Abstract:
BACKGROUND:The objective of this study was to assess physicians' perception of their work, organisation and professional development. METHODS:All major disciplines at a major regional hospital were studied. Participants responded to a structured questionnaire concerning broad aspects of physicians' work. The response rate was approximately 78%, with 356 respondents. RESULTS:The results show that even though physicians are overall very satisfied with their work, they list high workload, lack of influence on daily work and work processes as dissatisfactory. Skills utilisation and development are some major areas for improvement. Physicians that were aware of the overall mission statement for their hospital were more satisfied with and informed about departmental goals. Perceived organisational efficiency and leadership qualities were important determinants of perceived workload and work climate. CONCLUSIONS:Stress among physicians is a growing occupational health concern, impacting negatively on patient care. In this article important individual and organisational factors related to physician stress are identified and suggestions to assess stress and intervene are provided.
journal_name
Psychother Psychosomjournal_title
Psychotherapy and psychosomaticsauthors
Arnetz BBdoi
10.1159/000289127subject
Has Abstractpub_date
1997-01-01 00:00:00pages
155-62issue
3eissn
0033-3190issn
1423-0348journal_volume
66pub_type
杂志文章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 introduction of DSM-III/DSM-III-R and ICD-10 implies fundamental innovations to the diagnostic process. The changes relate both to formal aspects (e.g. symptom and time-related criteria) and to content (e.g. the abandonment of the concept of neurosis). Additionally, specific assessment instruments are introduced. ...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,评审
doi:10.1159/000288944
更新日期:1995-01-01 00:00:00
abstract::Eighty morbidly obese married women and 69 of their husbands completed a self-report measure of personal and marital adjustment before the women proceeded to gastric restriction surgery. Fifty-five women and 41 husbands repeated the measure 12 months after surgery, at which time the women had lost a mean of 35.4 kg. W...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000288550
更新日期:1991-01-01 00:00:00
abstract:INTRODUCTION:Worries about the immediate and long-term consequences of the COVID-19 pandemic may for some individuals develop into pervasive worry that is disproportionate in its intensity or duration and significantly interferes with everyday life. OBJECTIVE:The aim of this study was to investigate if a brief self-gu...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000512843
更新日期:2020-11-19 00:00:00
abstract::We present the psychosomatic aspects in self-help groups containing medical patients on the examples of the ostomy group. Following the demonstration of the psychodynamic group processes, the patients' psychological characteristics are described as well as the aims of this type of self-help group. The specific ostomy ...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000287321
更新日期:1979-01-01 00:00:00
abstract:BACKGROUND:The purpose of the present study was to clarify the relationship between the recognition of emotion and physiological response to emotion (i.e. arousal) in alexithymia. METHODS:This study investigated differences in physiological arousal state, as measured by continuous heart rate, electrodermal activity (E...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000056232
更新日期:2001-03-01 00:00:00
abstract:BACKGROUND:Alexithymia and psychopathology may influence the way individuals experience psychological distress and somatic symptoms. This study evaluated patients referred to psychiatric and gastroenterologic outpatient settings in order to investigate the levels of alexithymia and psychopathology, and the possible rol...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000075539
更新日期:2004-03-01 00:00:00
abstract::By way of introduction the concepts 'helpful-supportive' (in analytical psychotherapy) and 'exclusive-supportive' psychotherapy are defined. Then the indications and the patients' characteristics (marked ego weakness, dependency wishes) concerning exclusive-supportive psychotherapy in psychosomatic medicine are outlin...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,评审
doi:10.1159/000288881
更新日期:1994-01-01 00:00:00
abstract:BACKGROUND:A specific psychotherapy for chronic depression, the Cognitive Behavioral Analysis System of Psychotherapy (CBASP), was compared to escitalopram (ESC). METHODS:Sixty patients with chronic major depression were randomized to 'CBASP' (22 sessions) or 'ESC plus clinical management' (ESC/CM) at two treatment si...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,随机对照试验
doi:10.1159/000381957
更新日期:2015-01-01 00:00:00
abstract::Symptoms as reported by myocardial infarction (MI) patients are not easily distinguishable from the symptoms reported by patients with a diagnosis of 'noncardiac chest pain' (NCCP) (hyperventilation and/or functional complaints). MI patients and patients with a diagnosis of NCCP were questioned by means of a structure...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000287760
更新日期:1983-01-01 00:00:00
abstract:BACKGROUND:Depressive syndromes that do not comply with the diagnostic criteria for specific depressive disorders are designated as 'subclinical' or 'subsyndromal' depressive syndromes. Using our own data from a clinical study, this paper outlines the significance of subclinical depressive syndromes and demonstrates th...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000012404
更新日期:2000-09-01 00:00:00
abstract::Preliminary results are reported on the efficacy of a behaviorally oriented group therapy (n = 17) intended to improve coping with fear of long-term complications in patients with diabetes mellitus. Treatment consisted of exposure in imagination, relaxation training and analysis of dysfunctional health beliefs. Pre-, ...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000289009
更新日期:1995-01-01 00:00:00
abstract::Verbal affective expression and psychometric variables were studied in a group of 5 duodenal ulcer and 6 irritable bowel patients. The aim was to assess the relevance of the alexithymia contruct to the distinction between both groups. Irritable bowel patients exhibited higher scores on Zung's depressiveness scale. Ale...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000287839
更新日期:1984-01-01 00:00:00
abstract:BACKGROUND:Attention models view attention as having at least two components: endogenous attention defined as executive and directed by voluntary acts, and exogenous attention defined as automatic and directed by external stimulation. METHODS:Three studies (2 of our own) were designed to evaluate the decline of these ...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000116607
更新日期:2008-01-01 00:00:00
abstract:BACKGROUND:Electromagnetic hypersensitivity (EHS) is a poorly understood condition in which patients report symptoms following perceived exposure to weak electromagnetic fields (EMFs) such as those produced by mobile phones or visual display units. Little is known about the aetiology of the condition although experimen...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,评审
doi:10.1159/000089222
更新日期:2006-01-01 00:00:00
abstract:BACKGROUND:It is still unknown whether anxiety disorders observed in Graves' disease are a consequence of increased thyroid hormone levels or precede the onset of Graves' disease. METHODS:Two case reports are described. RESULTS:In 2 patients Graves' disease occurred in the setting of previously established euthyroid ...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000289088
更新日期:1996-01-01 00:00:00
abstract::Hypnosis as an intrapsychological and interpersonal experience is used as an integrative and amplifying procedure in relation to biofeedback mechanism and behavior therapy. The hypnotic capacity for linking cognitive to affective reactions within a feedback loop of sensory and motor imagery is presented as a dynamic a...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000287343
更新日期:1979-01-01 00:00:00
abstract:BACKGROUND:Patients with medically unexplained or functional somatic symptoms (FSS) are prevalent in primary care. In this pragmatic cluster-randomised controlled trial we aimed to test the effect of a training programme (The Extended Reattribution and Management model) for general practitioners (GPs) in the treatment ...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,随机对照试验
doi:10.1159/000313691
更新日期:2010-06-01 00:00:00
abstract:BACKGROUND:Deficits in emotion regulation skills are possible factors maintaining major depressive disorder (MDD). Therefore, the aim of the study was to test whether integrating a systematic emotion regulation training (ERT) enhances the efficacy of routine inpatient cognitive behavioral therapy (CBT) for MDD. METHOD...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,随机对照试验
doi:10.1159/000348448
更新日期:2013-01-01 00:00:00
abstract:BACKGROUND:Several studies suggested that the surroundings of chronic fatigue syndrome (CFS) patients are of importance in the persistence of complaints. Contrary to what was expected, participation in support groups has not led to clinical improvement. The purpose of the present study was to describe social support in...
journal_title:Psychotherapy and psychosomatics
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.1159/000076455
更新日期:2004-05-01 00:00:00
abstract::This study was a randomized prospective clinical trial to test the effect of a professionally provided program of social support counselling on newly diagnosed lung cancer patients and their families. Over the 6 months of the intervention there was no differential change by experimental status for either the patients ...
journal_title:Psychotherapy and psychosomatics
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1159/000287871
更新日期:1985-01-01 00:00:00
abstract::Cognitive therapy includes a variety of methods. There are two main schools, a currently predominant American one, and an earlier European one. They give different emphasis to the concept of the evolution of human cognition. There is agreement on the particular significance of surmounting absolutist thinking. ...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000288357
更新日期:1990-01-01 00:00:00
abstract:BACKGROUND:Patients with medically unexplained symptoms (MUS) are difficult to treat and cause high health-care costs. Psychological interventions might be a beneficial option for treating patients with MUS, but evidence is inconsistent. This meta-analysis compares the effectiveness of psychological interventions for M...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,meta分析,评审
doi:10.1159/000380914
更新日期:2015-01-01 00:00:00
abstract::The Derogatis Stress Profile (DSP) is unique among the numerous measures of 'stress' in that it incorporates the interactional model of Lazarus and Folkman in a multidimensional structure. Derogatis has studied the psychometric properties of the DSP but its validity has not been demonstrated in the 'real world' nor ha...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000288555
更新日期:1991-01-01 00:00:00
abstract::The purpose of this investigation was to measure alexithymia in 90 newly abstinent alcoholism treatment candidates and to examine the relationship between alexithymia and depressive symptoms. Subjects completed the Schalling-Sifneos Personality Scale (SSPS) and the Beck Depression Inventory (BDI) at the time of applic...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000288065
更新日期:1988-01-01 00:00:00
abstract:BACKGROUND:Cognitive-behavioural therapy (CBT) is the first-choice treatment in clients with ultra-high risk (UHR) for psychosis. However, CBT is an umbrella term for a plethora of different strategies, and little is known about the association between the intensity and content of CBT and the severity of symptomatic ou...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,随机对照试验
doi:10.1159/000477551
更新日期:2017-01-01 00:00:00
abstract::Psychiatric clinicians frequently prescribe biologic treatments such as antidepressant medication in combination with psychologic treatments such as psychotherapy. In the present article we propose a model integrating antidepressant treatment with Beck's cognitive therapy, a form of psychotherapy with established effi...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,评审
doi:10.1159/000288892
更新日期:1994-01-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:The effectiveness of brief psychotherapy is established, but criteria for the selection of patients remain elusive. This study examines the usefulness of some widely used criteria for the selection of patients for brief psychodynamic therapy (BPT). METHODS:A checklist of 39 criteria often use...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000012332
更新日期:1999-01-01 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: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