Arnold I A, Speckens A E M, van Hemert A M
Department of General Practice and Nursing Home, Leiden University Medical Center, P.O. Box 2088, Leiden 23101 CB, The Netherlands.
J Psychosom Res. 2004 Dec;57(6):517-20. doi: 10.1016/j.jpsychores.2004.04.369.
The aim of this study was to estimate the number of patients with medically unexplained physical symptoms (MUPS) that could be eligible for group cognitive-behavioural treatment (CBT) and to assess the acceptability of this treatment.
For 3 months, all consultations of one general practitioner (GP) were screened for MUPS. Patients with MUPS who were considered eligible for group CBT were interviewed and offered treatment.
From January to March 1999, 1084 consultations of 796 patients were screened. The GP classified the symptoms of 104 patients aged 25-79 as unexplained. Of these, 71 patients were not considered to be eligible for treatment, mainly due to a psychological attribution of the symptoms. The research interview was offered to 33 patients, 16 of them declined and 12 were interviewed. Seven out of the 12 eligible patients accepted treatment.
In primary care, 18% of patients aged 25-79 years was estimated to have MUPS. For only a minority of these patients, group CBT was considered suitable and acceptable.
本研究旨在估算符合团体认知行为疗法（CBT）条件的医学上无法解释的身体症状（MUPS）患者数量，并评估该疗法的可接受性。
在3个月的时间里，对一位全科医生（GP）的所有诊疗进行了MUPS筛查。对被认为符合团体CBT条件的MUPS患者进行了访谈并提供治疗。
1999年1月至3月，对796名患者的1084次诊疗进行了筛查。这位全科医生将104名年龄在25至79岁之间患者的症状归类为无法解释。其中，71名患者被认为不符合治疗条件，主要原因是症状的心理归因。对33名患者进行了研究访谈，其中16人拒绝，12人接受了访谈。12名符合条件的患者中有7人接受了治疗。
在初级保健中，估计25至79岁的患者中有18%患有MUPS。对于这些患者中只有少数人，团体CBT被认为是合适且可接受的。
