Abstract:
BACKGROUND:Adherence to highly active antiretroviral treatment (HAART) is critical to long-term treatment success in patients infected with human immunodeficiency virus (HIV). However, the relationship between psychological variables and medication adherence is still poorly understood. The aim of this study was to investigate how anger dimensions in subjects with HIV affect adherence to antiretroviral drugs. METHODS:One hundred and thirty outpatients with HIV who were nondepressed and receiving HAART were administered the State-Trait Anger Inventory and a compliance self-report questionnaire. They also underwent clinical laboratory tests aimed at investigating immune function and disease stage. RESULTS:Forty-three patients (33%) reported suboptimal adherence. Full compliance with HAART was related to higher age, lower HIV RNA level, lower trait anger, lower outside-directed anger and greater anger control. In a multiple regression analysis, low trait anger (p = 0.02) and high anger control (p = 0.03) were significantly associated with full adherence to HAART. CONCLUSIONS:Anger dimensions are linked with, and may affect, adherence to HAART. A better understanding of the psychological determinants of compliance might allow for the identification of patients who are at higher risk of nonadherence. To sustain adherence to HAART, these patients may benefit from increased clinical attention or intervention.
journal_name
Psychother Psychosomjournal_title
Psychotherapy and psychosomaticsauthors
Leombruni P,Fassino S,Lavagnino L,Orofino G,Morosini P,Picardi Adoi
10.1159/000219525subject
Has Abstractpub_date
2009-01-01 00:00:00pages
254-7issue
4eissn
0033-3190issn
1423-0348pii
000219525journal_volume
78pub_type
杂志文章abstract::It is generally conceded that allergic disorders occur in individuals who have a hereditary or congenital allergic constitution. Clinical symptoms of allergic disorders, however, often disappear due to changes of the individuals' life situations and/or their adaptive patterns. In a comparative study of allergic predis...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000287331
更新日期:1979-01-01 00:00:00
abstract::Symptoms as reported by myocardial infarction (MI) patients are not easily distinguishable from the symptoms reported by patients with a diagnosis of 'noncardiac chest pain' (NCCP) (hyperventilation and/or functional complaints). MI patients and patients with a diagnosis of NCCP were questioned by means of a structure...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000287760
更新日期:1983-01-01 00:00:00
abstract:BACKGROUND:Stress reduction and comprehensive lifestyle modification programs have improved atherosclerosis and cardiac risk factors in earlier trials. Little is known about the impact of such programs on quality-of-life (QoL) and psychological outcomes. Given recent significant improvements in cardiac care, we evaluat...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1159/000087781
更新日期:2005-01-01 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: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::In the present study of 253 patients with chronic pain syndrome we have made a multidimensional approach. All patients have been included in the study independent of coexisting states of anxiety or depression. We included criteria for diagnosis, duration, generability and intensity of pain, anxiety and depression, psy...
journal_title:Psychotherapy and psychosomatics
pub_type: 临床试验,杂志文章
doi:10.1159/000288032
更新日期:1987-01-01 00:00:00
abstract::Endocrine and metabolic changes, as well as affective functions, were studied in eight healthy volunteers anticipating and executing a prearranged sequence of aerobatic flight. Control measurements were made at complete physical and mental rest. The following were determined: anxiety and hostility levels, blood glucos...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000286916
更新日期:1975-01-01 00:00:00
abstract::A review of some recent studies on the psychosomatic aspects of hyperprolactinemia is presented. Women seem to be more prone to suffer from the behavioral effects of prolactin than males. Women with hyperprolactinemic amenorrhea rated themselves significantly more hostile, more depressed and more anxious than women wi...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000287773
更新日期:1983-01-01 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 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::48 patients with alopecia areata, 30 with common baldness, 30 with fungal infections underwent the Paykel's Interview for recent life events. In the 6 months preceding onset, alopecic patients reported 123 events (mean = 2.56), patients with common baldness 22 events (mean = 0.73), patients with fungal infections 15 (...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000287786
更新日期:1984-01-01 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:BACKGROUND:In the present study the authors evaluated the relationship between personality traits (according to DSM-III-R) and poor metabolic control in an adult onset insulin-dependent diabetes mellitus sample (n = 77). METHODS:Personality traits were assessed with the Personality Diagnostic Questionnaire--Revised. M...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000289153
更新日期:1997-01-01 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::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::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::This paper examines the emergence of incestuous motifs in the first four interviews of 50 people seeking psychotherapy. Results show a percentage (6%) which is neither relevant nor specific for any kind of diagnosis. The progress in psychotherapy of two groups of 8 patients, psychosomatic + neurotic respectively, is t...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000287790
更新日期:1984-01-01 00:00:00
abstract::The author discusses the development of the psychosomatic asthma theory as a paradigm of theory formation in psychomatic medicine. The first formulation of the theory was based on clinical and psychiatric observations. It was tested by psychological, physiological and experimental methods and as a result was reformula...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000287312
更新日期:1979-01-01 00:00:00
abstract::Metatherapy (a psychotherapeutic procedure based upon parental couple collaboration) is a technique useful for working with severely disorganized family contexts, in which psychopathological diseases (such as psychotic or psychosomatic disorders, suicide attempts of the children etc.) can appear. The management of the...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000288312
更新日期:1989-01-01 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: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::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::Adolescents are frequently entangled in a web of transitions during their developmental journey from child to adult. These modulations include physiological and psychological changes: individual, familial and social readjustments, and alterations in the evolving family group. Psychosomatic manifestations are often tar...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000287421
更新日期:1980-01-01 00:00:00
abstract::Noting concerns for the measurement of alexithymia, the present study attempted (1) to provide descriptive data on the Schalling - Sifneos Personality Scale ( SSPS ); (2) to replicate previous factor-analytic findings on the SSPS , and (3) to suggest an alternative to the present method of scoring the SSPS . A sample ...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000287802
更新日期:1984-01-01 00:00:00
abstract:BACKGROUND:The Illness Attitude Scales (IAS) were developed by Robert Kellner as a clinimetric index for measuring hypochondriacal fears and beliefs (worry about illness, concerns about pain, health habits, hypochondriacal beliefs, thanatophobia, disease phobia, bodily preoccupations, treatment experience and effects o...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000151387
更新日期:2008-01-01 00:00:00
abstract::The purpose of this investigation was to measure alexithymia in 90 newly abstinent alcoholism treatment candidates and to examine the relationship between alexithymia and depressive symptoms. Subjects completed the Schalling-Sifneos Personality Scale (SSPS) and the Beck Depression Inventory (BDI) at the time of applic...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000288065
更新日期:1988-01-01 00:00:00
abstract:BACKGROUND:Patients with medically unexplained or functional somatic symptoms (FSS) are prevalent in primary care. In this pragmatic cluster-randomised controlled trial we aimed to test the effect of a training programme (The Extended Reattribution and Management model) for general practitioners (GPs) in the treatment ...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,随机对照试验
doi:10.1159/000313691
更新日期:2010-06-01 00:00:00
abstract:BACKGROUND:There has been relatively little research on subthreshold eating disorders and factors which might promote their transition to eating disorders. METHODS:A sample consisting of 1,944 Swiss adolescents of both sexes, 14-19 years of age, was investigated for eating behavior (EAT-26), psychological (SCL-90-R) a...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000289091
更新日期:1996-01-01 00:00:00
abstract::The concept of the specificity of psychosomatic diseases (Alexander) is being differentiated at the time. In order to clarify some aspects of this problem, we want to investigate whether types of self-rating of normal persons differ from those of patients with bronchial asthma. In a second step we shall examine whethe...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000288407
更新日期:1991-01-01 00:00:00
abstract:BACKGROUND:Many antidepressant medications (ADM) are associated with disruptions in sleep continuity that can compromise medication adherence and impede successful treatment. The present study investigated whether mindfulness meditation (MM) training could improve self-reported and objectively measured polysomnographic...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,随机对照试验
doi:10.1159/000332755
更新日期:2012-01-01 00:00:00