Abstract:
OBJECTIVE:Previous research suggests that medically unexplained symptoms (MUS) are maintained in an interpersonal context. The current study examined MUS concurrently and prospectively by measuring specific interpersonal predictors of symptom severity and health care use. METHODS:A total of 127 patients with MUS and their significant others were recruited through primary care offices and assessed with self-report questionnaires and structured interviews about illness attributions, illness behavior and responses, relationship quality, symptom severity, and health care use at baseline and 6-month follow-up. RESULTS:Illness attributions and interpersonal illness behaviors of patients with MUS were cross-sectionally associated with illness attributions and responses of the patients' significant others. Relationship quality was related to specific illness behaviors and responses. Symptom severity at baseline was predicted by patients' somatic illness attributions. Symptom severity at 6-month follow-up was predicted by somatic illness attributions of patients and withdrawal of patients' significant others at baseline, but these predictors became insignificant when correcting for baseline symptomatology. Health care use at baseline was predicted by a greater amount of coping behavior and higher anxiety scores of patients, and health care use at 6-month follow-up was predicted by more attention-seeking behaviors and health care use of patients at baseline. CONCLUSION:The results document the interpersonal influences on the maintenance of MUS. The perspective of significant others should be considered for enhancement of psychological approaches to the treatment of patients with MUS.
journal_name
J Psychosom Resjournal_title
Journal of psychosomatic researchauthors
Hilbert A,Martin A,Zech T,Rauh E,Rief Wdoi
10.1016/j.jpsychores.2009.09.012subject
Has Abstractpub_date
2010-03-01 00:00:00pages
253-62issue
3eissn
0022-3999issn
1879-1360pii
S0022-3999(09)00375-4journal_volume
68pub_type
杂志文章abstract:OBJECTIVES:Liaison Psychiatric Services for Older Adults in the UK have been established over the last decade, with rather divergent team composition and involvement. The latest documents (National Dementia Strategy, Who Cares Wins) set the gold standard for liaison services for older adults in England, requiring a pro...
journal_title:Journal of psychosomatic research
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journal_title:Journal of psychosomatic research
pub_type: 杂志文章,随机对照试验
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journal_title:Journal of psychosomatic research
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pub_type: 临床试验,杂志文章,随机对照试验
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journal_title:Journal of psychosomatic research
pub_type: 杂志文章
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pub_type: 杂志文章,评审
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pub_type: 临床试验,杂志文章,随机对照试验
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pub_type: 杂志文章
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pub_type: 杂志文章,评审
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更新日期:2017-01-01 00:00:00
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更新日期:2015-12-01 00:00:00
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更新日期:2002-02-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2007-03-01 00:00:00
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pub_type: 杂志文章
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