A concept mapping study on perpetuating factors of functional somatic symptoms from clinicians' perspective

Autor: Janssens, K.A.M., Houtveen, J.H., Tak, L.M., Bonvanie, I.J., Scholtalbers, A., van Gils, A., Geenen, R., Rosmalen, J.G.M., Leerstoel Geenen, Stress and self-regulation
Přispěvatelé: Interdisciplinary Centre Psychopathology and Emotion regulation (ICPE)
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Adult
Male
SOMATOFORM DISORDERS
medicine.medical_specialty
IRRITABLE-BOWEL-SYNDROME
Alternative medicine
Scientific literature
law.invention
CHRONIC MUSCULOSKELETAL PAIN
03 medical and health sciences
0302 clinical medicine
Randomized controlled trial
Hierarchical cluster analysis
law
Physicians
Health care
medicine
Cluster Analysis
Humans
Psychology
030212 general & internal medicine
MEDICALLY UNEXPLAINED SYMPTOMS
CHRONIC-FATIGUE-SYNDROME
Concept map
business.industry
Ontology
Perspective (graphical)
PRIMARY-CARE
Cognition
Middle Aged
RANDOMIZED CONTROLLED-TRIAL
Psychotherapy
Psychiatry and Mental health
OF-THE-LITERATURE
Scale (social sciences)
Perpetuating factors
HEALTH-CARE
Functional somatic symptoms
Female
SELF-MANAGEMENT INTERVENTION
business
030217 neurology & neurosurgery
Clinical psychology
Zdroj: General Hospital Psychiatry, 44, 51-60. ELSEVIER SCIENCE INC
General Hospital Psychiatry, 44, 51. Elsevier
ISSN: 0163-8343
Popis: Objective: The aim of this concept mapping study was to identify the structure and alleged importance of perpetuating factors of functional somatic symptoms (FSS) from the perspective of professionals. Further, we examined to which extent these factors have been addressed in scientific literature.Methods: Ninety-nine perpetuating factors were sorted with respect to content using a card-sorting task by 61 experienced clinicians (62.3% psychologists, 75.4% female, mean age: 45.7 [SD: 10.6] years, mean duration of experience in treating FSS patients: 10.5 [SD: 7.6] years). These factors had been derived fromin-depth interviews with 12 clinicians, with extensive experience in treating FSS. Thirty-eight clinicians rated the importance of the 99 factors on a scale ranging from 1 ('not important at all') to 10 ('extremely important').Results: Hierarchical cluster analysis revealed three overarching domains of perpetuating factors: 'Hypochondria', 'Social and relational problems' and 'Symptom-related emotions and habits'. These domains comprised 16 clusters, which were rated on importance between 6.1, 'Adverse physical factors and counterproductive lifestyle', and 7.8, 'Frustration and despair regarding the symptoms'. All clusters have been addressed in scientific literature.Conclusions: This study revealed an encompassing hierarchical structure of somatic, emotional, cognitive, behavioral, and social factors of importance in the perpetuation of FSS based on expert opinions. This structure will guide the development of personalized treatment of FSS. (C) 2016 Elsevier Inc. All rights reserved.
Databáze: OpenAIRE
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