Quality of life in primary care patients with moderate medically unexplained physical symptoms.

Purpose: Medically Unexplained Physical Symptoms (MUPS) have a large impact on patient's quality of life. Most studies have been limited to chronic MUPS and thus, little is known about moderate MUPS. Improved knowledge concerning determinants influencing quality of life in moderate MUPS patients can...

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Published in:Quality of Life Research Vol. 29; no. 3; pp. 693 - 704
Main Authors: van Westrienen, P. E., Pisters, M. F., Toonders, S. A. J., Gerrits, M., de Wit, N. J., Veenhof, C.
Format: Journal Article
Published: Springer Nature Mar2020
Online Access:View this record in EBSCOhost
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      dt: Mar2020
      vid: 29
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      pub: Springer Nature
      place: New York, New York
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        NLM31732910
        10.1007/s11136-019-02358-8
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        atl: Quality of life in primary care patients with moderate medically unexplained physical symptoms.
      aug:
        au:
          van Westrienen, P. E.
          Pisters, M. F.
          Toonders, S. A. J.
          Gerrits, M.
          de Wit, N. J.
          Veenhof, C.
        affil: Department of Health Innovation and Technology, Fontys University of Applied Sciences, Ds Th Fliednerstraat 2, 5600 AH, Eindhoven, The Netherlands
      sug:
        subj:
          Somatoform Disorders Psychosocial Factors
          Quality of Life Psychosocial Factors
          Male
          Primary Health Care
          Female
          Middle Age
          Adult
          Physical Examination
          Cross Sectional Studies
          Middle Aged: 45-64 years
          Adult: 19-44 years
          Male
          Female
      ab: Purpose: Medically Unexplained Physical Symptoms (MUPS) have a large impact on patient's quality of life. Most studies have been limited to chronic MUPS and thus, little is known about moderate MUPS. Improved knowledge concerning determinants influencing quality of life in moderate MUPS patients can be helpful in managing MUPS. This study is aimed at describing the common characteristics seen in moderate MUPS patients and compare them with characteristics seen in chronic MUPS patients and general population. We also identified determinants of the physical and mental components of quality of life in moderate MUPS patients.Methods: In a cross-sectional study, moderate MUPS patients (n = 160) were compared with chronic MUPS patients (n = 162) and general population (n = 1742) based on demographic characteristics and patient's quality of life. Multivariable linear regression analyses were performed to identify determinants associated with a patient's quality of life, assessed with the RAND-36.Results: Moderate MUPS patients experienced a better quality of life than chronic MUPS patients, but a worse quality of life as compared to the general population. Determinants associated with the physical and mental components of quality of life explain 49.1% and 62.9% of the variance, respectively.Conclusion: Quality of life of patients with MUPS varies with MUPS disease stage. Based on their quality of life scores, moderate MUPS patients would be adequately distinguished from chronic MUPS patients. Half of the variance in the physical component and almost two thirds of the mental component would be explained by a number of MUPS-related symptoms and perceptions.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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