Medically unexplained symptoms Mental and Behavioural Disorders Somatoform disorders
Conditions
Interventions
1. Optimised usual care
2. Optimised usual care with the addition of four sessions of Cognitive Behavioural Self Help Therapy by use of a manual with the support of a treating nurse specialist
Sponsors
Edinburgh University (UK)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Patients aged 18 years or more who are attending Glasgow or Edinburgh Neurology Centres for the first time and who are deemed by the treating neurologist to have symptoms that are 'not at all' or only 'somewhat' explained by disease.
Exclusion criteria
Exclusion criteria: 1. Less than 18 years of age 2. Cognitive impairment 3. Insufficient ability to read and write English 4. Serious psychiatric illness 5. Actively suicidal 6. Receiving psychiatric or psychological treatment 7. Presenting solely with chronic daily headache 8. Neurologist/researcher considers participation inappropriate to patient's needs 9. Unable to travel to attend treatment sessions
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Patients' self-rated global health improvement as measured on Clinical Global Improvement (CGI) scales at 3 months. | — |
Secondary
| Measure | Time frame |
|---|---|
| Patients' self rated improvement in decrease in total symptom burden, change in presenting symptoms, improvement in SF12 score, and change in Hospital Anxiety and Depression (HAD) score, Whitley score, illness beliefs and satisfaction with care | — |
Countries
United Kingdom
Outcome results
None listed