Contrasting two improved and two unimproved cases of patients
with medically unexplained physical symptoms after
multicomponent treatment

J 2024

Contrasting two improved and two unimproved cases of patients with medically unexplained physical symptoms after multicomponent treatment

POLAKOVSKÁ, Lucia, Jan ROUBAL, Michal ČEVELÍČEK and Tomáš ŘIHÁČEK

Basic information

Original name

Contrasting two improved and two unimproved cases of patients with medically unexplained physical symptoms after multicomponent treatment

Authors

POLAKOVSKÁ, Lucia (703 Slovakia, belonging to the institution), Jan ROUBAL (203 Czech Republic, belonging to the institution), Michal ČEVELÍČEK (203 Czech Republic, belonging to the institution) and Tomáš ŘIHÁČEK (203 Czech Republic, belonging to the institution)

Edition

Counselling Psychology Quarterly, Abingdon, Routledge Journals, Taylor & Francis, 2024, 0951-5070

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

50100 5.1 Psychology and cognitive sciences

Country of publisher

United Kingdom of Great Britain and Northern Ireland

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

URL

Impact factor

Impact factor: 3.000 in 2022

Organization unit

Faculty of Social Studies

DOI

http://dx.doi.org/10.1080/09515070.2023.2169900

UT WoS

999

Keywords in English

Medically unexplained physical symptoms; multicomponent treatment; patients’ experience; chronic illness; psychosomatics

Abstract

V originále

Objective: While some patients suffering from medically unexplained physical symptoms (MUPS) benefit from psychological treatment, others do not. The aim of this study was to analyse both quantitative and qualitative data of four patients with MUPS (two improvers and two nonimprovers) after multicomponent treatment to find an explanation for the outcome differences. Method: Two improvers and two nonimprovers were contrasted within the explanatory sequential mixed method design. Quantitative prepost data from multiple outcome measures were combined with semistructured interviews. Findings: The analysis revealed two key processes that differentiated improvers from nonimprovers: (1) implementing lifestyle changes and (2) receiving environmental support. Furthermore, interoceptive awareness and emotional regulation may be two other important processes seen in quantitative data but not identified by patients. Conclusion: The findings of this study offer an understanding of the different impacts of selected change mechanisms in patients with MUPS, which may help clinicians deliberately aim to focus on important areas of treatment.

Links

GA18-08512S, research and development project

Name: Účinnost psychoterapie u pacientů s medicínsky nevysvětlenými tělesnými symptomy: Multicentrická naturalistická studie

Investor: Czech Science Foundation

MUNI/A/1216/2020, interní kód MU

Name: Výzkum psychoterapie: Pozitivní a negativní účinky

Investor: Masaryk University

Citovat

POLAKOVSKÁ, Lucia, Jan ROUBAL, Michal ČEVELÍČEK and Tomáš ŘIHÁČEK. Contrasting two improved and two unimproved cases of patients with medically unexplained physical symptoms after multicomponent treatment. Counselling Psychology Quarterly. Abingdon: Routledge Journals, Taylor & Francis, 2024, vol. 37, No 1, p. 25-46. ISSN 0951-5070. Available from: https://dx.doi.org/10.1080/09515070.2023.2169900.

@article{2249632,
   author = {Polakovská, Lucia and Roubal, Jan and Čevelíček, Michal and Řiháček, Tomáš},
   article_location = {Abingdon},
   article_number = {1},
   doi = {http://dx.doi.org/10.1080/09515070.2023.2169900},
   keywords = {Medically unexplained physical symptoms; multicomponent treatment; patients’ experience; chronic illness; psychosomatics},
   language = {eng},
   issn = {0951-5070},
   journal = {Counselling Psychology Quarterly},
   title = {Contrasting two improved and two unimproved cases of patients with medically unexplained physical symptoms after multicomponent treatment},
   url = {https://www.tandfonline.com/doi/full/10.1080/09515070.2023.2169900},
   volume = {37},
   year = {2024}
}

TY  - JOUR
ID  - 2249632
AU  - Polakovská, Lucia - Roubal, Jan - Čevelíček, Michal - Řiháček, Tomáš
PY  - 2024
TI  - Contrasting two improved and two unimproved cases of patients with medically unexplained physical symptoms after multicomponent treatment
JF  - Counselling Psychology Quarterly
VL  - 37
IS  - 1
SP  - 25-46
EP  - 25-46
PB  - Routledge Journals, Taylor & Francis
SN  - 09515070
KW  - Medically unexplained physical symptoms
KW  - multicomponent treatment
KW  - patients’ experience
KW  - chronic illness
KW  - psychosomatics
UR  - https://www.tandfonline.com/doi/full/10.1080/09515070.2023.2169900
N2  - Objective: While some patients suffering from medically unexplained physical symptoms (MUPS) benefit from psychological treatment, others do not. The aim of this study was to analyse both quantitative and qualitative data of four patients with MUPS (two improvers and two nonimprovers) after multicomponent treatment to find an explanation for the outcome differences. Method: Two improvers and two nonimprovers were contrasted within the explanatory sequential mixed method design. Quantitative prepost data from multiple outcome measures were combined with semistructured interviews. Findings: The analysis revealed two key processes that differentiated improvers from nonimprovers: (1) implementing lifestyle changes and (2) receiving environmental support. Furthermore, interoceptive awareness and emotional regulation may be two other important processes seen in quantitative data but not identified by patients. Conclusion: The findings of this study offer an understanding of the different impacts of selected change mechanisms in patients with MUPS, which may help clinicians deliberately aim to focus on important areas of treatment.
ER  -

POLAKOVSKÁ, Lucia, Jan ROUBAL, Michal ČEVELÍČEK and Tomáš ŘIHÁČEK. Contrasting two improved and two unimproved cases of patients with medically unexplained physical symptoms after multicomponent treatment. \textit{Counselling Psychology Quarterly}. Abingdon: Routledge Journals, Taylor \&{} Francis, 2024, vol.~37, No~1, p.~25-46. ISSN~0951-5070. Available from: https://dx.doi.org/10.1080/09515070.2023.2169900.

Detailed Information on Publication Record