TY - JOUR KW - Chi-Square Distribution KW - Demography KW - Female KW - Humans KW - Interview, Psychological KW - Logistic Models KW - Male KW - Middle Aged KW - Physician-Patient Relations KW - Primary Health Care KW - Principal Component Analysis KW - Psychophysiologic Disorders/diagnosis/psychology/therapy KW - Questionnaires KW - Referral and Consultation/statistics & numerical data KW - Somatoform Disorders/diagnosis/psychology/therapy KW - Stress, Psychological/diagnosis/psychology/therapy KW - Treatment Outcome AU - K. Fritzsche AU - H. Sandholzer AU - E. Wetzler-Burmeister AU - A. Hartmann AU - M. Cierpka AU - H. C. Deter AU - R. Richter AU - B. Schmidt AU - M. Harter AU - C. Hoger AU - M. Wirsching A1 - AB - BACKGROUND: Patients with psychosocial problems often present somatic symptoms in primary care. OBJECTIVE: The authors compare interventions and outcomes of emotionally-distressed patients by presenting physical disease, somatoform symptoms, or psychological symptoms. METHOD: General practitioners (N=191) documented data from 1,286 patients with psychosocial problems. Experts rated the presented reasons for encounter. RESULTS: Somatoform symptoms, as well as physical disease, result in patients' receiving physical treatments. Psychologically-oriented treatment is more likely with psychological presentation, but not significantly related to somatoform symptoms. CONCLUSION: These findings underline the importance of a specific treatment approach for patients with somatoform symptoms, so as to avoid inappropriate treatment. BT - Psychosomatics C5 - Medically Unexplained Symptoms CP - 5 CY - United States DO - 10.1176/appi.psy.51.5.386 IS - 5 JF - Psychosomatics N2 - BACKGROUND: Patients with psychosocial problems often present somatic symptoms in primary care. OBJECTIVE: The authors compare interventions and outcomes of emotionally-distressed patients by presenting physical disease, somatoform symptoms, or psychological symptoms. METHOD: General practitioners (N=191) documented data from 1,286 patients with psychosocial problems. Experts rated the presented reasons for encounter. RESULTS: Somatoform symptoms, as well as physical disease, result in patients' receiving physical treatments. Psychologically-oriented treatment is more likely with psychological presentation, but not significantly related to somatoform symptoms. CONCLUSION: These findings underline the importance of a specific treatment approach for patients with somatoform symptoms, so as to avoid inappropriate treatment. PP - United States PY - 2010 SN - 1545-7206; 0033-3182 SP - 386 EP - 394 EP - T1 - Symptom presentation, interventions, and outcome of emotionally-distressed patients in primary care T2 - Psychosomatics TI - Symptom presentation, interventions, and outcome of emotionally-distressed patients in primary care U1 - Medically Unexplained Symptoms U2 - 20833937 U3 - 10.1176/appi.psy.51.5.386 VL - 51 VO - 1545-7206; 0033-3182 Y1 - 2010 ER -