TY - JOUR
T1 - An interdisciplinary multimodal integrative healthcare program for somatic symptom disorder, with predominant (spinal) pain
AU - Wijnen, Jaap
AU - Van 't Hullenaar, Geert
AU - Gordon, Nicole Louise
AU - Pont, Marc Lucas
AU - Geijselaers, Marciano Wilhelmina Henricus
AU - Van Oosterwijck, Jessica
AU - De Jong, Jeroen
N1 - Funding Information:
The authors would like to thank all involved healthcare professionals of “Het Rughuis” for collaborating in data collection and all patients for consenting for the use of their data in scientific research. Without the help of patients and healthcare professionals across all locations of “Het Rughuis” this manuscript would not have been possible.
Publisher Copyright:
© 2022 Society for Psychotherapy Research.
PY - 2023/7/4
Y1 - 2023/7/4
N2 - OBJECTIVE: Although multimodal interventions are generally recommended in patients with long-term somatic symptom disorders (SSD), available evidence is limited. The current study evaluates the effectiveness of an outpatient secondary care interdisciplinary multimodal integrative healthcare program for patients with SSD and predominant (spinal) pain.METHOD: The healthcare program consisted of two active treatment phases: main 20-week program and a 12-month relapse prevention program. Participants were 4453 patients diagnosed with SSD. The primary outcome was health-related quality of life (HRQoL) assessed using the RAND-36 (i.e., mental/physical component summary) and secondary outcomes included physical and psychological symptoms assessed using the Brief Symptom Inventory (BSI) and RAND-36 subscales. Mixed linear models were used to examine the effects of the multimodal healthcare program on primary/secondary outcomes over four time points: before start 20-week program (T0), halfway 20-week program (T1), end of 20-week program (T2) and end of relapse prevention program (T3).RESULTS: Significant improvements were found from T0 to T2 for all primary variables (i.e., mental/physical component summary) and secondary variables (i.e., BSI/RAND-36 subscales), which were maintained until the end of the relapse prevention program (T3).CONCLUSION: An interdisciplinary multimodal integrative treatment for SSD is effective for improving HRQoL and reducing physical and psychological symptoms.
AB - OBJECTIVE: Although multimodal interventions are generally recommended in patients with long-term somatic symptom disorders (SSD), available evidence is limited. The current study evaluates the effectiveness of an outpatient secondary care interdisciplinary multimodal integrative healthcare program for patients with SSD and predominant (spinal) pain.METHOD: The healthcare program consisted of two active treatment phases: main 20-week program and a 12-month relapse prevention program. Participants were 4453 patients diagnosed with SSD. The primary outcome was health-related quality of life (HRQoL) assessed using the RAND-36 (i.e., mental/physical component summary) and secondary outcomes included physical and psychological symptoms assessed using the Brief Symptom Inventory (BSI) and RAND-36 subscales. Mixed linear models were used to examine the effects of the multimodal healthcare program on primary/secondary outcomes over four time points: before start 20-week program (T0), halfway 20-week program (T1), end of 20-week program (T2) and end of relapse prevention program (T3).RESULTS: Significant improvements were found from T0 to T2 for all primary variables (i.e., mental/physical component summary) and secondary variables (i.e., BSI/RAND-36 subscales), which were maintained until the end of the relapse prevention program (T3).CONCLUSION: An interdisciplinary multimodal integrative treatment for SSD is effective for improving HRQoL and reducing physical and psychological symptoms.
U2 - 10.1080/10503307.2022.2144528
DO - 10.1080/10503307.2022.2144528
M3 - Article
C2 - 36525631
SN - 1050-3307
VL - 33
SP - 581
EP - 594
JO - Psychotherapy Research
JF - Psychotherapy Research
IS - 5
ER -