Titre du document / Document title

Cognitive-behavioural therapy for patients with multiple somatoform symptoms-a randomised controlled trial in tertiary care

Auteur(s) / Author(s)

BLEICHHARDT Gaby ⁽¹⁾ ; TIMMER Barbara ⁽¹⁾ ; RIEF Winfried ⁽¹⁾ ;

Affiliation(s) du ou des auteurs / Author(s) Affiliation(s)

⁽¹⁾ Roseneck-Centre for Behavioural Medicine, Prien am Chiemsee, ALLEMAGNE

Résumé / Abstract

Objective: (a) To evaluate the effect of a cognitive-behavioural inpatient treatment and (b) to analyse the differential efficacy of an additional (soma) group management training of somatisation. Methods: The final sample consisted of 191 patients with somatisation syndrome (patients with at least eight DSM-IV somatoform symptoms). Patients were randomly assigned to (I) standard treatment+soma or (II) standard treatment+relaxation training. A waiting control group consisted of 34 patients. All patients were diagnosed with a structured clinical interview for DSM-IV and received an interview on medical consulting behaviour and questionnaires concerning somatoform symptoms, general psychopathology, subjective health status, and life satisfaction. Results: Results show high impairment of the sample prior to treatment. At the 1-year follow-up, all outcome criteria were significantly reduced. The differential effect of the additional soma treatment was significant only for a reduction of visits to the doctor. Greatest longitudinal effect sizes were found for the reduction of somatoform symptoms. Conclusion: Considering the subjects' high initial impairment, the outcome results are encouraging. The specific effect on health care use highlights the socioeconomic relevance.

Revue / Journal Title

Journal of psychosomatic research   ISSN 0022-3999   CODEN JPCRAT 

Source / Source

2004, vol. 56, n^o 4 (74 p.)  [Document : 6 p.] (34 ref.), pp. 449-454 [6 page(s) (article)]

Langue / Language

Anglais

Editeur / Publisher

Elsevier, New York, NY, ETATS-UNIS  (1956) (Revue)

Mots-clés anglais / English Keywords

Somatoform disorder ; Human ; Follow up study ; Attitude ; Satisfaction ; Health ; Subjective experience ; Treatment efficiency ; Relaxation ; Group treatment ; Combined treatment ; Comparative study ; Behavior therapy ; Cognitive therapy ; Treatment ; Symptomatology ; Somatization ;

Mots-clés français / French Keywords

Trouble somatoforme ; Homme ; Etude longitudinale ; Attitude ; Satisfaction ; Santé ; Expérience subjective ; Efficacité traitement ; Relaxation ; Traitement groupe ; Traitement associé ; Etude comparative ; Thérapie comportementale ; Thérapie cognitive ; Traitement ; Symptomatologie ; Somatisation ;

Mots-clés espagnols / Spanish Keywords

Trastorno somatoformo ; Hombre ; Estudio longitudinal ; Actitud ; Satisfacción ; Salud ; Experiencia subjetiva ; Eficacia tratamiento ; Relajación ; Tratamiento grupo ; Tratamiento asociado ; Estudio comparativo ; Terapia conductual ; Terapia cognitiva ; Tratamiento ; Sintomatología ; Somatizacíon ;

Mots-clés d'auteur / Author Keywords

Cognitive-behavioural therapy ; Group therapy ; Randomised controlled trial ; Somatoform disorders ; Somatisation ; Somatisation syndrome ; Tertiary care ;

Localisation / Location

INIST-CNRS, Cote INIST : 1382, 35400011502763.0090