A two-year follow-up study of patients with somatoform disorders.


:Thirty inpatients with multiple somatoform symptoms admitted to a psychosomatic hospital were diagnosed using the Structured Clinical Interview for DSM-III-R and questionnaires. Two years later, a reexamination by interview and a follow-up questionnaire took place. The authors found high comorbidity rates not only for affective disorders (lifetime 86%), but also for anxiety disorders (lifetime 43%). Comorbidity is of high prognostic relevance: whereas patients with only somatoform disorders at first assessment may remit until second assessment, in those patients with comorbidity with other psychiatric disorders, some somatoform symptoms still remain. The rate of misdiagnosed organic disorders is estimated at lower than 10%.






Rief W,Hiller W,Geissner E,Fichter MM




Has Abstract


1995-07-01 00:00:00














  • Neuropsychiatric scurvy.

    abstract:BACKGROUND:Scurvy is a disease with well-known peripheral symptoms, such as bleeding and pain. METHODS:The clinical and historical evidence for a distinct form of scurvy affecting the central nervous system, called neuropsychiatric scurvy, is reviewed. Pathophysiologic factors are described, as well as its diagnosis a...


    pub_type: 杂志文章,评审


    authors: Brown TM

    更新日期:2015-01-01 00:00:00

  • Poor health-related quality of life is a predictor of early, but not late, cardiac events after percutaneous coronary intervention.

    abstract::Poor health-related quality of life (HRQL) is associated with mortality in cardiac patients. Patients (N=667) with poor HRQL after percutaneous coronary intervention had a higher incidence of early (< or =6 months) major adverse cardiac events (MACE) than did patients with good HRQL, whereas there was no difference fo...


    pub_type: 杂志文章


    authors: Pedersen SS,Martens EJ,Denollet J,Appels A

    更新日期:2007-07-01 00:00:00

  • Antihistamines.

    abstract::Antihistamines and their drug-drug interactions are reviewed in depth. The metabolism of "classic" or sedating antihistamines is coming to light through in vivo and in vitro studies. The polymorphic CYP 2D6 metabolic enzyme appears to be potently inhibited by many of these over-the-counter medications. The history of ...


    pub_type: 杂志文章,评审


    authors: Armstrong SC,Cozza KL

    更新日期:2003-09-01 00:00:00

  • Utilization of medical specialists by anxiety disorder patients.

    abstract::The purpose of this study was to determine the utilization of medical specialists by anxiety disorder patients. The setting was a university's clinical outpatient drug trails for anxiety disorders. The participants were subjects identified by advertisement and diagnosed by psychiatric interviews and, in some instances...


    pub_type: 杂志文章


    authors: Kennedy BL,Schwab JJ

    更新日期:1997-03-01 00:00:00

  • Age, affective distress, and illness detection in patients evaluated for gastrointestinal complaints.

    abstract::A study of 260 patients was conducted in 1990 using a questionnaire that was designed to measure and assess their recall of symptom patterns, symptom distress levels, symptom interpretation, and physician-recommended treatment plans. The questionnaire was mailed 6-18 months after they had undergone a gastrointestinal ...


    pub_type: 杂志文章


    authors: Harper RG,Kane FJ,Stroehlein J

    更新日期:1994-03-01 00:00:00

  • Constant observation in the general hospital.

    abstract::Constant observation (CO) is a technique in which continuous one-to-one monitoring is used to assure the safety and well-being of an individual patient or others. This study reviewed 115 patient charts in a tertiary-care hospital to determine the correlates and predictors of the financial cost of CO. The mean duration...


    pub_type: 杂志文章


    authors: Blumenfield M,Milazzo J,Orlowski B

    更新日期:2000-07-01 00:00:00

  • Neuropsychiatric conditions associated with anesthesia exposure.

    abstract:BACKGROUND:Although anesthetics have been used for more than a century, their mechanisms of action remain poorly understood. Given that a number of intraoperative and postoperative neuropsychiatric syndromes have been linked to the use of anesthetics, practitioners should familiarize themselves with these conditions. ...


    pub_type: 杂志文章,评审


    authors: Gross AF,Stern TA

    更新日期:2014-01-01 00:00:00

  • Administration of olanzapine to prevent postoperative delirium in elderly joint-replacement patients: a randomized, controlled trial.

    abstract:BACKGROUND:Delirium is a serious postoperative condition for which few pharmacologic prevention trials have been conducted. OBJECTIVE:The authors tested the efficacy of perioperative olanzapine administration to prevent postoperative delirium in elderly patients after joint-replacement surgery. METHOD:The authors con...


    pub_type: 杂志文章,随机对照试验


    authors: Larsen KA,Kelly SE,Stern TA,Bode RH Jr,Price LL,Hunter DJ,Gulczynski D,Bierbaum BE,Sweeney GA,Hoikala KA,Cotter JJ,Potter AW

    更新日期:2010-09-01 00:00:00

  • Facial dyskinesias.

    abstract::The face is prominently or exclusively involved in several involuntary movement disorders, called "facial dyskinesias," in addition to the common buccolingual form of tardive dyskinesia. This review describes the appearance of the most frequently occurring facial dyskinesias: chorea, dystonia, tremor, and tics. Some n...


    pub_type: 杂志文章,评审


    authors: Kaufman DM

    更新日期:1989-07-01 00:00:00

  • Factors associated with disability and depressive symptoms among individuals with diabetes: a community study in Quebec.

    abstract:BACKGROUND:The prevalence of diabetes in Canada is increasing. Multiple factors have been identified in the development of disability in diabetic patients, but the interaction of those risk factors is not clear. OBJECTIVE:The purpose of this paper was to assess the association between diabetes severity, health behavio...


    pub_type: 杂志文章


    authors: Schmitz N,Messier L,Nitka D,Ivanova A,Gariepy G,Wang J,Malla A,Boyer R,Lesage A,Strychar I

    更新日期:2011-03-01 00:00:00

  • Psychological factors affecting self-excoriative behavior in women with mild-to-moderate facial acne vulgaris.

    abstract::The authors examined the psychological factors associated with self-excoriative behavior among 56 women (mean +/- SE age: 24.0 +/- 1.0 years) with mild-to-moderate facial acne vulgaris. Ratings associated with poor self-concept, such as perfectionistic and compulsive personality traits, correlated more strongly with s...


    pub_type: 杂志文章


    authors: Gupta MA,Gupta AK,Schork NJ

    更新日期:1996-03-01 00:00:00

  • The Management Experiences, Priorities, and Challenges of Medical Directors in the Subspecialty of Consultation-Liaison Psychiatry: Results of a Needs Assessment.

    abstract:BACKGROUND:Medical directors need management skills; yet, few studies describe the specific tasks that directors consider most important, their confidence for these tasks, and how their confidence develops. We studied these questions among directors in the subspecialty of Consultation-Liaison Psychiatry. METHODS:A nee...


    pub_type: 杂志文章


    authors: Bronson B,Perlman G

    更新日期:2020-09-22 00:00:00

  • Untreated trichotillomania and trichophagia: surgical emergency in a teenage girl.

    abstract::Trichophagia secondary to trichotillomania can be a potentially life-threatening condition if left untreated. This report documents the unique case of a 16-year-old girl whose untreated trichotillomania led to a trichobezoar requiring surgical intervention and follow-up psychiatric treatment. Challenges in the identif...


    pub_type: 杂志文章


    authors: Salaam K,Carr J,Grewal H,Sholevar E,Baron D

    更新日期:2005-07-01 00:00:00

  • The future of organ transplant psychiatry.

    abstract::The future of organ transplant psychiatry depends less on immunologic and surgical advances than on 1) an increased supply of donor organs, 2) more sophisticated multicenter outcome studies, and 3) understanding of the subjective as well as objective aspects of compliance and quality of life for transplant recipients....


    pub_type: 杂志文章,评审


    authors: Freeman AM 3rd,Westphal JR,Davis LL,Libb JW

    更新日期:1995-09-01 00:00:00

  • The prevalence of the metabolic syndrome in psychiatric inpatients with primary psychotic and mood disorders.

    abstract::Patients with severe mental illness have elevated rates of cardiovascular disease (CVD) and diabetes compared with the general population, but little is known about the prevalence of the metabolic syndrome that predisposes patients with severe mental illness to both medical conditions. The purpose of this study was to...


    pub_type: 杂志文章


    authors: Bermudes RA,Keck PE Jr,Welge JA

    更新日期:2006-11-01 00:00:00

  • Adolescent cancer survivors. Psychosocial and familial adaptation.

    abstract::Adolescent cancer survivors were compared with nondiseased control subjects on measures of adaptation, coping, body image, sexual adjustment, psychopathology, and family functioning. Cancer survivors reported no major difficulties in social competence, overall coping, and family communication. Although their school te...


    pub_type: 杂志文章


    authors: Madan-Swain A,Brown RT,Sexson SB,Baldwin K,Pais R,Ragab A

    更新日期:1994-09-01 00:00:00

  • Psychological distress among women with recurrent spontaneous abortion.

    abstract::Fifty-seven of 100 women with recurrent abortion completed questionnaires designed to assess demographic and reproductive variables, depression, anxiety, social desirability, self-esteem, locus of control, and marital adjustment. The results indicated that 32% of the women could be classified as depressed. The subject...


    pub_type: 杂志文章


    authors: Klock SC,Chang G,Hiley A,Hill J

    更新日期:1997-09-01 00:00:00

  • Ophthalmologic effects of psychotropic medications.

    abstract::This article reviews the effects of psychotropic medications on the eye. Although some of these effects have been known for years, they have been largely ignored by psychiatrists. The ophthalmologic effects of antidepressants, neuroleptics, benzodiazepines, carbamazepine, and lithium in therapeutic doses and overdose ...


    pub_type: 杂志文章,评审


    authors: Malone DA Jr,Camara EG,Krug JH Jr

    更新日期:1992-07-01 00:00:00

  • Understanding associations between serious mental illness and hepatitis C virus among veterans: a national multivariate analysis.

    abstract:BACKGROUND:Hepatitis C virus (HCV) is a leading cause of hepatocellular carcinoma and cirrhosis in the United States and is known to be transmitted via pathways associated with substance use (e.g., injection drug use and intranasal drug use). OBJECTIVE:Although individuals with serious mental illness (SMI) have a high...


    pub_type: 杂志文章


    authors: Himelhoch S,McCarthy JF,Ganoczy D,Medoff D,Kilbourne A,Goldberg R,Dixon L,Blow FC

    更新日期:2009-01-01 00:00:00

  • Change in psychosocial functioning and quality of life of patients with body dysmorphic disorder treated with fluoxetine: a placebo-controlled study.

    abstract::In a 12-week placebo-controlled study of fluoxetine in the treatment of body dysmorphic disorder, the authors investigated change in psychosocial functioning and mental health-related quality of life in 60 subjects. The subjects were assessed with the LIFE-RIFT (a measure of impaired functioning), Social and Occupatio...


    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Phillips KA,Rasmussen SA

    更新日期:2004-09-01 00:00:00

  • Cognitive-disorder diagnoses in inpatient psychosomatic-medicine consultations: associations with age and length of stay.

    abstract::Authors reviewed consecutive charts of 155 cognitive-disorder patients from a psychosomatic medicine service in 2001, analyzing factors of age, cognitive-disorder diagnosis, and length of stay. Mean length of stay for this cohort exceeded the typical hospital length of stay, and decreased with age. Increased age was a...


    pub_type: 杂志文章


    authors: Bourgeois JA,Hilty DM,Wegelin JA,Hales RE

    更新日期:2006-09-01 00:00:00

  • Significant reductions in drinking following brief alcohol treatment provided in a hepatitis C clinic.

    abstract:BACKGROUND:Although the hepatitis C virus (HCV) alone increases the risk of cirrhosis, alcohol use is thought to act synergistically with HCV to significantly hasten the development of fibrosis. OBJECTIVE:The authors assessed the impact of brief medical counseling or integrated-care approaches to lessen or eliminate a...


    pub_type: 杂志文章


    authors: Dieperink E,Ho SB,Heit S,Durfee JM,Thuras P,Willenbring ML

    更新日期:2010-03-01 00:00:00

  • Relationships among pain and depressive and anxiety symptoms in clinical trials of pregabalin in fibromyalgia.

    abstract:BACKGROUND:Fibromyalgia, as defined by the American College of Rheumatology, is characterized by widespread pain lasting for at least 3 months, with pain in at least 11 out of 18 tender points when palpated with digital pressure. OBJECTIVE:The authors investigated the relationship between changes in pain and symptoms ...


    pub_type: 杂志文章


    authors: Arnold LM,Leon T,Whalen E,Barrett J

    更新日期:2010-11-01 00:00:00

  • Consultation-liaison psychiatry and the practice of medicine. The Thomas P. Hackett Award lecture given at the 42nd annual meeting of the Academy of Psychosomatic Medicine, 1995.

    abstract::The contributions of consultation-liaison psychiatrists have significantly influenced the practice of medicine. The author reviews the pertinent literature that substantiates this observation as well as suggests areas that hold promise for such contributions in the future. ...


    pub_type: 杂志文章,评审


    authors: Kornfeld DS

    更新日期:1996-05-01 00:00:00

  • Motivation for psychotherapy in patients with functional gastrointestinal disorders.

    abstract:BACKGROUND:The motivation of patients with functional gastrointestinal disorders to accept psychotherapy (PT) as a treatment option is not known. OBJECTIVE:The authors investigated motivation for patients' refusal to participate and dropout from PT/medical management programs. METHOD:Consecutive patients with symptom...


    pub_type: 杂志文章


    authors: Martens U,Enck P,Matheis A,Herzog W,Klosterhalfen S,Rühl A,Zipfel S,Sammet I

    更新日期:2010-05-01 00:00:00

  • Do Consultation Psychiatrists, Forensic Psychiatrists, Psychiatry Trainees, and Health Care Lawyers Differ in Opinion on Gray Area Decision-Making Capacity Cases? A Vignette-Based Survey.

    abstract:BACKGROUND:Previous research in the area of medical decision-making capacity has demonstrated relatively poor agreement between experienced evaluators in "gray area" cases. We performed a survey to determine the level of agreement about gray area decision-making capacity case scenarios within and between individuals of...


    pub_type: 杂志文章


    authors: Armontrout J,Gitlin D,Gutheil T

    更新日期:2016-09-01 00:00:00

  • Somatoform disorder and the DSM-V Workgroup's interim proposals: two central issues.

    abstract::This paper discusses the published interim report of the DSM-V Workgroup onSomatic Symptom Disorders (SSDs). "SSD" is the term proposed by the Workgroup to replace "somatoform disorder." ...


    pub_type: 杂志文章


    authors: Sykes R

    更新日期:2012-07-01 00:00:00

  • Association of Midlife Status With Response to a Positive Psychology Intervention in Patients With Acute Coronary Syndrome.

    abstract:BACKGROUND:Physical activity is strongly associated with lower risk of recurrent cardiac events in patients who experience an acute coronary syndrome (ACS), yet most patients do not meet recommended levels of physical activity. Psychological well-being is associated with higher levels of physical activity, but midlife ...


    pub_type: 杂志文章


    authors: Feig EH,Celano CM,Massey CN,Chung WJ,Romero P,Harnedy LE,Huffman JC

    更新日期:2020-06-12 00:00:00

  • Are doctors who have been ill more compassionate? Attitudes of resident physicians regarding personal health issues and the expression of compassion in clinical care.

    abstract:BACKGROUND:Compassion is an attribute central to professionalism and modern clinical care, yet little is known about how compassion is acquired and preserved in medical training. We sought to understand whether personal illness experiences are thought by residents to foster compassion. METHODS:The authors surveyed 155...


    pub_type: 杂志文章


    authors: Roberts LW,Warner TD,Moutier C,Geppert CM,Green Hammond KA

    更新日期:2011-07-01 00:00:00

  • Relationship of self-perceptions of memory and worry to objective measures of memory and cognition in the general population.

    abstract::This investigation compared how perceived memory ability or level of worry about memory related to performance on objective tests of memory and cognition. Data from 1,488 participants from the Baltimore cohort of the Epidemiologic Catchment Area study were analyzed. Significant associations were found between self-rat...


    pub_type: 杂志文章


    authors: Podewils LJ,McLay RN,Rebok GW,Lyketsos CG

    更新日期:2003-11-01 00:00:00