Abstract：
OBJECTIVE:To examine self-harm risk across the adult age range in patients diagnosed with various physical illnesses using the General Practice Research Database - a broadly representative sample of all people registered with a family practice in the United Kingdom. METHODS:We conducted a large nested case-control study sampled from the whole primary care cohort. During 2001-2008 we studied 2306 cases of self-harm and 46,120 age and gender-matched controls without such an episode recorded. Relative risks were estimated against reference patients with none of the examined physical illnesses. Additionally, we assessed confounding by recorded depression, effect modification by gender and multi-morbidity effects. RESULTS:Risk was significantly elevated in relation to any of the physical illnesses (male OR 1.35, 95% CI 1.18-1.54; female OR 1.62, 95% CI 1.40-1.86). For both genders combined, risk was raised with each specific illness. Effects sizes were consistently larger in women. Adjustment for recorded depression explained much of the elevated risk, but not so in women with asthma, back pain, diabetes, epilepsy or hypertension. Raised risk was seen in younger adults and during middle age, but not among older people. There was a dose-response relationship with increasing number of physical illnesses, and in women this was independent of depression. CONCLUSION:Heightened risk was seen with a variety of physical illnesses. The findings indicate a need for tackling psychological distress and reducing self-harm risk in physically ill patients who attend primary healthcare services for non-psychiatric reasons, particularly so for women and younger and middle aged adults.
journal_name
J Psychosom Resjournal_title
Journal of psychosomatic researchauthors
Webb RT,Kontopantelis E,Doran T,Qin P,Creed F,Kapur Ndoi
10.1016/j.jpsychores.2012.05.010subject
Has Abstractpub_date
2012-08-01 00:00:00pages
92-7issue
2eissn
0022-3999issn
1879-1360pii
S0022-3999(12)00148-1journal_volume
73pub_type
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journal_title：Journal of psychosomatic research
pub_type： 杂志文章
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journal_title：Journal of psychosomatic research
pub_type： 杂志文章
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journal_title：Journal of psychosomatic research
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更新日期：2002-06-01 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：:The extent to which measures of anxiety and personality characteristics, which had been assessed preoperatively, could predict the length of hospital stay following surgery, above and beyond what could be predicted on the basis of biographical, medical-status and post-operative anxiety variables, was examined in 58 pa...
journal_title：Journal of psychosomatic research
pub_type： 杂志文章
doi：10.1016/0022-3999(91)90082-y
更新日期：1991-01-01 00:00:00
abstract：OBJECTIVES:Little work has investigated the relationship between unfairness and risk factors for heart disease. We examine the role of unfairness in predicting the metabolic syndrome and explaining the social gradient of the metabolic syndrome. METHODS:The design is a prospective study with an average follow-up of 5.8...
journal_title：Journal of psychosomatic research
pub_type： 杂志文章
doi：10.1016/j.jpsychores.2007.04.006
更新日期：2007-10-01 00:00:00
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journal_title：Journal of psychosomatic research
pub_type： 杂志文章,评审
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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
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更新日期：2000-06-01 00:00:00
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journal_title：Journal of psychosomatic research
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更新日期：2019-10-01 00:00:00
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journal_title：Journal of psychosomatic research
pub_type： 杂志文章
doi：10.1016/j.jpsychores.2006.11.001
更新日期：2007-06-01 00:00:00
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journal_title：Journal of psychosomatic research
pub_type： 杂志文章
doi：10.1016/j.jpsychores.2013.02.003
更新日期：2013-06-01 00:00:00
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journal_title：Journal of psychosomatic research
pub_type： 杂志文章
doi：10.1016/s0022-3999(01)00256-2
更新日期：2001-11-01 00:00:00
abstract：:The central theory of headache was investigated by examining the amplitude of the somatosensory evoked potential (SSEP) in headache sufferers and headache-free controls. The P1-N1 amplitude was found to be greater, and to increase more rapidly with increasing stimulus intensity, for headache subjects than for controls...
journal_title：Journal of psychosomatic research
pub_type： 杂志文章
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更新日期：1995-02-01 00:00:00
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journal_title：Journal of psychosomatic research
pub_type： 杂志文章
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更新日期：2016-05-01 00:00:00
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journal_title：Journal of psychosomatic research
pub_type： 杂志文章
doi：10.1016/0022-3999(96)00088-8
更新日期：1996-07-01 00:00:00
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journal_title：Journal of psychosomatic research
pub_type： 杂志文章
doi：10.1016/j.jpsychores.2017.11.006
更新日期：2018-01-01 00:00:00
abstract：:To determine whether women seeking treatment for symptomatic premenstrual change have ongoing psychological disturbance, we undertook a cross-sectional, comparative study across four groups of reproductive-age women. Subjects were 35 patients with symptomatic premenstrual change and no psychiatric history, 35 women wi...
journal_title：Journal of psychosomatic research
pub_type： 杂志文章
doi：10.1016/0022-3999(94)00139-v
更新日期：1995-04-01 00:00:00
abstract：BACKGROUND:Chronic fatigue syndrome (CFS) is associated with a high use of health care services. To reduce the related costs for patients and society, it will be useful to know which factors determine CFS patients' amount of health care use. Little is known, however, about these factors. METHOD:The present study retro...
journal_title：Journal of psychosomatic research
pub_type： 杂志文章
doi：10.1016/j.jpsychores.2008.03.015
更新日期：2008-07-01 00:00:00
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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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abstract：OBJECTIVES:Liaison Psychiatric Services for Older Adults in the UK have been established over the last decade, with rather divergent team composition and involvement. The latest documents (National Dementia Strategy, Who Cares Wins) set the gold standard for liaison services for older adults in England, requiring a pro...
journal_title：Journal of psychosomatic research
pub_type： 杂志文章
doi：10.1016/j.jpsychores.2011.11.018
更新日期：2012-04-01 00:00:00
abstract：OBJECTIVE:Depressive symptoms are common after liver transplantation (LT). We studied whether depressive symptoms affect long-term survival after LT. METHODS:In a prospective cohort study, 134 liver transplant patients were assessed for depressive symptoms using the Beck Depression Inventory-short form (BDI), focusing...
journal_title：Journal of psychosomatic research
pub_type： 杂志文章
doi：10.1016/j.jpsychores.2010.12.008
更新日期：2011-07-01 00:00:00
abstract：OBJECTIVE:There is a concern about negative cognitive effects of systemic chemotherapy. We prospectively explored self-reported cognitive problems in testicular cancer patients (TCPs) treated with and without chemotherapy. METHODS:One hundred and twenty-two TCPs were interviewed about concentration and memory problems...
journal_title：Journal of psychosomatic research
pub_type： 杂志文章
doi：10.1016/j.jpsychores.2010.12.004
更新日期：2011-05-01 00:00:00
abstract：:Depression increases the risk of cardiac mortality and morbidity in patients with coronary heart disease (CHD), but the mechanisms that underlie this association remain unclear. This review considers the evidence for several behavioral and physiological mechanisms that might explain how depression increases the risk f...
journal_title：Journal of psychosomatic research
pub_type： 杂志文章,评审
doi：10.1016/s0022-3999(02)00311-2
更新日期：2002-10-01 00:00:00
abstract：OBJECTIVE:Caregivers of patients with cancer experience a variety of psychological distress. This study aimed to investigate the mental health status and depressive disorder predictors in caregivers of patients with head and neck cancer (HNC) over a six-month follow-up. METHODS:We recruited the participants for this s...
journal_title：Journal of psychosomatic research
pub_type： 杂志文章
doi：10.1016/j.jpsychores.2017.07.002
更新日期：2017-09-01 00:00:00
abstract：OBJECTIVES:To document the prevalence and patient profiles of mental health concerns in patients with peripheral artery disease (PAD) seen in the vascular specialty setting. METHODS:In a cohort of 1275 patients presenting to 16 specialty clinics with new or worsening claudication, symptoms of depression, anxiety, and ...
journal_title：Journal of psychosomatic research
pub_type： 杂志文章
doi：10.1016/j.jpsychores.2020.109963
更新日期：2020-02-11 00:00:00
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journal_title：Journal of psychosomatic research
pub_type： 杂志文章
doi：10.1016/j.jpsychores.2016.07.010
更新日期：2016-10-01 00:00:00
abstract：OBJECTIVES:Research suggests that following a myocardial infarction (MI), women under the age of 60 have more elevated depressive symptoms and adverse outcomes than similarly aged men. Identifying risk factors that contribute to gender differences in depressive symptoms among this group may be critical to the developme...
journal_title：Journal of psychosomatic research
pub_type： 杂志文章
doi：10.1016/j.jpsychores.2019.109782
更新日期：2019-09-01 00:00:00
abstract：:A total of 42 chronic temporomandibular joint pain patients completed behavioral therapy for their pain. The role of clinical, sociodemographic, and psychosocial factors was examined in relation to treatment outcome (immediately following treatment and at 2-yr follow-up). Psychosocial factors were better predictors of...
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(84)90077-1
更新日期：1984-01-01 00:00:00
