Masterthesis psychosomatische fysiotherapie

Wat is de relatie tussen somatisatie en fysieke gezondheid bij patiënten met matig-ernstige somatisch onvoldoende verklaarde lichamelijke klachten in de eerstelijns fysiotherapiepraktijk? Wat is de invloed van geslacht en het hebben van betaald of onbetaald werk op de relatie tussen somatisatie en fysieke gezondheid?

Gina F. Biervliet1. Psychosomatisch fysiotherapeut i.o. 1Eerstelijns praktijk voor Fysiotherapie, Manuele Therapie en Actieve revalidatie, Assen, Nederland.

Abstract

Background Medically unexplained physical symptoms (MUPS) significantly impact patients’ quality of life and have major socio-economic consequences. This study aims to investigate whether (1) somatization is correlated with physical health in primary care patients with MUPS and wether (2) gender and having (un)paid work influence this relationship.

Methods In this cross-sectional study, data of 72 primary care patients with moderate to severe MUPS was examined. Somatization was assessed using the somatization scale of the Four-Dimensional Symptom Questionnaire (4DSQ) and physical health with the Twelve-Item Short Form Health Survey (SF-12). The Spearman’s rho was used to calculate the correlation between somatization and physical health. To compare the differences in this relationship based on gender and (un)paid work, data was divided in these variables using the spearman’s rho to calculate the correlation.

Results A non- significant small negative correlation between somatization and physical health was showed (rs = – 0.19, p > .12). However, splitting data by gender resulted in a significant moderate negative correlation between somatization and the physical health in women (rs = – 0.34, p = .02). Having (un)paid work does not affect the relationship between somatization and physical health.

Conclusion the moderate correlation between somatization and physical health in women is the only significant relationship that is found in this study. When examining and treating female patients with MUPS in primary care once should take into account the results of our research. Further research, which focus on the developing a reliable questionnaire of the concept of somatization, as defined by Lipowski (1988) is needed.

Her. definitief MTH Gina Biervliet 1690609