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Controlled Clinical Trial
. 2009 Sep-Oct;50(5):515-24.
doi: 10.1176/appi.psy.50.5.515.

Medically unexplained physical symptoms in primary care: a controlled study on the effectiveness of cognitive-behavioral treatment by the family physician

Ingrid A Arnold  1 , Margot W M de Waal, Just A H Eekhof, Willem J J Assendelft, Philip Spinhoven, Albert M van Hemert
Affiliations
Controlled Clinical Trial

Medically unexplained physical symptoms in primary care: a controlled study on the effectiveness of cognitive-behavioral treatment by the family physician

Ingrid A Arnold et al. Psychosomatics. 2009 Sep-Oct.

Abstract

Background: Disabling medically unexplained physical symptoms occur in 16% of all patients in primary care.

Objective: The aim of this study was to assess the effectiveness of a cognitive-behavioral intervention by the family physician.

Method: In a controlled design with detailed information on patient selection, 6,409 patients were screened on somatoform disorder, and 65 participants were allocated to care-as-usual or the experimental condition.

Results: After 6 and 12 months, the cognitive-behavioral intervention by trained family physicians was not more effective than care-as-usual.

Conclusion: Possibly, the intensity of treatment was insufficient for the severe and persistent symptoms that were encountered in primary care.

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