TY - JOUR
KW - Adult
KW - Cognitive Therapy/methods
KW - Female
KW - Follow-Up Studies
KW - Humans
KW - Logistic Models
KW - Male
KW - Middle Aged
KW - Netherlands
KW - Primary Health Care
KW - Psychiatric Status Rating Scales
KW - Questionnaires
KW - Somatoform Disorders/diagnosis/therapy
KW - Treatment Outcome
AU - I. A. Arnold
AU - M. W. de Waal
AU - J. A. Eekhof
AU - W. J. Assendelft
AU - P. Spinhoven
AU - A. M. van Hemert
A1 - 
AB - 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.
BT - Psychosomatics
C5 - Medically Unexplained Symptoms
CP - 5
CY - United States
DO - 10.1176/appi.psy.50.5.515
IS - 5
JF - Psychosomatics
N2 - 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.
PP - United States
PY - 2009
SN - 1545-7206; 0033-3182
SP - 515
EP - 524
EP - 
T1 - Medically unexplained physical symptoms in primary care: a controlled study on the effectiveness of cognitive-behavioral treatment by the family physician
T2 - Psychosomatics
TI - Medically unexplained physical symptoms in primary care: a controlled study on the effectiveness of cognitive-behavioral treatment by the family physician
U1 - Medically Unexplained Symptoms
U2 - 19855038
U3 - 10.1176/appi.psy.50.5.515
VL - 50
VO - 1545-7206; 0033-3182
Y1 - 2009
ER -