Effectiveness of a cognitive behavioral intervention in patients with medically unexplained symptoms: Cluster randomized trial

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dc.contributor.author Lápez-García-Franco, Alberto
dc.contributor.author Del-Cura-González, Ma Isabel
dc.contributor.author Caballero Martínez, Luis
dc.contributor.author Sanz-Cuesta, Teresa
dc.contributor.author Díaz-García, Marta Isabel
dc.contributor.author Rodríguez Monje, Ma Teresa
dc.contributor.author Chahua, Marcela
dc.contributor.author Mũoz-Sanchez, Inmaculada
dc.contributor.author Serrano-González, Dolores
dc.contributor.author Rollán-Llanderas, Teresa
dc.contributor.author Nieto-Blanco, Esther
dc.contributor.author Losada-Cucco, Liliana
dc.contributor.author Caballero-Martínez, Fernando
dc.contributor.author Sanz-García, Nuria
dc.contributor.author Pose-García, Belén
dc.contributor.author Jurado-Sueiro, Montserrat
dc.contributor.author Rey, ManuelaLuque
dc.contributor.author De Blas González, Francisca García
dc.contributor.author Abanto, Ma Angeles Miguel
dc.contributor.author Bayona, Teresa Sanz
dc.contributor.author Ayllán-Camargo, Rafaela
dc.contributor.author Lopez, Inmaculada Santamaría
dc.contributor.author Hernando, María Luisa Santiago
dc.contributor.author Beltran-Alvarez, Rosario
dc.contributor.author Aguilar-Gutierrez, Ana Isabel
dc.contributor.author Mota-Rodriguez, Jose Luis
dc.contributor.author Cosculluela-Pueyo, Rafaél
dc.contributor.author Lápez-Martín-Aragán, Teresa
dc.contributor.author Bonilla-Sanchez, Rosa
dc.contributor.author Aritieda-González-Granda, Ma Carmen
dc.contributor.author Razola-Rincán, Raquel
dc.contributor.author Sanchez-de-la-Ventana, Ma Angeles
dc.contributor.author Martinez-Guinea, Concepcián
dc.contributor.author Huerta-Galindo, Luis
dc.contributor.author Barrio-Ovalle, Ana Belén
dc.contributor.author Miguel-Martín, Susana
dc.contributor.author Portero-Fraile, Paz
dc.contributor.author Pensado-Freire, Higinio
dc.contributor.author Herrera-Garcia, María Luisa
dc.contributor.author Azcoaga-Lorenzo, Amaya
dc.contributor.author Gámez-García, Inés
dc.contributor.author Llamas-Sandino, Nuria
dc.contributor.author Lápez-Borja, Isabel
dc.contributor.author Maldonado-Castro, Hortensia
dc.contributor.author Lumbreras-Villarán, Patricia
dc.contributor.author Ascanio-Durán, Carlos
dc.contributor.other UAM. Departamento de Psiquiatría es_ES
dc.date.accessioned 2014-11-05T11:26:28Z
dc.date.available 2014-11-05T11:26:28Z
dc.date.issued 2012-12-12
dc.identifier.citation BMC Family Practice 13 (2012): 35 en_US
dc.identifier.issn 1471-2296 en
dc.identifier.uri http://hdl.handle.net/10486/662410
dc.description.abstract Background: Medically unexplained symptoms are an important mental health problem in primary care and generate a high cost in health services. Cognitive behavioral therapy and psychodynamic therapy have proven effective in these patients. However, there are few studies on the effectiveness of psychosocial interventions by primary health care. The project aims to determine whether a cognitive-behavioral group intervention in patients with medically unexplained symptoms, is more effective than routine clinical practice to improve the quality of life measured by the SF-12 questionary at 12 month. Methods/design: This study involves a community based cluster randomized trial in primary healthcare centres in Madrid (Spain). The number of patients required is 242 (121 in each arm), all between 18 and 65 of age with medically unexplained symptoms that had seeked medical attention in primary care at least 10 times during the previous year. The main outcome variable is the quality of life measured by the SF-12 questionnaire on Mental Healthcare. Secondary outcome variables include number of consultations, number of drug (prescriptions) and number of days of sick leave together with other prognosis and descriptive variables. Main effectiveness will be analyzed by comparing the percentage of patients that improve at least 4 points on the SF-12 questionnaire between intervention and control groups at 12 months. All statistical tests will be performed with intention to treat. Logistic regression with random effects will be used to adjust for prognostic factors. Confounding factors or factors that might alter the effect recorded will be taken into account in this analysis. en_US
dc.format.extent 8 pag. es_ES
dc.format.mimetype application/pdf en
dc.language.iso eng en
dc.publisher BioMed Central en_US
dc.relation.ispartof BMC Family Practice en_US
dc.rights © 2012 Lopez-García-Franco et al.; licensee BioMed Central Ltd. en_US
dc.subject.other Mental health problem en_US
dc.subject.other Attention in primary care en_US
dc.title Effectiveness of a cognitive behavioral intervention in patients with medically unexplained symptoms: Cluster randomized trial en_US
dc.type article en
dc.subject.eciencia Medicina es_ES
dc.relation.publisherversion http://dx.doi.org/10.1186/1471-2296-13-35 es_ES
dc.identifier.doi 10.1186/1471-2296-13-35 es_ES
dc.identifier.publicationfirstpage 35 es_ES
dc.identifier.publicationvolume 13 es_ES
dc.type.version info:eu-repo/semantics/publishedVersion en
dc.rights.cc Reconocimiento es_ES
dc.rights.accessRights openAccess en
dc.authorUAM Caballero Martínez, Luis (259075)

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