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Psychosocial Treatments for Multiple Unexplained Physical Symptoms

A Review of the Literature

Bibliographic Data

ID19307284
AuthorsLarry A Allen (0000-0003-2540-3095, Johnson University, corresponding author)
Year2002
Volume64
Issue6
Pages939-950
Publication date2002-11-01
Open AccessNo
TypeARTICLE
VenuePsychosomatic Medicine (JOURNAL)
Journal identifiersISSN: 0033-3174 • E-ISSN: 1534-7796
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/01.psy.0000024231.11538.8f
PMID12461199
OpenAlexW1974252064
LanguageEN
Citations received7
References cited8

OBJECTIVE: Patients presenting with multiple medically unexplained physical symptoms, termed polysymptomatic somatizers, often incur excessive healthcare charges and fail to respond to standard medical treatment. The present article reviews the literature assessing the efficacy of psychosocial treatments for polysymptomatic somatizers. METHODS: Relevant articles were identified by scanning Medline and PsychLit. Thirty-four randomized, controlled studies were located. Whenever possible results from each study were transformed into effect sizes. An analysis of the efficacy of the psychotherapeutic approaches is provided. RESULTS: Various psychosocial interventions have been investigated with polysymptomatic somatizers. Although the majority of studies suggest psychosocial treatments benefit this population, the literature is tarnished by methodological shortcomings. Effect sizes are modest at best. Long-term improvement has been demonstrated in fewer than one-quarter of the trials. CONCLUSIONS: Although seemingly beneficial, psychosocial treatments have not yet been shown to have a lasting and clinically meaningful influence on the physical complaints of polysymptomatic somatizers

MEDLINE · Psychiatry · Psychological intervention · Psychosocial · Public health · Quality of Life Research · Randomized controlled trial · Clinical Psychology · Fibromyalgia and Chronic Fatigue Syndrome Research · Medicine · Psychosomatic Disorders and Their Treatments · Stroke Rehabilitation and Recovery

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    Open Access•GARY P HOLMES, JONATHAN E KAPLAN et al.•Annals of Internal Medicine•1988

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Citations per year0.37
Citation span2007 - 2025 (19)
Highly citedNo

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