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Objective: Somatization of emotions accounts for excess Emergency department (ED) visits. Intensive Short-term Dynamic Psychotherapy (ISTDP) has methods to diagnose and manage somatization. We examined the feasibility, acceptability and effectiveness of ISTDP diagnostic and treatment methods used for patients with repeated ED presentations for medically unexplained physical symptoms (MUS)
Herein we report the methods and outcomes of rapidly-accessed, emotion-focused diagnostic and treatment services for patients presenting to the ED with medically unexplained symptoms (MUS). Patients who were assessed and referred by ED physicians will serve as a non-randomized condition controlling for some relevant variables. Our a priori hypotheses were that assessed and treated patients would have a reduction in ED visits and self reported symptoms after this intervention and that controls would have a smaller reduction in ED visits if any.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | Experimental | ISTDP therapy was provided |
|
| 2 | No Intervention | People referred but never seen |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Intensive Short-term Dynamic Psychotherapy | Behavioral | A brief psychotherapy format |
|
| Measure | Description | Time Frame |
|---|---|---|
| Emergency department visits pre and post | 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| Brief Symptom Inventory | pre and post | |
| Patient Satisfaction | post |
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Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Allan A Abbass, MD FRCPC | Capital Health, Canada | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Capital Health | Halifax | Nova Scotia | B3H 2E2 | Canada |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 15755376 | Background | Abbass A. Somatization: Diagnosing it sooner through emotion-focused interviewing. J Fam Pract. 2005 Mar;54(3):231-9, 243. No abstract available. |
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| ID | Term |
|---|---|
| D011614 | Psychotherapy, Brief |
| ID | Term |
|---|---|
| D011613 | Psychotherapy |
| D004191 | Behavioral Disciplines and Activities |
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