title: Frequent attenders in secondary care: a 3-year follow-up study of patients with medically unexplained symptoms.
abstract: BACKGROUND
  There are few longitudinal studies of patients with medically unexplained symptoms. The aim of this study was to investigate outcome in frequent attenders in secondary care who present repeatedly with medically unexplained symptoms.
  
  
  METHODS
  Forty-eight patients presenting with medically unexplained symptoms, from a sample of 61, participated in a 3-year follow-up study. Psychiatric morbidity, functional impairment and use of services were evaluated.
  
  
  RESULTS
  At follow-up there was a high prevalence of psychiatric morbidity with 69% having at least one psychiatric diagnosis. The sample continued to be high users of a range of health services and substantial functional impairment was reported.
  
  
  CONCLUSIONS
  In this group of frequent attenders with medically unexplained symptoms outcome as measured by psychiatric morbidity, service use and functional impairment remained poor after 3 years.
authors.affiliation: Academic Department of Psychological Medicine, GKT School of Medicine, and Institute of Psychiatry, London.
authors.forename: S
authors.initials: S
authors.lastname: Reid
authors.forename: T
authors.initials: T
authors.lastname: Crayford
authors.forename: A
authors.initials: A
authors.lastname: Patel
authors.forename: S
authors.initials: S
authors.lastname: Wessely
authors.forename: M
authors.initials: M
authors.lastname: Hotopf
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000553:Ambulatory Care / Q000191:economics / Q000523:psychology*; D002648:Child; D015331:Cohort Studies; D004739:England; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000523:psychology* / Q000628:therapy; D008875:Middle Aged; D010044:Outpatient Clinics, Hospital / Q000191:economics; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D013001:Somatoform Disorders / Q000523:psychology* / Q000628:therapy; D013997:Time Factors; D016896:Treatment Outcome