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International Journal of Behavioral Medicine

Published in:

01-12-2019 | Full length manuscript

Coping with Medically Unexplained Physical Symptoms: the Role of Illness Beliefs and Behaviors

Authors: Nicole Sullivan, L. Alison Phillips, Wilfred R. Pigeon, Karen S. Quigley, Fiona Graff, David R. Litke, Drew A. Helmer, Joseph F. Rath, Lisa M. McAndrew

Published in: International Journal of Behavioral Medicine | Issue 6/2019

Abstract

Background

Medically unexplained syndromes (MUS) are both prevalent and disabling. While illness beliefs and behaviors are thought to maintain MUS-related disability, little is known about which specific behavioral responses to MUS are related to disability or the way in which beliefs and behaviors interact to impact functioning. The purpose of the present study was to examine the relationship between illness beliefs and disability among patients with MUS, and assess the extent to which behaviors mediate this relationship.

Methods

The study examined data from the baseline assessment of a multi-site randomized controlled trial (RCT). Participants were 248 veterans with MUS. Illness beliefs, behavioral responses to illness, and disability were assessed through self-report questionnaire. Data were analyzed using mediation analysis.

Results

Threat-related beliefs predicted greater disability through decreased activity and increased practical support seeking. Protective beliefs predicted less disability through reductions in all-or-nothing behavior and limiting behavior.

Conclusions

These outcomes suggest that all-or-nothing behavior, limiting behavior, and practical support seeking are important in the perpetuation of disability among those with MUS. This has implications for improving MUS treatment by highlighting potential treatment targets.

Trial Registration

ClinicalTrials.gov Identifier: NCT02161133

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Title: Coping with Medically Unexplained Physical Symptoms: the Role of Illness Beliefs and Behaviors
Authors: Nicole Sullivan
L. Alison Phillips
Wilfred R. Pigeon
Karen S. Quigley
Fiona Graff
David R. Litke
Drew A. Helmer
Joseph F. Rath
Lisa M. McAndrew
Publication date: 01-12-2019
Publisher: Springer US
Published in: International Journal of Behavioral Medicine / Issue 6/2019
Print ISSN: 1070-5503
Electronic ISSN: 1532-7558
DOI: https://doi.org/10.1007/s12529-019-09817-z

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Coping with Medically Unexplained Physical Symptoms: the Role of Illness Beliefs and Behaviors

Abstract

Background

Methods

Results

Conclusions

Trial Registration

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

Trial Registration

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