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Research ArticleOriginal Articles

A Randomized Clinical Trial of a Care Recommendation Letter Intervention for Somatization in Primary Care

W. Perry Dickinson, L. Miriam Dickinson, Frank V. deGruy, Deborah S. Main, Lucy M. Candib and Kathryn Rost
The Annals of Family Medicine November 2003, 1 (4) 228-235; DOI: https://doi.org/10.1370/afm.5
W. Perry Dickinson
MD
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L. Miriam Dickinson
PhD
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Frank V. deGruy
MD, MSFM
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Deborah S. Main
PhD
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Lucy M. Candib
MD
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Kathryn Rost
PhD
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    Figure 1.

    Physical Functioning Scores by Intervention Group for Multisomatoform Disorder Subjects.

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    Table 1.

    Baseline Characteristics of Treatment Groups

    Abridged SomatizationDisorder (N = 183)MultisomatoformDisorder (N = 111)SomatizationDisorder (N = 88)
    Timing of InterventionTiming of InterventionTiming of Intervention
    DiagnosticClassificationDelayed(n = 92)Immediate(n = 91)Delayed(n = 55)Immediate(n = 56)Delayed(n = 43)Immediate(n = 45)
    Note: All comparisons between immediate and delayed intervention statistically nonsignificant.
    SD = standard deviation; PCS = physicial functioning and MCS = emotional functioning subscales of Short Form-36.
    Age, years47.5 (14.0)47.6 (14.1)45.4 (13.8)47.7 (13.8)45.5 (14.5)48.2 (14.7)
    Mean (SD)
        % Minority201625162822
        % Male1167.33.652
    Hollingshead social class3.6 (1.0)3.4 (1.0)3.4 (1.1)3.3 (1.1)3.2 (1.1)3.2 (1.1)
    Mean (SD)
        % with any physical comorbidity647160737473
        % with any psychiatric comorbidity453649445649
    PCS scores Mean (SD)44.3 (11.5)42.4 (11.4)42.4 (11.4)41.3 (11.6)42.2 (11.8)40.3 (11.7)
    MCS scores Mean (SD)48.5 (9.2)48.9 (9.2)47.6 (9.8)47.8 (9.9)47.5 (9.7)48.7 (9.6)
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    Table 2.

    Differences Between Missing and Present Subjects at 12 and 24 Months

    12 Months24 Months
    StatusMissing(n = 37)Present(n = 151)Missing(n = 74)Present(n = 114)
    t-Test and χ2 tests used to compare missing to nonmissing
    * Baseline MCS scores for 24 month missing vs nonmissing, P = .04; all other P values > .10
    SD = standard deviation; PCS = physicial functioning and MCS = emotional functioning subscales of Short Form-36
    Age, years48.5 (14.0)47.1 (13.9)45.5 (14.2)48.6 (1.3)
    Mean (SD)
        % Minority19191820
        % Male8787
    Hollingshead social class3.6 (1.0)3.5 (1.0)3.4 (1.0)3.5 (1.0)
    Mean (SD)
        % with physical comorbidity73666668
        % with psychiatric comorbidity49384339
    Baseline PCS scores44.5 (12.4)43.0 (11.3)44.9 (11.6)42.9 (11.5)
    Mean (SD)
        Baseline MCS scores*48.2 (10.0)48.9 (9.0)47.0* (10.2)49.9* (8.3)
    Mean (SD)
        % year 1 intervention41504551
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The Annals of Family Medicine: 1 (4)
The Annals of Family Medicine: 1 (4)
Vol. 1, Issue 4
1 Nov 2003
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A Randomized Clinical Trial of a Care Recommendation Letter Intervention for Somatization in Primary Care
W. Perry Dickinson, L. Miriam Dickinson, Frank V. deGruy, Deborah S. Main, Lucy M. Candib, Kathryn Rost
The Annals of Family Medicine Nov 2003, 1 (4) 228-235; DOI: 10.1370/afm.5

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A Randomized Clinical Trial of a Care Recommendation Letter Intervention for Somatization in Primary Care
W. Perry Dickinson, L. Miriam Dickinson, Frank V. deGruy, Deborah S. Main, Lucy M. Candib, Kathryn Rost
The Annals of Family Medicine Nov 2003, 1 (4) 228-235; DOI: 10.1370/afm.5
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