Literature DB >> 22477945

The treatment of patients with medically unexplained symptoms in primary care: a review of the literature.

Todd M Edwards1, Anthony Stern, David D Clarke, Gabriel Ivbijaro, L Michelle Kasney.   

Abstract

Medically unexplained symptoms (MUS) are among the most common and frustrating in primary care. Our goal was to review published evidence to guide busy general practitioners working with a culturally diverse, challenging patient population coping with MUS. A search of PubMed and PsycINFO from 1985 to the present was conducted using MUS and related terms.The literature was then organised into subcategories based on its relevance to primary care. We conclude with a description of gaps in the literature based on the literature review and the clinical experience of the authors.

Entities:  

Year:  2010        PMID: 22477945      PMCID: PMC3083260     

Source DB:  PubMed          Journal:  Ment Health Fam Med        ISSN: 1756-834X


  90 in total

Review 1.  Cognitive-behavioral therapy for somatization and symptom syndromes: a critical review of controlled clinical trials.

Authors:  K Kroenke; R Swindle
Journal:  Psychother Psychosom       Date:  2000 Jul-Aug       Impact factor: 17.659

2.  Recognition of medically unexplained symptoms--do doctors agree?

Authors:  S Reid; T Crayford; S Richards; C Nimnuan; M Hotopf
Journal:  J Psychosom Res       Date:  1999-11       Impact factor: 3.006

Review 3.  Explaining medically unexplained symptoms.

Authors:  Laurence J Kirmayer; Danielle Groleau; Karl J Looper; Melissa Dominicé Dao
Journal:  Can J Psychiatry       Date:  2004-10       Impact factor: 4.356

4.  A randomized placebo-controlled trial of fluoxetine in body dysmorphic disorder.

Authors:  Katharine A Phillips; Ralph S Albertini; Steven A Rasmussen
Journal:  Arch Gen Psychiatry       Date:  2002-04

Review 5.  Psychological approaches to origins and treatments of somatoform disorders.

Authors:  Michael Witthöft; Wolfgang Hiller
Journal:  Annu Rev Clin Psychol       Date:  2010       Impact factor: 18.561

6.  Relational therapy in medical settings: working with somatizing patients and their families.

Authors:  W H Watson; S H McDaniel
Journal:  J Clin Psychol       Date:  2000-08

7.  What do general practice patients want when they present medically unexplained symptoms, and why do their doctors feel pressurized?

Authors:  Peter Salmon; Adele Ring; Christopher F Dowrick; Gerry M Humphris
Journal:  J Psychosom Res       Date:  2005-10       Impact factor: 3.006

8.  A trial of the effect of a standardized psychiatric consultation on health outcomes and costs in somatizing patients.

Authors:  G R Smith; K Rost; T M Kashner
Journal:  Arch Gen Psychiatry       Date:  1995-03

9.  Understanding and caring for the distressed patient with multiple medically unexplained symptoms.

Authors:  E A Walker; J Unützer; W J Katon
Journal:  J Am Board Fam Pract       Date:  1998 Sep-Oct

10.  Why reassurance fails in patients with unexplained symptoms--an experimental investigation of remembered probabilities.

Authors:  Winfried Rief; Andrea Maren Heitmüller; Katja Reisberg; Heinz Rüddel
Journal:  PLoS Med       Date:  2006-08       Impact factor: 11.069

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  29 in total

1.  Not yet explained symptoms.

Authors:  Alan Cohen
Journal:  Ment Health Fam Med       Date:  2010-12

2.  Behavioral health services influence medical treatment utilization among primary care patients with comorbid substance use and depression.

Authors:  Benjamin I Felleman; Dylan R Athenour; Minhdan T Ta; David G Stewart
Journal:  J Clin Psychol Med Settings       Date:  2013-12

3.  Thought for the day: the philosophical challenge of medically unexplained syndromes.

Authors:  Anthony Stern
Journal:  Ment Health Fam Med       Date:  2013-06

4.  Bodily distress syndrome (BDS): the evolution from medically unexplained symptoms (MUS).

Authors:  Gabriel Ivbijaro; David Goldberg
Journal:  Ment Health Fam Med       Date:  2013-06

5.  Medically unexplained symptoms: time to and triggers for diagnosis in primary care consultations.

Authors:  Juul Houwen; Peter Lbj Lucassen; Stijn Dongelmans; Hugo W Stappers; Willem Jj Assendelft; Sandra van Dulmen; Tim C Olde Hartman
Journal:  Br J Gen Pract       Date:  2020-01-30       Impact factor: 5.386

6.  Medically unexplained visual loss in children and young people: an observational single site study of incidence and outcomes.

Authors:  M C Daniel; A Coughtrey; I Heyman; A H Dahlmann-Noor
Journal:  Eye (Lond)       Date:  2017-03-10       Impact factor: 3.775

7.  Low functional status as a predictor of incidence of emotional disorders in the general population.

Authors:  Gabriela Barbaglia; Margreet ten Have; Saskia van Dorsselaer; Jordi Alonso; Gemma Vilagut; Ron de Graaf
Journal:  Qual Life Res       Date:  2014-09-18       Impact factor: 4.147

8.  Symptom exaggeration and symptom validity testing in persons with medically unexplained neurologic presentations.

Authors:  Joseph Lockhart; Saty Satya-Murti
Journal:  Neurol Clin Pract       Date:  2015-02

9.  Understanding Veterans' Causal Attributions of Physical Symptoms.

Authors:  Justin Kimber; Nicole Sullivan; Nicole Anastasides; Sarah Slotkin; Lisa M McAndrew
Journal:  Int J Behav Med       Date:  2021-06

10.  Behavioural modification interventions for medically unexplained symptoms in primary care: systematic reviews and economic evaluation.

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

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