Effectiveness of a Multicomponent Group-Based Treatment in
Patients with Medically Unexplained Physical Symptoms : A
Multisite Naturalistic Study

J 2024

Effectiveness of a Multicomponent Group-Based Treatment in Patients with Medically Unexplained Physical Symptoms : A Multisite Naturalistic Study

POUROVÁ, Martina; Tomáš ŘIHÁČEK; Jan R. BOEHNKE; Jakub ŠIMEK; Martin SAIC et al.

Základní údaje

Originální název

Effectiveness of a Multicomponent Group-Based Treatment in Patients with Medically Unexplained Physical Symptoms : A Multisite Naturalistic Study

Autoři

POUROVÁ, Martina ; Tomáš ŘIHÁČEK ; Jan R. BOEHNKE; Jakub ŠIMEK; Martin SAIC; Jaromír KABÁT a Petr ŠILHÁN

Vydání

Journal of Contemporary Psychotherapy, Cham, Springer, 2024, 0022-0116

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

50100 5.1 Psychology and cognitive sciences

Stát vydavatele

Švýcarsko

Utajení

není předmětem státního či obchodního tajemství

Odkazy

article - open access

Impakt faktor

Impact factor: 1.300

Označené pro přenos do RIV

Ano

Kód RIV

RIV/00216224:14230/24:00139322

Organizační jednotka

Fakulta sociálních studií

Klíčová slova anglicky

Medically unexplained physical symptoms; Multicomponent treatment; Group psychotherapy; Efectiveness; Predictors

Štítky

rivok

Příznaky

Mezinárodní význam, Recenzováno

Změněno: 30. 1. 2024 09:02, Mgr. Blanka Farkašová

Anotace

V originále

Psychotherapy is expected to be effective in the treatment of patients with medically unexplained physical symptoms (MUPS). However, evidence is scarce. The aim of this study was to examine the effectiveness of a multicomponent treatment based on group therapy in patients with MUPS in a naturalistic setting and to explore potential predictors of the outcomes. A multisite naturalistic uncontrolled effectiveness study. A total of 290 patients with MUPS participated in group psychotherapy across seven clinical sites. Somatic symptoms, depression, anxiety, general psychotherapy outcomes operationalized as the Outcome Rating Scale (ORS) score, well-being, role functioning interference, as well as a number of pretreatment predictors were measured using a battery of self-report measures. Multilevel modeling and lasso regression with bootstrapping were used for the analysis. Medium to large pre-post effects were found for somatic symptoms, ORS, depression, anxiety, well-being, role functioning interference found in completers after controlling for site and group effects, pretreatment outcome values, and treatment length. Changes reported at 6- and 12-month follow-up were higher for most variables. No substantial pretreatment predictors of the patients’ posttreatment status were found in addition to the pretreatment level of outcome variables. Somatic symptoms seem to be less malleable in psychotherapy than psychological outcome variables. However, there was a trend of further improvement after treatment completion.

Návaznosti

GA18-08512S, projekt VaV

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

Investor: Grantová agentura ČR, Účinnost psychoterapie u pacientů s medicínsky nevysvětlenými tělesnými symptomy: Multicentrická naturalistická studie

Přiložené soubory

Effectiveness_of_a_Multicomponent_Group-Based_Treatment_in_Patients_with_Medically_Unexplained_Physical_Symptoms.pdf

Citovat

POUROVÁ, Martina; Tomáš ŘIHÁČEK; Jan R. BOEHNKE; Jakub ŠIMEK; Martin SAIC; Jaromír KABÁT a Petr ŠILHÁN. Effectiveness of a Multicomponent Group-Based Treatment in Patients with Medically Unexplained Physical Symptoms : A Multisite Naturalistic Study. Journal of Contemporary Psychotherapy. Cham: Springer, 2024, roč. 54, č. 1, s. 47-57. ISSN 0022-0116. Dostupné z: https://doi.org/10.1007/s10879-023-09597-4.

@article{2309698,
   author = {Pourová, Martina and Řiháček, Tomáš and Boehnke, Jan R. and Šimek, Jakub and Saic, Martin and Kabát, Jaromír and Šilhán, Petr},
   article_location = {Cham},
   article_number = {1},
   doi = {https://doi.org/10.1007/s10879-023-09597-4},
   keywords = {Medically unexplained physical symptoms; Multicomponent treatment; Group psychotherapy; Efectiveness; Predictors},
   language = {eng},
   issn = {0022-0116},
   journal = {Journal of Contemporary Psychotherapy},
   title = {Effectiveness of a Multicomponent Group-Based Treatment in Patients with Medically Unexplained Physical Symptoms : A Multisite Naturalistic Study},
   url = {https://link.springer.com/article/10.1007/s10879-023-09597-4},
   volume = {54},
   year = {2024}
}

TY  - JOUR
ID  - 2309698
AU  - Pourová, Martina - Řiháček, Tomáš - Boehnke, Jan R. - Šimek, Jakub - Saic, Martin - Kabát, Jaromír - Šilhán, Petr
PY  - 2024
TI  - Effectiveness of a Multicomponent Group-Based Treatment in Patients with Medically Unexplained Physical Symptoms : A Multisite Naturalistic Study
JF  - Journal of Contemporary Psychotherapy
VL  - 54
IS  - 1
SP  - 47-57
EP  - 47-57
PB  - Springer
SN  - 00220116
KW  - Medically unexplained physical symptoms
KW  - Multicomponent treatment
KW  - Group psychotherapy
KW  - Efectiveness
KW  - Predictors
UR  - https://link.springer.com/article/10.1007/s10879-023-09597-4
N2  - Psychotherapy is expected to be effective in the treatment of patients with medically unexplained physical symptoms (MUPS). However, evidence is scarce. The aim of this study was to examine the effectiveness of a multicomponent treatment based on group therapy in patients with MUPS in a naturalistic setting and to explore potential predictors of the outcomes. A multisite naturalistic uncontrolled effectiveness study. A total of 290 patients with MUPS participated in group psychotherapy across seven clinical sites. Somatic symptoms, depression, anxiety, general psychotherapy outcomes operationalized as the Outcome Rating Scale (ORS) score, well-being, role functioning interference, as well as a number of pretreatment predictors were measured using a battery of self-report measures. Multilevel modeling and lasso regression with bootstrapping were used for the analysis. Medium to large pre-post effects were found for somatic symptoms, ORS, depression, anxiety, well-being, role functioning interference found in completers after controlling for site and group effects, pretreatment outcome values, and treatment length. Changes reported at 6- and 12-month follow-up were higher for most variables. No substantial pretreatment predictors of the patients’ posttreatment status were found in addition to the pretreatment level of outcome variables. Somatic symptoms seem to be less malleable in psychotherapy than psychological outcome variables. However, there was a trend of further improvement after treatment completion.
ER  -

POUROVÁ, Martina; Tomáš ŘIHÁČEK; Jan R. BOEHNKE; Jakub ŠIMEK; Martin SAIC; Jaromír KABÁT a Petr ŠILHÁN. Effectiveness of a Multicomponent Group-Based Treatment in Patients with Medically Unexplained Physical Symptoms : A Multisite Naturalistic Study. \textit{Journal of Contemporary Psychotherapy}. Cham: Springer, 2024, roč.~54, č.~1, s.~47-57. ISSN~0022-0116. Dostupné z: https://doi.org/10.1007/s10879-023-09597-4.

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