Patient-doctor interaction, psychobehavioural characteristics and mental disorders in patients with suspected allergies: do they predict "medically unexplained symptoms"?
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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, Vol. 91, No. 6, 6, 2011, p. 666-673.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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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 -