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Cited by 138Psychosomatic Disorders and Their TreatmentsPrimary Care and Health OutcomesMedicine, History, and Philosophy

Randomised Controlled Trial of a Collaborative Care Model with Psychiatric Consultation for Persistent Medically Unexplained Symptoms in General Practice

van der Feltz-Cornelis, Christina M., van Oppen, Patricia, Adèr, Herman J., van Dyck, Richard·2006·Psychotherapy and Psychosomatics
DOI 10.1159/000093949
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Abstract

Background: Patients with persistent medically unexplained symptoms often exhibit general dysfunction and psychiatric comorbidity and frequently resist psychiatric referral. The aim of this study was to evaluate the efficacy of a collaborative care model including training for general practitioners (GPs) and a psychiatric consultation model for patients with persistent medically unexplained symptoms in general practice. Method: Randomised controlled trial. Cluster randomisation at GP practices and multilevel analysis were performed. A total of 81 patients from 36 general practices completed the study. A collaborative care model of training and psychiatric consultation in general practice in the presence of the GP was compared with training plus care as usual by the GP. Outcome assessment on the patients’ well-being, functioning and utilisation of health care services was performed 6 weeks and 6 months later. Results: All the patients had somatoform disorders (Whitely Index 7.46), and 86% had comorbid psychiatric disorders. In the intervention group, the severity of the main medically unexplained symptoms decreased by 58%. The patients’ social functioning improved. The utilization of health care was lower than in the care as usual group. Conclusions: A collaborative care model combining training with psychiatric consultation in the general practice setting is an effective intervention in the treatment of persistent medically unexplained symptoms. Anxiety and depressive disorders are highly comorbid in this group. The findings warrant a larger study.

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  • A collaborative care model combining training with psychiatric consultation in the general practice setting could be an effective intervention in the treatment of persistent medically unexplained symptoms.

    “A collaborative care model combining training with psychiatric consultation in the general practice setting could also be an effective intervention in the treatment of persistent medically unexplained symptoms [74].”

    From T4+T3 Combination Therapy: An Unsolved Problem of Increasing Magnitude and Complexity (2021) · cites this paper as [74]

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Authors
van der Feltz-Cornelis, C. M., van Oppen, P., Adèr, H. J., & van Dyck, R.
Venue
Psychotherapy and Psychosomatics
Publisher
S. Karger AG
Published
2006
Volume
75
Issue
5
Pages
282-289
ISSN
  • 0033-3190 (ISSN-L)
  • 1423-0348
DOI
10.1159/000093949
OpenAlex
W2093840165
Cited by
138
References
42
Citations by year
2026: 2 · 2025: 3 · 2024: 4 · 2023: 4 · 2022: 1 · 2021: 8 · 2020: 2 · 2019: 3 · 2018: 4 · 2017: 7 · 2016: 5 · 2015: 6 · 2014: 5 · 2013: 14 · 2012: 10
FWCI
6.16
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • Psychotherapy and Psychosomatics (publishedVersion)
  • PubMed (publishedVersion)
  • UvA-DARE (University of Amsterdam) (publishedVersion)
  • Amsterdam UMC (VU Amsterdam) - Institutional Repository (publishedVersion)
  • Pure Amsterdam UMC (submittedVersion)
  • Data Archiving and Networked Services (DANS) (submittedVersion)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
  • Health Sciences › Health Professions › General Health Professions › Primary Care and Health Outcomes
  • Health Sciences › Medicine › Psychiatry and Mental health › Medicine, History, and Philosophy
Keywords
somatoform disorders, collaborative care, psychiatric consultation, general practice training, psychiatric comorbidity, anxiety disorders, depressive disorders, social functioning, health care utilization, general practice
MeSH terms
Adult, Aged, Analysis of Variance, Double-Blind Method, Family Practice, Female, Humans, Inservice Training, Male, Middle Aged, Netherlands, Psychiatry, Referral and Consultation, Somatoform Disorders, Case Management

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