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A One-Session Treatment for Patients Suffering From Medically Unexplained Symptoms in Primary Care: A Randomized Clinical Trial

Received March 15, 2006; accepted March 20, 2006. From the Philipps-University of Marburg, Section for Clinical Psychology and Psychotherapy. Send correspondence and reprint requests to Dr. Alexandra Martin; Philipps-University, Faculty of Psychology, Section for Clinical Psychology and Psychotherapy, Gutenbergstrasse 18 D-35032 Marburg, Germany. e-mail: martin{at}staff.uni-marburg.de
© 2007 The Academy of Psychosomatic Medicine

The aim of the study was to evaluate a one-session cognitive-behavior treatment (CBT) versus standard medical care for 140 primary-care patients with multiple somatoform symptoms. DSM–IV diagnoses were assessed with structured interviews. Primary outcome variables were healthcare utilization, number, and severity of somatoform symptoms, and secondary outcome measures were psychopathology dimensions. Assessments were done at study enrollment, at 4-weeks, and at 6-month follow-up. General acceptance of CBT was high (positive session evaluations, low dropout rate: 15%). Using an intent-to-treat analytic strategy, both groups improved. Yet results showed a stronger reduction in doctor visits and somatization severity in CBT versus standard care.

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				E. Guthrie Medically unexplained symptoms in primary care Advan. Psychiatr. Treat., November 1, 2008; 14(6): 432 - 440. [Abstract] [Full Text] [PDF]

				K. Kroenke Efficacy of Treatment for Somatoform Disorders: A Review of Randomized Controlled Trials Psychosom Med, November 1, 2007; 69(9): 881 - 888. [Abstract] [Full Text] [PDF]

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