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Increasing the treatment motivation of patients with somatic symptom disorder: applying the URICA-S scale

Overview of attention for article published in BMC Psychiatry, July 2017
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Title
Increasing the treatment motivation of patients with somatic symptom disorder: applying the URICA-S scale
Published in
BMC Psychiatry, July 2017
DOI 10.1186/s12888-017-1400-5
Pubmed ID
Authors

Johannes Mander, Georg Schaller, Hinrich Bents, Ulrike Dinger, Stephan Zipfel, Florian Junne

Abstract

Therapeutic intervention programs for somatic symptom disorder (SSD) show only small-to-moderate effect sizes. These effects are partly explained by the motivational problems of SSD patients. Hence, fostering treatment motivation could increase treatment success. One central aspect in SSD patients might be damage to motivation because of symptomatic relapses. Consequently, the aim of the present study was to investigate associations between motivational relapse struggle and therapeutic outcome in SSD patients. We assessed 84 inpatients diagnosed with SSD in the early, middle and late stages of their inpatient treatment. The maintenance subscale of the University of Rhode Island Change Assessment-Short (URICA-S) was applied as a measure to assess motivational relapse struggle. Additionally, patients completed measures of treatment outcome that focus on clinical symptoms, stress levels and interpersonal functioning. The results from multiple regression analyses indicate that higher URICA-S maintenance scores assessed in early stages of inpatient treatment were related to more negative treatment outcomes in SSD patients. SSD patients with ambivalent treatment motivation may fail in their struggle against relapse over the course of therapy. The URICA-S maintenance score assessed at therapy admission facilitated early identification of SSD patients who are at greater risk of relapse. Future studies should incorporate randomized controlled trials to investigate whether this subgroup could benefit from motivational interventions that address relapse.

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Mendeley readers

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The data shown below were compiled from readership statistics for 45 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 45 100%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 9 20%
Student > Master 6 13%
Researcher 5 11%
Student > Ph. D. Student 5 11%
Student > Doctoral Student 4 9%
Other 4 9%
Unknown 12 27%
Readers by discipline Count As %
Psychology 18 40%
Medicine and Dentistry 7 16%
Nursing and Health Professions 3 7%
Social Sciences 2 4%
Arts and Humanities 1 2%
Other 1 2%
Unknown 13 29%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 14 September 2017.
All research outputs
#18,558,284
of 22,985,065 outputs
Outputs from BMC Psychiatry
#3,932
of 4,736 outputs
Outputs of similar age
#240,082
of 313,820 outputs
Outputs of similar age from BMC Psychiatry
#88
of 108 outputs
Altmetric has tracked 22,985,065 research outputs across all sources so far. This one is in the 11th percentile – i.e., 11% of other outputs scored the same or lower than it.
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