Supervised integrated screening of low-back pain patients by a neurologist. A randomized clinical trial

General Hospital Psychiatry
L MeeuwesenJ J Heimans

Abstract

In a randomized, controlled design, the effect of psychiatric consultation intervention in medical outpatients with low-back pain (N = 104) was assessed for the patients' subjective well-being and satisfaction of general practitioners (GPs) in their cooperation with the neurologists. The goal of the intervention was an integrated approach towards the patients' symptoms and the improvement of the cooperation between primary and secondary medical health services. The intervention was designed at the health care provider level; the psychiatrist did not see or examine the patient. The 104 patients were subdivided into an intervention group (N = 50) and a control group (N = 54). The major outcome measures were the psychological status of the patient and degree of the GPs' satisfaction concerning the cooperation with the medical specialists. After 6 months follow-up, there was a greater overall decline of symptoms in the patient intervention group compared with the control group. However, it was not possible to specify this effect. Contrary to the hypotheses, GPs in the control group were as satisfied about the cooperation with the neurologist as their colleagues in the intervention group. Yet, the information in the specialists' let...Continue Reading

References

Oct 1, 1992·Baillière's Clinical Rheumatology·G Waddell
Mar 1, 1992·General Hospital Psychiatry·W KatonE Wagner
Jan 1, 1989·The American Journal of Psychiatry·W A Myers
Jan 1, 1987·Pain·Anthony W Love, Connie L Peck
Feb 4, 1988·The New England Journal of Medicine·J W Frymoyer
May 29, 1986·The New England Journal of Medicine·G R SmithD C Ray
Jun 1, 1988·The British Journal of Psychiatry : the Journal of Mental Science·A LoboM A Sancho
Mar 1, 1987·General Hospital Psychiatry·G Strathdee
Mar 1, 1987·General Hospital Psychiatry·H A Pincus
Jan 1, 1985·Journal of Psychosomatic Research·K W Bridges, D P Goldberg
Jul 19, 1973·The New England Journal of Medicine·B Starfield
Jan 1, 1994·International Journal of Psychiatry in Medicine·L MeeuwesenA B Donker
Jan 1, 1996·International Journal of Psychiatry in Medicine·C M van der Feltz-CornelisR van Dyck

❮ Previous
Next ❯

Citations

Aug 11, 2004·The American Journal of Medicine·Joshua J OfmanScott R Weingarten

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.