Efficacy of short-term psychotherapy for multiple medically unexplained physical symptoms : a meta-analysis

Autoren

Maria Kleinstaeuber
Michael Witthoeft
Wolfgang Hiller

Autoren-URL

https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=fis-test-1&SrcAuth=WosAPI&KeyUT=WOS:000286351900012&DestLinkType=FullRecord&DestApp=WOS_CPL

DOI

10.1016/j.cpr.2010.09.001

eISSN

1873-7811

Externe Identifier

Clarivate Analytics Document Solution ID: 708HC
PubMed Identifier: 20920834

ISSN

0272-7358

Ausgabe der Veröffentlichung

1

Zeitschrift

CLINICAL PSYCHOLOGY REVIEW

Schlüsselwörter

Medically unexplained physical symptom
Somatoform disorder
Somatization
Health care utilization
Short-term psychotherapy
Meta-analysis

Paginierung

146 - 160

Datum der Veröffentlichung

2011

Status

Published

Titel

Efficacy of short-term psychotherapy for multiple medically unexplained physical symptoms: A meta-analysis

Sub types

Review

Ausgabe der Zeitschrift

31

Datenquelle: Web of Science (Lite)

Autoren

Maria Kleinstäuber
Michael Witthöft
Wolfgang Hiller

DOI

10.1016/j.cpr.2010.09.001

ISSN

0272-7358

Ausgabe der Veröffentlichung

1

Zeitschrift

Clinical Psychology Review

Sprache

en

Paginierung

146 - 160

Datum der Veröffentlichung

2011

Status

Published

Herausgeber

Elsevier BV

Herausgeber URL

http://dx.doi.org/10.1016/j.cpr.2010.09.001

Datum der Datenerfassung

2019

Titel

Efficacy of short-term psychotherapy for multiple medically unexplained physical symptoms: A meta-analysis

Ausgabe der Zeitschrift

31

Datenquelle: Crossref

Abstract

Multiple medically unexplained physical symptoms (MUPS) are considered to be difficult and costly to treat. The current meta-analysis therefore investigates the efficacy of short-term psychotherapy for MUPS. Based on a multiple-phase literature search, studies were selected according to a-priori defined inclusion criteria. The standardized mean gain was used as the effect size index. Separate data aggregation of between- and within-group contrasts was performed on the basis of a mixed effects model. Outcome variables were physical symptoms, disorder specific emotions, cognitions and behaviors, depressive symptoms, general psychopathology, functional impairment, and health care utilization. Based on 27 included studies, small between-group effect sizes (range: d(+)=0.06-d(+)=0.40) and small to large within-group effect sizes (range: d(+)=0.36-d(+)=0.80) were found for post-treatment and follow-up assessments for the different outcome variables. Significant moderator variables were identified as the type, mode, and setting of therapy, number of therapy sessions, profession of therapist, age and sex of patients, quality of diagnostic procedure, and the control of concomitant treatments. Implications of the results for clinical practice and future research are discussed.

Addresses

Johannes Gutenberg-University of Mainz, Department of Clinical Psychology and Psychotherapy, Wallstr. 3, D-55122 Mainz, Germany. kleinsta@uni-mainz.de

Autoren

Maria Kleinstäuber
Michael Witthöft
Wolfgang Hiller

DOI

10.1016/j.cpr.2010.09.001

eISSN

1873-7811

Externe Identifier

PubMed Identifier: 20920834

Open access

false

ISSN

0272-7358

Ausgabe der Veröffentlichung

1

Zeitschrift

Clinical psychology review

Schlüsselwörter

Humans
Treatment Outcome
Somatoform Disorders
Psychotherapy, Brief

Sprache

eng

Medium

Print-Electronic

Online publication date

2010

Paginierung

146 - 160

Datum der Veröffentlichung

2011

Status

Published

Datum der Datenerfassung

2010

Titel

Efficacy of short-term psychotherapy for multiple medically unexplained physical symptoms: a meta-analysis.

Sub types

Meta-Analysis
Journal Article

Ausgabe der Zeitschrift

31

Datenquelle: Europe PubMed Central

Abstract

Multiple medically unexplained physical symptoms (MUPS) are considered to be difficult and costly to treat. The current meta-analysis therefore investigates the efficacy of short-term psychotherapy for MUPS. Based on a multiple-phase literature search, studies were selected according to a-priori defined inclusion criteria. The standardized mean gain was used as the effect size index. Separate data aggregation of between- and within-group contrasts was performed on the basis of a mixed effects model. Outcome variables were physical symptoms, disorder specific emotions, cognitions and behaviors, depressive symptoms, general psychopathology, functional impairment, and health care utilization. Based on 27 included studies, small between-group effect sizes (range: d(+)=0.06-d(+)=0.40) and small to large within-group effect sizes (range: d(+)=0.36-d(+)=0.80) were found for post-treatment and follow-up assessments for the different outcome variables. Significant moderator variables were identified as the type, mode, and setting of therapy, number of therapy sessions, profession of therapist, age and sex of patients, quality of diagnostic procedure, and the control of concomitant treatments. Implications of the results for clinical practice and future research are discussed.

Date of acceptance

2010

Autoren

Maria Kleinstäuber
Michael Witthöft
Wolfgang Hiller

Autoren-URL

https://www.ncbi.nlm.nih.gov/pubmed/20920834

DOI

10.1016/j.cpr.2010.09.001

eISSN

1873-7811

Ausgabe der Veröffentlichung

1

Zeitschrift

Clin Psychol Rev

Schlüsselwörter

Humans
Psychotherapy, Brief
Somatoform Disorders
Treatment Outcome

Sprache

eng

Country

United States

Paginierung

146 - 160

PII

S0272-7358(10)00145-5

Datum der Veröffentlichung

2011

Status

Published

Datum, an dem der Datensatz öffentlich gemacht wurde

2011

Titel

Efficacy of short-term psychotherapy for multiple medically unexplained physical symptoms: a meta-analysis.

Sub types

Journal Article
Meta-Analysis

Ausgabe der Zeitschrift

31

Datenquelle: PubMed

Efficacy of short-term psychotherapy for multiple medically unexplained physical symptoms : a meta-analysis

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