A One-Session Treatment for Patients Suffering From Medically Unexplained Symptoms in Primary Care: A Randomized Clinical Trial
Abstract
The aim of the study was to evaluate a one-session cognitive-behavior treatment (CBT) versus standard medical care for 140 primary-care patients with multiple somatoform symptoms. DSM-IV diagnoses were assessed with structured interviews. Primary outcome variables were healthcare utilization, number, and severity of somatoform symptoms, and secondary outcome measures were psychopathology dimensions. Assessments were done at study enrollment, at 4-weeks, and at 6-month follow-up. General acceptance of CBT was high (positive session evaluations, low dropout rate: 15%). Using an intent-to-treat analytic strategy, both groups improved. Yet results showed a stronger reduction in doctor visits and somatization severity in CBT versus standard care.
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Cognitive behavior treatment (CBT) has been found effective in treating somatoform disorders and medically unexplained symptoms.
“cognitive behavior treatment (CBT) has been found effective in treating them [10–12].”
From One-session cognitive behavior treatment for long-term frequent attenders in primary care: randomized controlled trial (2019) · cites this paper as [12]
In earlier CBT intervention studies, the proportion of patients with a psychiatric diagnosis has been higher or has not been reported, and patients with no psychiatric disorder have not been analyzed separately.
“In the earlier CBT intervention studies, the proportion of patients with a psychiatric diagnosis has been higher [12,15] or has not been reported [11,13], and patients with no psychiatric disorder have not been analyzed separately.”
From One-session cognitive behavior treatment for long-term frequent attenders in primary care: randomized controlled trial (2019) · cites this paper as [12]
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Linsmayer, D., & Braus, D. F. (2024) · Schmerzmedizin · doi:10.1007/s00940-023-4654-7
Kleinstäuber, M., Thomas, P., Witthöft, M., & Hiller, W. (2025) · Springer eBooks · doi:10.1007/978-3-662-69726-9_3
The cost of somatisation among the working-age population in England for the year 2008-2009.
(2010) · PubMed Central · Cited by 174 · see citing works
- Authors
- Martin, A., Rauh, E., Fichter, M., & Rief, W.
- Affiliations
- Philipps University of Marburg (DE)
- Corresponding author
- Martin, Alexandra
- Venue
- Psychosomatics
- Publisher
- Elsevier BV
- Published
- 2007-07
- Volume
- 48
- Issue
- 4
- Pages
- 294-303
- ISSN
- 0033-3182 (ISSN-L)
- OpenAlex
- W2038590224
- Cited by
- 81
- References
- 38
- Citations by year
- 2025: 4 · 2024: 2 · 2023: 1 · 2022: 2 · 2021: 3 · 2020: 5 · 2019: 5 · 2018: 4 · 2017: 7 · 2016: 3 · 2015: 5 · 2014: 5 · 2013: 7 · 2012: 7
- FWCI
- 2.62
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychosomatics (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Health Sciences › Medicine › Psychiatry and Mental health › Fibromyalgia and Chronic Fatigue Syndrome Research
- Keywords
- somatoform symptoms, medically unexplained symptoms, somatization, brief psychotherapy, primary care, health care utilization, psychopathology, treatment acceptability
- MeSH terms
- Adult, Anxiety, Female, Health Status, Humans, Male, Primary Health Care, Surveys and Questionnaires, Somatoform Disorders, Time Factors, Cognitive Behavioral Therapy, Diagnostic and Statistical Manual of Mental Disorders
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