Psychological interventions for medically unexplained physical symptoms: A systematic review and meta-analysis - 06/06/22
, Siddharth Sarkar b, Gauri Shanker Kaloiya b, Munnoo Khan c, Aakansha a, Harpreet Bhatia dAbstract |
Objective |
Individuals seeking treatment for physical symptoms having unknown etiology are common in the primary healthcare setup. Factors such as biomedical, environmental, social, and psychological ones are expected to play an important role in the treatment of Medically Unexplained Physical Symptoms (MUPS). Therefore, this systematic review and meta-analysis aimed to investigate the efficacy of psychological interventions for the treatment of MUPS.
Method |
Studies were selected using different electronic databases (PubMed, Wiley, Cochrane), to identify RCTs published in the last 11 years on psychological interventions to treat MUPS. A total of 12 studies were finalized for systematic review and 7 for meta-analysis based on the inclusion criteria. The risk of bias was assessed by the two reviewers independently using the criteria outlined in the Cochrane Handbook for Systematic Reviews of Interventions. OpenMeta[Analyst] was used to perform meta-analysis.
Results |
The findings revealed that psychological interventions can possibly be effective in treating patients with MUPS. Somatic symptom severity and depression improved in the intervention groups as compared to controls, while anxiety, and physical and mental component summary of Short-Form General Health Survey 36 did not significantly improve in the intervention group.
Conclusion |
A tailored module including psychological interventions to deal with these patients in primary care may be useful in improving the overall functioning of the individuals.
Le texte complet de cet article est disponible en PDF.Highlights |
• | About 1 in 5 patients visiting a general practitioner is presented with Medically Unexplained Physical Symptoms (MUPS). |
• | Patients with MUPS often have increased disability, distress, lower quality of life, and troubled doctor-patient relations. |
• | Addressing psycho-social factors may lead to a significant improvement in the symptoms of MUPS. |
• | A tailored approach with effective psychological treatment may be beneficial to deal with MUPS patients. |
Keywords : MUPS, Systematic review, Meta-analysis, Unexplained physical symptoms, Psychological Interventions
Plan
Vol 77
P. 92-101 - juillet 2022 Retour au numéro
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