Paediatric Psychology Service, St George's University Hospitals NHS Foundation Trust, London, UK.
Paediatric Psychology Service, St George's University Hospitals NHS Foundation Trust, London, UK
BMJ Paediatr Open. 2024 Aug 28;8(1):e002765. doi: 10.1136/bmjpo-2024-002765.
This study evaluated service use of children and young people with medically unexplained symptoms (MUS) referred to a Paediatric Psychology Service between 2008 and 2017. Univariate analyses of activity data indicated that the MUS group (n=268) required more clinical sessions than other patients (n=3577) (inpatient MUS: 7.5 (12.5) vs general: 4.0 (6.0), p=0.006; outpatient: MUS 10.7 (15.0) vs general 6.3 (8.9), p<0.001). Multivariate analyses confirmed that MUS group status remained significantly associated (p<0.001) with a higher number of contacts, even when age and gender were controlled for. Although both groups benefitted equally from psychological input, MUS referrals required more contact time than general referrals.
本研究评估了 2008 年至 2017 年间儿科心理服务机构收治的患有不明原因躯体症状（MUS）的儿童和青少年的服务使用情况。活动数据的单变量分析表明，MUS 组（n=268）比其他患者（n=3577）需要更多的临床治疗次数（住院 MUS：7.5（12.5）比一般：4.0（6.0），p=0.006；门诊：MUS 10.7（15.0）比一般 6.3（8.9），p<0.001）。多变量分析证实，即使控制了年龄和性别，MUS 组的状态仍与更多的接触次数显著相关（p<0.001）。尽管两组都从心理干预中受益，但 MUS 转介需要更多的联系时间，而不是一般转介。
