OBJECTIVE: The objective of this study was to compare the effects of psychosocial interventions based on the modified reattribution model for somatizing patients in general practice (GP) with those of nonspecific psychosocial primary care (PPC) alone. METHODS: Forty-two GPs were randomized, 23 into the intervention group (IG), who were trained in reattribution techniques, and 19 into the control group (CG). One hundred twenty-seven patients were included. Primary outcome measures were somatoform symptoms and quality of life. RESULTS: Multilevel modeling revealed a reduction of physical symptoms (P = .007), an improvement in physical functioning (P = .0172), and a reduction of depression (P = .0211) and anxiety (P = .0388) in the IG compared with the CG at the 3-month follow-up. However, results no longer remained significant after controlling for baseline and covariate variables besides a reduction of physical symptoms at 6-month follow-up (P = .029). CONCLUSION: Compared with nonspecific PPC, the effects of reattribution techniques were small and limited to physical symptoms.
RCT Entities:
OBJECTIVE: The objective of this study was to compare the effects of psychosocial interventions based on the modified reattribution model for somatizing patients in general practice (GP) with those of nonspecific psychosocial primary care (PPC) alone. METHODS: Forty-two GPs were randomized, 23 into the intervention group (IG), who were trained in reattribution techniques, and 19 into the control group (CG). One hundred twenty-seven patients were included. Primary outcome measures were somatoform symptoms and quality of life. RESULTS: Multilevel modeling revealed a reduction of physical symptoms (P = .007), an improvement in physical functioning (P = .0172), and a reduction of depression (P = .0211) and anxiety (P = .0388) in the IG compared with the CG at the 3-month follow-up. However, results no longer remained significant after controlling for baseline and covariate variables besides a reduction of physical symptoms at 6-month follow-up (P = .029). CONCLUSION: Compared with nonspecific PPC, the effects of reattribution techniques were small and limited to physical symptoms.
Authors: Sarah Peters; Anne Rogers; Peter Salmon; Linda Gask; Chris Dowrick; Maria Towey; Rebecca Clifford; Richard Morriss Journal: J Gen Intern Med Date: 2008-12-17 Impact factor: 5.128
Authors: Robert C Smith; Joseph C Gardiner; Zhehui Luo; Susan Schooley; Lois Lamerato; Kathryn Rost Journal: J Gen Intern Med Date: 2009-04-30 Impact factor: 5.128
Authors: Joanna Leaviss; Sarah Davis; Shijie Ren; Jean Hamilton; Alison Scope; Andrew Booth; Anthea Sutton; Glenys Parry; Marta Buszewicz; Rona Moss-Morris; Peter White Journal: Health Technol Assess Date: 2020-09 Impact factor: 4.014