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  • Title: Symptom presentation, interventions, and outcome of emotionally-distressed patients in primary care.
    Author: Fritzsche K, Sandholzer H, Wetzler-Burmeister E, Hartmann A, Cierpka M, Deter HC, Richter R, Schmidt B, Härter M, Höger C, Wirsching M.
    Journal: Psychosomatics; 2010; 51(5):386-94. PubMed ID: 20833937.
    Abstract:
    BACKGROUND: Patients with psychosocial problems often present somatic symptoms in primary care. OBJECTIVE: The authors compare interventions and outcomes of emotionally-distressed patients by presenting physical disease, somatoform symptoms, or psychological symptoms. METHOD: General practitioners (N=191) documented data from 1,286 patients with psychosocial problems. Experts rated the presented reasons for encounter. RESULTS: Somatoform symptoms, as well as physical disease, result in patients' receiving physical treatments. Psychologically-oriented treatment is more likely with psychological presentation, but not significantly related to somatoform symptoms. CONCLUSION: These findings underline the importance of a specific treatment approach for patients with somatoform symptoms, so as to avoid inappropriate treatment.
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