Course of MUS and its predictors.pdf (237.59 kB)
Predictors of persistent medically unexplained physical symptoms: findings from a general population study
conference contribution
posted on 2023-06-10, 01:07 authored by Jonna van Eck van der Sluijs, Margreet ten Have, Ron de Graaf, Cees A Th Rijnders, Harm van MarwijkHarm van Marwijk, Christina M van der Feltz-CornelisAim To explore the persistency of Medically Unexplained Symptoms (MUS) and its prognostic factors in the general adult population. Methods Data were derived from the Netherlands Mental Health Survey and Incidence Study-2, a cohort study among the Dutch general population aged 18–64?years. We selected subjects with MUS at baseline and who participated at follow-up (N?=?324) and reassessed those subjects for having MUS at three year follow-up. Logistic regression analyses were used to determine risk factors for persistency of MUS. Results 36.4% of the subjects had persistent MUS at follow-up. In logistic regression analyses persistency of MUS was predicted by the number of comorbid chronic medical disorders, lower education, female sex, not having a paid job, parental psychopathology and lower functioning. In logistic regression analysis in which all significant variables were entered simultaneously, three variables predicted persistent MUS: parental psychopathology, number of comorbid chronic medical disorder(s) and physical functioning, with odds ratios of 2.01, 1.19 and 0.99, respectively. Conclusion In the adult general population, MUS were persistent in over one third of the subjects with MUS at baseline. Persistency was predicted by parental psychopathology, number of comorbid medical disorders and physical functioning. These findings warrant further research into early intervention and treatment options for persons with an increased risk of persistent MUS.
History
Publication status
- Published
File Version
- Accepted version
Journal
Journal of Psychosomatic ResearchISSN
0022-3999Publisher
ElsevierExternal DOI
Volume
121Page range
106-107Event name
EAPM 2019Event location
Rotterdam, The NetherlandsEvent type
conferenceEvent date
19-22 June 2019Department affiliated with
- Primary Care and Public Health Publications
Full text available
- Yes
Peer reviewed?
- Yes
Legacy Posted Date
2021-09-24First Open Access (FOA) Date
2021-09-24First Compliant Deposit (FCD) Date
2021-09-24Usage metrics
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