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Medically unexplained symptoms

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Some MEDRS from peer-review journals

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"Medically unexplained symptoms" is not new, it is not a "Trojan Horse" it has different meanings for different people there is not "Medically unexplained symptoms" and "medically unexplained symptoms." Some people say it means somatization, some people say it overlaps, people say medically unexplained syndrome and constellation of medically unexplained symptoms and medically unexplained illness and also "medically unexplained" it is so obvious, it means some thing is not explained medically, it is not complicated.

The most cited paper ever on Chronic fatigue syndrome, Fukuda et al 1994 has "medically unexplained symptoms" in the first point about what a doctor should get in patient's history.

Earlier then Fukuda et al [1] Is from 1992, on chronic fatigue syndrome criteria, it says "medically unexplained physical symptoms" or "medically unexplained somatic symptoms" 12 times. 95 citations

Meta analytic review[2] of 244 MUPS (medically unexplained physical symptoms) studies, including "four functional somatic syndromes for which there were sufficient numbers for meta-analytic integration: irritable bowel syndrome (IBS), nonulcer dyspepsia (NUD), fibromyalgia (FM), and chronic fatigue syndrome (CFS)." and "Meta-analytic integration confirms that the four functional somatic syndromes (IBS, NUD, FM, CFS) are related to (but not fully dependent on) depression and anxiety. At present, there is only limited meta-analytic evidence for the same sort of association for medically unexplained physical symptoms in general." 193 citations

BMJ editorial[3] "Treating medically unexplained physical symptoms" 60 citations

[4] AJM 1995 45 citations

[5] "To overcome the confusion around the term ‘somatisation’, many researchers prefer the term ‘medically unexplained symptoms (MUPS)’" Figure 1 shows CFS as one of five functional symptom groupings and CFS is also in the text. 59 citations

[6] Abstract "Medically unexplained physical symptoms (MUPS) are persistent idiopathic symptoms that drive patients to seek medical care. MUPS syndromes include chronic fatigue syndrome" 36 citations

[7] 72 citations

[8] "The article is a narrative review of the theoretical standing and empirical evidence for the cognitive behavioural model of medically unexplained symptoms (MUS) in general and for chronic fatigue syndrome (CFS) and irritable bowel syndrome (IBS) in particular." 16 citations

Some MEDRS Textbooks and other books

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In Google Books 255 books use these terms and it includes

  • Encyclopedia of cognitive behavior therapy Arthur Freeman, Stéphanie H. Felgoise, Arthur M. Nezu, Christine M. Nezu Taylor & Francis US, 2005 ISBN 030648580X It has a chapter called "Medically Unexplained Symptoms" with different sections for Chronic fatigue syndrome, Fibromyalgia, and Noncardiac Chest Pain. p 241-44
  • Understanding Somatization in the Practice of Clinical Neuropsychology Greg J. Lamberty, American Academy of Clinical Neuropsychology, Oxford University Press US, 2007 ISBN 0195328272
  • Chronic Fatigue Syndrome by Stephen E. Straus Informa Health Care, 1994 ISBN 0824791878
  • Chronic Fatigue Syndrome: An Integrative Approach to Evaluation and Treatment Mark A. Demitrack, Susan E. Abbey Guilford Press, 1999 ISBN 1572304995
  • Kaplan & Sadock's synopsis of psychiatry: behavioral sciences/clinical psychiatry Benjamin J. Sadock, Harold I. Kaplan, Virginia A. Sadock Edition 10 Lippincott Williams & Wilkins, 2007 ISBN 078177327X

104 books use CFS and MUPS

More journal articles from hundereds on Google Scholar or Pubmed

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  • [9] CFS is medically unexplained, first sentence of abstract. 66 citations
  • [10] "A precarious balance: using a self-regulation model to conceptualize and treat chronic fatigue syndrome."

"The self-regulation model is a potentially powerful explanatory framework for the consideration and treatment of CFS and medically unexplained symptoms in general." 1 citation

  • [11] "Customizing treatment of chronic fatigue syndrome and fibromyalgia: the role of perpetuating factors."

"Syndromes characterized by chronic, medically unexplained fatigue, effort- and stress-intolerance, and widespread pain are highly prevalent in medicine. RESULTS: In chronic fatigue syndrome (CFS) and fibromyalgia (FM), various perpetuating factors may impair patients' quality of life and functioning and impede recovery." 3 citations

  • [12] "Chronic fatigue syndrome: probable pathogenesis and possible treatments." First sentence from abstract, "Chronic fatigue syndrome (CFS) belongs in the medically unexplained illnesses." 24 citations
  • [13] "A status report on chronic fatigue syndrome." in abstract is

"(CFS), a medically unexplained condition" 13 citations

  • [14] "Chronic fatigue syndrome. A practical guide to assessment and management."

"We regard chronic fatigue syndrome as important not only because it represents potentially treatable disability and suffering but also because it provides an example for the positive management of medically unexplained illness in general." 121 citations

  • [15] "Chronic fatigue syndrome."

"Chronic fatigue syndrome (CFS) is a medically unexplained illness"

References

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  1. ^ Katon, W.; Russo, J. (Aug 1992). "Chronic fatigue syndrome criteria. A critique of the requirement for multiple physical complaints". Archives of Internal Medicine. 152 (8): 1604–1609. doi:10.1001/archinte.152.8.1604. ISSN 0003-9926. PMID 1497394.
  2. ^ Henningsen, P.; Zimmermann, T.; Sattel, H. (Jul 2003). "Medically unexplained physical symptoms, anxiety, and depression: a meta-analytic review" (Free full text). Psychosomatic Medicine. 65 (4): 528–533. doi:10.1097/01.PSY.0000075977.90337.E7. ISSN 0033-3174. PMID 12883101.
  3. ^ Mayou, R.; Sharpe, M. (Sep 1997). "Treating medically unexplained physical symptoms". BMJ (Clinical research ed.). 315 (7108): 561–562. doi:10.1136/bmj.315.7108.561. ISSN 0959-8138. PMC 2127391. PMID 9302942.
  4. ^ Clark, M.; Katon, W.; Russo, J.; Kith, P.; Sintay, M.; Buchwald, D. (1995). "Chronic fatigue: Risk factors for symptom persistence in a 2 1/2-year follow-up study". The American Journal of Medicine. 98 (2): 187–195. doi:10.1016/S0002-9343(99)80403-3. PMID 7847436.
  5. ^ Burton, C. (Mar 2003). "Beyond somatisation: a review of the understanding and treatment of medically unexplained physical symptoms (MUPS)". The British journal of general practice : the journal of the Royal College of General Practitioners. 53 (488): 231–239. ISSN 0960-1643. PMC 1314551. PMID 14694702.
  6. ^ Engel, C.; Adkins, J. A.; Cowan, D. N. (Aug 2002). "Caring for medically unexplained physical symptoms after toxic environmental exposures: effects of contested causation" (Free full text). Environmental health perspectives. 110 Suppl 4 (Suppl 4): 641–647. doi:10.1289/ehp.02110s4641. ISSN 0091-6765. PMC 1241219. PMID 12194900.
  7. ^ Walker, E. K.; Katon, W. J.; Jemelka, R. P. (Aug 1993). "Psychiatric disorders and medical care utilization among people in the general population who report fatigue". Journal of general internal medicine. 8 (8): 436–440. doi:10.1007/BF02599621. ISSN 0884-8734. PMID 8410409.
  8. ^ Deary, V.; Chalder, T.; Sharpe, M. (Oct 2007). "The cognitive behavioural model of medically unexplained symptoms: a theoretical and empirical review". Clinical Psychology Review. 27 (7): 781–797. doi:10.1016/j.cpr.2007.07.002. ISSN 0272-7358. PMID 17822818.
  9. ^ Edmonds, M.; McGuire, H.; Price, J. R. (2004). Price, Jonathan R (ed.). "Exercise therapy for chronic fatigue syndrome". Cochrane Database of Systematic Reviews (3): CD003200–CD003ub2. doi:10.1002/14651858.CD003200.pub2. PMID 15266475. {{cite journal}}: Cite has empty unknown parameter: |month= (help)
  10. ^ Deary, V. (May 2008). "A precarious balance: using a self-regulation model to conceptualize and treat chronic fatigue syndrome". British journal of health psychology. 13 (Pt 2): 231–236. doi:10.1348/135910708X283760. ISSN 1359-107X. PMID 18267050.
  11. ^ Van Houdenhove, B.; Luyten, P. (Nov 2008). "Customizing treatment of chronic fatigue syndrome and fibromyalgia: the role of perpetuating factors". Psychosomatics. 49 (6): 470–477. doi:10.1176/appi.psy.49.6.470. ISSN 0033-3182. PMID 19122123.
  12. ^ Evengård, B. K. (2002). "Chronic fatigue syndrome: probable pathogenesis and possible treatments". Drugs. 62 (17): 2433–2446. doi:10.2165/00003495-200262170-00003. ISSN 0012-6667. PMID 12421101. {{cite journal}}: Cite has empty unknown parameter: |month= (help)
  13. ^ Natelson, B. L.; Lange, G. (Aug 2002). "A status report on chronic fatigue syndrome" (Free full text). Environmental health perspectives. 110 Suppl 4 (Suppl 4): 673–677. doi:10.1289/ehp.02110s4673. ISSN 0091-6765. PMC 1241224. PMID 12194905.
  14. ^ Sharpe, M.; Chalder, T.; Palmer, I.; Wessely, S. (May 1997). "Chronic fatigue syndrome. A practical guide to assessment and management". General hospital psychiatry. 19 (3): 185–199. doi:10.1016/S0163-8343(97)80315-5. ISSN 0163-8343. PMID 9218987.
  15. ^ Sharpe, M. (Sep 1996). "Chronic fatigue syndrome". The Psychiatric clinics of North America. 19 (3): 549–573. doi:10.1016/S0193-953X(05)70305-1. ISSN 0193-953X. PMID 8856816.
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