Mindfulness therapy for somatization disorder and functional somatic syndromes: Analysis of economic consequences alongside a randomized trial

Fjorback, Lone Overby; Carstensen, Tina Birgitte Wisbech; Arendt, Mikkel; Ørnbøl, Eva; Walach, Harald; Rehfeld, Emma; Fink, Per

doi:10.1016/j.jpsychores.2012.09.010

Cited by 35 publications

(40 citation statements)

References 19 publications

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“…Although our population seemed to be less severe, our results are comparable. Our results concerning mental functioning, health anxiety and mindfulness skills show a greater improvement than the results in the studies by Fjorback et al [41,42]. …”

Section: Discussioncontrasting

confidence: 76%

“…In our study, the effect size of MBCT on mental functioning at the post-treatment measurement was d = 0.34. In Denmark, Fjorback et al [41,42] recently completed a randomized controlled trial on the effectiveness of mindfulness training for patients with somatization disorder and functional somatic syndromes in secondary care. In their severely affected population, mindfulness training was acceptable and feasible, and 88% completed the treatment.…”

Section: Discussionmentioning

confidence: 99%

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Mindfulness-Based Cognitive Therapy for Patients with Medically Unexplained Symptoms: A Randomized Controlled Trial

Ravesteijn

Lucassen

Bor

et al. 2013

Psychother Psychosom

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Background: Patients with medically unexplained symptoms make heavy demands on the health care system. An offer for psychological treatment is often declined. There is a need for acceptable and effective treatments. We assessed the acceptability and effectiveness of mindfulness-based cognitive therapy (MBCT) for patients with persistent medically unexplained symptoms. Method: A randomized controlled trial comparing MBCT (n = 64) to enhanced usual care (EUC; n = 61). Participants were the 10% most frequently attending patients in primary care. The primary outcome measure was general health status at the end of treatment. Secondary outcome measures were mental and physical functioning. Assessments took place at the end of treatment and at the 9-month follow-up. Results: Health status and physical functioning did not significantly differ between groups. However, participants in the MBCT group reported a significantly greater improvement in mental functioning at the end of treatment (adjusted mean difference, 3.9; 95% CI, 0.24-7.6), in particular with regard to vitality and social functioning. In addition, at 9 months of follow-up, the mindfulness skills ‘observing' and ‘describing' were significantly higher in the MBCT group. Within the MBCT group, almost half of the outcome measures had significantly improved at the end of treatment, whereas in the EUC group none had. Conclusions: MBCT was feasible for frequently attending patients with persistent medically unexplained symptoms in primary care. Although MBCT did not lead to a significant difference in general health status between the two groups, it did result in a significant improvement in mental functioning.

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Section: Discussioncontrasting

confidence: 76%

Section: Discussionmentioning

confidence: 99%

Mindfulness-Based Cognitive Therapy for Patients with Medically Unexplained Symptoms: A Randomized Controlled Trial

Ravesteijn

Lucassen

Bor

et al. 2013

Psychother Psychosom

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“…No significant difference between HA patients and the population was found with regard to unemployment benefits, neither in the five years before enrolment to trial or in the one-year followup, which may suggest that the societal consequences primarily are increased number of weeks on sick leave and not a higher rate of unemployment in patients with severe HA, contrary to what has been found for patients with somatisation disorder and functional somatic syndromes (Fjorback et al, 2013).…”

Section: Sickness-related Benefits In Health Anxiety Compared With Thmentioning

confidence: 57%

Long-term consequences of severe health anxiety on sick leave in treated and untreated patients: Analysis alongside a randomised controlled trial

Eilenberg

Frostholm

Schröder

et al. 2015

Journal of Anxiety Disorders

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“…Further research addressing cost-effectiveness (e.g. visits to the doctor, disability pension, weeks of unemployment and sickness) of CBT will help us to better estimate its overall benefits for patients and the public health system (Feliu-Soler et al, 2016;Fjorback et al, 2013;Luciano et al, 2014).…”

Section: Discussionmentioning

confidence: 99%

Open Access Scientific Evidence of Cognitive Behavioral Therapy for Patients with Fibromyalgia

Gómez-de-Regil

Álvarez-Nemegyei

2016

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Resumen. Objetivo: Proveer un resumen de la evidencia científica de accesos abierto sobre intervenciones con Terapia Cognitivo Conductual en pacientes con fibromialgia. Método: Se realizó una búsqueda bibliográfica en las bases en línea de Pubmed y PsycInfo, Latindex, Scielo y Redalyc. No aplicó criterio por año de publicación. Resultados: Las primeras 377 citas obtenidas se redujeron a una lista de 59 publicaciones relevantes, publicadas entre 1993 y 2016. La mayoría de los estudios se realizaron en muestras de pacientes adultos, en España o Estados Unidos, con un diseño cuantitativo de tipo pre -post. Únicamente 15 publicaciones fueron de acceso abierto. Conclusiones: La evidencia empírica es amplia; sin embargo, el acceso a la misma es generalmente restringido. El material de acceso abierto puede promover el interés en las intervenciones con Terapia Cognitivo Conductual y estimular su diseño, implementación y evaluación, todo esto en beneficio de los pacientes con fibromialgia, los sistemas de salud y la ciencia.

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Mindfulness therapy for somatization disorder and functional somatic syndromes: Analysis of economic consequences alongside a randomized trial

Cited by 35 publications

References 19 publications

Mindfulness-Based Cognitive Therapy for Patients with Medically Unexplained Symptoms: A Randomized Controlled Trial

Mindfulness-Based Cognitive Therapy for Patients with Medically Unexplained Symptoms: A Randomized Controlled Trial

Long-term consequences of severe health anxiety on sick leave in treated and untreated patients: Analysis alongside a randomised controlled trial

Open Access Scientific Evidence of Cognitive Behavioral Therapy for Patients with Fibromyalgia

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