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- Page navigation anchor for What were the perameters of your treatment for these patients?What were the perameters of your treatment for these patients?Show More
If, in your work with these patients, it must be noted that any work regarding medications,stress management, self-hypnosis, imaging, bio- feedback, etc. would certainly have produced results during the time of the sessions. It is obvious, that left on their own with excruciating pain, they would be unable to continue these management methods on a regular basis and, therefore, would revert back to a more painful existe...
Competing Interests: None declared. - Page navigation anchor for Treating medically-unexplained symptoms: is it still a shot in the dark?Treating medically-unexplained symptoms: is it still a shot in the dark?Show More
Unexplained medical symptoms are a source of distress to patients who experience them and a source of frustration to clinicians who have to deal with them. The cumulative effect of high prevalence, chronicity and associated distress is a high level of medical service utilization and costs. Several attempts have been made to devise an effective intervention for patients with these conditions (1, 2), but the outcome has been...
Competing Interests: None declared. - Page navigation anchor for Response to Lucassen et al.Response to Lucassen et al.Show More
We appreciate the thoughtful comments submitted by Dr. Lucassen and collaborators related to our recently published paper in the Annals.
We share their concern about the feasibility of this treatment in busy primary care settings. While the research protocol worked well in our case, implementation of this in practice would be a different story.
They make a good case documenting that non-specific effect...
Competing Interests: None declared. - Page navigation anchor for Some remarks about a high-quality trialSome remarks about a high-quality trialShow More
First of all we would like to compliment the authors of this publication with their high-quality randomized controlled trial in primary care on a difficult subject. It must have been a great effort to complete this trial in patients with medically unexplained symptoms (MUS) in primary care in a (partly) underserved, ethnically diverse, low-income urban population.
However, we have some critical comments as well...
Competing Interests: None declared.