Abstract:
BACKGROUND:Factitious disorder (FD) is the deliberate production or simulation of symptoms in order to adopt the sick role. OBJECTIVE:The authors look at FD in the neurology setting. METHOD:The authors examined documented, published cases. RESULTS:FD cases in neurology are strikingly different from those in other specialties in terms of their demographics. Whereas the paradigm of FD in medicine as a whole is of the socially stable female healthcare worker, neurology continues to report largely the classic itinerant "Munchausen's" type. DISCUSSION:The authors explore two possible explanations for this: either that female healthcare workers with FD do not present neurologically, or that, if they do, they are diagnosed with conversion disorder.
journal_name
Psychosomaticsjournal_title
Psychosomaticsauthors
Kanaan RA,Wessely SCdoi
10.1176/appi.psy.51.1.47subject
Has Abstractpub_date
2010-01-01 00:00:00pages
47-54issue
1eissn
0033-3182issn
1545-7206pii
51/1/47journal_volume
51pub_type
杂志文章,评审相关文献
PSYCHOSOMATICS文献大全abstract:BACKGROUND:Somatoform disorders (SDs) are a heterogeneous group of psychiatric syndromes characterized by common symptoms, which may mimic a physical condition but they are not explained by a medical condition. Although the biologic nature of this disorder has been widely accepted, the neuroanatomical correlates charac...
journal_title:Psychosomatics
pub_type: 杂志文章
doi:10.1016/j.psym.2018.07.005
更新日期:2019-01-01 00:00:00
abstract::The impact of a community-based consultation-liaison (C-L) psychiatry service on family physicians' levels of psychiatric knowledge, diagnostic and treatment confidence, and patterns of referral to mental health care agencies was evaluated over a 12-month period. The physicians with long-term access to the C-L service...
journal_title:Psychosomatics
pub_type: 杂志文章,评审
doi:10.1016/S0033-3182(97)71458-0
更新日期:1997-05-01 00:00:00
abstract::Severe personality disorder has been proposed as a contraindication for liver transplantation. Seventy-three subjects with alcoholic-related liver disease were evaluated for personality disorder and followed for 6 months. The subjects with severe personality disorder had higher rates of divorce, higher rates of comorb...
journal_title:Psychosomatics
pub_type: 杂志文章
doi:10.1016/S0033-3182(98)71282-4
更新日期:1998-11-01 00:00:00
abstract::The temporolimbic structures of the brain that subserve emotional representation are highly epileptogenic and play an important role in the modulation of hormonal secretion and mediation of hormonal feedback. Estrogen is highly epileptogenic and exerts energizing and antidepressant effects. Excessive estrogen influenc...
journal_title:Psychosomatics
pub_type: 杂志文章,评审
doi:10.1016/S0033-3182(99)71254-5
更新日期:1999-03-01 00:00:00
abstract:BACKGROUND:Chronic fatigue syndrome (CFS) has been found to be comorbid with various medical conditions in clinical samples, but little research has investigated CFS comorbidity in population-based samples. OBJECTIVE:This study investigated conditions concurrent with a CFS-like illness among twins in the population-ba...
journal_title:Psychosomatics
pub_type: 杂志文章
doi:10.1016/j.psym.2011.04.001
更新日期:2012-01-01 00:00:00
abstract::Depressive disorders are far more serious than most people realize, and depressive disorders are disabling affected persons progressively earlier in life. Heavy utilization of medical services, extensive disability and morbidity, and high suicide risk exact a staggering economic toll in the United States annually. Dep...
journal_title:Psychosomatics
pub_type: 杂志文章,评审
doi:10.1016/S0033-3182(95)71698-X
更新日期:1995-03-01 00:00:00
abstract::Constant observation (CO) is a technique in which continuous one-to-one monitoring is used to assure the safety and well-being of an individual patient or others. This study reviewed 115 patient charts in a tertiary-care hospital to determine the correlates and predictors of the financial cost of CO. The mean duration...
journal_title:Psychosomatics
pub_type: 杂志文章
doi:10.1176/appi.psy.41.4.289
更新日期:2000-07-01 00:00:00
abstract::Much of the psychiatric literature advocates vigorous confrontation of patients with factitious physical disorder. Believing that such a strategy often drives the patient to a new physician, the author developed alternatives to confrontation. These strategies include use of inexact interpretations of psychological def...
journal_title:Psychosomatics
pub_type: 杂志文章
doi:10.1016/S0033-3182(89)72243-X
更新日期:1989-10-01 00:00:00
abstract:BACKGROUND:Antipsychotic drugs have many side effects, including elevation of prolactin levels through tuberoinfundibular dopamine-receptor blockade. Although a number of studies claim that aripiprazole is a prolactin-sparing antipsychotic drug that may even lower prolactin levels, there has not been an exhaustive eval...
journal_title:Psychosomatics
pub_type: 杂志文章,评审
doi:10.1176/appi.psy.50.4.317
更新日期:2009-07-01 00:00:00
abstract::The authors aim to facilitate the psychiatric evaluation of death-hastening decisions, such as cessation of life-support treatment or physician-assisted suicide, by deriving principles for evaluating patients from a literature review and a recently completed prospective study on dialysis discontinuation conducted by c...
journal_title:Psychosomatics
pub_type: 杂志文章,评审
doi:10.1176/appi.psy.41.3.195
更新日期:2000-05-01 00:00:00
abstract::Depression is the major psychiatric complication of Parkinson's disease, and it occurs in approximately one-third of all cases. Diagnosis of depression is complicated by the overlap of depressive and parkinsonian symptoms. Its etiology is not fully understood but involves changes in dopamine and serotonin. Depression ...
journal_title:Psychosomatics
pub_type: 杂志文章,评审
doi:10.1016/S0033-3182(91)72039-2
更新日期:1991-10-01 00:00:00
abstract::Patients with hepatitis C who are treated with interferon may develop neuropsychiatric symptoms, including fatigue and depression. The authors discuss the potential use of functional neuroimaging in the identification and treatment of these patients. The authors provide an overview of functional neuroimaging studies o...
journal_title:Psychosomatics
pub_type: 杂志文章,评审
doi:10.1176/appi.psy.45.4.281
更新日期:2004-07-01 00:00:00
abstract:BACKGROUND:Fibromyalgia, as defined by the American College of Rheumatology, is characterized by widespread pain lasting for at least 3 months, with pain in at least 11 out of 18 tender points when palpated with digital pressure. OBJECTIVE:The authors investigated the relationship between changes in pain and symptoms ...
journal_title:Psychosomatics
pub_type: 杂志文章
doi:10.1176/appi.psy.51.6.489
更新日期:2010-11-01 00:00:00
abstract::Seven-hundred and three patients from a general medical outpatient clinic at a Veterans Affairs hospital completed the SCREENER, a brief self-report questionnaire that screens for psychiatric disorders. The authors found that 7.3% of the patients had suicidal ideation. The younger and white patients were at increased ...
journal_title:Psychosomatics
pub_type: 杂志文章
doi:10.1016/S0033-3182(96)71528-1
更新日期:1996-09-01 00:00:00
abstract::The relationship between life satisfaction and alexithymia was studied in a sample of 229 patients as a part of a naturalistic follow-up study of depression in Finnish primary health care. The measures were the abbreviated Life Satisfaction Scale and the 20-item Toronto Alexithymia Scale. Depression was assessed by te...
journal_title:Psychosomatics
pub_type: 杂志文章
doi:10.1176/appi.psy.48.6.523
更新日期:2007-11-01 00:00:00
abstract:OBJECTIVE:To establish the role of psychiatrists and mental disorder in assisted dying practices in countries and states where such practices are legal. METHODS:The authors reviewed the Assisted Dying Acts and official statistical reports from Belgium, The Netherlands, Luxembourg, and the states of Washington and Oreg...
journal_title:Psychosomatics
pub_type: 杂志文章,评审
doi:10.1016/j.psym.2012.03.005
更新日期:2012-07-01 00:00:00
abstract::Patients with severe mental illness have elevated rates of cardiovascular disease (CVD) and diabetes compared with the general population, but little is known about the prevalence of the metabolic syndrome that predisposes patients with severe mental illness to both medical conditions. The purpose of this study was to...
journal_title:Psychosomatics
pub_type: 杂志文章
doi:10.1176/appi.psy.47.6.491
更新日期:2006-11-01 00:00:00
abstract:BACKGROUND:Although most studies have suggested that mitral valve prolapse (MVP) is more prevalent in patients with panic disorder (PD) than in healthy controls, there is a substantial uncertainty in the rates of MVP across studies. OBJECTIVE:To investigate, through systematic review and meta-analysis, the relative ri...
journal_title:Psychosomatics
pub_type: 杂志文章,meta分析
doi:10.1016/j.psym.2018.10.002
更新日期:2019-01-01 00:00:00
abstract::The author describes some problems emerging from the approach to and comprehension of somatization symptoms, discussing ambiguities regarding somatization seen in the current classification manuals (ICD-10 and DSM-IV). Then the author presents a case report of a man who presented with a bizarre symptom of feminization...
journal_title:Psychosomatics
pub_type: 杂志文章
doi:10.1176/appi.psy.47.2.163
更新日期:2006-03-01 00:00:00
abstract:BACKGROUND:Bell's mania (mania with delirium) is an acute neurobehavioral syndrome of unknown etiology that is characterized by the rapid onset of grandiosity, psychomotor excitement, emotional lability, psychosis, and sleep disruption consistent with mania, coupled with alterations in sensorium, and disorientation cha...
journal_title:Psychosomatics
pub_type: 杂志文章
doi:10.1176/appi.psy.50.3.285
更新日期:2009-05-01 00:00:00
abstract::Medical records were reviewed for 94 consecutive inpatients diagnosed with nonepileptic seizures. A 122-item follow-up questionnaire was returned by 71 patients (76%). The majority of the subjects reported fewer seizures (73%), their general health as "very good" (20%) or "good" (37), and "improved" quality of life (5...
journal_title:Psychosomatics
pub_type: 杂志文章
doi:10.1016/S0033-3182(97)71398-7
更新日期:1997-11-01 00:00:00
abstract:BACKGROUND:While medical criteria have been well established for each end-organ system, psychosocial listing criteria are less standardized. To address this limitation, we developed and tested a new assessment tool: the Stanford Integrated Psychosocial Assessment for Transplantation (SIPAT). METHODS:The SIPAT was deve...
journal_title:Psychosomatics
pub_type: 杂志文章
doi:10.1016/j.psym.2011.12.012
更新日期:2012-03-01 00:00:00
abstract::The authors conducted a study to examine the association between neuropsychological markers of central nervous system impairment and systemic human immunodeficiency virus (HIV) disease progression in a sample of 64 HIV-positive asymptomatic patients who were followed for a median of 45.6 months. Patients with poorer b...
journal_title:Psychosomatics
pub_type: 杂志文章
doi:10.1016/s0033-3182(93)71824-1
更新日期:1993-11-01 00:00:00
abstract::Various studies suggest that selective serotonin reuptake inhibitors (SSRIs) may be useful in treating pathologic skin-picking. The authors investigated the effectiveness of fluoxetine in treating this behavior. Fifteen subjects with clinically significant skin-picking were recruited by newspaper advertisement. They r...
journal_title:Psychosomatics
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1176/appi.psy.42.4.314
更新日期:2001-07-01 00:00:00
abstract::In a 12-week placebo-controlled study of fluoxetine in the treatment of body dysmorphic disorder, the authors investigated change in psychosocial functioning and mental health-related quality of life in 60 subjects. The subjects were assessed with the LIFE-RIFT (a measure of impaired functioning), Social and Occupatio...
journal_title:Psychosomatics
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1176/appi.psy.45.5.438
更新日期:2004-09-01 00:00:00
abstract::Psychoneuroimmunology represents the newest interdisciplinary endeavor relevant to psychosomatic medicine. Work in this area is particularly exciting because it promises to reveal a more unified view of the individual and the complex interactions between social, psychological, neural, endocrinological, immunological, ...
journal_title:Psychosomatics
pub_type: 杂志文章,评审
doi:10.1016/S0033-3182(90)72211-6
更新日期:1990-01-01 00:00:00
abstract::The authors examine the relationship of the Toronto Alexithymia Scale (TAS) to sociodemographic characteristics, medical history, symptomatology, and illness cognition in a sample of 244 family medicine patients. The TAS had moderate internal reliability. In multiple regression analysis, the TAS was related to age, ed...
journal_title:Psychosomatics
pub_type: 杂志文章
doi:10.1016/S0033-3182(93)71926-X
更新日期:1993-01-01 00:00:00
abstract:BACKGROUND:Delusional parasitosis is an uncommon psychiatric condition in which patients have the immutable conviction that small, living organisms, such as worms, insects, or larvae infest their skin or other organs. OBJECTIVE/METHOD:The authors describe a case of an unusual association of delusional parasitosis and ...
journal_title:Psychosomatics
pub_type: 杂志文章
doi:10.1176/appi.psy.50.5.534
更新日期:2009-09-01 00:00:00
abstract::In a study of 294 consecutive medical inpatients, the authors assessed a subsample of 157 patients for psychiatric diagnoses using an extensive semistructured interview, Schedules for Clinical Assessment in Neuropsychiatry (SCAN). Patients rated their health and physical functioning, and medical consultants assessed t...
journal_title:Psychosomatics
pub_type: 杂志文章
doi:10.1176/appi.psy.42.1.41
更新日期:2001-01-01 00:00:00
abstract::The authors previously reported four clinical cues that predicted a subgroup of ambulatory patients likely to have depressive and anxiety disorders. The authors' purpose in this study was to validate this model in another cohort of 185 consecutive adult referrals to a rheumatology clinic. The authors found 4 variables...
journal_title:Psychosomatics
pub_type: 杂志文章
doi:10.1016/S0033-3182(98)71302-7
更新日期:1998-09-01 00:00:00