000003002 001__ 3002
000003002 005__ 20240503115934.0
000003002 0247_ $$2DOI$$a10.6083/M4BV7FPJ
000003002 037__ $$aETD
000003002 245__ $$aImproving management of somatic symptom disorders in integrated healthcare through routine assessment
000003002 260__ $$bOregon Health and Science University
000003002 269__ $$a2016-07-01
000003002 336__ $$aPortfolio
000003002 502__ $$bPh.D.
000003002 520__ $$aThis project implemented routine screening for Somatic Symptom Disorders (SSD) in a reverse integration clinic (that is, primary care incorporated into a mental health center). The purpose of the screening was twofold: first, to explore the prevalence of somatization in this particular clinical setting; and second, to identify patients who might benefit from enhanced care for  treating high symptom burden and/or health anxiety. Screening was conducted for new enrollees in a reverse integration setting over a six-month period. The screening found that in this setting,  57% of newly-enrolled patients who underwent screening endorsed high health anxiety, high symptom burden, or high levels of distress from their physical symptoms. Patients had high rates of co-occurring mental health diagnosis (including depressive disorders, post-traumatic stress disorder, and substance use disorders) and high rates of co-morbid medical issues (including pain, headaches, gastrointestinal disorders, and breathing problems).
000003002 650__ $$aPatient-Centered Care$$031106
000003002 650__ $$aDelivery of Health Care, Integrated$$031297
000003002 650__ $$aAnxiety$$014946
000003002 650__ $$aMedically Unexplained Symptoms$$011873
000003002 650__ $$aMental Health$$022046
000003002 6531_ $$aSymptom Burden
000003002 691__ $$aSchool of Nursing$$041370
000003002 7001_ $$aNotton, Sarah$$uOregon Health and Science University$$041354
000003002 8564_ $$944d4d333-928a-40b7-94a2-a1c2c09d2bd9$$s211866$$uhttps://digitalcollections.ohsu.edu/record/3002/files/3805_etd.pdf
000003002 905__ $$a/rest/prod/cf/95/jb/65/cf95jb65j
000003002 909CO $$ooai:digitalcollections.ohsu.edu:3002$$pstudent-work
000003002 980__ $$aTheses and Dissertations