Abstract:
BACKGROUND:Insufficient response to monotreatment for depression is a common phenomenon in clinical practice. Even so, evidence indicating how to proceed in such cases is sparse. METHODS:This study looks at the second phase of a sequential treatment algorithm, in which 103 outpatients with moderately severe depression were initially randomized to either short-term supportive psychodynamic therapy (PDT) or antidepressants. Patients who reported less than 30% symptom improvement after 8 weeks were offered combined treatment. Outcome measures were the Hamilton Depression Rating Scale (HAM-D), the Clinical Global Impression of Severity and Improvement, the SCL-90 depression subscale and the EuroQOL questionnaire. RESULTS:Despite being nonresponsive, about 40% of patients preferred to continue with monotherapy. At treatment termination, patients initially randomized to PDT had improved more than those initially receiving antidepressants, as indicated by the HAM-D and the EuroQOL, independently of whether the addition was accepted or not. CONCLUSIONS:Starting with psychotherapy may be preferable in mildly and moderately depressed outpatients. For patients who receive either PDT or antidepressants, combined therapy after early nonresponse seems to be helpful. Nevertheless, this sequential strategy is not always preferred by patients.
journal_name
Psychother Psychosomjournal_title
Psychotherapy and psychosomaticsauthors
Dekker J,Van HL,Hendriksen M,Koelen J,Schoevers RA,Kool S,van Aalst G,Peen Jdoi
10.1159/000341177subject
Has Abstractpub_date
2013-01-01 00:00:00pages
89-98issue
2eissn
0033-3190issn
1423-0348pii
000341177journal_volume
82pub_type
杂志文章,随机对照试验abstract::We present the psychosomatic aspects in self-help groups containing medical patients on the examples of the ostomy group. Following the demonstration of the psychodynamic group processes, the patients' psychological characteristics are described as well as the aims of this type of self-help group. The specific ostomy ...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000287321
更新日期:1979-01-01 00:00:00
abstract::Results are reported from an investigation on job strains in dialysis nurses and needs for psychosocial staff training. 174 dialysis nurses in the Federal Republic of Germany answered the clinical questionnaire, which was distributed in cooperation with the German section of the EDTNA. Although the majority emphasized...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000288149
更新日期:1989-01-01 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::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::Thirteen alexithymic patients and 13 panic disorder patients were compared with matched controls regarding their use of self-solacing strategies. Whereas the panic disorder group used significantly more (p less than 0.001) solacing objects, activities and sounds than normals, the alexithymic subjects used significantl...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000288141
更新日期:1989-01-01 00:00:00
abstract:BACKGROUND:Except for 3 case reports of Conn's syndrome presenting as depression, psychosocial factors have not been explored in primary aldosteronism. We investigated psychological correlates in primary aldosteronism using methods that were found to be sensitive and reliable in psychosomatic research. METHOD:Ten cons...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000093956
更新日期:2006-01-01 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: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::A number of studies and case histories involving the use of biofeedback and behavioral approaches throughout Japan have been selected from Japanese journals and summarized. Areas of biofeedback research covered are experimental, clinical and psychological/educational. The behavioral approaches mentioned have been limi...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000287547
更新日期:1981-01-01 00:00:00
abstract:BACKGROUND:In bulimia nervosa, more intense treatments are recommended if outpatient treatment fails. This is the first randomized controlled trial comparing the options of inpatient versus day clinic treatment. METHOD:Patients with severe bulimia nervosa were randomly assigned to inpatient or day clinic treatment of ...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,随机对照试验
doi:10.1159/000206869
更新日期:2009-01-01 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:BACKGROUND:Patients with medically unexplained symptoms (MUS) are difficult to treat and cause high health-care costs. Psychological interventions might be a beneficial option for treating patients with MUS, but evidence is inconsistent. This meta-analysis compares the effectiveness of psychological interventions for M...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,meta分析,评审
doi:10.1159/000380914
更新日期:2015-01-01 00:00:00
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:Depression is one of the most frequent and costly mental disorders. While there is increasing evidence for the efficacy of online self-help to improve depression or prevent relapse, there is little evidence in blended care settings, especially combined with inpatient face-to-face psychotherapy. Therefore, we...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,随机对照试验
doi:10.1159/000481177
更新日期:2017-01-01 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::Some patients become grossly disorganized during a hospital stay for medical illness. In the midst of a confusing medical picture, the unpredictable behavior of such patients causes great consternation among the medical or surgical staff. Families also become particularly anxious; their concern about the medical probl...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000287284
更新日期:1978-01-01 00:00:00
abstract::The Derogatis Stress Profile (DSP) is unique among the numerous measures of 'stress' in that it incorporates the interactional model of Lazarus and Folkman in a multidimensional structure. Derogatis has studied the psychometric properties of the DSP but its validity has not been demonstrated in the 'real world' nor ha...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000288555
更新日期:1991-01-01 00:00:00
abstract:BACKGROUND:Scarce data are available on the influence of psychological aspects on 24-hour ambulatory blood pressure patterns either in normotensive or hypertensive subjects. This study was designed to evaluate the relationship between psychological profile and changes in daytime/nighttime blood pressure rhythm. METHOD...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000065996
更新日期:2002-11-01 00:00:00
abstract::Psychotic depression was initially considered to be at one end of a continuum of severity of major depression. Subsequent experience demonstrated that psychosis is an independent trait that may accompany mood disorders of varying severity. While much has been learned about the impact of severe mood congruent delusions...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,评审
doi:10.1159/000511348
更新日期:2020-11-09 00:00:00
abstract::The introduction of DSM-III/DSM-III-R and ICD-10 implies fundamental innovations to the diagnostic process. The changes relate both to formal aspects (e.g. symptom and time-related criteria) and to content (e.g. the abandonment of the concept of neurosis). Additionally, specific assessment instruments are introduced. ...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,评审
doi:10.1159/000288944
更新日期:1995-01-01 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::By way of introduction the concepts 'helpful-supportive' (in analytical psychotherapy) and 'exclusive-supportive' psychotherapy are defined. Then the indications and the patients' characteristics (marked ego weakness, dependency wishes) concerning exclusive-supportive psychotherapy in psychosomatic medicine are outlin...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,评审
doi:10.1159/000288881
更新日期:1994-01-01 00:00:00
abstract::Placebo effects are often attributed to clinical interactions and contextual factors that affect expectations of the patient about the treatment and result in symptom changes. The prevailing conceptualization consists of an undifferentiated placebo response that needs to be minimized in controlled investigations and m...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000480038
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:Stress has been associated with the course of Tourette's syndrome (TS). METHODS:The case report presented aims to emphasize the effect a severe traumatic experience has on the expression of TS. RESULTS:Following an intense traumatic experience, combat-related, a relatively mild case of TS became intractabl...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000289057
更新日期:1996-03-01 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: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::Physiological parameters were studied over 4.5 months in normal high-school girls. One group frequently practised autogenic training (AT) whereas the other (control) did not. After 4.5 months the physiology of the AT, but not the control group had changed to some extent. The mean increase in finger skin temperature in...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000286991
更新日期:1976-01-01 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:The present study compared the efficacy of psychotherapy for childhood anxiety disorders (excluding trials solely treating post-traumatic stress disorder or obsessive-compulsive disorder). METHODS:The meta-analysis included studies that met the basic CONSORT (consolidated standards of reporting trials) crit...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,meta分析
doi:10.1159/000096361
更新日期:2007-01-01 00:00:00
abstract::The author describes the development of the research activity at a psychiatric clinic near Oslo, Modum Bads Nervesanatorium, a psychotherpeutic-oriented institution treating patients with neuroses, substance abuse and character disorders. In 1985 an institute for clinical research was built as an independent unit with...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000288367
更新日期:1990-01-01 00:00:00