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Opinion paper: the role of work in the management of medically unexplained physical symptoms

(2019) ACTA CLINICA BELGICA. 74(3). p.151-156
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Abstract
Objectives: Patients with medically unexplained physical symptoms suffer from chronic fatigue and/or pain in combination with a variety of other symptoms. A flexible, biopsychosocial approach is needed for diagnostic screening and global management. It is crucial to involve the direct patient environment, including family, friends, colleagues as well as health providers, evaluation, and reintegration sector. The aim of this paper is to review the importance of work in the management of medically unexplained physical symptoms. Methods: In this paper, different actors involved explain their views and handling concerning work in the management of MUPS. Results: Symptom severity and lack of understanding from the environment can negatively impact on earning an independent income from labor for years. Work, whether or not paid, is however, an important life domain with positive effects on physical, psychological, and social well-being. Therefore, health actors are pivotal in starting the professional reintegration process as soon as possible and should discuss this item from the early stage onward. Support services can be consulted in mutual interaction as required. A case manager, acting as a central intermediator within this multidisciplinary approach, may promote effective communication and coordination between the patients and their surrounding actors. Conclusion: The professional reintegration process should start as soon as possible within the management of medically unexplained physical symptoms. As such, the care sector, the evaluation sector, and the professional integration sector should collaborate and effectively communicate with each other.
Keywords
Biopsychosocial model, case manager, fatigue, pain, work, CHRONIC-FATIGUE-SYNDROME, HEALTH, COMMUNICATION, PARTICIPATION, DISEASES, CARE

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MLA
Tobback, Els, et al. “Opinion Paper: The Role of Work in the Management of Medically Unexplained Physical Symptoms.” ACTA CLINICA BELGICA, vol. 74, no. 3, 2019, pp. 151–56.
APA
Tobback, E., Mariman, A., Clauwaert, L., Godderis, L., Heytens, S., Ruppol, P., … Vogelaers, D. (2019). Opinion paper: the role of work in the management of medically unexplained physical symptoms. ACTA CLINICA BELGICA, 74(3), 151–156.
Chicago author-date
Tobback, Els, An Mariman, Lies Clauwaert, Lode Godderis, Stefan Heytens, Patrick Ruppol, Daniel Spooren, Rita Tytgat, Martine De Muynck, and Dirk Vogelaers. 2019. “Opinion Paper: The Role of Work in the Management of Medically Unexplained Physical Symptoms.” ACTA CLINICA BELGICA 74 (3): 151–56.
Chicago author-date (all authors)
Tobback, Els, An Mariman, Lies Clauwaert, Lode Godderis, Stefan Heytens, Patrick Ruppol, Daniel Spooren, Rita Tytgat, Martine De Muynck, and Dirk Vogelaers. 2019. “Opinion Paper: The Role of Work in the Management of Medically Unexplained Physical Symptoms.” ACTA CLINICA BELGICA 74 (3): 151–156.
Vancouver
1.
Tobback E, Mariman A, Clauwaert L, Godderis L, Heytens S, Ruppol P, et al. Opinion paper: the role of work in the management of medically unexplained physical symptoms. ACTA CLINICA BELGICA. 2019;74(3):151–6.
IEEE
[1]
E. Tobback et al., “Opinion paper: the role of work in the management of medically unexplained physical symptoms,” ACTA CLINICA BELGICA, vol. 74, no. 3, pp. 151–156, 2019.
@article{8565296,
  abstract     = {Objectives: Patients with medically unexplained physical symptoms suffer from chronic fatigue and/or pain in combination with a variety of other symptoms. A flexible, biopsychosocial approach is needed for diagnostic screening and global management. It is crucial to involve the direct patient environment, including family, friends, colleagues as well as health providers, evaluation, and reintegration sector. The aim of this paper is to review the importance of work in the management of medically unexplained physical symptoms.
Methods: In this paper, different actors involved explain their views and handling concerning work in the management of MUPS.
Results: Symptom severity and lack of understanding from the environment can negatively impact on earning an independent income from labor for years. Work, whether or not paid, is however, an important life domain with positive effects on physical, psychological, and social well-being. Therefore, health actors are pivotal in starting the professional reintegration process as soon as possible and should discuss this item from the early stage onward. Support services can be consulted in mutual interaction as required. A case manager, acting as a central intermediator within this multidisciplinary approach, may promote effective communication and coordination between the patients and their surrounding actors.
Conclusion: The professional reintegration process should start as soon as possible within the management of medically unexplained physical symptoms. As such, the care sector, the evaluation sector, and the professional integration sector should collaborate and effectively communicate with each other.},
  author       = {Tobback, Els and Mariman, An and Clauwaert, Lies and Godderis, Lode and Heytens, Stefan and Ruppol, Patrick and Spooren, Daniel and Tytgat, Rita and De Muynck, Martine and Vogelaers, Dirk},
  issn         = {1784-3286},
  journal      = {ACTA CLINICA BELGICA},
  keywords     = {Biopsychosocial model,case manager,fatigue,pain,work,CHRONIC-FATIGUE-SYNDROME,HEALTH,COMMUNICATION,PARTICIPATION,DISEASES,CARE},
  language     = {eng},
  number       = {3},
  pages        = {151--156},
  title        = {Opinion paper: the role of work in the management of medically unexplained physical symptoms},
  url          = {http://dx.doi.org/10.1080/17843286.2018.1462754},
  volume       = {74},
  year         = {2019},
}

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