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Tobback E, Mariman A, Clauwaert L, et al. Opinion paper: the role of work in the management of medically unexplained physical symptoms. Acta Clin Belg. 2018;74(3):151-156doi: 10.1080/17843286.2018.1462754.
Tobback, E., Mariman, A., Clauwaert, L., Godderis, L., Heytens, S., Ruppol, P., Spooren, D., Tytgat, R., De Muynck, M., & Vogelaers, D. (2019). Opinion paper: the role of work in the management of medically unexplained physical symptoms. Acta clinica Belgica, 74(3), 151-156. https://doi.org/10.1080/17843286.2018.1462754
Tobback, Els, et al. "Opinion paper: the role of work in the management of medically unexplained physical symptoms." Acta clinica Belgica vol. 74,3 (2019): 151-156. doi: https://doi.org/10.1080/17843286.2018.1462754
Tobback E, Mariman A, Clauwaert L, Godderis L, Heytens S, Ruppol P, Spooren D, Tytgat R, De Muynck M, Vogelaers D. Opinion paper: the role of work in the management of medically unexplained physical symptoms. Acta Clin Belg. 2019 Jun;74(3):151-156. doi: 10.1080/17843286.2018.1462754. Epub 2018 May 04. PMID: 29726743.
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Acta Clin Belg. 2019 Jun;74(3):151-156. doi: 10.1080/17843286.2018.1462754. Epub 2018 May 04.

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

Acta clinica Belgica

Els Tobback, An Mariman, Lies Clauwaert, Lode Godderis, Stefan Heytens, Patrick Ruppol, Daniel Spooren, Rita Tytgat, Martine De Muynck, Dirk Vogelaers

Affiliations

  1. a Department of General Internal Medicine , Ghent University Hospital , Ghent , Belgium.
  2. b Department of Physical and Rehabilitation Medicine , Ghent University Hospital , Ghent , Belgium.
  3. c Department of Occupational, Environmental and Insurance Medicine , Catholic University Louvain , Louvain , Belgium.
  4. d Department of General Practice and Primary Health Care , Ghent University , Gent , Belgium.
  5. e Service for Specialized Guidance for Persons with Special Needs GTB , Ghent , Belgium.
  6. f Medical Department of the Christian Sickness Fund , Christian Sickness Fund , Brussels , Belgium.

PMID: 29726743 DOI: 10.1080/17843286.2018.1462754

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

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