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Medically unexplained physical symptoms in primary care: a controlled study on the effectiveness of cognitive-behavioral treatment by the family physician.

机译:初级保健中医学上无法解释的身体症状:家庭医生对认知行为治疗有效性的对照研究。

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摘要

BACKGROUND: Disabling medically unexplained physical symptoms occur in 16% of all patients in primary care. OBJECTIVE: The aim of this study was to assess the effectiveness of a cognitive-behavioral intervention by the family physician. METHOD: In a controlled design with detailed information on patient selection, 6,409 patients were screened on somatoform disorder, and 65 participants were allocated to care-as-usual or the experimental condition. RESULTS: After 6 and 12 months, the cognitive-behavioral intervention by trained family physicians was not more effective than care-as-usual. CONCLUSION: Possibly, the intensity of treatment was insufficient for the severe and persistent symptoms that were encountered in primary care.
机译:背景:在初级保健中,有16%的患者出现无法解释的无法解释的身体症状。目的:本研究的目的是评估家庭医生进行认知行为干预的有效性。方法:采用对照设计,其中包含有关患者选择的详细信息,对6409名患者进行了躯体形式障碍筛查,并将65名参与者分配为照常或实验条件。结果:6个月和12个月后,受过训练的家庭医生进行的认知行为干预并不比照常照管更为有效。结论:对于初级保健中出现的严重和持续性症状,治疗强度可能不足。

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