Medically unexplained symptoms
Conditions
Interventions
The research group participates in MYSelf, guided by the GP and GP mental 
health worker
the control group receives care as usual from the GP.
Sponsors
Psychiatrie
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: 1. Age >= 18 years. 2.Presenting with MUS. In line with the guidelines provided by the Dutch College of General Practitioners, MUS are defined as *physical symptoms that have persisted for more than several weeks and for which adequate medical examination has not revealed any condition that sufficiently explains the symptoms* (Olde Hartman et al., 2013). Since the duration of an episode and the moment of presentation might vary per symptom, the GP will judge whether this criterion is met. 3. Main symptom concerns pain, gastro-intestinal complaints or fatigue. 4. Capable of understanding questionnaires and exercises: adequate command of the Dutch language, no major cognitive or visual impairment. 5. In possession of an e-mail account and a personal computer, laptop or tablet with internet connection. These will be needed to access the study website, fill out questionnaires, and receive personalized feedback.
Exclusion criteria
Exclusion criteria: 1. Currently treated by a mental health professional with psychotherapy. 2. Presence of severe anxiety, depression, or presence of post-traumatic stress syndrome, that needs treatment according to the GP. Thus, if the GP deviates from the GP guidelines with good reason, this is not a reason for exclusion. Also, mild anxiety or depression is not an exclusion criterion. 3. Pregnancy. 4. Engaged in a legal procedure concerning disability-related financial benefits.
Design outcomes
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcomes are the RAND-36*s Mental component score, symptom severity, psychological symptoms (asked with the 4DSQ), patient satisfaction, health care utilization, and productivity loss. | — |
Primary
| Measure | Time frame |
|---|---|
| The physical component score of the Dutch version of the RAND-36 (measure of health-related quality of life) will be used as our primary outcome. | — |
Countries
Netherlands
Outcome results
None listed