Abstract:
OBJECTIVE:Successful healthcare integration demands an understanding of current service utilisation by people with comorbidity. Physical illness may impact on mental health service use (MHSU), but longitudinal studies of comorbidity and MHSU are rare. This study 1) estimated associations between mental-physical comorbidity and longitudinal MHSU patterns; 2) tested whether associations between comorbidity and continuous MHSU are driven by "need". METHODS:Survey data from a South East London community cohort were used (N = 1052). Common mental disorder symptoms (CMDS) were measured using the Clinical Interview Schedule Revised and self-report of long-standing disorders. A checklist of common conditions measured chronic physical conditions. MHSU captured self-reported use of mental health services in the past year at two time points. "Need" indicators included CMDS at follow-up, suicidal ideation, somatic symptom severity, self-rated health, daily functioning problems and perceived functioning limitations due to emotional health. Analyses used logistic and multinomial regression. RESULTS:Continuous MHSU (at both time-points) was twice as commonly reported by those with comorbidity than those without physical comorbidity (30.9% vs 12.3%). CMDS at follow-up, suicidal ideation, and perceived functioning limitations due to emotional health only partially explained the association between CMDS-physical comorbidity and continuous MHSU. In the adjusted model, comorbidity remained associated with continuous MHSU (RRR = 3.23, 95% CI: 1.39-7.51; p = .002), while the association for non-comorbid CMDS was fully attenuated (RRR = 1.08, 95% CI: 0.40-2.93; p = .85). CONCLUSION:CMDS-physical comorbidity was strongly associated with continuous MHSU, and "need" did not account for this association, suggesting that comorbidity itself represents a "need" indicator.
journal_name
J Psychosom Resjournal_title
Journal of psychosomatic researchauthors
Harber-Aschan L,Hotopf M,Brown JSL,Henderson M,Hatch SLdoi
10.1016/j.jpsychores.2018.11.005subject
Has Abstractpub_date
2019-02-01 00:00:00pages
10-19eissn
0022-3999issn
1879-1360pii
S0022-3999(18)30549-Xjournal_volume
117pub_type
杂志文章abstract:OBJECTIVE:The objectives were to give an overview of studies on the validity of the Toronto Alexithymia Scale (TAS-20) and to present data regarding the validity of the TAS-20. METHODS:The literature on the psychometric properties of the TAS-20 was reviewed and a study was conducted of its psychometric properties in a...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章,评审
doi:10.1016/s0022-3999(02)00348-3
更新日期:2002-12-01 00:00:00
abstract:OBJECTIVES:The objective of this study was to examine the effectiveness of mindfulness-based stress reduction (MBSR) on depression, anxiety and psychological distress across populations with different chronic somatic diseases. METHODS:A systematic review and meta-analysis were performed to examine the effects of MBSR ...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章,meta分析,评审
doi:10.1016/j.jpsychores.2009.10.005
更新日期:2010-06-01 00:00:00
abstract::Functional somatic symptoms (FSS) are bodily sensations which do not result from physical disease, but which the patient responds to as if they did. Such symptoms are common and usually transient. In some patients they become persistent and associated with distress and disability. In such cases specific treatment is i...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章,评审
doi:10.1016/0022-3999(92)90037-3
更新日期:1992-09-01 00:00:00
abstract::The psychological correlates of the Rationality/Emotional Defensiveness Scale and its two subscales were examined in 1236 males and 863 females from the Western Collaborative Group Study. An additional 157 males and 164 females with some form of cancer other than of the skin were also included in this analysis. Charac...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
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更新日期:1992-05-01 00:00:00
abstract:OBJECTIVE:Heart failure (HF) markedly diminishes an individual's quality of life. However, little is known about how psychosocial functioning is related to heart failure physical symptom expression (e.g., chest pain or heaviness, shortness of breath) on a day-to-day basis. METHODS:Fifty-eight HF patients completed dai...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
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更新日期:2004-01-01 00:00:00
abstract:INTRODUCTION:Sedation is a core concept in the intensive care setting, however, the impact of sedation on delirium has not yet been studied to date. METHODS:In this prospective cohort study, 225 patients with Richmond Agitation and Sedation (RASS) scores of -1 - drowsiness and 0 - alert- and calmness were assessed wit...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2017.09.011
更新日期:2017-12-01 00:00:00
abstract::This report examines initial distress levels, course of symptoms, incidence of posttraumatic stress disorder (PTSD), predictors of short-term outcome, and value of prophylactic counseling in a consecutive series of 40 ambulant trauma clinic attenders with minor road traffic accident (RTA) injuries. Subjects were rando...
journal_title:Journal of psychosomatic research
pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:1999-01-01 00:00:00
abstract:BACKGROUND:High levels of dietary sugar consumption may result in dysregulated glucose metabolism and lead to elevated cardiovascular disease risk via autonomic nervous system and cardiovascular dysfunction. Altered cardiovascular function can be examined using perturbation tasks such as mental challenge. This study ex...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2012.10.008
更新日期:2013-02-01 00:00:00
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pub_type: 杂志文章
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journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2014.07.006
更新日期:2014-09-01 00:00:00
abstract::Few studies have investigated relationships between psychological variables and survival after bone marrow transplantation (BMT). There is some evidence that psychological variables play a role in the course of cancer, and also after BMT. The present study focused on relationships between psychological variables and s...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/s0022-3999(98)00003-8
更新日期:1998-10-01 00:00:00
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journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2010.04.017
更新日期:2010-11-01 00:00:00
abstract:OBJECTIVE:Despite a lack of evidence, there is an assumption that patients with more complex psychiatric histories (CPH) prior to bariatric surgery have poor post-surgical weight loss and worsening psychiatric symptoms following surgery. Consequently, those with CPH are excluded from bariatric surgery in many bariatric...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
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更新日期:2016-07-01 00:00:00
abstract:OBJECTIVE:We compared the psychosocial and psychosexual concerns of single and partnered women with gynecologic cancer, since relationship status and psychosocial context are known to affect sexuality, a life domain commonly affected by this cancer. METHOD:A cross-sectional convenience sample of 49 women (68% response...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2007.02.011
更新日期:2007-09-01 00:00:00
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journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2012.12.012
更新日期:2013-07-01 00:00:00
abstract:BACKGROUND:Comorbidity studies have shown that depression and somatization (multiple somatoform symptoms) often overlap. Therefore it has been suggested to classify at least some patients with somatization syndromes under the category of depressive disorders. We wanted to investigate whether psychobiological investigat...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章,评审
doi:10.1016/j.jpsychores.2010.02.001
更新日期:2010-05-01 00:00:00
abstract::Although frequently investigated in the general population, the epidemiology of insomnia complaints and their treatment have received little attention in general practice. This study recruited patients > or =15 years of age, consecutively, from 127 general practitioners in France. The physicians collected data from 11...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/s0022-3999(98)00079-8
更新日期:1999-10-01 00:00:00
abstract:OBJECTIVE:Twenty-five years ago, this journal published two articles reporting the development and initial validation of the 20-Item Toronto Alexithymia Scale (TAS-20). Since then the literature on alexithymia has burgeoned with the vast majority of this research using the TAS-20, including multiple language translatio...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章,评审
doi:10.1016/j.jpsychores.2020.109940
更新日期:2020-01-23 00:00:00
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journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/0022-3999(82)90061-7
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journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2006.03.004
更新日期:2006-10-01 00:00:00
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journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2004.08.010
更新日期:2005-03-01 00:00:00
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journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/0022-3999(95)00638-9
更新日期:1996-05-01 00:00:00
abstract:BACKGROUND:In the past decade, a few studies have suggested that psoriasis could be associated with the presence of mild cognitive deficits. OBJECTIVES:The aim of the present matched case-control study was to investigate several cognitive domains (executive functions, verbal memory, attention, and language) in a sampl...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
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更新日期:2018-02-01 00:00:00
abstract::Tricyclic antidepressants have notable cardiac side effects, and this issue has become important due to the recent reports of increased cardiovascular mortality in patients with depression and anxiety. Several previous studies indicate that serotonin reuptake inhibitors (SRIs) do not appear to have such adverse effect...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/s0022-3999(03)00023-0
更新日期:2003-12-01 00:00:00
abstract:OBJECTIVE:Optimism is thought to be associated with long-term favourable outcomes for patients undergoing coronary artery bypass graft (CABG) surgery. Our objective was to examine the association between optimism and post-operative pain and physical symptoms in CABG patients. METHODS:We assessed optimism pre-operative...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2014.07.018
更新日期:2014-10-01 00:00:00
abstract:OBJECTIVE:Although attempted suicide is one of the strongest predictors of completed suicide, few Japanese studies have described psychiatric differences between those who attempt suicide by overdose (OD) and those who use more violent methods (MV). METHODS:A total of 22 consecutively admitted MVs were compared to 78 ...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/s0022-3999(03)00024-2
更新日期:2003-10-01 00:00:00
abstract:OBJECTIVE:Open-label placebos (OLPs) have been found to elicit significant and clinical meaningful effects, but in comparison to deceptive placebo administration there is a lack of research regarding possible predictors. This study sets out to examine the effects of optimism and other personality-related variables on O...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.jpsychores.2018.11.009
更新日期:2019-01-01 00:00:00
abstract:OBJECTIVE:The Training and Support Program (TSP) was designed to equip parents of children with disabilities with a simple massage skill for use with their children in the home environment. The effectiveness of the TSP was examined in a randomized controlled trial with a wait-list control group. METHODS:Parents were t...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1016/j.jpsychores.2007.06.006
更新日期:2008-01-01 00:00:00
abstract:OBJECTIVE:To test the early effects of a novel one-to-one health professional-delivered intervention designed to increase awareness and thereby promote early presentation of breast cancer among older women. METHODS:Women attending their final routine appointment in the English NHS Breast Screening Programme received a...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2009.01.005
更新日期:2009-11-01 00:00:00
abstract:PURPOSE:Chronic fatigue syndrome (CFS) is characterized by profound fatigue accompanied by disturbances of sleep, cognition, mood, and other symptoms. Our objective was to describe sleep architecture in CFS-discordant twin pairs. METHODS:We conducted a co-twin control study of 22 pairs of monozygotic twins where one t...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/S0022-3999(03)00598-1
更新日期:2004-02-01 00:00:00