The effect of an educational intervention in family phisicians on self-rated quality of life in patients with medically unexplained symptoms

1Peveler R, Kilkenny L, Kinmonth AL. Medically unexplained physical symptoms in primary care: a comparison of self-report screening questionnaires and clinical opinion. J Psychosom Res 1997; 42: 245-52.PevelerRKilkennyLKinmonthALMedically unexplained physical symptoms in primary care: a comparison of self-report screening questionnaires and clinical opinionJ Psychosom Res1997422455210.1016/S0022-3999(96)00292-9Search in Google Scholar

2Burton C. Beyond somatisation: a review of the understanding and treatment of medically unexplained physical symptoms (MUPS). Br J Gen Pract 2003; 53: 231-9.BurtonC.Beyond somatisation: a review of the understanding and treatment of medically unexplained physical symptoms (MUPS)Br J Gen Pract2003532319Search in Google Scholar

3Stone J, Wojcik W, Durrance D, Carson A, Lewis S, MacKenzie L, et al. What should we say to patients with symptoms unexplained by disease?: the “number needed to offend”. BMJ 2002; 325: 1449-50.StoneJWojcikWDurranceDCarsonALewisSMacKenzieLet al.What should we say to patients with symptoms unexplained by disease?: the “number needed to offend”BMJ200232514495010.1136/bmj.325.7378.144913903412493661Search in Google Scholar

4Ivetić V. Medicinsko nepojasnjena stanja v ambulanti družinske medicine: doktorska disertacija. Ljubljana: Medicinska fakulteta, 2015.IvetićV.Medicinsko nepojasnjena stanja v ambulanti družinske medicine: doktorska disertacijaLjubljana: Medicinska fakulteta2015Search in Google Scholar

5Poplas-Susič T, Švab I, Kersnik J. The project of model practices in family medicine in Slovenia. Zdrav Vestn 2013; 82: 635–47.Poplas-SusičTŠvabIKersnikJ.The project of model practices in family medicine in SloveniaZdrav Vestn20138263547Search in Google Scholar

6Schur EA, Afari N, Furberg H, Olarte M, Goldberg J, Sullivan PF, et al. Feeling bad in more ways than one: comorbidity patterns of medically unexplained and psychiatric conditions. J Gen Intern Med 2007; 22: 818-21.SchurEAAfariNFurbergHOlarteMGoldbergJSullivanPFet al.Feeling bad in more ways than one: comorbidity patterns of medically unexplained and psychiatric conditionsJ Gen Intern Med2007228182110.1007/s11606-007-0140-5221985417503107Search in Google Scholar

7Olde Hartman T, Hassink-Franke L, Dowrick C, Fortes S, Lam C, van der Horst H, et al. Medically unexplained symptoms in family medicine: defining a research agenda. Proceedings from WONCA 2007. Fam Pract 2008; 25: 266-71.Olde HartmanTHassink-FrankeLDowrickCFortesSLamCvan der HorstHet al.Medically unexplained symptoms in family medicine: defining a research agenda. Proceedings from WONCA 2007Fam Pract2008252667110.1093/fampra/cmn04118596048Search in Google Scholar

8Svetovna zdravstvena organizacija. Mednarodna klasifikacija bolezni in sorodnih zdravstvenih problemov za statistične namene: MKB-10. 10. revizija. Ljubljana: Inštitut za varovanje zdravja Republike Slovenije, 1995.Svetovna zdravstvena organizacija. Mednarodna klasifikacija bolezni in sorodnih zdravstvenih problemov za statistične namene: MKB-10. 10. revizijaLjubljana: Institut za varovanje zdravja Republike Slovenije1995Search in Google Scholar

9Smith RC, Gardiner JC, Lyles JS, Sirbu C, Dwamena FC, Hodges A, et al. Exploration of DSM-IV criteria in primary care patients with medically unexplained symptoms. Psychosom Med 2005; 67: 123-9.SmithRCGardinerJCLylesJSSirbuCDwamenaFCHodgesAet al.Exploration of DSM-IV criteria in primary care patients with medically unexplained symptomsPsychosom Med200567123910.1097/01.psy.0000149279.10978.3e189462715673634Search in Google Scholar

10Švab I, Torres-González F, Clarke D, Stern A, Edwards T, Ivbijaro G. A three session intervention for patients with co-morbid physical and mental health problems and medically unexplained symptoms. 16th Wonca Europe conference Family Medicine into the Future Blending Health & Cultures. Malaga, Spain, 2010.ŠvabITorres-GonzálezFClarkeDSternAEdwardsTIvbijaroG.A three session intervention for patients with co-morbid physical and mental health problems and medically unexplained symptoms16th Wonca Europe conference Family Medicine into the Future Blending Health & CulturesMalagaSpain2010Search in Google Scholar

11Clarke DD. Solving medical mysteries:hidden stresses and unexplained symptoms. Zdr Varst 2016; 55: 152-4.ClarkeDDSolving medical mysteries: hidden stresses and unexplained symptomsZdr Varst2016551524Search in Google Scholar

12Sumathipala A. What is the evidence for the efficacy of treatments for somatoform disorders?: a critical review of previous intervention studies. Psychosom Med 2007; 69: 889-900.SumathipalaA.What is the evidence for the efficacy of treatments for somatoform disorders?: a critical review of previous intervention studiesPsychosom Med20076988990010.1097/PSY.0b013e31815b5cf618040100Search in Google Scholar

13Chalder T, Tong J, Deary V. Family cognitive behaviour therapy for chronic fatigue syndrome: an uncontrolled study. Arch Dis Child 2002; 86: 95-7.ChalderTTongJDearyV.Family cognitive behaviour therapy for chronic fatigue syndrome: an uncontrolled studyArch Dis Child20028695710.1136/adc.86.2.95176108111827901Search in Google Scholar

14Zavod za zdravstveno zavarovanje Slovenije. Število opredeljenih po starostnih skupinah pri aktivnih zdravnikih SA, OD+ŠD na dan 30.11.2014. Available March 29, 2015 from: http://www.zzzs.si/ zzzs/intemet/zzzs.nsf/o/6F2CAD56EE119706C125770B00390171Zavod za zdravstveno zavarovanje SlovenijeŠtevilo opredeljenih po starostnih skupinah pri aktivnih zdravnikih SA OD+ŠD na dan 30.11.2014Available March 292015 fromhttp://www.zzzs.si/zzzs/intemet/zzzs.nsf/o/6F2CAD56EE119706C125770B00390171Search in Google Scholar

15Kroenke K, Spitzer RL, Williams JB. The PHQ-15: validity of a new measure for evaluating the severity of somatic symptoms. Psychosom Med 2002; 64: 258-66.KroenkeKSpitzerRLWilliamsJBThe PHQ-15: validity of a new measure for evaluating the severity of somatic symptomsPsychosom Med2002642586610.1097/00006842-200203000-0000811914441Search in Google Scholar

16Klemenc-Ketiš Z, Kuhar P, Kersnik J, Burazeri G, Czabanowska K. Self-assessment questionnaire for family doctors’ assessment of quality improvement competencies: a cross-cultural adaptation in Slovenia. Zdr Varst 2014; 53: 34-41.Klemenc-KetišZKuharPKersnikJBurazeriGCzabanowskaK.Self-assessment questionnaire for family doctors’ assessment of quality improvement competencies: a cross-cultural adaptation in SloveniaZdr Varst201453344110.2478/sjph-2014-0005Search in Google Scholar

17Terluin B, van Marwijk HW, Ader HJ, de Vet HC, Penninx BW, Hermens ML, et al. The Four-Dimensional Symptom Questionnaire (4DSQ): a validation study of a multidimensional self-report questionnaire to assess distress, depression, anxiety and somatization. BMC Psychiatry 2006; 6: 34.TerluinBvan MarwijkHWAderHJde VetHCPenninxBWHermensMLet al.The Four-Dimensional Symptom Questionnaire (4DSQ): a validation study of a multidimensional self-report questionnaire to assess distress, depression, anxiety and somatizationBMC Psychiatry200663410.1186/1471-244X-6-34159000816925825Search in Google Scholar

18Speckens AE, Spinhoven P, Sloekers PP, Bolk JH, van Hemert AM. A validation study of the Whitely Index, the Illness Attitude Scales, and the Somatosensory Amplification Scale in general medical and general practice patients. J Psychosom Res 1996; 40: 95-104.SpeckensAESpinhovenPSloekersPPBolkJHvan HemertAMA validation study of the Whitely Index, the Illness Attitude Scales, and the Somatosensory Amplification Scale in general medical and general practice patientsJ Psychosom Res1996409510410.1016/0022-3999(95)00561-7Search in Google Scholar

19Meakin R, Weinman J. The ‘Medical Interview Satisfaction Scale’ (MISS-21) adapted for British general practice. Fam Pract 2002; 19: 257-63.MeakinRWeinmanJ.The ‘Medical Interview Satisfaction Scale’ (MISS-21) adapted for British general practiceFam Pract2002192576310.1093/fampra/19.3.25711978716Search in Google Scholar

20Howie JG, Heaney DJ, Maxwell M, Walker JJ, Freeman GK, Rai H. Quality at general practice consultations: cross sectional survey. BMJ 1999; 319: 738-43.HowieJGHeaneyDJMaxwellMWalkerJJFreemanGKRaiH.Quality at general practice consultations: cross sectional surveyBMJ19993197384310.1136/bmj.319.7212.7382822610487999Search in Google Scholar

21Dowrick C. Understanding unexplained physical symptoms in primary care. Primary Care Mental Health 2005; 3: 215-9.DowrickC.Understanding unexplained physical symptoms in primary carePrimary Care Mental Health200532159Search in Google Scholar

22Svab I. Universality and uniqueness in family medicine. Eur J Gen Pract; 20: 91-2.SvabI.Universality and uniqueness in family medicineEur J Gen Pract2091210.3109/13814788.2014.91076324893266Search in Google Scholar

23Ivetić V, Kersnik J, Klemenc-Ketis Z, Svab I, Kolsek M, Poplas-Susic T. Opinions of Slovenian family physicians on medically unexplained symptoms: a qualitative study. J Int Med Res 2013; 41: 705-15.IvetićVKersnikJKlemenc-KetisZSvabIKolsekMPoplas-SusicT.Opinions of Slovenian family physicians on medically unexplained symptoms: a qualitative studyJ Int Med Res2013417051510.1177/030006051348007923628921Search in Google Scholar

24Walker EA, Unutzer J, Katon WJ. Understanding and caring for the distressed patient with multiple medically unexplained symptoms. J Am Board Fam Pract 1998; 11: 347-56.WalkerEAUnutzerJKatonWJUnderstanding and caring for the distressed patient with multiple medically unexplained symptomsJ Am Board Fam Pract1998113475610.3122/15572625-11-5-3479796764Search in Google Scholar

25Martin A, Rauh E, Fichter M, Rief W. A one-session treatment for patients suffering from medically unexplained symptoms in primary care: a randomized clinical trial. Psychosomatics 2007; 48: 294-303.MartinARauhEFichterMRiefW.A one-session treatment for patients suffering from medically unexplained symptoms in primary care: a randomized clinical trialPsychosomatics20074829430310.1176/appi.psy.48.4.29417600165Search in Google Scholar

26Arnold IA, Speckens AE, van Hemert AM. Medically unexplained physical symptoms: the feasibility of group cognitive-behavioural therapy in primary care. J Psychosom Res 2004; 57: 517-20.ArnoldIASpeckensAEvan HemertAMMedically unexplained physical symptoms: the feasibility of group cognitive-behavioural therapy in primary careJ Psychosom Res2004575172010.1016/j.jpsychores.2004.04.36915596157Search in Google Scholar

27Molarius A, Berglund K, Eriksson C, Eriksson HG, Linden-Bostrom M, Nordstrom E, et al. Mental health symptoms in relation to socioeconomic conditions and lifestyle factors-a population-based study in Sweden. BMC Public Health 2009; 9: 302.MolariusABerglundKErikssonCErikssonHGLinden-BostromMNordstromEet al.Mental health symptoms in relation to socioeconomic conditions and lifestyle factors-a population-based study in SwedenBMC Public Health2009930210.1186/1471-2458-9-302273616419695085Search in Google Scholar

28Deary V, Chalder T, Sharpe M. The cognitive behavioural model of medically unexplained symptoms: a theoretical and empirical review. Clin Psychol Rev 2007; 27: 781-97.DearyVChalderTSharpeM.The cognitive behavioural model of medically unexplained symptoms: a theoretical and empirical reviewClin Psychol Rev2007277819710.1016/j.cpr.2007.07.00217822818Search in Google Scholar

2929. Schaefert R, Kaufmann C, Wild B, Schellberg D, Boelter R, Faber R, et al. Specific collaborative group intervention for patients with medically unexplained symptoms in general practice: a cluster randomized controlled trial. Psychother Psychosom 2013; 82: 106-19.SchaefertRKaufmannCWildBSchellbergDBoelterRFaberRet al.Specific collaborative group intervention for patients with medically unexplained symptoms in general practice: a cluster randomized controlled trialPsychother Psychosom2013821061910.1159/00034365223295775Search in Google Scholar

30Jackson J, Kincey J, Fiddler M, Creed F, Tomenson B. Differences between out-patients with physical disease and those with medically unexplained symptoms with respect to patient satisfaction, emotional distress and illness perception. Br J Health Psychol 2004; 9: 433-46.JacksonJKinceyJFiddlerMCreedFTomensonB.Differences between out-patients with physical disease and those with medically unexplained symptoms with respect to patient satisfaction, emotional distress and illness perceptionBr J Health Psychol200494334610.1348/135910704230459715509353Search in Google Scholar

31Sumathipala A, Hewege S, Hanwella R, Mann AH. Randomized controlled trial of cognitive behaviour therapy for repeated consultations for medically unexplained complaints: a feasibility study in Sri Lanka. Psychol Med 2000; 30: 747-57.SumathipalaAHewegeSHanwellaRMannAHRandomized controlled trial of cognitive behaviour therapy for repeated consultations for medically unexplained complaints: a feasibility study in Sri LankaPsychol Med2000307475710.1017/S0033291799002160Search in Google Scholar

32Howie JG, Heaney DJ, Maxwell M, Walker JJ. A comparison of a Patient Enablement Instrument (PEI) against two established satisfaction scales as an outcome measure of primary care consultations. Fam Pract 1998; 15: 165-71.HowieJGHeaneyDJMaxwellMWalkerJJA comparison of a Patient Enablement Instrument (PEI) against two established satisfaction scales as an outcome measure of primary care consultationsFam Pract1998151657110.1093/fampra/15.2.1659613486Search in Google Scholar

33Olde Hartman TC, Woutersen-Koch H, Van der Horst HE. Medically unexplained symptoms: evidence, guidelines, and beyond. Br J Gen Pract 2013; 63: 625-6.Olde HartmanTCWoutersen-KochHVan der HorstHEMedically unexplained symptoms: evidence, guidelines, and beyondBr J Gen Pract201363625610.3399/bjgp13X675241383935624351464Search in Google Scholar

34Hatcher S, Arroll B. Assessment and management of medically unexplained symptoms. BMJ 2008; 336: 1124-8.HatcherSArrollB.Assessment and management of medically unexplained symptomsBMJ20083361124810.1136/bmj.39554.592014.BE238665018483055Search in Google Scholar

35Smith RC, Lyles JS, Gardiner JC, Sirbu C, Hodges A, Collins C, et al. Primary care clinicians treat patients with medically unexplained symptoms: a randomized controlled trial. J Gen Intern Med 2006; 21: 671-7.SmithRCLylesJSGardinerJCSirbuCHodgesACollinsCet al.Primary care clinicians treat patients with medically unexplained symptoms: a randomized controlled trialJ Gen Intern Med200621671710.1111/j.1525-1497.2006.00460.x192471416808764Search in Google Scholar