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Hausteiner-Wiehle, C.* ; Grosber, M.* ; Bubel, E.* ; Groben, S.* ; Bornschein, S.* ; Lahmann, C.* ; Eyer, F.* ; Eberlein, B. ; Behrendt, H.* ; Löwe, B.* ; Henningsen, P.* ; Huber, D.* ; Ring, J. ; Darsow, U.

Patient-doctor interaction, psychobehavioural characteristics and mental disorders in patients with suspected allergies: Do they predict 'medically unexplained symptoms'?

Acta Derm.-Venereol. 91, 666-673 (2011)
Verlagsversion Volltext DOI PMC
Open Access Gold
In approximately 20% of patients with suspected allergies, no organic symptom explanation can be found. Limited knowledge about patients with "medically unexplained symptoms (MUS)" contributes to them being perceived as "difficult" and being treated inadequately. This study examined the psychobehavioural characteristics of patients presenting for a diagnostic allergy work-up. Patients were interviewed and completed various self-rating questionnaires. Patient-Doctor interaction was evaluated, and the organic explicability of the patients' symptoms was rated by allergists. Patients with vs. those without MUS differed in several respects. Mental comorbidity, female sex, dissatisfaction with care, and a problematic countertransference (the interviewer's feelings towards the patient) independently predicted MUS. Patients whose symptoms could be explained organically reported more psychobeha-vioural problems than a control group of immuno-therapy patients. There were no differences in patient-doctor interaction. In patients with suspected allergies, recognition of psychological burden and concurrent mental disorders is important. Mental comorbidity and a difficult patient-doctor interaction may predict MUS.
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Publikationstyp Artikel: Journalartikel
Dokumenttyp Wissenschaftlicher Artikel
Korrespondenzautor
Schlagwörter allergy; medically unexplained symptoms; patient-doctor interaction; psychobehavioural characteristics; somatization.
ISSN (print) / ISBN 0001-5555
e-ISSN 1651-2057
Zeitschrift Acta Dermato-Venereologica
Quellenangaben Band: 91, Heft: 6, Seiten: 666-673 Artikelnummer: , Supplement: ,
Verlag Acta Dermato-Venereologica
Nichtpatentliteratur Publikationen
Begutachtungsstatus Peer reviewed
Institut(e) CCG Environmental Dermatology and Allergology (ILBD-KAU)
Institute of Epidemiology (EPI)