The purpose of this study is to check the medical efficacy and economic benefits of multidisciplinary care in patients with unexplained medical complaints and consume medical services frequently.

Brief Title

Effectiveness of Mind-Body Interventions for Frequent Attendees Suffering From Medically Unexplained Symptoms (MUS)

Official Title

Effectiveness and Cost-Effectiveness Analysis of Mind-Body Interventions in a Multi-Disciplinary Clinic for Frequent Attendees Suffering From Medically Unexplained Symptoms (MUS)

Brief Summary

The purpose of this study is to check the medical efficacy and economic benefits of<br /> multidisciplinary care in patients with unexplained medical complaints and consume medical<br /> services frequently.

Detailed Description

Background:

Somatic or "medically unexplained" symptoms and syndromes are common and are seen by
physicians across almost every medical specialty. In many instances, these phenomena can
cause a great deal of pain and frustration, restrict function and reduce patients' quality of
life. Despite their frequency and severity, medical personnel often experience a great deal
of difficulty in coping with such complaints and patients may be shuttled from specialist to
specialist, often with little or no symptomatic relief and at a great deal of expense to the
medical system. Many researchers now believe that these seemingly unrelated and "unexplained"
conditions in fact share common psycho-physiological mechanisms, such as being catalyzed as a
result of trauma or excessive stress, being mediated by the limbic system and affecting
inhibitory sensory pathways.

Purpose of the study:

Testing the efficacy and cost-efficiency of a holistic multidisciplinary treatment
methodology for medically unexplained symptoms (MUS).

Stages of the Study:

The study wil lbe conducted via two arms:

1. A reterospective study of patients attending the Functional Neurology clinic a Soroka
UMC between the years 2014-2018 in which patient records will be obtained via the
regional offices of Clalit Health Services and analyzed in order to learn the effects of
mind-body therapies on health care utilization.

2. A prospective study of new patients arriving at the "functional neurology" clinic at
Soroka UMC. Members of the second arm will be asked if they would be willing to
participate in the study by their neurologist. Participants who have agreed to join the
study will fill out Self-report measures at the beginning of their treatment, at the end
of treatment (3 months) and 6 months after the start of treatment and 12 months after
the start of treatment.

Expected Results

1. A decrease in expense rates and use of medical services

2. An increase in patient satisfaction

3. An increase in patient-reported health and quality of life

Outcome Measures

Outcome measures are the tests that investigators perform to prove whether or not a treatment being tested in a clinical trial is having any effect.

Inclusion Criteria:

  -  Men or women

  -  Age 18 or higher

  -  Treated at the Functional Neurology clinic at Soroka UMC

Exclusion Criteria:

  -  patients with chronic illness such as cancer, dialysis patients, or any other severe
     identified illness

  -  patients who do not speak Hebrew

  -  bedridden patients

  -  Schizophrenia, dementia and other severe mental illness