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The Literature Collection contains over 10,000 references for published and grey literature on the integration of behavioral health and primary care. Learn More
Use the Search feature below to find references for your terms across the entire Literature Collection, or limit your searches by Authors, Keywords, or Titles and by Year, Type, or Topic. View your search results as displayed, or use the options to: Show more references per page; Sort references by Title or Date; and Refine your search criteria. Expand an individual reference to View Details. Full-text access to the literature may be available through a link to PubMed, a DOI, or a URL. References may also be exported for use in bibliographic software (e.g., EndNote, RefWorks, Zotero).
261 Results
141
Multiple somatic symptoms in primary care: A field study for ICD-11 PHC, WHO's revised classification of mental disorders in primary care settings
Type: Journal Article
Year: 2016
Topic(s):
Measures
See topic collection
, Medically Unexplained Symptoms
See topic collection
144
Obstetrician-gynecologists' screening patterns for anxiety during pregnancy
Type: Journal Article
Year: 2008
Publication Place: United States
Topic(s):
Medically Unexplained Symptoms
See topic collection
Reference Links: 
View the DOI record for Obstetrician-gynecologists' screening patterns for anxiety during pregnancy
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View the PubMed citation for Obstetrician-gynecologists' screening patterns for anxiety during pregnancy145
Open Trial of Integrated Primary Care Consultation for Medically Unexplained Symptoms
Type: Journal Article
Year: 2016
Publication Place: United States
Abstract: Within primary care settings, patients with medically unexplained symptoms (MUS) are common, often present with comorbid psychopathology, and have high rates of healthcare utilization. Despite increased healthcare utilization, these patients often have poor outcomes that frustrate patients and providers alike. A behavioral consultation intervention for primary care patients with MUS (n = 10) was developed and assessed. All participants completed all intervention and assessment sessions and rated the intervention favorably. Participants self-report scores revealed statistically significant improvements from baseline to 3-month follow-up on physical functioning, mental functioning, and physical symptoms. Notwithstanding the limitations of open trial designs, these findings demonstrate high feasibility for a behavioral health consultation treatment model for patients with MUS and highlight the need for further research.
Topic(s):
Medically Unexplained Symptoms
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Reference Links:
View the DOI record for Open Trial of Integrated Primary Care Consultation for Medically Unexplained Symptoms
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View the PubMed citation for Open Trial of Integrated Primary Care Consultation for Medically Unexplained Symptoms146
Operationalization of biopsychosocial case complexity in general health care: the INTERMED project
Type: Journal Article
Year: 2005
Publication Place: Australia
Abstract: OBJECTIVE: Lack of operationalization of the biopsychosocial model hinders its effective application to the increasingly prevalent problems of comorbidities in clinical presentations. Here, we describe the INTERMED, an instrument to assess biopsychosocial case complexity in general health care, and provide an overview of its psychometric evaluation. METHOD: Review and summary of our publications to date, and re-analysis of findings. RESULTS: The INTERMED has face-validity, is brief and easy to use, and several research reports support its reliability and validity. It has the capacity to detect patients at risk for poor clinical outcome and quality of life. CONCLUSIONS: The INTERMED project is relevant to various agents involved in the care process. It provides a basis for effective multidisciplinary treatment of patients with a high case complexity.
Topic(s):
Medically Unexplained Symptoms
See topic collection
Reference Links:
View the DOI record for Operationalization of biopsychosocial case complexity in general health care: the INTERMED project
View DOI Record
View the PubMed citation for Operationalization of biopsychosocial case complexity in general health care: the INTERMED project147
Operationalizing integrated care on a clinical level: the INTERMED project
Type: Journal Article
Year: 2006
Publication Place: United States
Abstract: During the last 10 years the INTERMED method has been developed as a generic method for the assessment of bio-psychosocial health risks and health needs and for planning of integrated treatment. The INTERMED has been conceptualized to counteract divisions and fragmentation of medical care. Designed to enhance the communication between patients and the health providers as well as between different professions and disciplines, the INTERMED is a visualized, action-oriented decision-support tool. This article presents various aspects of the INTERMED, such as its relevance, description, scoring, the related patient interview and treatment planning, scientific evaluation, implementation, and support for the method.
Topic(s):
Medically Unexplained Symptoms
See topic collection
Reference Links:
View the DOI record for Operationalizing integrated care on a clinical level: the INTERMED project
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View the PubMed citation for Operationalizing integrated care on a clinical level: the INTERMED project150
Patients with persistent medically unexplained symptoms in general practice: characteristics and quality of care
Type: Journal Article
Year: 2007
Publication Place: England
Abstract: BACKGROUND: Medically unexplained physical symptoms (MUPS) are common in general practice (GP), and are even more problematic as they become persistent. The present study examines the relationship between persistent MUPS in general practice on the one hand and quality of life, social conditions, and coping on the other hand. Additionally, it is examined how patients with persistent MUPS evaluate the quality of GP-care. METHODS: Data were used from a representative survey of morbidity in Dutch general practice, in which data from the electronic medical records were extracted. A random sample of patients participated in an extensive health interview and completed self-reported measures on social isolation, coping and the quality of GP-care. Patients with persistent MUPS (N = 192) were compared with general practice patients not meeting the criteria for persistent MUPS (N = 7.314), and with a group of patients that visited the GP in comparable rates for medical diagnoses (N = 2.265). Multiple logistic regression analyses were used to control for relevant socio-demographic variables and chronic diseases. RESULTS: After adjustment for demographics and chronic diseases, patients with persistent MUPS reported more psychological distress, more functional impairment, more social isolation, and they evaluated the quality of GP-care less positive than the other two patient groups. Although the majority of MUPS patients were positive about the quality of GP-care, they more often felt that they were not taken seriously or not involved in treatment decisions, and more often reported that the GP did not take sufficient time. The three groups did not differ with respect to the statement that the GP unnecessarily explains physical problems as psychological ones. CONCLUSION: Strengthening MUPS patients' social network and encouraging social activities may be a meaningful intervention in which the GP may play a stimulating role. To further improve MUPS patients' satisfaction with GP-care, GPs may pay extra attention to taking sufficient time when treating MUPS patients, taking the problems seriously, and involving them in treatment decisions.
Topic(s):
Medically Unexplained Symptoms
See topic collection
Reference Links:
View the DOI record for Patients with persistent medically unexplained symptoms in general practice: characteristics and quality of care
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View the PubMed citation for Patients with persistent medically unexplained symptoms in general practice: characteristics and quality of care152
Pharmacologic considerations in treating depression: a patient-centered approach
Type: Journal Article
Year: 2004
Publication Place: United States
Abstract: OBJECTIVE: To review the tricyclic antidepressants, selective serotonin reuptake inhibitors, and dually acting antidepressants and their economic and treatment implications. SUMMARY: Major depressive disorder.s cost to the U.S. economy is staggering, but the selection of drugs available to treat it has expanded to include drugs that have better side-effect profiles. Regardless, remission rates are high, and, often, patients are not treated aggressively enough. Somatic presentations are more common than previously thought, and pain, in particular, may be associated with depression. Pain and depression are both regulated by serotonin and norepinephine, and several studies suggest that using dual-action antidepressants may be helpful in patients who have an element of pain to their disorder. Titration to an adequate dose of any antidepressant is important, as is sustaining treatment for months to years, depending on the patient.s history. CONCLUSION: Increasingly, the mental health community is realizing that the goal of treatment for patients with major depressive disorder must be sustained remission.
Topic(s):
Medically Unexplained Symptoms
See topic collection
Reference Links: View the PubMed citation for Pharmacologic considerations in treating depression: a patient-centered approach
153
Physical symptom attributions: A defining characteristic of somatoform disorders?
Type: Journal Article
Year: 2015
Publication Place: United States
Topic(s):
Medically Unexplained Symptoms
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Reference Links:
View the DOI record for Physical symptom attributions: A defining characteristic of somatoform disorders?
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View the PubMed citation for Physical symptom attributions: A defining characteristic of somatoform disorders?155
Physical symptoms that predict psychiatric disorders in rural primary care adults
Type: Journal Article
Year: 2008
Publication Place: England
Abstract: RATIONALE, AIMS AND OBJECTIVES: There is a robust association between physical symptoms and mental distress, but recognition rates of psychiatric disorders by primary care doctors are low. We investigated patient-reported physical symptoms as predictors of concurrent psychiatric disorders in rural primary care adult outpatients. METHOD: A convenience sample of 1092 patients were assessed with a two-stage diagnostic system consisting of a brief screening questionnaire and a clinician-administered semi-structured interview that linked common physical symptoms with the concurrent presence of psychiatric disorders. RESULTS: Somatoform physical symptoms were highly predictive of the concurrent presence of a psychiatric disorder, with odds ratios ranging from 10.4 (fainting spells) to 54.6 (shortness of breath). Aggregate analysis of somatoform and non-somatoform symptoms relative to no physical symptom produced odds ratios of 3.0 or higher for headaches, chest pain, dizziness, sleep problem, shortness of breath, tired or low energy, and fainting spells. As the number of symptoms (especially somatoform) increased, the odds of a psychiatric disorder increased. CONCLUSION: Although individual physical symptoms are valid triggers for suspecting a psychiatric disorder, the most powerful correlates are total number of physical complaints and somatoform symptom status.
Topic(s):
Medically Unexplained Symptoms
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Reference Links:
View the DOI record for Physical symptoms that predict psychiatric disorders in rural primary care adults
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View the PubMed citation for Physical symptoms that predict psychiatric disorders in rural primary care adults157
Posttraumatic stress disorder in primary care. Part 1: Recognition and diagnosis
Type: Journal Article
Year: 2002
Publication Place: United States
Topic(s):
Medically Unexplained Symptoms
See topic collection
Reference Links: View the PubMed citation for Posttraumatic stress disorder in primary care. Part 1: Recognition and diagnosis