PDF(Pubmed)
Abstract：
A substantial portion of patients presenting to healthcare settings exhibit physical symptoms lacking clear, demonstrable organic causes. Accurate assessment of symptom severity is crucial for documenting outcomes and establishing treatment efficacy. This systematic review and narrative synthesis aims to provide researchers with insights into available and validated tools for assessing medically unexplained physical symptoms (MUPS). It involved comprehensive searches across electronic databases, including PubMed, Wiley, and Cochrane, adhering to PRISMA and COSMIN guidelines. The study comprised two phases: Phase 1 systematically reviewed tools for assessing MUPS symptoms and severity, while Phase 2 conducted a narrative synthesis of their measurement properties, focusing on validity and reliability. Out of 14,459 records, 191 articles were identified, leading to the recognition of 16 validated tools for assessing MUPS symptoms and severity. Most tools demonstrated excellent internal consistency and structural validity. However, the majority lacked cross-cultural validity. The choice of tools for the assessment of MUPS will assist clinicians and researchers in determining the severity of MUPS and developing a tailored treatment plan to improve the physical and psychological functioning of these patients.
摘要：
到医疗机构就诊的大部分患者表现出缺乏明确的身体症状，明显的有机原因。准确评估症状严重程度对于记录结果和建立治疗效果至关重要。本系统综述和叙述性综合旨在为研究人员提供对可用和经过验证的工具的见解，以评估医学上无法解释的身体症状（MUPS）。它涉及跨电子数据库的全面搜索，包括PubMed,威利,还有Cochrane,坚持PRISMA和COSMIN准则。该研究包括两个阶段：第一阶段系统评估MUPS症状和严重程度的工具，当第二阶段对它们的测量特性进行叙事综合时，注重效度和信度。在14459条记录中,确定了191篇文章，导致识别16个经过验证的工具，用于评估MUPS症状和严重程度。大多数工具表现出优异的内部一致性和结构有效性。然而,大多数人缺乏跨文化的有效性。MUPS评估工具的选择将有助于临床医生和研究人员确定MUPS的严重程度，并制定量身定制的治疗计划，以改善这些患者的身体和心理功能。
