Abstract:
:In the present study of 253 patients with chronic pain syndrome we have made a multidimensional approach. All patients have been included in the study independent of coexisting states of anxiety or depression. We included criteria for diagnosis, duration, generability and intensity of pain, anxiety and depression, psychosocial stressors and social functioning. Using this system we have evaluated the antipain effectiveness of clomipramine and mianserin in a double-blind, placebo-controlled trial. By use of the Melancholia Scale 16 patients (6%) had a major depression, and by use of the Hamilton Anxiety Scale, 72 patients (28%) had a generalized anxiety disorder. The results showed no statistically significant difference between the three treatments, when using a visual analogue scale (VAS 10 cm with cut-off score 2 cm) for severity of pains as outcome criteria or the results of VAS and Global Clinical Impression Scale using the criteria of reduction of 50% or more between the pretreatment and posttreatment scores. By use of all the assessments it is possible to make an improvement curve for each patient expressed by the area under the curve, and not even there we found a difference between the three treatments. Clomipramine and mianserin were significantly superior to placebo in the topographical pain subgroup with headache using area under the improvement curves as criteria (p less than 0.05). When the 60-item General Health Questionnaire was used to identify minor psychiatric morbidity 44% was found. We can use this as a measure of quality of life. Our results have indicated that placebo-controlled studies are still needed in this field of research.
journal_name
Psychother Psychosomjournal_title
Psychotherapy and psychosomaticsauthors
Poulsen DL,Hansen HJ,Langemark M,Olesen J,Bech Pdoi
10.1159/000288032subject
Has Abstractpub_date
1987-01-01 00:00:00pages
60-2issue
1-4eissn
0033-3190issn
1423-0348journal_volume
48pub_type
临床试验,杂志文章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: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: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::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 aim of short-term dynamic psychotherapy is, through working with a central conflict and transference reactions, to obtain lasting changes based on cognitive and emotional understanding of the main dynamics of the central conflict, called insight. The aim of the present study was to construct a follow-up form that ...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000287850
更新日期:1985-01-01 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: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::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: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: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:OBJECTIVE:The study investigates individual differences in the mental representation of attachment and their impact on the cortisol response to psychosocial stress in idiopathic spasmodic torticollis (IST). It was hypothesized (a) that in IST insecure attachment is more prevalent than in a non-clinical control group an...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000012384
更新日期:2000-05-01 00:00:00
abstract:BACKGROUND:While the extent of medical comorbidity in depressive illness is widely recognised, there have been few studies where objective and subjective assessment of comorbidity in chronic depression have been made. The aim of this study was to determine the extent and nature of medical comorbidity, in terms of both ...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000289144
更新日期:1997-01-01 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::Osgood's Semantic Differential was applied to a group of 35 neurotic patients at initial and final stage of individual psychoanalytical psychotherapy. When compared to 'normal' subjects who had not undergone treatment but were examined under the same conditions, neurotic subjects showed, between test and retest, more ...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000288099
更新日期:1988-01-01 00:00:00
abstract::The impact of the loss of the breast in women undergoing surgical treatment for breast cancer is subordinated to the confrontation with the diagnosis of a malignancy in causing depression. The equal distribution of depression in mastectomy and in lumpectomy patients supports the hypothesis that it is the confrontation...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000288153
更新日期:1989-01-01 00:00:00
abstract::The authors examined (1) strength of stress, (2) awareness of stress, and (3) influence of type A behavior and narcissistic personality on stress and its related factors in a sample of 500 middle-aged women. Compared to 400 middle-aged working men, the women scored lower on the type A and coping scales, suggesting the...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000288953
更新日期:1995-01-01 00:00:00
abstract::In a prospective study to identify psychological factors affecting survival in cancer patients receiving radiation therapy, 101 consecutive patients were evaluated for anxiety, depression, and perception of the seriousness of the condition. In 3 years, the survivors were compared to the nonsurvivors. The survivors had...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000288000
更新日期:1987-01-01 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:BACKGROUND:In spite of the connection of alexithymic characteristics to many stress-related disorders, little is known about the effects of these characteristics on the self-perception of stress, which may have functional value in the regulation of daily behavior. The present study assessed the influence of alexithymic...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000012341
更新日期:1999-09-01 00:00:00
abstract:BACKGROUND:Stress reduction and comprehensive lifestyle modification programs have improved atherosclerosis and cardiac risk factors in earlier trials. Little is known about the impact of such programs on quality-of-life (QoL) and psychological outcomes. Given recent significant improvements in cardiac care, we evaluat...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1159/000087781
更新日期:2005-01-01 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::The therapist in biofeedback training plays the role of a teacher or coach. This role, derived from learning theory and practiced in the classroom and playing field, imposes special constraints upon the psychotherapeutic situation. The therapist must be capable of physiological manipulation in self before attempting t...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000287297
更新日期:1978-01-01 00:00:00
abstract::114 patients with permanent colostomy for carcinoma of the rectum were compared by questionnaire and interview with 110 cancer patients, having undergone colonic resection but not bearing a colostomy. The patients' own assessment of their health was for the colostomy group even better than for the controls. The emotio...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000286938
更新日期:1975-01-01 00:00:00
abstract::Developmental trends in type A behavior and somatic risk factors of coronary heart disease were studied in 842 healthy adolescents and young adults. Type A behavior was measured using the AFMS and the somatic risk factors adopted were serum total cholesterol, LDL and HDL cholesterol, systolic blood pressure, diastolic...
journal_title:Psychotherapy and psychosomatics
pub_type: 临床试验,杂志文章,多中心研究
doi:10.1159/000288158
更新日期:1989-01-01 00:00:00
abstract::This paper traces the author's empirical research journey into the measurement of symbolic function as a dimension of alexithymia. The archetypal test with 9 elements (AT9) is proposed as a tool to discrimnate between forms and degrees of disorganization in symbolic behavior of alexithymic subjects. The results seem t...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000287895
更新日期:1985-01-01 00:00:00
abstract:BACKGROUND:Over the last years the way in which patients with chronic physical illness respond to their illness (illness behavior) has been explored by several studies. This study sought to examine characteristics of illness behavior and to investigate the association between illness behavior and psychosocial and clini...
journal_title:Psychotherapy and psychosomatics
pub_type: 临床试验,杂志文章
doi:10.1159/000012308
更新日期:1999-01-01 00:00:00
abstract:OBJECTIVE:We explored whether medical health workers had more psychosocial problems than nonmedical health workers during the COVID-19 outbreak. METHODS:An online survey was run from February 19 to March 6, 2020; a total of 2,182 Chinese subjects participated. Mental health variables were assessed via the Insomnia Sev...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000507639
更新日期:2020-01-01 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:BACKGROUND:Clinicians and researchers synthesize data from randomized controlled trials (RCTs) of antidepressants to make conclusions about the efficacy of medications for depression. All treatments include nonspecific factors in addition to the specific effects of drugs, and study design may influence patient outcomes...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000209348
更新日期:2009-01-01 00:00:00
abstract:BACKGROUND:The Illness Attitude Scales (IAS) were developed by Robert Kellner as a clinimetric index for measuring hypochondriacal fears and beliefs (worry about illness, concerns about pain, health habits, hypochondriacal beliefs, thanatophobia, disease phobia, bodily preoccupations, treatment experience and effects o...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000151387
更新日期:2008-01-01 00:00:00