Cochrane · systematic review · CD011142
Non‐pharmacological interventions for somatoform disorders and medically unexplained physical symptoms (MUPS) in adults
van Dessel, N, den Boeft, M, van der Wouden, JC, et al. · Cochrane Database of Systematic Reviews · 2014 · Cochrane Library
Common Mental DisordersAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
12
current version
GRADE rated
11
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 1 · 8.3%Very low 0 · 0%Low 5 · 41.7%Moderate 6 · 50%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Psychological therapy compared with usual care or waiting list for somatoform disorders and medically unexplained physical symptoms
Population: people with somatoform disorders and medically unexplained physical symptoms
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Severity of somatic symptoms at end of treatment Various instruments Psychological therapy vs usual care or waiting list | no estimate extracted | 10 studies · 1081 participants | Low Downgraded: risk of bias |
Acceptability 1 ‐ proportion of participants withdrawing during treatment Psychological therapy vs usual care or waiting list | RR 0.93 [0.88, 0.99] | 14 studies · 1644 participants | Moderate Downgraded: risk of bias |
Dysfunctional cognitions, emotions, or behaviours (participant rated) at end of treatment Whitely Index Psychological therapy vs usual care or waiting list | no estimate extracted | 3 studies · 440 participants | Moderate Downgraded: risk of bias, imprecision |
Treatment response at end of treatment CGI‐improvement/Global impression of change Psychological therapy vs usual care or waiting list | RR 3.3 [2.08, 5.21] | 4 studies · 391 participants | Low Downgraded: risk of bias |
Functional disability/quality of life at end of treatment Various instruments Psychological therapy vs usual care or waiting list | no estimate extracted | 7 studies · 730 participants | Low Downgraded: risk of bias |
Healthcare use Various measures, participant or physician assessed < 1 year after end of treatment Psychological therapy vs usual care or waiting list | no estimate extracted | 4 studies · 532 participants | Moderate Downgraded: risk of bias |
Psychological therapy compared with enhanced or structured care for somatoform disorders and medically unexplained physical symptoms
Population: somatoform disorders and medically unexplained physical symptoms
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Severity of somatic symptoms at end of treatment Psychological therapy vs enhanced or structured care | no estimate extracted | 5 studies · 624 participants | Low |
Acceptability 1 ‐ proportion of participants withdrawing during treatment Psychological therapy vs enhanced or structured care | RR 0.93 [0.87, 1] | 5 studies · 679 participants | Moderate Downgraded: risk of bias |
Dysfunctional cognitions, emotions, or behaviours at end of treatment Whitely Index (different forms) Psychological therapy vs enhanced or structured care | no estimate extracted | 4 studies · 499 participants | Moderate Downgraded: risk of bias |
Treatment response at end of treatment Psychological therapy vs enhanced or structured care | no estimate extracted | 0 studies · 0 participants | Ungraded |
Functional disability/quality of life at end of treatment Various instruments Psychological therapy vs enhanced or structured care | no estimate extracted | 4 studies · 497 participants | Moderate Downgraded: risk of bias |
Healthcare use within 1 year after treatment Psychological therapy vs enhanced or structured care | no estimate extracted | 2 studies · 319 participants | Low Downgraded: risk of bias, imprecision |