Cognitive Behavior Therapy for Somatization Disorder
This study will examine the long-term effects of cognitive behavioral therapy on the physical symptoms, functioning, and health care utilization of people with multiple medically unexplained physical symptoms.
Behavioral: Cognitive Behavior Therapy
Behavioral: Psychiatric Consultation Letter
|Study Design:||Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
|Official Title:||Cognitive Behavior Therapy for Somatization Disorder|
- Symptoms of somatization disorder
- Functioning (measured with the Clinical Global Impression Scale for Somatization Disorder at Months 9 and 15)
- Health care utilization (measured the year before baseline and during the year after the 3-month assessment)
- Health status (measured by the Medical Outcomes Study, SF-36, at Months 9 and 15)
|Study Start Date:||September 1999|
|Estimated Study Completion Date:||April 2003|
Somatization disorder is a chronic psychological condition that causes numerous physical complaints for which no underlying physical problem can be identified. The disorder often lasts for several years and results in substantial functional impairment. The physical complaints most frequently involve chronic pain and problems with the digestive, nervous, and reproductive systems. Neither pharmacological nor psychosocial treatments for this disorder have been successful in suppressing symptoms. Cognitive behavioral therapy (CBT) is a treatment that focuses on maladaptive patterns of thinking and the beliefs that underlie such thinking. This study will examine the long-term effects of CBT on the physical symptoms, functioning, and health care utilization of people with somatization disorder.
Participants in this open label study will be randomly assigned to receive either CBT supplemented with augmented standard medical care (ASMC) as indicated by a psychiatric consultation letter or ASMC alone. Participants assigned to CBT plus ASMC will receive CBT for 10 weeks. Somatic symptomatology, functional impairment, and health care costs will be assessed at study visits at baseline and Months 3, 9, and 15. The visits at Months 9 and 15 will assess specifically the long-term efficacy of the treatment.
|United States, New Jersey|
|Department of Psychiatry, UMDNJ - RWJ Medical School|
|Piscataway, New Jersey, United States, 08540|
|Principal Investigator:||Lesley A. Allen, PhD||University of Medicine & Dentistry of New Jersey - Robert Wood Johnson Medical School|