Patients’ Perspectives On Improvement Of Medically Unexplained Physical Symptoms:a Qualitative Analysis

Dessel, Nikki van; Velzeboer, F.R.; Wouden, Johannes C van der; Boer, Carine den; Dekker, J.; Horst, Henriëtte E. van der

doi:10.25149/1756-8358.1102007

Cited by 7 publications

(4 citation statements)

References 18 publications

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“…Claassen-van Dessel et al 7 comment that 20–30% of active case loads in primary care are patients with MUPS. Some specialty clinics (eg, gynaecology, neurology) report rates as high as 66% of new visits 2…”

Section: Introductionmentioning

confidence: 99%

Clinical practitioners’ views on the management of patients with medically unexplained physical symptoms (MUPS): a qualitative study

et al. 2016

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ObjectivesBy identifying strategies that practicing physicians use in managing patients with medically unexplained physical symptoms (MUPS), we present an interim practical management guide (IPMG) that clinical practitioners may find useful in their clinical practices and that may help guide future research.DesignA qualitative research study based on interview data from practicing physicians with experience in dealing with MUPS and known to the physician members of the research team. A parallel exploration of patient experiences was carried out simultaneously and is reported elsewhere.Setting2 urban centres in 2 different Canadian provinces in a healthcare system where family physicians provide the majority of primary care and self-referral to specialists rarely occurs.ParticipantsThe physician members of the research team invited practicing family and specialty physicians to participate in the study.ResultsWe characterise the care of patients with MUPS in terms of a 4-part framework: (1) the challenge of diagnosis; (2) the challenge of management/treatment; (3) the importance of communication and (4) the importance of the therapeutic relationship.ConclusionsOn the basis of the details in the different parts of the framework, we propose an IPMG that practitioners may find useful to facilitate the clinical care of patients with MUPS. The guide can be readily implemented into the practice of any physician who cares for patients with MUPS.

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Section: Introductionmentioning

confidence: 99%

Clinical practitioners’ views on the management of patients with medically unexplained physical symptoms (MUPS): a qualitative study

et al. 2016

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“…They did not provide an MCID for this scale, as they did for the WSAS. However, the difference between groups was −1.51 points on a 0-30 point scale, lower than MCID estimates for the PHQ15 proposed by other researchers (Claassen-van Dessel et al, 2018;Toussaint et al, 2017). The authors also highlight a statistically significant result on the Clinical Global Impression scale.…”

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confidence: 50%

PRINCE Secondary: transdiagnostic CBT is not effective for persistent physical symptoms

Tack¹,

Tüller²

2021

Preprint

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“…24 Resignation and acceptance seem closely related, but the latter implies to be a later stage in a process of change. Acceptance was also an important condition for symptom improvement 25 and facilitated a process of change towards self-compassion and self-care in patients with PPS. 26 While in our study, resigning to limits was described as an important strategy in anticipating on symptom exacerbations and fluctuations in symptoms, Sowińska and Czachowski 27 described how in their population of Polish patients with PPS (MUS) ignoring symptoms or shifting away attention was reported as one of the most successful ways of coping.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Patients’ experiences with fluctuations in persistent physical symptoms: a qualitative study

et al. 2020

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ObjectivesTo explore patients’ experiences with fluctuations in persistent physical symptoms (PPS) and to understand which factors—from their viewpoint—play a role in these fluctuations.DesignQualitative study using semistructured interviews and thematic content analysis.SettingThis qualitative study is part of a multicentre prospective cohort study on the course of PPS. Patients were recruited in general practices and specialised treatment facilities for PPS throughout the Netherlands.ParticipantsInterviews were conducted with a sample of fifteen patients with PPS to explore their experiences with fluctuations in symptom severity.ResultsWe identified three themes in the analysis: (1) patterns in symptom fluctuations (2) perceived causes of symptom exacerbations and (3) Patients’ strategies in gaining control over symptom exacerbations. Daily and weekly fluctuations in symptoms were an important element in patients’ experiences. In particular anticipating on the worsening of symptoms impacted their daily routines and posed various challenges. Symptom exacerbations were attributed to overstepping physical limits and/or the impact of negative emotions. Resigning to physical limits, adjusting ones daily planning, weighing personal needs and learning to say ‘no’ were described as different strategies in gaining control over symptom exacerbations.ConclusionsFluctuations in the severity of symptoms—and in particular daily and weekly symptom exacerbations—are an important element of the symptom experience in patients with PPS and poses various challenges. Patients attributed symptom exacerbation to overstepping physical limits and/or negative emotions. Patients described different strategies in gaining control over symptom exacerbations.

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Patients’ Perspectives On Improvement Of Medically Unexplained Physical Symptoms:a Qualitative Analysis

Cited by 7 publications

References 18 publications

Clinical practitioners’ views on the management of patients with medically unexplained physical symptoms (MUPS): a qualitative study

Clinical practitioners’ views on the management of patients with medically unexplained physical symptoms (MUPS): a qualitative study

PRINCE Secondary: transdiagnostic CBT is not effective for persistent physical symptoms

Patients’ experiences with fluctuations in persistent physical symptoms: a qualitative study

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