Introduction
What has been included under the umbrella term “Functional somatic syndromes” (FSS) has varied over the years. Diagnoses such as “somatoform” and “somatic symptom disorders,” as well as “medically unexplained symptoms,” have been included in FSS (1). Although there is no complete...
Highlights
• Patients with MUS are believed to have a deviant way of presenting symptoms.
• We systematically compared language use of patients with MUS and MES.
• Prejudices about communication of MUS patients cannot be detected in language use.
• Negative stereotyping and labelling may...
Full title: Barriers and facilitators to implementing interventions for medically unexplained symptoms in primary and secondary care: A systematic review
Abstract
Objective
To integrate existing literature on barriers and facilitators to implementing interventions for Medically Unexplained...
Full title: Association of Self-reported COVID-19 Infection and SARS-CoV-2 Serology Test Results With Persistent Physical Symptoms Among French Adults During the COVID-19 Pandemic
Key Points
Question Are the belief in having had COVID-19 infection and actually having had the infection as...
This thread has been moved from the News subforum and renamed following a published paper based on Cheston's work.
Respect and Shame in Healthcare and Bioethics Workshop:
Peter Schaber, University of Zurich – “Respect for the Patient’s Wishes.”
+ ECR presentation from Katharine Cheston...
https://www.nhs.uk/conditions/medically-unexplained-symptoms/
should this page not now say " ME/CFS" and link to the new NICE guideline and specify that if diagnosed with ME/CFS (or ME/CFS is suspected) people should seek advice on ME/CFS 'treatment'.
Abstract
Introduction
Central sensitization (CS) may explain the persistence of symptoms in patients with chronic pain and persistent physical symptoms (PPS). There is a need for assessing CS in the consultation room. In a recently published systematic review, we made an inventory of tests for...
Abstract
Sickness behavior including malaise, fatigue and increased pain sensitivity is thought to be adaptive and facilitate recovery from disease. However, it may also reduce functioning and health if symptoms persists, which is why validated instruments for its assessment are needed. We...
Abstract
The American Psychiatric Association’s, 2013 DSM-5 abandoned the use of the term ‘medically unexplained symptoms’ for non-neurological disorders. In the UK, treatments for various medical illnesses with unexplained aetiology, such as chronic fatigue syndrome, irritable bowel syndrome...
Abstract
Objective
We investigated the effectiveness of Graded Exercise Therapy (GET) delivered to patients with Chronic Fatigue Syndrome (CFS/ME) in a routine, specialist clinic by measuring patient-reported outcome data collected prospectively over several timepoints alongside therapy...
2021
bps
chalder
clinical outcomes
david tuller
get
iapt
long covid
me/cfs
mus
nice guideline
paper
peter denton white
pps
psychosomatic medicine
trial by error
uk me/cfs clinic
Abstract
PRINCE Secondary was a randomised trial to test the efficacy and cost-effectiveness of therapist-delivered, transdiagnostic cognitive behavioural therapy (TDT-CBT) for patients with persistent physical symptoms (PPS) (Chalder et al., 2021). In total, 324 PPS patients were randomised to...
Full title: Symptom attribution to a medically unexplained syndrome is associated with greater perceived severity and bothersomeness of symptoms in US military veterans
Abstract
Objective
Medically unexplained symptoms (MUS) are prevalent among veteran and non-veteran populations. Current...
This 2007 study from the Journal of Psychosomatic Research to my mind suggests that retrospective subjective symptom reporting in MUS is useless. People seem to report what they think they know about themselves (personal semantic memory) rather than events they remember (episodic memory). Hard...
Abstract
Objectives
Health services to date have inadequately addressed the physical and mental health needs of patients with medically unexplained symptoms. This qualitative study evaluates a piloted facilitated support group (FSG) developed for patients with medically unexplained symptoms to...
Metasynthesis is currently considered one of the most promising directions for qualitative research, as it can contribute to the generalizability of qualitative findings and increase their impact.
At the same time, single case studies gain attention in the field of psychotherapy research, as...
Somatic symptoms without a clear-cut organic or biomedical background, also called “medically unexplained” or “somatoform” symptoms, are frequent in primary and secondary health care. They are often accompanied by depression and/or anxiety, and cause functional impairment. The Patient Health...
Abstract
The Wessely School’s (WS) approach to medically unexplained symptoms, myalgic encephalomyelitis and chronic fatigue syndrome (MUS/MECFS) is critically reviewed using scientific criteria. Based on the ‘Biopsychosocial Model’, the WS proposes that patients’ dysfunctional beliefs...
The spin on this is quite shocking:
https://www.cambridge.org/core/journals/psychological-medicine/article/efficacy-of-therapistdelivered-transdiagnostic-cbt-for-patients-with-persistent-physical-symptoms-in-secondary-care-a-randomised-controlled-trial/CEDD9B7597902C283BBB7CA7B43A81C7
Efficacy...
There is some discussion of ME/CFS and medically unexplained symptoms in this including mention of papers by Keith Geraghty and Diane O'Leary.
https://scholarshare.temple.edu/bitstream/handle/20.500.12613/6496/Sevareid_temple_0225M_14400.pdf?sequence=1&isAllowed=y
ABSTRACT
Objectivity is a...
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