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Only seen the abstract, but there's still the odd sneering reference to this sort of thing from doctors/journalists, so thought it may be of interest.
http://www.ncbi.nlm.nih.gov/pubmed/25677210
Looks like it's based on data from this RCT on 're-attribution' for FSS: http://forums.phoenixrising.me/inde...reatment-of-functional-somatic-symptoms.5445/
Physical symptom attributions: a defining characteristic of somatoform disorders? ☆ ☆☆
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- Lisbeth Frostholm, M.Sc., Ph.D., ,
- Eva Ørnbøl, M.Sc.,
- Per K. Fink, Ph.D.
Abstract
Objectives
We examined whether primary care patients were more likely to perceive a current health problem as ‘physical illness only’ as opposed to entailing psychological difficulties if they had a comorbid somatoform disorder compared to patients who had (a) both comorbid somatoform disorder and anxiety/depression or (b) comorbid anxiety and/or depression, and a reference group of (c) patients with well-defined physical disease. We examined whether attributions predicted future health expenditures.
Methods
A total of 1209 of 1785 patients completed questions on patient-perceived illness. The physicians diagnosed the current health problem. A stratified subsample was interviewed using the Schedules for Clinical Assessment in Neuropsychiatry. Health expenditure was obtained from registers for a 2-year period.
Results
The belief that the current health problem was only physical was endorsed by 86% of patients presenting physical disease, 58% of patients with somatoform disorders, 29% of patients with both somatoform disorders and anxiety/depression and 24% of patients with anxiety or depressive disorders (χ2= 269.2, df=3, P< .0001). In a multiple regression model, a ‘physical illness only’ perception predicted lower health expenditures [β=−0.31, 95% confidence interval (− 0.55; − 0.07), P= .013].
Conclusions
The prevalent assumption that physical symptom attributions are a central aspect in somatoform disorders is not supported by the current study.
http://www.ncbi.nlm.nih.gov/pubmed/25677210
Looks like it's based on data from this RCT on 're-attribution' for FSS: http://forums.phoenixrising.me/inde...reatment-of-functional-somatic-symptoms.5445/
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