Self-Help for Medically Unexplained Symptoms

Autor: Jeannette M. Gelauff, Judith G. M. Rosmalen, Irma J Bonvanie, Anne van Gils, Robert A. Schoevers, Annelieke M. Roest
Přispěvatelé: Interdisciplinary Centre Psychopathology and Emotion regulation (ICPE), Perceptual and Cognitive Neuroscience (PCN), Clinical Cognitive Neuropsychiatry Research Program (CCNP)
Jazyk: angličtina
Rok vydání: 2016
Předmět:
Adult
Male
medicine.medical_specialty
IRRITABLE-BOWEL-SYNDROME
MEDLINE
Psychological intervention
chronic fatigue syndrome
law.invention
03 medical and health sciences
0302 clinical medicine
Randomized controlled trial
Quality of life
law
Fibromyalgia
Chronic fatigue syndrome
medicine
MANAGEMENT
Humans
030212 general & internal medicine
Applied Psychology
irritable bowel syndrome
CHRONIC-FATIGUE-SYNDROME
self-administered
business.industry
PRIMARY-CARE
PHYSICAL SYMPTOMS
Middle Aged
somatoform disorders
RANDOMIZED CONTROLLED-TRIAL
medicine.disease
EFFICACY
Confidence interval
COGNITIVE-BEHAVIOR THERAPY
Self Care
Psychiatry and Mental health
Medically Unexplained Symptoms
Meta-analysis
Physical therapy
Female
fibromyalgia
functional somatic symptoms
business
FUNCTIONAL SOMATIC SYNDROMES
030217 neurology & neurosurgery
INTERVENTIONS
Zdroj: Journal of Neurology, Neurosurgery and Psychiatry, 88(8), E32-E32. BMJ PUBLISHING GROUP
ISSN: 0033-3174
0022-3050
Popis: Medically unexplained symptoms (MUS), which are highly prevalent in all fields of medicine, are considered difficult to treat. The primary objective of this systematic review and meta-analysis was to assess the efficacy of self-help for adults with MUS.Four electronic databases were searched for relevant studies. Randomized controlled trials comparing self-help to usual care or waiting list in adults with MUS were selected. Studies were critically appraised using the Cochrane "risk of bias assessment tool." Standardized mean differences (Hedges g) were pooled using a random-effects model. Outcomes were symptom severity and quality of life (QoL) directly posttreatment and at follow-up.Of 582 studies identified, 18 studies met all inclusion criteria. Studies were heterogeneous with regard to patient populations, intervention characteristics, and outcome measures. Compared with usual care or waiting list, self-help was associated with lower symptom severity (17 studies, n = 1894, g = 0.58, 95% confidence interval = 0.32-0.84, p.001) and higher QoL (16 studies, n = 1504, g = 0.66, 95% confidence interval = 0.34-0.99, p.001) directly posttreatment. Similar effect sizes were found at follow-up. A high risk of bias was established in most of the included studies. However, sensitivity analyses suggested that this did not significantly influence study results. Funnel plot asymmetry indicated potential publication bias.Self-help is associated with a significant reduction in symptom severity and improvement of QoL. The methodological quality of included studies was suboptimal, and further research is needed to confirm the findings of this meta-analysis.
Databáze: OpenAIRE
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