TITLE

Cognitive-behaviour therapy for patients with Abridged Somatization Disorder (SSI 4,6) in primary care: a randomized, controlled study

AUTHOR(S)
Magallón, Rosa; Gili, Margalida; Moreno, Sergio; Bauzá, Natalia; García-Campayo, Javier; Roca, Miquel; Ruiz, Yolanda; Andrés, Eva
PUB. DATE
January 2008
SOURCE
BMC Psychiatry;2008, Vol. 8, Special section p1
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: Somatoform disorders are characterized by the presence of multiple somatic symptoms without an organic cause that completely explains their symptoms. These patients generate a high cost in health services. We aim to evaluate the effectiveness and feasibility of a cognitive-behaviour therapy (CBT) programme, administered in group and individual formats in primary care for patients who are diagnosed with abridged somatization disorder. Method/design: Design: Multicentre, randomized, controlled trial involving 3 groups, one of which is the control group consisting of standardized recommended treatment for somatization disorder in primary care (Smith's norms) and the 2 others, the intervention groups, consisting of cognitive-behavioural therapy (10 sessions) administered in individual format (intervention group 1) or in group format (intervention group 2). Setting: 29 primary care health centres in the province of Zaragoza and 3 primary care health centres in the province of Mallorca, Spain. Sample: N = 204 patients, (68 in each of the three groups), aged 18-65 years, able to understand and read Spanish, who fulfil Escobar's criteria of Abridgged Somatization Disorder (SSI 4,6), stable with pharmacotherapy over the previous month, and who will remain stable for the next 3 months in the doctor's opinion, having signed informed consent. Intervention: Control group: Standardized recommended treatment for somatization disorder in primary care (Smith's norms). Intervention group: 10 weekly sessions of CBT, following a protocol designed by Prof. Escobar's group at UMDNJ, USA. There are 2 different treatment conditions: individual and group format. Measurements: Survey on the use of health services, number and severity of somatic symptoms, anxiety, depression, quality of life and clinical global impression. The interviewers will not know which group the patient belongs to (blind). The assessments will be carried out at baseline, post-treatment, 6 months and 12 post-treatment. Main variables: Utilization of health services, number and severity of somatic symptoms. Analysis: The analysis will be per intent to treat. We will use the general linear models of the SPSS v.15 statistical package, to analyse the effect of treatment on the result variable (utilization of health services, number and severity of somatic symptoms). Discussion: It is necessary to develop more effective psychological treatments for somatoform disorders. This randomised clinical trial will determine whether cognitive behaviour therapy, both in group or in individual format, is effective for the treatment of these patients. Trial registration: Current controlled trials ISRCTN69944771
ACCESSION #
35702803

 

Related Articles

  • Guided Self-Help Cognitive Behavioural Therapy for Depression in Primary Care: A Randomised Controlled Trial Williams, Christopher; Wilson, Philip; Morrison, Jill; McMahon, Alex; Andrew, Walker; Allan, Lesley; McConnachie, Alex; McNeill, Yvonne; Tansey, Louise // PLoS Clinical Trials;Jan2013, Vol. 8 Issue 1, p1 

    Background: Access to Cognitive behavioural therapy (CBT) for depression is limited. One solution is CBT self-help books. Trial Objectives: To assess the impact of a guided self-help CBT book (GSH-CBT) on mood, compared to treatment as usual (TAU). Hypotheses:GSH-CBT will have improved mood...

  • COMMENTARY. Kenardy, Justin // Evidence Based Medicine;May2003, p88 

    The author discusses aspects of interventions mental heath interventions on somatic conditions wherein he argues that complex problems may also require complex solutions in primary care.

  • A Randomized Trial of Treatments for High-Utilizing Somatizing Patients. Barsky, Arthur; Ahern, David; Bauer, Mark; Nolido, Nyryan; Orav, E. // JGIM: Journal of General Internal Medicine;Nov2013, Vol. 28 Issue 11, p1396 

    BACKGROUND: Somatization and hypochondriacal health anxiety are common sources of distress, impairment, and costly medical utilization in primary care practice. A range of interventions is needed to improve the care of these patients. OBJECTIVE: To determine the effectiveness of two cognitive...

  • Palliative care nurses' experiences of training in cognitive behaviour therapy and taking part in a randomized controlled trial. Cort, E.; Moorey, S.; Hotopf, M.; Kapari, M.; Monroe, B.; Hansford, P. // International Journal of Palliative Nursing;Jun2009, Vol. 15 Issue 6, p290 

    Background: This article describes the experiences of clinical nurse specialists in a palliative homecare team who took part in a cluster randomized controlled study. The study aimed to determine whether palliative care nurses given basic training in cognitive behavioural therapy (CBT) were able...

  • Treating postnatal depressive symptoms in primary care: a randomised controlled trial of GP management, with and without adjunctive counselling. Milgrom, Jeannette; Holt, Christopher J.; Gemmill, Alan W.; Ericksen, Jennifer; Leigh, Bronwyn; Buist, Anne; Schembri, Charlene // BMC Psychiatry;2011, Vol. 11 Issue 1, p95 

    Background: Postnatal depression (PND) is under-diagnosed and most women do not access effective help. We aimed to evaluate comparative management of (PND) following screening with the Edinburgh Postnatal Depression Scale, using three best-practice care pathways by comparing management by...

  • The Effectiveness of Internet Cognitive Behavioural Therapy (iCBT) for Depression in Primary Care: A Quality Assurance Study. Williams, Alishia D; Andrews, Gavin // PLoS ONE;Feb2013, Vol. 8 Issue 2, p1 

    Background: Depression is a common, recurrent, and debilitating problem and Internet delivered cognitive behaviour therapy (iCBT) could offer one solution. There are at least 25 controlled trials that demonstrate the efficacy of iCBT. The aim of the current paper was to evaluate the...

  • Research focus.  // Primary Health Care;Jun2010, Vol. 20 Issue 5, p14 

    This section discusses two studies on the use of online cognitive behavior therapy (CBT) in the treatment of depression. A randomized controlled trial (RCT) found that online CBT is effective in primary care patients with depression. One study examined the expectations and experiences of primary...

  • Cognitive--behavioural therapy for depression in people with a somatic disease: meta-analysis of randomised controlled trials. Beltman, Matthijs W.; Oude Voshaar, Richard C.; Speckens, Anne E. // British Journal of Psychiatry;Jul2010, Vol. 197 Issue 1, p11 

    Background Meta-analyses on psychological treatment for depression in individuals with a somatic disease are limited to specific underlying somatic diseases, thereby neglecting the generalisability of the interventions. Aims To examine the effectiveness of cognitive-behavioural therapy (CBT) for...

  • Tailored internet-administered treatment of anxiety disorders for primary care patients: study protocol for a randomised controlled trial.  // Trials;2012, Vol. 13 Issue 1, p16 

    The article offers information on a randomised controlled trial conducted to examine the feasibility of the Internet-administered cognitive behavioural therapy (ICBT) for primary care patients with anxiety disorders . Researchers found that the long-term follow-up of the guided self-help is...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics