Abstract:
BACKGROUND:This study investigated whether the Diagnostic Criteria for Psychosomatic Research (DCPR) were able to predict psychosocial functioning in addition to psychiatric diagnoses and somatization in consultation-liaison psychiatry (CLP) patients. METHOD:A consecutive sample of 208 CLP patients were recruited and assessed for sociodemographic and medical data, psychopathology (SCID), psychosomatic syndromes (DCPR structured interview) and somatization (SCL-90-R SOM scale and multisomatoform disorder, MSD). The main endpoints were the mental and physical components of psychosocial functioning (SF-36). RESULTS:A total of 185 (89%) patients had any psychiatric diagnosis, 51 (25%) had MSD positive criteria, 176 (85%) had any DCPR syndrome, and 105 (51%) had multiple DCPR syndromes. Although psychiatric and psychosomatic syndromes were variously associated with psychosocial functioning, hierarchical regression and effect size analyses showed that only DCPR syndromes, particularly demoralization and health anxiety, with somatization but not DSM-IV psychopathology independently predicted poor psychosocial functioning. CONCLUSIONS:The presence of psychosomatic syndromes, assessed with DCPR criteria, and high levels of somatization had larger effect size and were independent predictors of the mental and physical components of psychosocial dysfunction, over and above psychopathology. The DCPR classification can provide CLP professionals with a set of sensitive diagnostic criteria for a comprehensive clinical evaluation of psychosomatic syndromes that might play a significant mediating role in the course and the outcome of medical patients referred for psychiatric consultation.
journal_name
Psychother Psychosomjournal_title
Psychotherapy and psychosomaticsauthors
Porcelli P,Bellomo A,Quartesan R,Altamura M,Iuso S,Ciannameo I,Piselli M,Elisei Sdoi
10.1159/000235739subject
Has Abstractpub_date
2009-01-01 00:00:00pages
352-8issue
6eissn
0033-3190issn
1423-0348pii
000235739journal_volume
78pub_type
杂志文章abstract::The pathogenesis of psychosomatic distress is considered. This emphasises interest in aetiology of distress rather than solely of disease. The influence of psychological aspects is as important whether the disease is of known or unknown aetiology, and can be of greater importance in poorer socio-economic circumstances...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000287824
更新日期:1984-01-01 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::Integration of psychodynamic, behavioral and biological perspectives is necessary to fully practice contemporary psychosomatic medicine. This discipline is best exemplified by the activities within consultation-liaison psychiatry. Common clinical tasks within consultation-liaison work are discussed from this integrate...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000287965
更新日期:1986-01-01 00:00:00
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journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000288953
更新日期:1995-01-01 00:00:00
abstract::Relevance of an article is a highly desirable yet hardly predictable quality at the time of its publication. Article relevance is frequently measured by the impact factor of the journal where the article is published. Furthermore, impact factor, citation index and citation analysis are used as a measure of research pr...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000082020
更新日期:2005-01-01 00:00:00
abstract:BACKGROUND:The aim of this study was to investigate the clinical features of psychosomatic disorders in Japan. METHODS:A total of 1,432 outpatients (515 males and 917 females; 9-95 years of age, mean age 36) attending a psychosomatic clinic for the first time were assessed by the DSM-III-R or DSM-IV semistructured int...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000012258
更新日期:1998-01-01 00:00:00
abstract::The results of several studies on sleep EEG and dreams in patients with eating disorders are presented and compared with the data obtained in patients with a major depression. The sleep pattern, which is characteristic of depression, could not be found in the eating disorder group. Regarding the cholinergic REM induct...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000288048
更新日期:1987-01-01 00:00:00
abstract:OBJECTIVE:Obsessive-compulsive disorder (OCD) with poor insight has severe consequences for patients; nonetheless, no randomized controlled trial has ever been performed to evaluate the effectiveness of any treatment specifically for poor-insight OCD. A new psychotherapy for OCD, the inference-based approach (IBA), tar...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,随机对照试验
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更新日期:2015-01-01 00:00:00
abstract:BACKGROUND:Antidepressant use is highly prevalent. Research has mainly focused on efficacy during short periods of use for depression and anxiety. There is a relative paucity of data regarding the frequency of long-term use. METHODS:To determine the prevalence and possible increase of long-term use of antidepressants ...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000480456
更新日期:2017-01-01 00:00:00
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journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000107562
更新日期:2007-01-01 00:00:00
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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::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::Cognitive-behavioural therapy (CBT) programmes for bulimia nervosa (BN) have been considerably refined during the last 2 decades, and such a treatment is now extensively used. The present paper describes the treatment rationale and structure, and reviews the available evidence on its efficacy. Compared to any other ps...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,评审
doi:10.1159/000012410
更新日期:2000-11-01 00:00:00
abstract::The relationship between psychological variables, particularly depressed mood and anxiety, and pain has received a good deal of attention. In this study, 16 chronic pain patients rated their mood, anxiety level, pain, muscle tension, and reclining time daily over a period of about 6 weeks. Correlations were calculated...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000287864
更新日期:1985-01-01 00:00:00
abstract::Psychodynamics can interfere with medical compliance, especially in psychologically vulnerable patients. A case is presented of a cancer patient who developed a powerful transference reaction to her oncologist, jeopardizing her treatment for cancer. Strategies for integrating techniques of insight-oriented psychothera...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000288393
更新日期:1990-01-01 00:00:00
abstract:BACKGROUND:The relation between psychosomatic and psychosocial symptoms and blood pressure was studied in Swedish schoolchildren. METHODS:Blood pressure was measured in 122 healthy Swedish schoolchildren, aged 6-16 years. Psychosomatic and psychosocial symptoms, delinquent behaviour, parental health and employment sta...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000012265
更新日期:1998-01-01 00:00:00
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journal_title:Psychotherapy and psychosomatics
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1159/000287871
更新日期:1985-01-01 00:00:00
abstract:BACKGROUND:Previous research reveals an association between traumatic stress and an increased risk for numerous diseases, including cancer. At the molecular level, stress may increase carcinogenesis via increased DNA damage and impaired DNA repair mechanisms. We assessed DNA breakage in peripheral blood mononuclear cel...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,随机对照试验
doi:10.1159/000362739
更新日期:2014-01-01 00:00:00
abstract:BACKGROUND:Persistent cue reactivity to drug-related stimuli is a well-known phenomenon among abstinent drug users and has been found to be a predictor of relapse. Cue exposure therapy (CET) aims to reduce this cue reactivity by exposing abstinent drug users to conditioned drug-related stimuli while preventing their ha...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,随机对照试验
doi:10.1159/000097968
更新日期:2007-01-01 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::Psychopathology and verbal expression were investigated in 20 psychoneurotic patients and 20 psychosomatic patients (10 patients with ulcerative colitis and 10 patients with Crohn's disease). The Crohn's disease patients showed as much psychopathology as the psychoneurotic patients, but the ulcerative colitis patients...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000287620
更新日期:1982-01-01 00:00:00
abstract::Patients with hyperprolactinemia often present with emotional difficulties. These occasionally persist even after successful treatment. Insight into the roots of their diseased state makes a difference in the handling of all cases, but becomes crucial in the not-so-rare situations in which the normalization of hormona...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,评审
doi:10.1159/000012273
更新日期:1998-01-01 00:00:00
abstract::Alexithymic characteristics were studied in 15 monozygotic and 18 like-sex dizygotic healthy young twin pairs in a semistructured interview. Variance analysis showed larger within-pair variances in the dizygotic than in the monozygotic twins. With some reservations, these results point to a genetic influence on the et...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000287301
更新日期:1978-01-01 00:00:00
abstract::A special strategy of psychotherapeutic approach to psychosomatic patients is described including a 3-month period of inpatient and a 2-year period of outpatient group psychotherapy. Additional therapeutic procedures applied during the time of hospitalization are a special kind of sensitivity training ('sensual awaren...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000286935
更新日期:1975-01-01 00:00:00
abstract:BACKGROUND:The aim of the present study was to find out whether alexithymia is common in frequently attending primary health care patients and whether alexithymia and psychological distress are associated in these patients. METHODS:Alexithymia was measured by the TAS-26 and psychological distress by the SCL-25 in a ra...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000289075
更新日期:1996-01-01 00:00:00
abstract::Clinical and laboratory observations of alexithymia suggest that a neurophysiologic hypothesis may be more useful than the traditional psychodynamic explanations for understanding psychosomatic processes. Current data support the concept of a functional disconnection between the two cerebral hemispheres. A mechanism f...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000287557
更新日期:1982-01-01 00:00:00
abstract::The concept of denial is important for the psychosomatic understanding of cardiovascular disease and treatment. This study evaluated denial using several psychometric assessment scales in patients referred for psychiatric evaluations prior to heart transplantation. Surviving patients who had a mean survival of more th...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000288421
更新日期:1991-01-01 00:00:00
abstract::The purpose of this study is to compare the psychosomatic symptoms of postmenopausal women who are users of hormonal treatment with the psychosomatic symptoms of nonusers. We studied 68 postmenopausal women receiving estrogen treatment (age range 48-56 years; 51.1 +/- 1.9, mean +/- SD) and 50 postmenopausal women (age...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000287971
更新日期:1986-01-01 00:00:00
abstract::The functions and dysfunctions of slow wave sleep and of REM sleep and its associated dreams have a tremendous significance in understanding the psychosomatic model of illness and in establishing preventive strategies. Ten patients suffering from a variety of psychosomatic illnessess spent 3-4 nights sleeping at the D...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000286998
更新日期:1976-01-01 00:00:00
abstract:BACKGROUND:Face-to-face psychological treatments have difficulty meeting today's growing mental health needs. For the highly prevalent posttraumatic stress (PTS) conditions, accumulating evidence suggests that writing therapy may constitute an efficient treatment modality, especially when administered through the Inter...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,meta分析
doi:10.1159/000343131
更新日期:2013-01-01 00:00:00