Evidence map›Paper›PMID 31701389›Full record

ArticleInternational journal of behavioral medicine2019

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

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

Registry-linked trialAbstract readEvaluation Study
PubMed Publisher
In one paragraph

Article in International journal of behavioral medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02161133 (Cognitive Rehabilitation for Gulf War Illness), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.5field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02161133 nacompletednot on this map

Cognitive Rehabilitation for Gulf War Illness

TypeinterventionalSponsorVA Office of Research and DevelopmentRan2015 to 2019Enrolled268ConditionsGulf War IllnessArmsProblem-Solving Therapy, Health Education
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 24 citations in OpenAlex.

  1. Article
  2. Article
  3. Coping with fibromyalgia - a focus group study.International journal of qualitative studies on health and well-being · 2023
    Article
  4. Article
  5. Article
  6. Article
  7. Understanding Veterans' Causal Attributions of Physical Symptoms.International journal of behavioral medicine · 2021
    Article
  8. Review
  9. Article
  10. Review
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 7 institutions in 1 country.

Nicole SullivanWar Related Illness and Injury Study Center, Veterans Affairs New Jersey Health Care System, 385 Tremont Avenue, East Orange, NJ, 07018, USA. Nicole.Sullivan4@va.gov.ORCID https://orcid.org/0000-0003-3672-7431
L Alison PhillipsDepartment of Psychology, Iowa State University, Ames, IA, USA.
Wilfred R PigeonCenter of Excellence for Suicide Prevention, Canandaigua VA Medical Center, Canandaigua, NY, USA.
Karen S QuigleyEdith Nourse Rogers Memorial VA Hospital, Bedford, MA, 01730, USA.
Fiona GraffWar Related Illness and Injury Study Center, Veterans Affairs New Jersey Health Care System, 385 Tremont Avenue, East Orange, NJ, 07018, USA.
David R LitkeWar Related Illness and Injury Study Center, Veterans Affairs New Jersey Health Care System, 385 Tremont Avenue, East Orange, NJ, 07018, USA.
Drew A HelmerWar Related Illness and Injury Study Center, Veterans Affairs New Jersey Health Care System, 385 Tremont Avenue, East Orange, NJ, 07018, USA.
Joseph F RathDepartment of Rehabilitation Medicine, New York University School of Medicine, New York, NY, USA.
Lisa M McAndrewWar Related Illness and Injury Study Center, Veterans Affairs New Jersey Health Care System, 385 Tremont Avenue, East Orange, NJ, 07018, USA.
VA New Jersey Health Care System · USCanandaigua VA Medical Center · USIowa State University · USNortheastern University · USNYU Langone Health · USRutgers, The State University of New Jersey · USUniversity at Albany, State University of New York · US

Funding

Cognitive Rehabilitation for Gulf War IllnessI01CX001053 · VA · VA NEW JERSEY HEALTH CARE SYSTEM · PI MCANDREW, LISA MARIE · 2014 to 2017
–
CSRD VA I01 CX001053United States Department of Veterans Affairs Clinical Sciences Research and Development I01CX001053VA Health Services Research and Development Program IK2HX001369
6 · The paper itself

Abstract

backgroundMedically 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.

methodsThe 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.

resultsThreat-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.

conclusionsThese 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 registrationClinicalTrials.gov Identifier: NCT02161133.

Indexed as

Adaptation, PsychologicalAdultCultureFemaleHealth BehaviorHumansMaleMedically Unexplained SymptomsMiddle AgedOccupational DiseasesRandomized Controlled Trials as TopicSomatoform DisordersSurveys and QuestionnairesVeteransDisabilityIllness behaviorsIllness beliefsMUS

Identifiers

PMID31701389
OpenAlexW2984988076

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.