Abstract:
:Patients with hyperprolactinemia often present with emotional difficulties. These occasionally persist even after successful treatment. Insight into the roots of their diseased state makes a difference in the handling of all cases, but becomes crucial in the not-so-rare situations in which the normalization of hormonal levels is not followed by a feeling of cure. This chapter attempts to provide details, discuss and situate in context the following blocks of pertinent information: (1) prolactin acts upon the central nervous system and variations in its concentrations do affect mood, emotions and behavior; (2) most actions of prolactin are directed to metabolical and behavioral adaptation to pregnancy and the care of the young; (3) even in the absence of pregnancy prolactin secretion responds to environmental stimuli under specific conditions. Whether adaptive, as in the case of surrogate maternity, or pathological, as in the case of pseudopregnancy, prolactin responds to a perceived need to take care of a child; (4) the facts that the clinical onset of prolactinomas often follows life-events and that these tumors occur preferentially in women brought up under specific conditions suggest the possibility that psychological factors may predispose to prolactinomas; (5) dealing with individual cases requires the perception that the relations between prolactin, emotions and feelings are circular, i.e., prolactin affects the brain and mood but, on the other hand, personality traits and environmental factors may stimulate the secretion of prolactin and may play a role in the genesis of the disease.
journal_name
Psychother Psychosomjournal_title
Psychotherapy and psychosomaticsauthors
Sobrinho LGdoi
10.1159/000012273subject
Has Abstractpub_date
1998-01-01 00:00:00pages
133-9issue
3eissn
0033-3190issn
1423-0348pii
pps67133journal_volume
67pub_type
杂志文章,评审abstract::The results of several studies on sleep EEG and dreams in patients with eating disorders are presented and compared with the data obtained in patients with a major depression. The sleep pattern, which is characteristic of depression, could not be found in the eating disorder group. Regarding the cholinergic REM induct...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000288048
更新日期:1987-01-01 00:00:00
abstract:BACKGROUND:Despite evidence that cognitive-behavioral therapy (CBT) is effective for rheumatoid arthritis (RA), little is known about which components of therapy are most efficacious. The present study compared the efficacy of CBT with cognitive therapy (CT) and behavioral therapy (BT) for patients with RA. We hypothes...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,随机对照试验
doi:10.1159/000332334
更新日期:2012-01-01 00:00:00
abstract::The consultation-liaison service at Yale features integrated teams of psychiatrists, social workers, and clinical nurse specialists working together in both consultation and outpatient settings. The model is based on the tenets that (1) comprehensive evaluation of patients is essential for effective treatment; (2) rol...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000288036
更新日期:1987-01-01 00:00:00
abstract:BACKGROUND:In the present study the authors evaluated the relationship between personality traits (according to DSM-III-R) and poor metabolic control in an adult onset insulin-dependent diabetes mellitus sample (n = 77). METHODS:Personality traits were assessed with the Personality Diagnostic Questionnaire--Revised. M...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000289153
更新日期:1997-01-01 00:00:00
abstract::The pathogenesis of psychosomatic distress is considered. This emphasises interest in aetiology of distress rather than solely of disease. The influence of psychological aspects is as important whether the disease is of known or unknown aetiology, and can be of greater importance in poorer socio-economic circumstances...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000287824
更新日期:1984-01-01 00:00:00
abstract::The borderline has deficiencies in the capacity to maintain stable self and object representations and in establishing 'emotional separateness' from others. In order to create and maintain a 'propitious treatment situation' and a 'therapeutic alliance' the therapist must work with unusual sensitivity and repetitivenes...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000287017
更新日期:1976-01-01 00:00:00
abstract::The concept of the specificity of psychosomatic diseases (Alexander) is being differentiated at the time. In order to clarify some aspects of this problem, we want to investigate whether types of self-rating of normal persons differ from those of patients with bronchial asthma. In a second step we shall examine whethe...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000288407
更新日期:1991-01-01 00:00:00
abstract::In this article the results of a study to determine the degree of somatopsychic vulnerability in children with encopresis are discussed. A checklist was constructed for the registration of somatic and functional data relevant to encopresis. Twenty-five children with encopresis were compared with a control group. The e...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000286894
更新日期:1975-01-01 00:00:00
abstract:BACKGROUND:In open and randomized controlled trials self-exposure therapy reduced the frequency of nightmares but follow-up ceased at 7 months post-entry. METHOD:Ten adults who attended an outpatient clinic and had DSM-IV nightmare disorder were put on a 3-month waiting-list. After 3 months they were given a self-expo...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,随机对照试验
doi:10.1159/000095445
更新日期:2006-01-01 00:00:00
abstract::48 patients with alopecia areata, 30 with common baldness, 30 with fungal infections underwent the Paykel's Interview for recent life events. In the 6 months preceding onset, alopecic patients reported 123 events (mean = 2.56), patients with common baldness 22 events (mean = 0.73), patients with fungal infections 15 (...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000287786
更新日期:1984-01-01 00:00:00
abstract::Nurses make up a considerable proportion of the Swedish health care staff. Few nationally representative studies of their work environment and health, however, have been published. The present questionnaire study on work conditions, skill utilization, health and well-being of a national representative sample of 3,500 ...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000288987
更新日期:1995-01-01 00:00:00
abstract:BACKGROUND:The negative effects of vicarious traumatization through trauma work are well known. However, a growing body of evidence testifies to the positive effects that have been reported following trauma. This study explored the potential positive effects of trauma work on therapists, with a focus on the association...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000084004
更新日期:2005-01-01 00:00:00
abstract::All patients with physical illness have an underlying fantasy concerning why they became sick. This fantasy can be elicited by the consulting psychiatrist and the treating physician. The meaning of the fantasy is consistent with the psychodynamic theory of human behavior. Also, once the fantasy is understood, it can b...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000287738
更新日期:1983-01-01 00:00:00
abstract::A psychometric analysis on patients with duodenal ulcer using latent structure coefficients (Loevinger and Mokken) showed that the MMPI subscales of depression, psychasthenia, hypochondriasis, hysteria, schizophrenia and social introversion all could be considered as indicators of Eysenck's dimension of neuroticism. B...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000288919
更新日期:1994-01-01 00:00:00
abstract::It is stated that much psychoneuroendocrinological research is carried out that lacks a theoretical framework and therefore adds little to our current knowledge. Therefore, five research issues have been presented which need further exploration: (1) the temporal relation between subjective and biological stress respon...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,评审
doi:10.1159/000288411
更新日期:1991-01-01 00:00:00
abstract:BACKGROUND:The present study compared the efficacy of psychotherapy for childhood anxiety disorders (excluding trials solely treating post-traumatic stress disorder or obsessive-compulsive disorder). METHODS:The meta-analysis included studies that met the basic CONSORT (consolidated standards of reporting trials) crit...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,meta分析
doi:10.1159/000096361
更新日期:2007-01-01 00:00:00
abstract:BACKGROUND:Evidence suggests substantial comorbidity between symptoms of somatization and depression in clinical as well as nonclinical populations. However, as most existing research has been retrospective or cross-sectional in design, very little is known about the specific nature of this relationship. In particular,...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000071897
更新日期:2003-09-01 00:00:00
abstract::Although cognitive dysfunctions in psychosis have classically been associated with schizophrenia, there is clinical evidence that some bipolar patients show cognitive disturbances either during acute phases or in remission periods. The authors critically review the data on cognitive impairment in bipolar disorder. The...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,评审
doi:10.1159/000012361
更新日期:2000-01-01 00:00:00
abstract:BACKGROUND:Exercise training may be especially helpful for patients with generalized anxiety disorder (GAD). We conducted a randomized controlled trial to quantify the effects of 6 weeks of resistance (RET) or aerobic exercise training (AET) on remission and worry symptoms among sedentary patients with GAD. METHODS:Th...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,随机对照试验
doi:10.1159/000327898
更新日期:2012-01-01 00:00:00
abstract:BACKGROUND:Few studies to date have investigated whether in fact the prevalence of eating disorders (ED) and/or use of illicit drugs is higher among models than among other groups of females. METHOD:A group of 63 professional fashion models of various nationalities were studied by means of self-reported questionnaires...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000056285
更新日期:2002-05-01 00:00:00
abstract:BACKGROUND:There is growing evidence that cardiovascular diseases are relatively more prevalent in subjects who feel anxious. An increased clotting diathesis might subject anxious individuals to an elevated arterial thrombotic risk. We investigated whether panic-like anxiety would relate to a hypercoagulable state. ME...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000080388
更新日期:2004-11-01 00:00:00
abstract:BACKGROUND:The aim of this study was to investigate the clinical features of psychosomatic disorders in Japan. METHODS:A total of 1,432 outpatients (515 males and 917 females; 9-95 years of age, mean age 36) attending a psychosomatic clinic for the first time were assessed by the DSM-III-R or DSM-IV semistructured int...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000012258
更新日期:1998-01-01 00:00:00
abstract:BACKGROUND:With regard to cluster B personality disorders, most psychotherapeutic treatments focus on borderline personality disorder. Evidence-based treatments for patients with other cluster B personality disorders are not yet available. Psychoanalytic-interactional therapy (PIT) represents a transdiagnostic treatmen...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,随机对照试验
doi:10.1159/000441731
更新日期:2016-01-01 00:00:00
abstract:OBJECTIVE:Obsessive-compulsive disorder (OCD) with poor insight has severe consequences for patients; nonetheless, no randomized controlled trial has ever been performed to evaluate the effectiveness of any treatment specifically for poor-insight OCD. A new psychotherapy for OCD, the inference-based approach (IBA), tar...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,随机对照试验
doi:10.1159/000382131
更新日期:2015-01-01 00:00:00
abstract::The relationship between depressed mood and alexithymia, measured by the Toronto Alexithymia Scale (TAS) was investigated in a group of psychiatric inpatients (n = 81) and outpatients (n = 97). In both cohorts correlations between the TAS and obsessoid personality style were significant when controlled for mood. The o...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000288373
更新日期:1990-01-01 00:00:00
abstract:BACKGROUND:There is a scarcity of published studies of the effects of cardiac counselling among professional drivers (PD). Aims of the study were: (1) to examine explanatory variables for two classical 'driver' risk factors - body mass index (BMI), and smoking - and to analyse the interrelations among smoking cessation...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000012285
更新日期:1998-07-01 00:00:00
abstract::Phobic patients have been shown to be, on average, more hypnotizable than others. The essence of the phobic experience is not unlike that of the event of hypnosis, and the phobic experience might be a spontaneously occurring panic-filled trance-like or dissociative experience. This dissociation is viewed as a maladapt...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000287509
更新日期:1981-01-01 00:00:00
abstract::Noting concerns for the measurement of alexithymia, the present study attempted (1) to provide descriptive data on the Schalling - Sifneos Personality Scale ( SSPS ); (2) to replicate previous factor-analytic findings on the SSPS , and (3) to suggest an alternative to the present method of scoring the SSPS . A sample ...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000287802
更新日期:1984-01-01 00:00:00
abstract:BACKGROUND:Psychiatric disorders are frequent in dermatology patients, and many studies pointed out complex, mutual relationships between psyche and skin. Our aim was to provide a systematic psychosocial evaluation of a large and heterogeneous population of patients with skin diseases, including assessments of quality ...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000086323
更新日期:2005-01-01 00:00:00
abstract:BACKGROUND:Psychological debriefing uses brief unsystematic exposure, and is ineffective for posttraumatic stress symptoms and disorder. Systematic exposure alone and cognitive restructuring alone are each effective. Other approaches too may be useful. METHODS:The treatment of 3 posttraumatic stress disorder (PTSD) pa...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000085144
更新日期:2005-01-01 00:00:00