Barsky EJ Orav DW Bates, Archives of General Psychiatry 2005 62 903 910 10.1001/archpsyc.62.8.903 16061768
7. Patients' perceptions of medical explanations for somatisation disorders: qualitative analysis. P Salmon S Peters I Stanley, BMJ 1999 318 372 376 9933202
8. 'I just want permission to be ill': Towards a sociology of medically unexplained symptoms. S Nettleton, Social Science and Medicine 2006 62 1167 1178 10.1016/j.socscimed.2005.07.030
9. Observational study of effect of patient centredness and positive approach on outcomes of general practice consultations. P Little H Everitt I Williamson G Warner M Moore C Gould, BMJ 2001 323 908 911 11668137 10.1136/bmj.323.7318.908
10. Turning theory into practice: rationale, feasibility and external validity of an exploratory randomized controlled trial of training family practitioners in reattribution to manage patients with medically unexplained symptoms (MUST. R Morriss C Dowrick P Salmon S Peters A Rogers G Dunn B Lewis H Charles-Jones J Hogg R Clifford C Rigby L Gask, General Hospital Psychiatry 2006 28 343 351 10.1016/j.genhosppsych.2006.03.012 16814635
11. Cost-effectiveness of a new treatment for somatized mental disorder taught to GPs. RK Morriss L Gask C Ronalds E Downes-Grainger H Thompson B Leese D Goldberg, Family Practice 1998 15 119 125 10.1093/fampra/15.2.119 9613478
12. Clinical and patient satisfaction outcomes of a new treatment for somatized mental disorder taught to general practitioners. RK Morriss L Gask C Ronalds E Downes-Grainger H Thompson D Goldberg, British Journal of General Practice 1999 49 263 267 10736901
13. Treatment of patients with somatized mental disorder: effects of reattribution training on outcomes under the direct control of the family doctor. RK Morriss L Gask, Psychosomatics 2002 43 394 399 10.1176/appi.psy.43.5. 394 12297608
14. Somatising patients in general practice reattribution, a promising approach. AH Blankenstein, PhD thesis Netherlands: Vrije Universiteit 2001
15. Psychosocial interventions for somatizing patients by the general practitioner: a randomized controlled trial. A Larisch A Schweickhardt M Wirsching K Fritzsche, Journal of Psychosomatic Research 2004 57 507 514 10.1016/j.jpsychores.2004.04.372 15596155
16. A randomized controlled trial of brief training in the assessment and treatment of somatisation in primary care: effects on patient outcome. M Rosendal F Olesen P Fink T Toft I Sokolowski F Bro, General Hospital Psychiatry 2007 29 364 373 10.1016/j.genhosppsych.2007.03.005 17591514
17. Cluster randomised controlled trial of training practices in reattribution for medically unexplained symptoms. R Morriss C Dowrick P Salmon S Peters G Dunn A Rogers B Lewis H Charles-Jones J Hogg R Clifford L Gask, British Journal of Psychiatry 2007 191 531 542 10.1192/bjp.bp.107.040683
18. What do general practice patients want when they present medically unexplained symptoms, and why do their doctors feel pressurised? P Salmon A Ring CF Dowrick GM Humphris, Journal of Psychosomatic Research 2005 59 255 260 10.1016/j.jpsychores.2005.03.004 16223629
19. Grounded theory research: Procedures, canons, and evaluative criteria. J Corbin A Strauss, Qualitative Sociology 1990 13 3 21 10.1007/BF00988593
20. Why do general practitioners decline training to improve management of medically unexplained symptoms. P Salmon S Peters R Clifford W Iredale L Gask A Rogers C Dowrick J Hughes R Morriss, Journal of General Internal Medicine 2007 22 565 571 17443362 10.1007/s11606-006-0094-z
21. The Blue Book: Investing in General Practice. The New General Medical Services Contract. BMA and NHS Confederation, London 2003
22. Is the metaphor of 'barriers to change' useful in understanding implementation? Evidence from general medical practice. K Checkland S Harrison M Marshall, Journal of Health Services Research and Policy 2007 12 95 100 10.1258/135581907780279657
23. A randomised controlled trial of brief training in assessment and treatment of somatisation: effects on GPs' attitudes. M Rosendal F Bro I Sokolowski P Fink T Toft F Olesen, Family Practice 2005 22 419 427 10.1093/fampra/cmi033 15897211
24. Voiced but unheard agendas: qualitative analysis of the psychosocial cues that patients with unexplained symptoms present to general practitioners. P Salmon C Dowrick A Ring G Humphris, British Journal of General Practice 2004 54 171 176 15006121
25. Pastoral relationships and holding work in primary care: affect, subjectivity and chronicity. S Cocksedge C May, Chronic Illness 2005 1 157 163 17136921
26. Peering through the barriers in GPs' explanations for declining to participate in research: the role of professional autonomy and the economy of time. P Salmon S Peters A Rogers L Gask R Clifford W Iredale C Dowrick R Morriss, Family Practice 2007 24 269 275 10.1093/fampra/cmm015 17504773
27. Qualitative analysis of patient experiences of GP attempts to manage medically unexplained symptoms: why did improvement in doctor communication by reattribution training not translate into patient improvement? S Peters A Rogers P Salmon L Gask M Towey R Clifford C Dowrick R Morriss, Journal of General Internal Medicine
28. Causal illness attributions in somatoform disorders: associations with comorbidity and illness behavior. W Rief A Nanke J Emmerich A Bender T Zech, Journal of Psychosomatic Research 2004 57 367 371 15518672
29. Treating patients with medically unexplained symptoms in primary care. RC Smith C Lein C Collins JS Lyles B Given FC Dwamena J Coffey A Hodges JC Gardiner J Goddeeris CW Given, Journal of General Internal Medicine 2003 18 478 89 12823656 10.1046/j.1525-1497.2003.20815.x