Abstract：
UNLABELLED:The DSM-5 diagnosis of illness anxiety disorder adds avoidance as a component of a behavioral response to illness fears - one that was not present in prior DSM criteria of hypochondriasis. However, maladaptive avoidance as a necessary or useful criterion has yet to be empirically supported. METHODS:195 individuals meeting DSM-IV criteria for hypochondriasis based on structured interview completed a variety of self-report and clinician-administered assessments. Data on maladaptive avoidance were obtained using the six-item subscale of the clinician-administered Hypochondriasis - Yale Brown Obsessive Compulsive Scale - Modified. To determine if avoidance emerged as a useful indicator in hypochondriasis, we compared the relative fit of continuous latent trait, categorical latent class, and hybrid factor mixture models. RESULTS:A two-class factor mixture model fit the data best, with Class 1 (n=147) exhibiting a greater level of severity of avoidance than Class 2 (n=48). The more severely avoidant group was found to have higher levels of hypochondriacal symptom severity, functional impairment, and anxiety, as well as lower quality of life. CONCLUSION:These results suggest that avoidance may be a valid behavioral construct and a useful component of the new diagnostic criteria of illness anxiety in the DSM-5, with implications for somatic symptom disorder.
journal_name
J Psychosom Resjournal_title
Journal of psychosomatic researchauthors
Doherty-Torstrick ER,Walton KE,Barsky AJ,Fallon BAdoi
10.1016/j.jpsychores.2016.07.010subject
Has Abstractpub_date
2016-10-01 00:00:00pages
46-52eissn
0022-3999issn
1879-1360pii
S0022-3999(16)30351-8journal_volume
89pub_type
杂志文章abstract：OBJECTIVE:The aim of the study was the determination of the relationships between neurophysiological and psychosocial factors within the pathogenesis of migraine. METHODS:The contingent negative variation (CNV), parent-child interactions and theirs relationship were investigated in 30 families with a migraine child an...
journal_title：Journal of psychosomatic research
pub_type： 杂志文章
doi：10.1016/s0022-3999(02)00299-4
更新日期：2002-04-01 00:00:00
abstract：OBJECTIVE:Presently, little is known about the characteristics and impact of integrated care programs for patients with psychological comorbidity. The aim was to provide an overview of these integrated care programs and their effectiveness. METHODS:Systematic literature review including papers published between 1995 a...
journal_title：Journal of psychosomatic research
pub_type： 杂志文章,meta分析,评审
doi：10.1016/j.jpsychores.2015.07.013
更新日期：2015-12-01 00:00:00
abstract：:Observation of overt pain behaviours was carried out by physicians during routine clinical examination of 120 patients with chronic low back pain. Reliable ratings were achieved but only after very careful standardization in an additional 60 pilot patients. Overt pain behaviour was found to be related to other clinica...
journal_title：Journal of psychosomatic research
pub_type： 杂志文章
doi：10.1016/0022-3999(92)90116-j
更新日期：1992-01-01 00:00:00
abstract：OBJECTIVE:In 2008, the Board of the European Association of Consultation-Liaison Psychiatry and Psychosomatics (EACLPP) and the Academy of Psychosomatic Medicine (APM) Council commissioned the creation of a task force to study consensus-based summaries of core roles, scope of clinical practice, and basic competencies f...
journal_title：Journal of psychosomatic research
pub_type： 杂志文章
doi：10.1016/j.jpsychores.2011.02.008
更新日期：2011-05-01 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:Investigate the association of dispositional optimism with chronic kidney disease (CKD) and rapid kidney function decline (RKFD) and determine if there is modification by age, sex, and educational attainment among African Americans. METHODS:Optimism was measured using the 6-item Life Orientation Test-Revised...
journal_title：Journal of psychosomatic research
pub_type： 杂志文章
doi：10.1016/j.jpsychores.2020.110267
更新日期：2020-12-01 00:00:00
abstract：OBJECTIVE:The effect of support, from dependable non-household relationships, on breast cancer progression was studied using a prospective, longitudinal design. METHODS:Dependable social support was assessed in women with invasive breast carcinoma Stages II and III within 18 months after diagnosis. Disease outcome was...
journal_title：Journal of psychosomatic research
pub_type： 杂志文章
doi：10.1016/j.jpsychores.2004.12.002
更新日期：2005-11-01 00:00:00
abstract：:Generalized expectancies about control are examined as a possible independent risk factor for coronary artery disease in a sample of subjects undergoing coronary angiography. This characteristic is also examined as a possible underlying component of the Type A behavior pattern which may contribute to the latter's asso...
journal_title：Journal of psychosomatic research
pub_type： 杂志文章
doi：10.1016/0022-3999(91)90116-6
更新日期：1991-01-01 00:00:00
abstract：:In earlier studies performed on a group of women with gastrointestinal symptoms, significant positive correlations between the gastrointestinal hormone gastrin and anxiety, and a negative correlation with socialization were obtained. These and other relationships were tested on 33 healthy women. A comprehensive and co...
journal_title：Journal of psychosomatic research
pub_type： 杂志文章
doi：10.1016/0022-3999(93)90052-h
更新日期：1993-09-01 00:00:00
abstract：OBJECTIVE:The 'psychogenic' hypothesis has a long history in the field of infertility. The present study investigated whether anxiety or depressive symptoms are associated with probability of subsequent live birth in a cohort of infertile women from the general population. METHODS:Using linked data from 12,987 women i...
journal_title：Journal of psychosomatic research
pub_type： 杂志文章
doi：10.1016/j.jpsychores.2018.07.001
更新日期：2018-10-01 00:00:00
abstract：:The aim of the investigation was to study the prevalence of current and past psychiatric morbidity and psychosocial problems in HIV seropositive (HIV +ve) asymptomatic women. A cross-sectional controlled study including 57 HIV +ve women belonging to CDC group II and III (43 intravenous drug users and 14 non-IVDUs hete...
journal_title：Journal of psychosomatic research
pub_type： 杂志文章
doi：10.1016/0022-3999(93)90097-y
更新日期：1993-10-01 00:00:00
abstract：:The relationships between several psychological variables and salivary cortisol levels were investigated in 70 young mothers throughout the first five days following the delivery of a healthy baby. We hypothesized that postpartum blues is associated with ineffective coping strategies, high anxiety levels, and elevated...
journal_title：Journal of psychosomatic research
pub_type： 杂志文章
doi：10.1016/0022-3999(90)90088-l
更新日期：1990-01-01 00:00:00
abstract：:The aim of this study was to investigate the relationship between cholesterol and mood states in the initial puerperal period. The Profile of Mood States (POMS) was administered to 72 women on the third day after normal pregnancy, uncomplicated vaginal delivery and healthy baby. Plasma cholesterol concentration was me...
journal_title：Journal of psychosomatic research
pub_type： 杂志文章
doi：10.1016/s0022-3999(01)00310-5
更新日期：2002-02-01 00:00:00
abstract：OBJECTIVE:Hostility has been established as a risk factor for the development of coronary artery disease. Putatively pathogenic hemodynamic and neuroendocrine responses to psychological stressors are associated with hostility, but the cerebral effects of hostility and their relationship to these responses are unknown. ...
journal_title：Journal of psychosomatic research
pub_type： 杂志文章
doi：10.1016/s0022-3999(00)00100-8
更新日期：2000-04-01 00:00:00
abstract：OBJECTIVE:Recent evidence shows that bipolar disorder might be associated with a purinergic system dysfunction. This study aimed at (i) testing the association between bipolar disorder and uric acid serum levels, and (ii) clarifying whether this relationship is mediated by metabolic syndrome and other relevant metaboli...
journal_title：Journal of psychosomatic research
pub_type： 杂志文章
doi：10.1016/j.jpsychores.2016.03.014
更新日期：2016-05-01 00:00:00
abstract：OBJECTIVE:To validate the Chinese version of Ullanlinna Narcolepsy Scale (CUNS). METHODS:A total of 234 subjects [163 male (69.7%) and 71 female (30.3%)] including 17 patients with narcolepsy, 21 normal controls and 196 patients with various sleep and psychiatric disorders were studied. The diagnoses of these patients...
journal_title：Journal of psychosomatic research
pub_type： 杂志文章
doi：10.1016/s0022-3999(00)00179-3
更新日期：2000-11-01 00:00:00
abstract：OBJECTIVE:Diagnostic screening for functional neurological disorders (FNDs) continues to pose a challenge. Simple symptom counts fail clearly to discriminate patients with FND but there is increasing recognition of 'positive' features which are useful diagnostically during face-to-face assessments. A self-completed que...
journal_title：Journal of psychosomatic research
pub_type： 杂志文章
doi：10.1016/j.jpsychores.2019.02.005
更新日期：2019-04-01 00:00:00
abstract：:We report a case of delusional pregnancy with polydipsia in a female patient with paranoid schizophrenia. The contribution of psychological and physiological factors in the development of the delusion of pregnancy and polydipsia and the possible interactions between the two phenomena are discussed. ...
journal_title：Journal of psychosomatic research
pub_type： 杂志文章
doi：10.1016/s0022-3999(96)00372-8
更新日期：1997-05-01 00:00:00
abstract：OBJECTIVES:Patients with HIV infection frequently complain of sleep disturbances and daytime sleepiness. Only few data on these problems evaluated by standardized measures is available. METHODS:A sample of 180 consecutive patients with HIV infection referred to the internal and to the neurological HIV clinics at the U...
journal_title：Journal of psychosomatic research
pub_type： 杂志文章
doi：10.1016/j.jpsychores.2012.03.003
更新日期：2012-06-01 00:00:00
abstract：OBJECTIVE:To examine the impact of somatic concerns and depressive traits on carotid artery intima-media thickness (IMT) and on the incidence of cardiovascular disease (CVD). METHODS:In the cross-sectional study of 2682 Finnish men aged 42 to 61years, a subsample of 1333 men had their carotid artery IMT recorded. In t...
journal_title：Journal of psychosomatic research
pub_type： 杂志文章
doi：10.1016/j.jpsychores.2015.05.006
更新日期：2015-09-01 00:00:00
abstract：:Substantial numbers of patients suffer from chronic back pain without demonstrating identifiable organic pathology of the spine. Since standardized methods of assessing psychological disturbances (e.g. MMPI) in such patients often provoke hostility and resentment, a questionnaire (BPCS) was developed which employs ver...
journal_title：Journal of psychosomatic research
pub_type： 杂志文章
doi：10.1016/0022-3999(86)90002-4
更新日期：1986-01-01 00:00:00
abstract：OBJECTIVE:Screening for depression and anxiety in people with cystic fibrosis (CF) is recommended but this alone can miss the opportunity to assess and promote positive mental health and wellbeing. This cross-sectional study assessed positive mental health and wellbeing, and associations with physical health and health...
journal_title：Journal of psychosomatic research
pub_type： 杂志文章
doi：10.1016/j.jpsychores.2018.11.016
更新日期：2019-01-01 00:00:00
abstract：OBJECTIVE:This study aimed to test relations of physical self-concept and self-efficacy with voluntary physical activity in preadolescents enrolled in an after-school physical activity program. METHODS:Participants in the 2003 (n=41) and 2005 (n=84) versions of the Youth Fit For Life protocol and the control group (n=...
journal_title：Journal of psychosomatic research
pub_type： 杂志文章
doi：10.1016/j.jpsychores.2006.04.009
更新日期：2006-10-01 00:00:00
abstract：INTRODUCTION:This review argues that "subjective health complaints" is a better and neutral term for "unexplained medical symptoms." The most common complaints are musculoskeletal pain, gastrointestinal complaints and "pseudoneurology" (tiredness, sleep problems, fatigue, and mood changes). These complaints are common ...
journal_title：Journal of psychosomatic research
pub_type： 杂志文章,评审
doi：10.1016/S0022-3999(03)00629-9
更新日期：2004-04-01 00:00:00
abstract：OBJECTIVE:The demanding behavioral changes for weight control to manage diabetes might contribute to lower quality of life (QOL). This research examines whether the demands of diet and exercise contribute to lower QOL among persons with diabetes. METHODS:Data were from the Behavioral Risk Factor Surveillance System (B...
journal_title：Journal of psychosomatic research
pub_type： 杂志文章
doi：10.1016/j.jpsychores.2005.06.062
更新日期：2005-12-01 00:00:00
abstract：OBJECTIVE:In order to harness the placebo effect for clinical benefit, more research is needed to determine who might be responsive to a placebo treatment. Recently, a two-faceted Transactional Model of Placebo Responding (TMPR) was offered, which suggests different personality types might respond to different contextu...
journal_title：Journal of psychosomatic research
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.jpsychores.2016.02.001
更新日期：2016-04-01 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:Cardiac patients with psychological distress have a poorer prognosis than patients without distress; which may in part reflect differences in treatment. We quantified variation in coronary angiography and revascularisation procedures according to psychological distress among patients admitted with incident ac...
journal_title：Journal of psychosomatic research
pub_type： 杂志文章
doi：10.1016/j.jpsychores.2019.109794
更新日期：2019-10-01 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
doi：10.1016/j.jpsychores.2016.04.008
更新日期：2016-07-01 00:00:00
abstract：OBJECTIVE:The research findings regarding the role of psychiatric illness in breast cancer are not yet clear. This report investigates the differences between patients with invasive breast carcinoma (IBC) and patients with benign breast disease regarding the psychiatric history and the current prebiopsy psychopathology...
journal_title：Journal of psychosomatic research
pub_type： 杂志文章
doi：10.1016/S0022-3999(03)00070-9
更新日期：2004-01-01 00:00:00
