Cognitive-behavioural group treatment for a range of functional somatic syndromes: randomised trial.
BACKGROUND: Many specialty-specific functional somatic syndrome diagnoses exist to describe people who are experiencing so-called medically unexplained symptoms. Although cognitive-behavioural therapy can be effective in the management of such syndromes, it is rarely available. A cognitive-behaviou...
| Главные авторы: | , , , , , |
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| Формат: | Journal article |
| Язык: | English |
| Опубликовано: |
2012
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| _version_ | 1826260673467777024 |
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| author | Schröder, A Rehfeld, E Ornbøl, E Sharpe, M Licht, R Fink, P |
| author_facet | Schröder, A Rehfeld, E Ornbøl, E Sharpe, M Licht, R Fink, P |
| author_sort | Schröder, A |
| collection | OXFORD |
| description | BACKGROUND: Many specialty-specific functional somatic syndrome diagnoses exist to describe people who are experiencing so-called medically unexplained symptoms. Although cognitive-behavioural therapy can be effective in the management of such syndromes, it is rarely available. A cognitive-behavioural therapy suitable for group treatment of people with different functional somatic syndromes could address this problem. AIMS: To test the efficacy of a cognitive-behavioural therapy (Specialised Treatment for Severe Bodily Distress Syndromes, STreSS) designed for patients with a range of severe functional somatic syndromes. METHOD: A randomised controlled trial (clinicaltrials.gov, NCT00132197) compared STreSS (nine 3.5 h sessions over 4 months, n = 54) with enhanced usual care (management by primary care physician or medical specialist, n = 66). The primary outcome was improvement in aggregate score on subscales of the 36-item Short Form Health Survey (physical functioning, bodily pain and vitality) at 16 months. RESULTS: Participants receiving STreSS had a greater improvement on the primary outcome (adjusted mean difference 4.0, 95% CI 1.4-6.6, P = 0.002) and on most secondary outcomes. CONCLUSIONS: In the management of functional somatic syndromes, a cognitive-behavioural group treatment was more effective than enhanced usual care. |
| first_indexed | 2024-03-06T19:09:25Z |
| format | Journal article |
| id | oxford-uuid:16435b8c-02bd-4ca1-96cf-b38bad1b1b3d |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-06T19:09:25Z |
| publishDate | 2012 |
| record_format | dspace |
| spelling | oxford-uuid:16435b8c-02bd-4ca1-96cf-b38bad1b1b3d2022-03-26T10:30:15ZCognitive-behavioural group treatment for a range of functional somatic syndromes: randomised trial.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:16435b8c-02bd-4ca1-96cf-b38bad1b1b3dEnglishSymplectic Elements at Oxford2012Schröder, ARehfeld, EOrnbøl, ESharpe, MLicht, RFink, P BACKGROUND: Many specialty-specific functional somatic syndrome diagnoses exist to describe people who are experiencing so-called medically unexplained symptoms. Although cognitive-behavioural therapy can be effective in the management of such syndromes, it is rarely available. A cognitive-behavioural therapy suitable for group treatment of people with different functional somatic syndromes could address this problem. AIMS: To test the efficacy of a cognitive-behavioural therapy (Specialised Treatment for Severe Bodily Distress Syndromes, STreSS) designed for patients with a range of severe functional somatic syndromes. METHOD: A randomised controlled trial (clinicaltrials.gov, NCT00132197) compared STreSS (nine 3.5 h sessions over 4 months, n = 54) with enhanced usual care (management by primary care physician or medical specialist, n = 66). The primary outcome was improvement in aggregate score on subscales of the 36-item Short Form Health Survey (physical functioning, bodily pain and vitality) at 16 months. RESULTS: Participants receiving STreSS had a greater improvement on the primary outcome (adjusted mean difference 4.0, 95% CI 1.4-6.6, P = 0.002) and on most secondary outcomes. CONCLUSIONS: In the management of functional somatic syndromes, a cognitive-behavioural group treatment was more effective than enhanced usual care. |
| spellingShingle | Schröder, A Rehfeld, E Ornbøl, E Sharpe, M Licht, R Fink, P Cognitive-behavioural group treatment for a range of functional somatic syndromes: randomised trial. |
| title | Cognitive-behavioural group treatment for a range of functional somatic syndromes: randomised trial. |
| title_full | Cognitive-behavioural group treatment for a range of functional somatic syndromes: randomised trial. |
| title_fullStr | Cognitive-behavioural group treatment for a range of functional somatic syndromes: randomised trial. |
| title_full_unstemmed | Cognitive-behavioural group treatment for a range of functional somatic syndromes: randomised trial. |
| title_short | Cognitive-behavioural group treatment for a range of functional somatic syndromes: randomised trial. |
| title_sort | cognitive behavioural group treatment for a range of functional somatic syndromes randomised trial |
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