Medically unexplained symptoms in primary care: How can doctors help, not hinder?

Mental Health in Family Medicine

Volumn 7, Issue 4, 2011, Pages 191-192

  Dowrick, Christopher ^a  

^a UNIVERSITY OF LIVERPOOL   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

CLINICAL PRACTICE; COGNITIVE THERAPY; CONSULTATION; EDITORIAL; HEALTH CARE COST; HOSPITALIZATION; MEDICALLY UNEXPLAINED SYMPTOM; PRIMARY MEDICAL CARE; PSYCHOSOCIAL CARE; SYMPTOM;

EID: 79953725992     PISSN: 1756834X     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Editorial

References (18)

1. de Waal MW, Arnold IA, Eekhof JA and van Hemert AM. Somatoformdisorders ingeneral practice: prevalence, functional impairment and comorbidity with anxiety and depressive disorders. British Journal of Psychiatry 2004;184:470-6. (Pubitemid 38725705)
2. Peveler R, Kilkenny L and Kinmonth AL. Medically unexplained physical symptoms in primary care: a comparison of self-report screening questionnaires and clinical opinion. J Psychosom Res 1997;42:245-52. (Pubitemid 27186876)
3. Barsky AJ, Orav EJ and Bates DW. Somatization increases medical utilization and costs independent of psychiatric and medical comorbidity. Arch Gen Psychiatry 2005;62:903-10. (Pubitemid 41126885)
4. Wileman L, May C and Chew-Graham CA. Medically unexplained symptoms and the problem of power in the primary care consultation: a qualitative study. Fam Pract 2002;19:178-82 (Pubitemid 34257780)
5. Leiknes KA, Finset A, Moum T and Sandanger I. Methodological issues concerning lifetime medically unexplained and medically explained symptoms of the Composite International Diagnostic Interview: a prospective 11-year follow-up study. J Psychosom Res 2006;61:169-79. (Pubitemid 44118356)
6. Salmon P, Ring A, Dowrick CF and Humphris GM. What do general practice patients want when they present medically unexplained symptoms, and why do their doctors feel pressurized? J Psychosom Res 2005;59(4):255-60.
7. Ring A, Dowrick CF, Humphris GM, Davies J and Salmon P. The somatising effect of clinical consultation: what patients and doctors say and do not say when patients present medically unexplained physical symptoms. Soc Sci Med 2005;61:1505-15. (Pubitemid 40991274)
8. Salmon P, Humphris GM, Ring A, Davies JC and Dowrick CF. Primary care consultations about medically unexplained symptoms: patient presentations and doctor responses that influence the probability of somatic intervention. Psychosom Med 2007;69:571-7. (Pubitemid 47205742)
9. Salmon P, Wissow L, Carroll J, Ring A, Humphris GM, Davies JC and Dowrick CF. Doctors' attachment style and their inclination to propose somatic interventions for medically unexplained symptoms. Gen Hosp Psychiatry 2008;30:104-11. (Pubitemid 351248978)
10. Larisch A, Schweickhardt A, Wirsching M and Fritzsche K. Psychosocial interventions for somatizing patients by the general practitioner: a randomized controlled trial. J Psychosom Res 2004;57:507-14. (Pubitemid 39642887)
11. Morriss R, Dowrick C, Salmon P et al. Cluster randomised controlled trial of training practices in reattribution for medically unexplained symptoms. Br J Psychiatry 2007;191:536-42. (Pubitemid 350273215)
12. Peters S, Rogers A, Salmon P, Gask L, Dowrick C, Towey M, Clifford R and Morriss R. What do patients choose to tell their doctors? Qualitative analysis of potential barriers to reattributing medically unexplained symptoms. J Gen Intern Med 2009;24:443-9.
13. Dowrick C, Gask L, Hughes et al. General practitioners' views on reattribution for patients with medically unexplained symptoms: a questionnaire and qualitative study. BMC Fam Pract 2008;9:46.
14. Kroenke K. Patients presenting with somatic complaints: epidemiology, psychiatric comorbidity and management. Int J Methods Psychiatr Res 2003;12:34-43. (Pubitemid 36675446)
15. Escobar JI, Gara MA, Diaz-Martinez AM et al. Effectiveness of a time-limited cognitive behavior therapy type intervention among primary care patients with medically unexplained symptoms. Ann Fam Med 2007;5:328-35. (Pubitemid 47294849)
16. Arnold IA, de Waal MW, Eekhof JA, Assendelft WJ, Spinhoven P and van Hemert AM. Medically unexplained physical symptoms in primary care: a controlled study on the effectiveness of cognitive-behavioral treatment by the family physician. Psychosomatics 2009;50:515-24.
17. Miresco MJ and Kirmayer LJ. The persistence of mind-brain dualism in psychiatric reasoning about clinical scenarios. Am J Psychiatry 2006;163:913-8. (Pubitemid 44464542)
18. Dowrick C. Beyond Depression 2/e. Oxford: Oxford University Press, 2009.