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The Meaning of Patient Experiences of Medically Unexplained Physical Symptoms

Bibliographic Data

ID4686969
AuthorsJude Kornelsen (0000-0002-2997-1834, University of British Columbia, Vancouver, British Columbia, Canada, corresponding author), Chloe Atkins (University of Calgary, Calgary, Alberta, Canada), Chloe ̈gkatkins (0000-0001-8820-6115, University of Calgary), Keith Brownell (University of Calgary, Calgary, Alberta, Canada), Robert Woollard (0000-0002-9537-1052, University of British Columbia, Vancouver, British Columbia, Canada)
Year2016
Volume26
Issue3
Pages367-376
Publication date2016-02-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueQualitative Health Research (JOURNAL)
Journal identifiersISSN: 1049-7323 • E-ISSN: 1552-7557
PublisherSAGE Publications Inc (PUBLISHER)
DOI10.1177/1049732314566326
PMID25583957
OpenAlexW2000952691
LanguageEN
Citations received22
References cited20

Current diagnostic models in medical practice do not adequately account for patient symptoms that cannot be classified. At the moment, when all known diagnostic possibilities have been excluded, physicians-and patients-confront uncertainty in diagnosis, which gives rise to the label of Medically Unexplained Physical Symptoms (MUPS). This phenomenological study, conducted by two research teams in two geographic locations, sought to explore patients' experiences of prolonged uncertainty in diagnosis. Participants in this study described their experiences with and consequences of MUPS primarily in relation to levels of acuity and acceptance of uncertainty, the latter loosely correlated to length of time since onset of symptoms (the longer the time, the more forbearance participants expressed). We identified three experiential periods including the active search for a diagnosis, living with MUPS, and, finally, acceptance/resignation of their condition. Findings point to the heightened importance of the therapeutic relationship when dealing with uncertainty

Experiential learning · Forbearance · Medical diagnosis · Pathology · Psychotherapist · Clinical Psychology · Clinical Reasoning and Diagnostic Skills · Medicine · Mental Health and Psychiatry · Psychology · Psychosomatic Disorders and Their Treatments

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Unique citing works22
Citations per year2,44
Citation span2017 - 2026 (10)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 21

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