Patients with persistent medically unexplained physical symptoms: A descriptive study from Norwegian general practice

BMC Family Practice

Volumn 15, Issue 1, 2014, Pages

  Aamland, Aase ^a,b   Malterud, Kirsti ^a,b,c   Werner, Erik L ^a  

^a Uni Research   (Norway)

^b UNIVERSITY OF BERGEN   (Norway)

^c Research Unit for General Practice in Copenhagen   (Denmark)

Author keywords

Cross sectional studies; Employment; Prevalence; Primary health care; Somatoform disorders

Indexed keywords

COUNSELING; CROSS-SECTIONAL STUDY; DOCTOR PATIENT RELATION; FEMALE; GENERAL PRACTICE; HUMAN; MALE; MIDDLE AGED; NORWAY; QUESTIONNAIRE; SOMATOFORM DISORDERS;

COUNSELING; CROSS-SECTIONAL STUDIES; FEMALE; GENERAL PRACTICE; HUMANS; MALE; MIDDLE AGED; NORWAY; PHYSICIAN-PATIENT RELATIONS; QUESTIONNAIRES; SOMATOFORM DISORDERS;

EID: 84902002502     PISSN: None     EISSN: 14712296     Source Type: Journal    
DOI: 10.1186/1471-2296-15-107     Document Type: Article

References (41)

1. Beyond somatisation: a review of the understanding and treatment of medically unexplained physical symptoms (MUPS). Burton C, Br J Gen Pract 2003 53 488 231 239 14694702 (Pubitemid 36300909)
2. Is there a better term than "medically unexplained symptoms"? Creed F, Guthrie E, Fink P, Henningsen P, Rief W, Sharpe M, White P, J Psychosom Res 2010 68 1 5 8 10.1016/j.jpsychores.2009.09.004 20004295
3. The medically unexplained revisited. Eriksen TE, Kirkengen AL, Vetlesen AJ, Med Health Care Philos 2013 16 3 587 600 10.1007/s11019-012-9436-2 23054425
4. Reasons for encounter and symptom diagnoses: a superior description of patients' problems in contrast to medically unexplained symptoms (MUS). Soler JK, Okkes I, Fam Pract 2012 29 3 272 282 10.1093/fampra/cmr101 22308181
5. Functional somatic syndromes: one or many? Wessely S, Nimnuan C, Sharpe M, Lancet 1999 354 9182 936 939 10.1016/S0140-6736(98)08320-2 10489969 (Pubitemid 29424033)
6. The association or otherwise of the functional somatic syndromes. Kanaan RA, Lepine JP, Wessely SC, Psychosom Med 2007 69 9 855 859 10.1097/PSY. 0b013e31815b001a 18040094 (Pubitemid 350158826)
7. [Unclear conditions-common mechanisms?]. Bruusgaard D, Natvig B, Tidsskr Nor Laegeforen 2009 129 15 1481 1483 19690600
8. Experts' opinions on the management of medically unexplained symptoms in primary care. A qualitative analysis of narrative reviews and scientific editorials. Heijmans M, olde Hartman T, van Weel-Baumgarten E, Dowrick C, Lucassen P, van Weel C, Fam Pract 2011 28 444 455 10.1093/fampra/cmr004 21368064
9. Economics of medically unexplained symptoms: a systematic review of the literature. Konnopka A, Schaefert R, Heinrich S, Kaufmann C, Luppa M, Herzog W, Konig HH, Psychother Psychosom 2012 81 5 265 275 10.1159/000337349 22832397
10. Patients repeatedly referred to secondary care with symptoms unexplained by organic disease: prevalence, characteristics and referral pattern. McGorm K, Burton C, Weller D, Murray G, Sharpe M, Fam Pract 2010 27 5 479 486 10.1093/fampra/cmq053 20679139
11. Persistent presentation of medically unexplained symptoms in general practice. Verhaak PFM, Meijer SA, Visser AP, Wolters G, Fam Pract 2006 23 4 414 420 10.1093/fampra/cml016 16632487
12. Physician-based estimates of medically unexplained symptoms: a comparison of four case definitions. Swanson LM, Hamilton JC, Feldman MD, Fam Pract 2010 27 5 487 493 10.1093/fampra/cmq051 20634265
13. Estimating the prevalence of medically unexplained symptoms from primary care records. Morriss R, Lindson N, Coupland C, Dex G, Avery A, Public Health 2012 126 10 846 854 10.1016/j.puhe.2012.05.008 22922044
14. Unexplained complaints in general practice: prevalence, patients' expectations, and professionals' test-ordering behavior. van der Weijden T, van Velsen M, Dinant GJ, van Hasselt CM, Grol R, Med Decis Making 2003 23 3 226 231 10.1177/0272989X03023003004 12809320 (Pubitemid 36618063)
15. Medically unexplained physical symptoms in primary care: a comparison of self-report screening questionnaires and clinical opinion. Peveler R, Kilkenny L, Kinmonth AL, J Psychosom Res 1997 42 3 245 252 10.1016/S0022-3999(96)00292-9 9130181 (Pubitemid 27186876)
16. Medically unexplained symptoms in an urban general medicine practice. Feder A, Olfson M, Gameroff M, Fuentes M, Shea S, Lantigua RA, Weissman MM, Psychosomatics 2001 42 3 261 268 10.1176/appi.psy.42.3.261 11351117 (Pubitemid 32410979)
17. Patients presenting with somatic complaints: epidemiology, psychiatric co-morbidity and management. Kroenke K, Int J Methods Psychiatr Res 2003 12 34 43 pp 10.1002/mpr.140 12830308 (Pubitemid 36675446)
18. ABC of Medically Unexplained Symptoms (ABC Series). Wiley-Blackwell, Burton C, 1 2013 http://eu.wiley.com/WileyCDA/WileyTitle/productCd-1119967252. html
19. The prevalence of medically unexplained symptoms in primary care. Steinbrecher N, Koerber S, Frieser D, Hiller W, Psychosomatics 2011 52 3 263 271 10.1016/j.psym.2011.01.007 21565598
20. Enhanced care by generalists for functional somatic symptoms and disorders in primary care. Rosendal M, Blankenstein AH, Morriss R, Fink P, Sharpe M, Burton C, Cochrane Database Syst Rev 2013 10 doi: 10.1002/14651858. CD008142.pub2
21. The strengthening the reporting of observational studies in epidemiology (STROBE) statement: guidelines for reporting observational studies. von Elm E, Altman DG, Egger M, Pocock SJ, Gotzsche PC, Vandenbroucke JP, Lancet 2007 370 9596 1453 1457 10.1016/S0140-6736(07)61602-X 18064739
22. [General practitioners' sickness certification practices] 2006 [cited 2014 25/4]. Brage S, Kann I, Available from: http://www.nav.no/Forsiden/- attachment/1073745851?=true&-ts=10cd428e448
23. [The educational level of the population, 1st of October 2012] 2013 [cited 2014 25/4]. Statistics Norway, Available from: http://www.ssb.no/utniv/
24. [Confidence, safety and availability. Report on the strenghtening of primary care toward year 2020] 2009 [cited 2014 25/4]. Den norske legeforening, Available from: http://legeforeningen.no/Emner/Andre-emner/Publikasjoner/ Statusrapporter/Tillit - trygghet - -tilgjengelighet/
25. Physician gender effects in medical communication: a meta-analytic review. Roter DL, Hall JA, Aoki Y, JAMA 2002 288 6 756 764 10.1001/jama.288.6. 756 12169083 (Pubitemid 34848232)
26. Somatization in primary care: prevalence, health care utilization, and general practitioner recognition. Fink P, Sarensen L, Engberg M, Holm M, Munk-Jargensen P, Psychosomatics 1999 40 4 330 338 10.1016/S0033-3182(99)71228-4 10402880 (Pubitemid 29315955)
27. Evaluation of general practitioners' training: how to manage patients with unexplained physical symptoms. Rief W, Martin A, Rauh E, Zech T, Bender A, Psychosomatics 2006 47 4 304 311 10.1176/appi.psy.47.4.304 16844888
28. Depression, anxiety, and somatoform disorders: vague or distinct categories in primary care? Results from a large cross-sectional study. Hanel G, Henningsen P, Herzog W, Sauer N, Schaefert R, Szecsenyi J, Lowe B, J Psychosom Res 2009 67 3 189 197 10.1016/j.jpsychores.2009.04.013 19686874
29. Recruiting and retaining GPs and patients in intervention studies: the DEPS-GP project as a case study. Williamson MK, Pirkis J, Pfaff JJ, Tyson O, Sim M, Kerse N, Lautenschlager NT, Stocks NP, Almeida OP, BMC Med Res Methodol. 2007 7
30. GPs' experiences of primary care mental health research: a qualitative study of the barriers to recruitment. Mason VL, Shaw A, Wiles NJ, Mulligan J, Peters TJ, Sharp D, Lewis G, Fam Pract 2007 24 5 518 525 10.1093/fampra/cmm047 17698979 (Pubitemid 350142652)
31. Diagnosis of somatisation: effect of an educational intervention in a cluster randomised controlled trial. Rosendal M, Bro F, Fink P, Christensen KS, Olesen F, Br J Gen Pract 2003 53 497 917 922 14960214 (Pubitemid 37526781)
32. Health complaints and sickness absence in Norway, 1996-2003. Ihlebaek C, Brage S, Eriksen HR, Occup Med (Lond) 2007 57 1 43 49 17046991 (Pubitemid 46062768)
33. [What's up in the GPs offices? Statistics of consultations] 2007 [cited 2014 25/4]. The Norwegian Labour and Welfare Service, Available from: http://www.nav.no/805364276.cms
34. Mindfulness-based cognitive therapy for patients with medically unexplained symptoms: a randomized controlled trial. van Ravensteijn H, Lucassen P, Bor H, van Weel C, Speckens A, Psychother Psychosom 2013 82 5 299 310 10.1159/000348588 23942259
35. Does somatization disorde occur in men? Clinical characheristics of women and men with multiple unexplained somatic symptoms. Golding JM, Smith GR, Kashner TM, Arch Gen Psychiatry 1991 48 3 231 235 10.1001/archpsyc.1991. 01810270043006 1996919
36. Mental disorders in primary care: prevalence and co-morbidity among disorders. Results from the functional illness in primary care (FIP) study. Toft T, Fink P, Oernboel E, Christensen K, Frostholm L, Olesen F, Psychol Med 2005 35 8 1175 1184 10.1017/S0033291705004459 16116943 (Pubitemid 41103009)
37. Assessment and management of medically unexplained symptoms. Hatcher S, Arroll B, BMJ 2008 336 7653 1124 1128 10.1136/bmj.39554.592014.BE 18483055 (Pubitemid 351731744)
38. Rosendal M, Sparle Christensen K, Agersnap L, Fink P, Vinther Nielsen C, [Practical Clinical Supervision for functional disorders in general practice] Denmark: DSAM (Dansk Selskab for Almen Medicin) 2013 http://vejledninger.dsam. dk/funktionellelidelser/
39. What do general practice patients want when they present medically unexplained symptoms, and why do their doctors feel pressurized? Salmon P, Ring A, Dowrick CF, Humphris GM, J Psychosom Res 2005 59 4 255 260 10.1016/j.jpsychores.2005.03.004 16223629 (Pubitemid 41436576)
40. Do patients with unexplained physical symptoms pressurise general practitioners for somatic treatment? A qualitative study. Ring A, Dowrick C, Humphris G, Salmon P, BMJ 2004 328 7447 1057 1060 10.1136/bmj.38057.622639.EE 15056592 (Pubitemid 38580831)
41. Chronic multiple functional somatic symptoms. Bass C, May S, BMJ 2002 325 323 326 10.1136/bmj.325.7359.323 12169511