Medically unexplained symptoms unexplained physical symptoms
Conditions
Interventions
After information on the diagnosis, baseline assessment and randomisation,
patients will receive either standard treatment by their GP*s (control group)
or educational treatment by a neurologist (in
Sponsors
Academisch Medisch Centrum
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: Patients (>18 years old) with neurological physical symptoms unexplained by disease. The following clusters of symptoms will be included: * Tension type headache * Back and neck pain * Pseudo movement disorders * Mainly sensory disturbances * Mainly motor disturbances * Pseudo-epilepsy
Exclusion criteria
Exclusion criteria: * Duration of symptoms more than one year * Patients known prior to assessment to have psychiatric disorders other than somatoform, depressive, or anxiety disorders * Patients with a primary diagnosis of a severe mood, anxiety, or psychotic disorders requiring psychiatric treatment * Patients who are in dispute about financial or social benefit * Patients suffering from a major somatic disease, incl neurological disease
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome is the patient*s level of activities of daily living 12 months after Randomisation. Physical disability will be assessed with the AMC linear disability scale (ALDS). | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcomes are the 'hospital anxiety and depression scale' (HADS), symptom score, work/leisure activities, absence of work, medical consumption and quality of life (SF-36). | — |
Countries
Netherlands
Outcome results
None listed