SOMATIZATION IN PRIMARY CARE

初级保健中的躯体化

• 批准号: 3475273
• 负责人: FRANK VERLOIN DEGRUY
• 金额: $ 12.44万
• 依托单位: UNIVERSITY OF SOUTH ALABAMA
• 依托单位国家: 美国
• 财政年份: 1990
• 资助国家: 美国
• 起止时间: 1990-08-01 至 1995-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/3475273
• 关键词: clinical trials; health care cost /financing; health care quality; health care service utilization; human morbidity; mental disorder diagnosis; mental health epidemiology; patient care management; psychosomatic disorders

The long-term objectives are to understand the problem of somatization, and particularly somatization disorder, as it occurs in the Primary care setting. The specific aims are: 1) to document the prevalence and profile the characteristics of patients with somatization disorder and patients who are somatizers (6-12 unexplained complaints), and 2) to test an intervention shown in another setting to be effective in reducing the excessive health care expenditures of these patients. A multicenter, prospective, randomized, controlled, single-crossover clinical trial will be undertaken., involving a total of 216 patients distributed equally between three family practices. Subjects will be screened and selected as they appear for care. Three groups will be studied: 24 patients from each practice with somatization disorder, 24 patients who are somatizers, and 24 who are neither. All patients will be evaluated initially for DIS-DSM-III-R diagnoses, demographic and family profile, quality of life, patient satisfaction, functional health status, and health care utilization. The patients with somatization disorder and the somatizers will be randomized after initial evaluation into either a treatment or control group. The physicians of the patients in the treatment group will receive a letter describing the disorder and making management recommendations. All patients will then be followed prospectively with evaluations every six months for changes in functional health status, quality of life, satisfaction, and health care utilization. After one year of followup, the patients in the control groups will be crossed over and receive the intervention. Another year of periodic monitoring of all patients will follow the crossover.

长期目标是理解躯体化问题，并且 特别是躯体化障碍，因为它发生在初级保健中 环境。具体目标是： 1) 记录患病率和概况 躯体化障碍患者和躯体化障碍患者的特点 是躯体化者（6-12 个无法解释的抱怨），以及 2) 测试 在另一种情况下的干预显示可有效减少 这些患者的医疗保健支出过高。多中心、 前瞻性、随机、对照、单交叉临床试验将 共涉及216名患者，平均分配 三种家庭实践之间。受试者将被筛选并选择为 他们出现是为了寻求照顾。将研究三组​​：每组 24 名患者 患有躯体化障碍的患者有 24 名躯体化患者，24 名患者 谁都不是。所有患者将首先接受 DIS-DSM-III-R 评估 诊断、人口统计和家庭概况、生活质量、患者 满意度、功能健康状况和医疗保健利用率。这 患有躯体化障碍和躯体化障碍的患者将被随机分组 在对治疗组或对照组进行初步评估后。这 治疗组患者的医生将收到一封信 描述疾病并提出管理建议。所有患者 然后每六个月进行一次前瞻性评估 功能健康状况、生活质量、满意度的变化 医疗保健利用。经过一年的随访，患者 对照组将被交叉并接受干预。其他 交叉后将对所有患者进行一年的定期监测。