Tailoring a cognitive behavioural model for unexplained physical symptoms to patient's perspective: a bottom-up approach.

L.N. Zonneveld, H.J. Duivenvoorden, J. Passchier, A van 't Spijker

Research output: Contribution to JournalArticleAcademicpeer-review

Abstract

The prevalence of unexplained physical symptoms (UPS) in primary care is at least 33%. Cognitive behavioural therapy has shown to be effective. Within cognitive behavioural therapy, three models can be distinguished: reattribution model, coping model and consequences model. The consequences model, labelling psychosocial stress in terms of consequences rather than as causes of UPS, has high acceptance among patients and is effective in academic medical care. This acceptance is lost when applied in primary care. To increase acceptance of the consequences model among patients in primary care, we tailor this model to patient's perspective by approaching the model from bottom-up instead of top-down. Subsequently, we use this tailored model in an easily accessible group training. We illustrate our approach using two illustrative cases. © 2010 John Wiley & Sons, Ltd.
Original languageEnglish
Pages (from-to)528-535
Number of pages8
JournalClinical Psychology and Psychotherapy
Volume17
Issue number6
DOIs
Publication statusPublished - 2010

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