The effectiveness of a training for patients with unexplained physical symptoms: protocol of a cognitive behavioral group training and randomized controlled trial |
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Authors: | Lyonne NL Zonneveld Adriaan van 't Spijker Jan Passchier Jan J van Busschbach Hugo J Duivenvoorden |
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Affiliation: | (1) Riagg Rijnmond, Westhavenkade 85, 3133 AV Vlaardingen, the Netherlands;(2) Department of Medical Psychology and Psychotherapy, Erasmus Medical Center, PO Box 2040, 3000 CA Rotterdam, the Netherlands |
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Abstract: | Background In primary care, up to 74% of physical symptoms is classified as unexplained. These symptoms can cause high levels of distress and healthcare utilization. Cognitive behavioral therapy has shown to be effective, but does not seem to be attractive to patients. An exception herein is a therapy based on the consequences model, which distinguishes itself by its labeling of psychosocial distress in terms of consequences rather than as causes of physical symptoms. In secondary care, 81% of the patients accepts this therapy, but in primary care the outcome is poor. We assume that positive outcome can also be reached in primary care, when the consequences model is modified and used bottom-up in an easily accessible group training, in which patients are relieved of being blamed for their symptoms. Our aim is to investigate the (cost-)effectiveness of this training. |
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