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Exploring the acceptability of behavioral interventions for veterans with persistent "medically unexplained" physical symptoms.
J Psychosom Res
April 2023
Veterans Affairs New Jersey Healthcare System, 385 Tremont Ave. East Orange, NJ 07018, USA. Electronic address:
Objective: This study evaluated the factors that led to enrollment in, and satisfaction with, behavioral interventions for Veterans living with Gulf War Illness (GWI).
Methods: One-on-one interviews were conducted pre- and post-intervention with participants randomized to receive either telephone delivered problem-solving treatment (n = 51) or health education (N = 49). A total of 99 Veterans were interviewed pre-intervention and 60 post-intervention.
Cognitive Behaviour Therapy Complemented with Emotion Regulation Training for Patients with Persistent Physical Symptoms: A Randomised Clinical Trial.
Psychother Psychosom
July 2020
Department of Clinical Psychology and Psychotherapy, Philipps University, Marburg, Germany.
Introduction: Persistent medically unexplained symptoms (MUS) are a major burden for health care. Cognitive behaviour therapy (CBT) is efficacious for patients with MUS, with small to medium effects. The current study investigates whether therapy outcomes of a CBT for MUS patients can be improved by complementing it with emotion regulation training.
View Article and Find Full Text PDFHelpful ways providers can communicate about persistent medically unexplained physical symptoms.
BMC Fam Pract
January 2019
War Related Illness and Injury Study Center, Veterans Affairs New Jersey Health Care System, 385 Tremont Avenue, East Orange, NJ, 07018, USA.
Background: Communication between patients and providers about persistent "medically unexplained" physical symptoms (MUS) is characterized by discordance. While the difficulties are well documented, few studies have examined effective communication. We sought to determine what veterans with Gulf War Illness (GWI) perceive as the most helpful communication from their providers.
View Article and Find Full Text PDFPredictors of Persistent Medically Unexplained Physical Symptoms: Findings From a General Population Study.
Front Psychiatry
November 2018
Top clinical Center for Body, Mind and Health, GGz Breburg, Tilburg, Netherlands.
To explore the persistency of Medically Unexplained Symptoms (MUS) and its prognostic factors in the general adult population. Knowledge of prognostic factors of MUS may indicate possible avenues for intervention development. Data were derived from the Netherlands Mental Health Survey and Incidence Study-2 (NEMESIS-2), a nationally representative face-to-face cohort study among the Dutch general population aged 18-64 years.
View Article and Find Full Text PDFNovel primary care treatment package for patients with medically unexplained symptoms: a cohort intervention study.
BJGP Open
January 2018
Psychologist and Dance Movement Psychotherapist, East London NHS Foundation Trust, London, UK.
Background: Existing care models for patients with persistent medically unexplained symptoms (MUS) do not adequately address the needs of these patients. New and innovative intervention strategies are necessary to achieve better health and corresponding economic outcomes.
Aim: To explore the feasibility of implementing a pragmatic care package that provides primary care treatment for patients with persistent MUS and to evaluate recruitment, retention, and acceptability as well as the potential impact on clinical outcomes and service utilisation.
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