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An interdisciplinary multimodal integrative healthcare program for somatic symptom disorder, with predominant (spinal) pain.
Wijnen, Jaap; van 't Hullenaar, Geert; Gordon, Nicole Louise; Pont, Marc Lucas; Geijselaers, Marciano Wilhelmina Henricus; Van Oosterwijck, Jessica; De Jong, Jeroen.
Afiliación
  • Wijnen J; Intergrin Academy, Geleen, Netherlands.
  • van 't Hullenaar G; Spine, Head and Pain Research Unit Ghent, Department of Rehabilitation Sciences, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium.
  • Gordon NL; Pain in Motion International Research Group, Belgium.
  • Pont ML; Intergrin Academy, Geleen, Netherlands.
  • Geijselaers MWH; Intergrin Academy, Geleen, Netherlands.
  • Van Oosterwijck J; Intergrin Academy, Geleen, Netherlands.
  • De Jong J; Intergrin Academy, Geleen, Netherlands.
Psychother Res ; 33(5): 581-594, 2023 06.
Article en En | MEDLINE | ID: mdl-36525631
OBJECTIVE: Although multimodal interventions are generally recommended in patients with long-term somatic symptom disorders (SSD), available evidence is limited. The current study evaluates the effectiveness of an outpatient secondary care interdisciplinary multimodal integrative healthcare program for patients with SSD and predominant (spinal) pain. METHOD: The healthcare program consisted of two active treatment phases: main 20-week program and a 12-month relapse prevention program. Participants were 4453 patients diagnosed with SSD. The primary outcome was health-related quality of life (HRQoL) assessed using the RAND-36 (i.e., mental/physical component summary) and secondary outcomes included physical and psychological symptoms assessed using the Brief Symptom Inventory (BSI) and RAND-36 subscales. Mixed linear models were used to examine the effects of the multimodal healthcare program on primary/secondary outcomes over four time points: before start 20-week program (T0), halfway 20-week program (T1), end of 20-week program (T2) and end of relapse prevention program (T3). RESULTS: Significant improvements were found from T0 to T2 for all primary variables (i.e., mental/physical component summary) and secondary variables (i.e., BSI/RAND-36 subscales), which were maintained until the end of the relapse prevention program (T3). CONCLUSION: An interdisciplinary multimodal integrative treatment for SSD is effective for improving HRQoL and reducing physical and psychological symptoms.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Síntomas sin Explicación Médica / Trastornos Mentales Tipo de estudio: Diagnostic_studies / Prognostic_studies Aspecto: Patient_preference Límite: Humans Idioma: En Revista: Psychother Res Asunto de la revista: PSICOLOGIA / PSIQUIATRIA Año: 2023 Tipo del documento: Article País de afiliación: Países Bajos Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Síntomas sin Explicación Médica / Trastornos Mentales Tipo de estudio: Diagnostic_studies / Prognostic_studies Aspecto: Patient_preference Límite: Humans Idioma: En Revista: Psychother Res Asunto de la revista: PSICOLOGIA / PSIQUIATRIA Año: 2023 Tipo del documento: Article País de afiliación: Países Bajos Pais de publicación: Reino Unido