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Management of medically unexplained symptoms in children and young people: a secondary analysis of a 10-year audit of referrals to a Paediatric Psychology Service. | LitMetric

AI Article Synopsis

  • - The study examined service usage of children and young individuals with medically unexplained symptoms (MUS) who were referred to a Paediatric Psychology Service from 2008 to 2017, highlighting differences in clinical session requirements.
  • - Analysis showed that the MUS group attended significantly more sessions compared to other patients, needing an average of 7.5 inpatient sessions and 10.7 outpatient sessions versus 4.0 and 6.3 for the general group, respectively.
  • - Despite both groups gaining similar benefits from psychological therapy, MUS patients required more total contact time, with the association remaining strong even after adjusting for factors like age and gender.

Article Abstract

This study evaluated service use of children and young people with medically unexplained symptoms (MUS) referred to a Paediatric Psychology Service between 2008 and 2017. Univariate analyses of activity data indicated that the MUS group (n=268) required more clinical sessions than other patients (n=3577) (inpatient MUS: 7.5 (12.5) vs general: 4.0 (6.0), p=0.006; outpatient: MUS 10.7 (15.0) vs general 6.3 (8.9), p<0.001). Multivariate analyses confirmed that MUS group status remained significantly associated (p<0.001) with a higher number of contacts, even when age and gender were controlled for. Although both groups benefitted equally from psychological input, MUS referrals required more contact time than general referrals.

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Source
http://dx.doi.org/10.1136/bmjpo-2024-002765DOI Listing

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