Medically unexplained physical symptoms in primary care: a controlled study on the effectiveness of cognitive-behavioural treatment by the general practitioner

ISRCTN ISRCTN89623328
DOI https://doi.org/10.1186/ISRCTN89623328
Secondary identifying numbers NTR148; 940-38-013
Submission date
20/12/2005
Registration date
20/12/2005
Last edited
15/05/2009
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Mental and Behavioural Disorders
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Ingrid A. Arnold
Scientific

Department of Public Health and Primary Care.
Leiden University Medical Center
P.O. Box 2088
Leiden
2301 CB
Netherlands

Phone +31 (0)71 5275318
Email i.a.arnold@lumc.nl

Study information

Study designRandomised active controlled parallel group trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)GP practice
Study typeTreatment
Scientific title
Study acronymSOUL
Study objectivesA cognitive-behavioural intervention provided by the GP will be more effective in reducing somatic symptoms and functional impairment in medically unexplained physical symptoms than care as usual.
Ethics approval(s)Received from the local medical ethics committee
Health condition(s) or problem(s) studiedSomatoform disorder
InterventionCare as usual plus an additional five sessions of 45 minutes of cognitive-behavioural therapy with their general practitioner compared with care as usual.
Intervention typeOther
Primary outcome measure1. Severity of the main physical symptom as indicated on a VAS and the self-rated improvement of symptoms at 6 and 12 months follow-up
2. Recovery was defined as a decrease of at least 30% on the VAS for the severity of the main physical symptom
Secondary outcome measures1. Self-reported physical symptoms (PSC)
2. Anxiety and depressive symptoms (HADS)
3. Functional limitations (SF-36)
4. Health anxiety and behaviour (IAS)
5. Health care utilisation
Overall study start date01/04/2000
Completion date01/06/2004

Eligibility

Participant type(s)Patient
Age groupNot Specified
SexNot Specified
Target number of participants65
Key inclusion criteria1. The presence of a somatoform disorder
2. A minimum score of 5 for the main unexplained physical symptom on a Visual Analogue Scale (VAS - range 0 - 10)
3. Written informed consent
Key exclusion criteria1. Unable to participate in treatment due to handicaps such as deafness, aphasia or cognitive impairment
2. Ongoing psychological treatment
3. Serious somatic disease
4. Serious psychiatric disorder such as psychosis, substance abuse, post-traumatic stress disorder or severe personality disorder
Date of first enrolment01/04/2000
Date of final enrolment01/06/2004

Locations

Countries of recruitment

  • Netherlands

Study participating centre

Department of Public Health and Primary Care.
Leiden
2301 CB
Netherlands

Sponsor information

Leiden University Medical Centre (LUMC) (Netherlands)
University/education

Albinusdreef 2
P.O. Box 9600
Leiden
2300 RC
Netherlands

Website http://www.lumc.nl/
ROR logo "ROR" https://ror.org/027bh9e22

Funders

Funder type

Research organisation

The Netherlands Organisation for Health Research and Development (ZonMw) (Netherlands)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan