Abstract:
BACKGROUND:Felt security in close relationships may affect individual adaptation responses to existential threat in severe illness. We examined the contribution of attachment security to demoralization, a state of existential distress involving perceived pointlessness and meaninglessness in advanced cancer. METHOD:A mixed cross-sectional sample of 382 patients with advanced cancer (mean age 59, 60% female) was recruited from outpatient oncology clinics. Participants completed self-report measures of attachment security, demoralization, depression, and physical symptom burden. We used multiple linear regression to analyze the association between attachment security and demoralization, controlling for demographic factors and symptom burden and tested whether attachment security moderated the association of symptom burden with demoralization. Separate analyses compared the contribution of the dimensions of attachment anxiety and attachment avoidance. RESULTS:The prevalence of clinically relevant demoralization was 35%. Demoralization was associated with lower attachment security (β = -0.54, 95%CI: -0.62 to 0.46). This effect was empirically stronger for attachment anxiety (β = 0.52, 95%CI: 0.44 to 0.60) compared to attachment avoidance (β = 0.36, 95%CI: 0.27 to 0.45). Attachment security also significantly moderated the association of physical symptom burden with demoralization, such that with less attachment security, there was a stronger association between symptom burden and demoralization. CONCLUSION:Attachment security may protect from demoralization in advanced cancer. Its relative lack, particularly on the dimension of attachment anxiety, may limit adaptive capacities to deal with illness burden and to sustain morale and purpose in life. An understanding of individual differences in attachment needs can inform existential interventions for severely ill individuals.
journal_name
J Psychosom Resjournal_title
Journal of psychosomatic researchauthors
Vehling S,Tian Y,Malfitano C,Shnall J,Watt S,Mehnert A,Rydall A,Zimmermann C,Hales S,Lo C,Rodin Gdoi
10.1016/j.jpsychores.2018.11.018subject
Has Abstractpub_date
2019-01-01 00:00:00pages
93-99eissn
0022-3999issn
1879-1360pii
S0022-3999(18)30767-0journal_volume
116pub_type
杂志文章abstract:OBJECTIVE:This study evaluates the Brief Illness Perception Questionnaire (Brief IPQ), a nine-item scale designed to rapidly assess the cognitive and emotional representations of illness. METHODS:We assessed the test-retest reliability of the scale in 132 renal outpatients. We assessed concurrent validity by comparing...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2005.10.020
更新日期:2006-06-01 00:00:00
abstract::Eating disorders in diabetes mellitus may be associated with serious diabetic complications. This study examines the prevalence of complications and the usefulness of the Eating Attitudes Test (EAT) in screening for eating disorders in a group of insulin-dependent diabetic women. Coping strategies for dealing with dia...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/0022-3999(95)00534-x
更新日期:1996-01-01 00:00:00
abstract:UNLABELLED:OBJECTIVES Sleep-disordered breathing has been hypothesized to have a close relationship with hypertension but previous studies have reported mixed results. This is an important health issue that requires further clarification because of the potential impact on the prevention and control of hypertension. ME...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/s0022-3999(00)00142-2
更新日期:2000-06-01 00:00:00
abstract:OBJECTIVE:There is wide variability in latency to attend hospital following a myocardial infarction (MI). The present study assessed possible psychological factors that may be implicated in delayed presentation. METHOD:Seventy-two patients who had experienced a confirmed MI were interviewed in hospital, 3-5 days post-...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/s0022-3999(01)00265-3
更新日期:2001-10-01 00:00:00
abstract:OBJECTIVE:This review aimed to examine evidence for the role of hormonal changes in the onset and course of depressive symptomatology and to assess the possible future role of hormonal therapies in the treatment of depression. METHODS:A Medline and PsycINFO search of the literature published between 1965 and 2006 was ...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章,评审
doi:10.1016/j.jpsychores.2006.12.019
更新日期:2007-04-01 00:00:00
abstract:OBJECTIVE:Asylum seekers who have experienced persecution, war and torture show high prevalence rates of stress-related mental disorders. After arrival in the host country, the early stages of resettlement seem to be a particularly vulnerable phase characterized by social instability. This longitudinal study aimed to e...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2020.109977
更新日期:2020-05-01 00:00:00
abstract:OBJECTIVE:The multi-wave longitudinal study was to explore the underlying mechanisms between sleep disturbance and depressive symptoms for up to 9.5 months among student nurses and to examine whether emotional exhaustion and sleep-related worry could be the mediators. METHODS:856 student nurses aged 15-24 years (mean ...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2019.109870
更新日期:2020-02-01 00:00:00
abstract:OBJECTIVES:A new sleep journal, Behavioral Sleep Medicine (BSM), will publish its first issue shortly. This journal is interested in the application of behavioral/cognitive science to the study of normal and disordered sleep. I review the historical background leading to the creation of this journal and then focus on t...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/s0022-3999(02)00541-x
更新日期:2003-01-01 00:00:00
abstract::Preference not to disclose information was investigated as a likely explanation for low rates of report of concerns in hypertensives. The research was designed to explore alternative explanations that have been provided by others. Two studies investigated the effect of situational contexts which provided low or high s...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/0022-3999(89)90106-2
更新日期:1989-01-01 00:00:00
abstract:OBJECTIVE:It was examined whether unstimulated salivary cortisol levels as a psychobiological marker of stress reactivity correspond to psychological assessments of pain perception, depressive mood, and anxiety in patients with functional gastrointestinal disorder (FGD). METHODS:A total of 30 patients was diagnosed ac...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2005.03.005
更新日期:2005-07-01 00:00:00
abstract:BACKGROUND AND OBJECTIVE:Few studies have evaluated the association of personality traits with functional dyspepsia (FD). In the present study, we aimed to explore the relationship between different personality traits and FD in a sample of Iranian adults. METHODS:This cross-sectional study was conducted on 4763 adults...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2019.109912
更新日期:2020-02-01 00:00:00
abstract:OBJECTIVE:To explore the association between depressive symptom history and cancer incidence. METHODS:Affective/emotional depressive symptoms were assessed using the General Health Questionnaire (GHQ-30) depression sub-scale across phase 1 (1985-1988), phase 2 (1989-1990), and phase 3 (1991-1994) of the Whitehall II p...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2015.07.011
更新日期:2015-12-01 00:00:00
abstract:OBJECTIVE:Previous research suggests that medically unexplained symptoms (MUS) are maintained in an interpersonal context. The current study examined MUS concurrently and prospectively by measuring specific interpersonal predictors of symptom severity and health care use. METHODS:A total of 127 patients with MUS and t...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2009.09.012
更新日期:2010-03-01 00:00:00
abstract::Using a measure of bulimia (BULIT) that has demonstrated validity and reliability, the prevalence of bulimia among three samples of college females was found to range from 2.0 to 3.8%. These percentages are substantially lower than most previous reports would suggest. Factor analysis of the BULIT data revealed that th...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/0022-3999(87)90100-0
更新日期:1987-01-01 00:00:00
abstract:OBJECTIVE:Multiple sclerosis (MS) is associated with various psychological problems, including depression and anxiety. Whilst MS support groups are intended to improve mental health, this goal is not always achieved. Taking a social identity approach, we hypothesise that it is the level of subjective identification wit...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2013.02.002
更新日期:2013-05-01 00:00:00
abstract:OBJECTIVE:Given the importance of fatigue in cancer, stroke and HIV, we sought to assess the measurement properties of a single, well-described fatigue scale in these populations. We hypothesized that the psychometric properties of the Functional Assessment of Chronic Illness Therapy - Fatigue (FACIT-F) subscale would ...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2012.10.011
更新日期:2013-01-01 00:00:00
abstract:OBJECTIVE:The aim of this paper was to review the evidence regarding the possibility of a relationship between psychological intervention and survival time of cancer patients. METHOD:A literature search was conducted using CD ROM databases to identify studies which have evaluated the effects of psychological intervent...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章,评审
doi:10.1016/s0022-3999(00)00153-7
更新日期:2000-08-01 00:00:00
abstract:OBJECTIVE:Despite being recognized as an important prognostic factor for the outcome in gender identity disorder (GID), psychiatric comorbidity has rarely been assessed by means of standardized diagnostic instruments. The aim of this study was to assess current and lifetime psychiatric comorbidity in patients with GID....
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
abstract:OBJECTIVE:This study examined the ecological validity and clinical utility of NIH Patient Reported-Outcomes Measurement Information System (PROMIS®) instruments for anger, depression, and fatigue in women with premenstrual symptoms. METHODS:One-hundred women completed daily diaries and weekly PROMIS assessments over 4...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2014.01.010
更新日期:2014-04-01 00:00:00
abstract:OBJECTIVE:To examine the psychometric properties of the Type D Scale (DS14) in mainland China. METHODS:One hundred and seventy-eight coronary heart disease (CHD) patients and 376 healthy controls were recruited. They completed the Chinese version of the DS14, the Zung Self-Rating Depression Scale, the Positive Affect ...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2008.06.009
更新日期:2008-12-01 00:00:00
abstract::The concepts of dissociation and conversion are historically linked with the first psychodynamic ideas on hysteria. However, the abolition of "hysterical neurosis" from current nosology has led to independent developments of these theoretical models. Recent studies found a high degree of somatization in dissociative d...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/s0022-3999(98)00112-3
更新日期:1999-03-01 00:00:00
abstract::Broad categories of adjustment to cancer were originally identified clinically. Subsequently, a self-rating questionnaire--the MAC (Mental Adjustment to Cancer) scale--was developed to measure these categories of adjustment. We report here a validation study of the MAC scale. Fifty-four consecutively referred patients...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/0022-3999(89)90027-5
更新日期:1989-01-01 00:00:00
abstract:BACKGROUND:Tourette syndrome (TS) is a disorder of chronic motor and vocal tics that begins in childhood. METHODS:A systematic Medline search was conducted to identify existing anatomical imaging studies in persons with TS. RESULTS:Thirty studies were identified, and their methods and findings were reviewed. Findings...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章,评审
doi:10.1016/j.jpsychores.2009.07.005
更新日期:2009-12-01 00:00:00
abstract:OBJECTIVE:Individuals with medical conditions are likely to have elevated health anxiety; however, research has not demonstrated how medical status impacts response patterns on health anxiety measures. Measurement bias can undermine the validity of a questionnaire by overestimating or underestimating scores in groups o...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2014.12.014
更新日期:2015-04-01 00:00:00
abstract:OBJECTIVE:Modern health worries (MHWs) refer to perceived risk to personal health from technological changes and features of modern life, and is associated with health outcomes. The present objective was to test the hypotheses of (i) associations between MHWs and a global measure of typical somatization symptoms, refer...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2020.110163
更新日期:2020-08-01 00:00:00
abstract:OBJECTIVE:It is widely acknowledged that the prevalence of depression in the general population is high, but that it is even higher for patients with medical disorders. Yet, the effectiveness of psychological treatments in these patient populations has not been firmly established. METHODS:We conducted a meta-analysis ...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章,meta分析
doi:10.1016/j.jpsychores.2010.01.019
更新日期:2010-07-01 00:00:00
abstract:OBJECTIVE:Previous research has indicated that the concealment of homosexuality is related to poorer health among gay men with HIV. This study explored mechanisms by which concealment of homosexuality may be related to HIV disease status by examining associations between concealment of homosexuality, social support, so...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/s0022-3999(02)00481-6
更新日期:2003-03-01 00:00:00
abstract::Blood pressure and heart rate responses were monitored while 30 medical, dental or graduate students completed four laboratory tasks. On a second day, subjects wore an ambulatory blood pressure monitor, and during this day they completed the real-world challenge of presenting their research in front of a small audienc...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/0022-3999(90)90033-z
更新日期:1990-01-01 00:00:00
abstract:OBJECTIVE:To examine the association of diabetes and prediabetes with suicide deaths in a Japanese working population. METHODS:A nested case-control study was conducted using data from the Japan Epidemiology Collaboration on Occupational Health Study. During 8 years of follow-up, we identified 56 registered cases of s...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2020.110246
更新日期:2020-11-01 00:00:00
abstract::This study was designed to evaluate the efficacy of a brief, structured pain management program to improve control over chest pain episodes in patients diagnosed with coronary artery disease. Twenty-six male veterans who attended the three-session program were compared with twenty-six matched controls. Results indicat...
journal_title:Journal of psychosomatic research
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/0022-3999(94)90102-3
更新日期:1994-07-01 00:00:00