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Intensive Short-term Dynamic Psychotherapy (ISTDP) in the Emergency Department

Not Applicable
Completed
Conditions
Somatic Complaints of Multiple Types
Interventions
Behavioral: Intensive Short-term Dynamic Psychotherapy
Registration Number
NCT00833742
Lead Sponsor
Nova Scotia Health Authority
Brief Summary

Objective: Somatization of emotions accounts for excess Emergency department (ED) visits. Intensive Short-term Dynamic Psychotherapy (ISTDP) has methods to diagnose and manage somatization. We examined the feasibility, acceptability and effectiveness of ISTDP diagnostic and treatment methods used for patients with repeated ED presentations for medically unexplained physical symptoms (MUS)

Detailed Description

Herein we report the methods and outcomes of rapidly-accessed, emotion-focused diagnostic and treatment services for patients presenting to the ED with medically unexplained symptoms (MUS). Patients who were assessed and referred by ED physicians will serve as a non-randomized condition controlling for some relevant variables. Our a priori hypotheses were that assessed and treated patients would have a reduction in ED visits and self reported symptoms after this intervention and that controls would have a smaller reduction in ED visits if any.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
77
Inclusion Criteria
  • Unexplained symptoms
Exclusion Criteria
  • Psychosis, substance abuse, suicidality

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
1Intensive Short-term Dynamic PsychotherapyISTDP therapy was provided
Primary Outcome Measures
NameTimeMethod
Emergency department visits pre and post1 year
Secondary Outcome Measures
NameTimeMethod
Brief Symptom Inventorypre and post
Patient Satisfactionpost

Trial Locations

Locations (1)

Capital Health

🇨🇦

Halifax, Nova Scotia, Canada

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