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Treatment of Patients With Somatized Mental Disorder: Effects of Reattribution Training on Outcomes Under the Direct Control of the Family Doctor

Received Nov. 6, 2001; revision received Feb. 18, 2002; accepted March 8, 2002. From the University of Liverpool, Liverpool, U.K., and the University of Manchester, Manchester, U.K. Address reprint requests to Professor Morriss, University of Liverpool Department of Psychiatry, 2nd Floor UCD Building, Royal Liverpool Hospital, Prescot Street, Liverpool L69 3GA, U.K.; r.k.morris{at}liverpool.ac.uk (e-mail).

Reattribution training is an 8-hour, skills-based training program delivered to family doctors so that they may better manage patients with somatized mental disorder. Separate consecutive cohorts of 103 and 112 patients with somatized mental disorder, respectively, visited eight family doctors before and after these physicians had undergone reattribution training. Reattribution training was associated with more frequent endorsement by patients after 1 month that they received the help they wanted and fewer beliefs by patients after 3 months that their symptoms had only a physical cause. Reattribution training did not change the incidence of investigations initiated by the family doctor, prescriptions for psychotropic or nonpsychotropic drugs, or referrals over 3 months.

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