Patient-doctor interaction, psychobehavioural characteristics and mental disorders in patients with suspected allergies: do they predict "medically unexplained symptoms"?

Standard

Patient-doctor interaction, psychobehavioural characteristics and mental disorders in patients with suspected allergies: do they predict "medically unexplained symptoms"? / Hausteiner-Wiehle, Constanze; Grosber, Martine; Bubel, Esther; Groben, Sylvienne; Bornschein, Susanne; Lahmann, Claas; Eyer, Florian; Eberlein, Bernadette; Behrendt, Heidrun; Löwe, Bernd; Henningsen, Peter; Huber, Dorothea; Ring, Johannes; Darsow, Ulf.

in: ACTA DERM-VENEREOL, Jahrgang 91, Nr. 6, 6, 2011, S. 666-673.

Publikationen: SCORING: Beitrag in Fachzeitschrift/ZeitungSCORING: ZeitschriftenaufsatzForschungBegutachtung

Harvard

Hausteiner-Wiehle, C, Grosber, M, Bubel, E, Groben, S, Bornschein, S, Lahmann, C, Eyer, F, Eberlein, B, Behrendt, H, Löwe, B, Henningsen, P, Huber, D, Ring, J & Darsow, U 2011, 'Patient-doctor interaction, psychobehavioural characteristics and mental disorders in patients with suspected allergies: do they predict "medically unexplained symptoms"?', ACTA DERM-VENEREOL, Jg. 91, Nr. 6, 6, S. 666-673. https://doi.org/10.2340/00015555-1147

APA

Hausteiner-Wiehle, C., Grosber, M., Bubel, E., Groben, S., Bornschein, S., Lahmann, C., Eyer, F., Eberlein, B., Behrendt, H., Löwe, B., Henningsen, P., Huber, D., Ring, J., & Darsow, U. (2011). Patient-doctor interaction, psychobehavioural characteristics and mental disorders in patients with suspected allergies: do they predict "medically unexplained symptoms"? ACTA DERM-VENEREOL, 91(6), 666-673. [6]. https://doi.org/10.2340/00015555-1147

Vancouver

Bibtex

@article{8bb148f11925437daaa7c706a88da324,
title = "Patient-doctor interaction, psychobehavioural characteristics and mental disorders in patients with suspected allergies: do they predict {"}medically unexplained symptoms{"}?",
abstract = "In approximately 20% of patients with suspected allergies, no organic symptom explanation can be found. Limited knowledge about patients with {"}medically unexplained symptoms (MUS){"} contributes to them being perceived as {"}difficult{"} and being treated inadequately. This study examined the psychobehavioural characteristics of patients presenting for a diagnostic allergy work-up. Patients were interviewed and completed various self-rating questionnaires. Patient-Doctor interaction was evaluated, and the organic explicability of the patients' symptoms was rated by allergists. Patients with vs. those without MUS differed in several respects. Mental comorbidity, female sex, dissatisfaction with care, and a problematic countertransference (the interviewer's feelings towards the patient) independently predicted MUS. Patients whose symptoms could be explained organically reported more psychobehavioural problems than a control group of immuno-therapy patients. There were no differences in patient-doctor interaction. In patients with suspected allergies, recognition of psychological burden and concurrent mental disorders is important. Mental comorbidity and a difficult patient-doctor interaction may predict MUS.",
keywords = "Adult, Humans, Male, Female, Middle Aged, Psychiatric Status Rating Scales, Questionnaires, Sex Factors, Predictive Value of Tests, Models, Psychological, Psychometrics, Patient Satisfaction, Anxiety Disorders/complications/*psychology, Countertransference (Psychology), Depressive Disorder/complications/*psychology, Diagnostic Self Evaluation, Hypersensitivity/complications/diagnosis/*psychology, *Physician-Patient Relations, Somatoform Disorders/complications/diagnosis/*psychology, Adult, Humans, Male, Female, Middle Aged, Psychiatric Status Rating Scales, Questionnaires, Sex Factors, Predictive Value of Tests, Models, Psychological, Psychometrics, Patient Satisfaction, Anxiety Disorders/complications/*psychology, Countertransference (Psychology), Depressive Disorder/complications/*psychology, Diagnostic Self Evaluation, Hypersensitivity/complications/diagnosis/*psychology, *Physician-Patient Relations, Somatoform Disorders/complications/diagnosis/*psychology",
author = "Constanze Hausteiner-Wiehle and Martine Grosber and Esther Bubel and Sylvienne Groben and Susanne Bornschein and Claas Lahmann and Florian Eyer and Bernadette Eberlein and Heidrun Behrendt and Bernd L{\"o}we and Peter Henningsen and Dorothea Huber and Johannes Ring and Ulf Darsow",
year = "2011",
doi = "10.2340/00015555-1147",
language = "English",
volume = "91",
pages = "666--673",
journal = "ACTA DERM-VENEREOL",
issn = "0001-5555",
publisher = "Society for the Publication of Acta Dermato-Venereologica",
number = "6",

}

RIS

TY - JOUR

T1 - Patient-doctor interaction, psychobehavioural characteristics and mental disorders in patients with suspected allergies: do they predict "medically unexplained symptoms"?

AU - Hausteiner-Wiehle, Constanze

AU - Grosber, Martine

AU - Bubel, Esther

AU - Groben, Sylvienne

AU - Bornschein, Susanne

AU - Lahmann, Claas

AU - Eyer, Florian

AU - Eberlein, Bernadette

AU - Behrendt, Heidrun

AU - Löwe, Bernd

AU - Henningsen, Peter

AU - Huber, Dorothea

AU - Ring, Johannes

AU - Darsow, Ulf

PY - 2011

Y1 - 2011

N2 - In approximately 20% of patients with suspected allergies, no organic symptom explanation can be found. Limited knowledge about patients with "medically unexplained symptoms (MUS)" contributes to them being perceived as "difficult" and being treated inadequately. This study examined the psychobehavioural characteristics of patients presenting for a diagnostic allergy work-up. Patients were interviewed and completed various self-rating questionnaires. Patient-Doctor interaction was evaluated, and the organic explicability of the patients' symptoms was rated by allergists. Patients with vs. those without MUS differed in several respects. Mental comorbidity, female sex, dissatisfaction with care, and a problematic countertransference (the interviewer's feelings towards the patient) independently predicted MUS. Patients whose symptoms could be explained organically reported more psychobehavioural problems than a control group of immuno-therapy patients. There were no differences in patient-doctor interaction. In patients with suspected allergies, recognition of psychological burden and concurrent mental disorders is important. Mental comorbidity and a difficult patient-doctor interaction may predict MUS.

AB - In approximately 20% of patients with suspected allergies, no organic symptom explanation can be found. Limited knowledge about patients with "medically unexplained symptoms (MUS)" contributes to them being perceived as "difficult" and being treated inadequately. This study examined the psychobehavioural characteristics of patients presenting for a diagnostic allergy work-up. Patients were interviewed and completed various self-rating questionnaires. Patient-Doctor interaction was evaluated, and the organic explicability of the patients' symptoms was rated by allergists. Patients with vs. those without MUS differed in several respects. Mental comorbidity, female sex, dissatisfaction with care, and a problematic countertransference (the interviewer's feelings towards the patient) independently predicted MUS. Patients whose symptoms could be explained organically reported more psychobehavioural problems than a control group of immuno-therapy patients. There were no differences in patient-doctor interaction. In patients with suspected allergies, recognition of psychological burden and concurrent mental disorders is important. Mental comorbidity and a difficult patient-doctor interaction may predict MUS.

KW - Adult

KW - Humans

KW - Male

KW - Female

KW - Middle Aged

KW - Psychiatric Status Rating Scales

KW - Questionnaires

KW - Sex Factors

KW - Predictive Value of Tests

KW - Models, Psychological

KW - Psychometrics

KW - Patient Satisfaction

KW - Anxiety Disorders/complications/psychology

KW - Countertransference (Psychology)

KW - Depressive Disorder/complications/psychology

KW - Diagnostic Self Evaluation

KW - Hypersensitivity/complications/diagnosis/psychology

KW - Physician-Patient Relations

KW - Somatoform Disorders/complications/diagnosis/psychology

KW - Adult

KW - Humans

KW - Male

KW - Female

KW - Middle Aged

KW - Psychiatric Status Rating Scales

KW - Questionnaires

KW - Sex Factors

KW - Predictive Value of Tests

KW - Models, Psychological

KW - Psychometrics

KW - Patient Satisfaction

KW - Anxiety Disorders/complications/psychology

KW - Countertransference (Psychology)

KW - Depressive Disorder/complications/psychology

KW - Diagnostic Self Evaluation

KW - Hypersensitivity/complications/diagnosis/psychology

KW - Physician-Patient Relations

KW - Somatoform Disorders/complications/diagnosis/psychology

U2 - 10.2340/00015555-1147

DO - 10.2340/00015555-1147

M3 - SCORING: Journal article

VL - 91

SP - 666

EP - 673

JO - ACTA DERM-VENEREOL

JF - ACTA DERM-VENEREOL

SN - 0001-5555

IS - 6

M1 - 6

ER -