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Enhanced care by generalists for functional somatic symptoms and disorders in primary care

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Table 1. Instruments for the assessment and sampling of functional somatic symptoms and disorders (preliminary overview)

Type of instrument

Name

references

Questionnaire

Abridged criteria

Escobar 1989

 

PHQ‐15

Kroenke 2002

 

SCL‐som

Derogatis 1977

 

Whiteley‐7

Fink 1999

Interview

SCAN

World Health Organisation 1998 

 

DIS

Eaton 2000; Robins 1989

 

CIDI

Andrews 1995; World Health Organisation 1990

Health care use

Frequent attendance

Blankenstein 2001; Katon 1992;Portegijs 1996; Schilte 2001

The table may be supplemented by specific instruments for functional somatic syndromes

The final review will also include a table of names and classification terms

Figuras y tablas -
Table 1. Instruments for the assessment and sampling of functional somatic symptoms and disorders (preliminary overview)
Table 2. Data extraction form

Rubric

Reviewer 1

Reviewer 2

Conclusion

Author name

 

 

 

Title of paper

 

 

 

Name of study

 

 

 

Personal notes (e.g. name of disorder used)

 

 

 

Reason for exclusion

 

 

 

Study characteristics

 

 

 

 

Assessment of methods (table 2)

 

 

 

 

Setting of the study (the primary care organisation)

 

 

 

 

Level of randomisation and measures of clustering

 

 

 

 

The risk of contamination (control patients receiving intervention unintentional or vice versa)

 

 

 

 

Doctor characteristics and sampling (previous training, years in practice, GP age)

 

 

 

 

Patient characteristics (inclusion, exclusion, ethnicity, diagnosis, symptom duration, psychiatric co‐morbidity) and sampling (population screening, waiting room screening, GP assessment, diagnostic instruments used)

 

 

 

 

Intervention* in active group

 

 

 

 

Intervention in control group

 

 

 

 

Outcome measure and instrument for assessment (primary outcome, secondary outcome, subgroups)

 

 

 

 

Length of maximum follow‐up

 

 

 

 

Results

 

 

 

* Interventions

  • Training (duration, content, skills training, supervision)

  • Treatment model: reattribution and how close it is to the original, psychosocial interventions other than reattribution). To which degree does the model for patients stipulate that physical symptoms are secondary to psychosocial distress.

  • Clinicians (GP, nurse, other)

  • Organisation (flagging of patients, consultation duration, number of consultations, no changes)

Figuras y tablas -
Table 2. Data extraction form