Mental health

Psychological treatment based on cognitive-behavioural therapy principles for managing medically unexplained somatic complaints

Question 1: Is psychological treatment based on cognitive-behavioural therapy principles (such as reattribution, graded activities) better (more effective in symptom reduction) than treatment as usual for managing medically unexplained somatic complaints (in absence of depression)?

  • Population: adults with medically unexplained somatic complaints
  • Interventions: psychological treatment based on cognitive-behavioural therapy principles
  • Comparison: usual care
  • Outcomes:
    • treatment effectiveness in reducing medically unexplained somatic complaints
    • improvement in functioning
    • adverse effects.

Recommendation(s)

Psychological treatment based on cognitive-behavioural therapy principles (such as reattribution, graded activities) should be considered in repeat adult help seekers with medically unexplained somatic complaints who are in substantial distress and who do not meet criteria for depressive episode/disorder.
Strength of recommendation: STANDARD

Evidence profile

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