Abstract:
:Eighty morbidly obese married women and 69 of their husbands completed a self-report measure of personal and marital adjustment before the women proceeded to gastric restriction surgery. Fifty-five women and 41 husbands repeated the measure 12 months after surgery, at which time the women had lost a mean of 35.4 kg. Women rated themselves as significantly more attractive and sociable, and rated their husbands as significantly less sociable and interesting, than before surgery. Husbands rated their wives as excessively sociable after surgery, the reverse of their previous view. The data offered some support for a family systems view of morbid obesity, but the systemic effect appeared weak, and is probably not a major contributor to wives' morbid obesity in most cases.
journal_name
Psychother Psychosomjournal_title
Psychotherapy and psychosomaticsauthors
Hafner RJdoi
10.1159/000288550subject
Has Abstractpub_date
1991-01-01 00:00:00pages
162-6issue
3eissn
0033-3190issn
1423-0348journal_volume
56pub_type
杂志文章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
abstract::Given the contradictory reports concerning psychophysiological reactivity of hypertensives this issue was reexamined. In contrast to the large majority of studies, the hypertensive sample should not be made up of patients in medical care and the control group should be comparable in all relevant aspects other than blo...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000288936
更新日期:1995-01-01 00:00:00
abstract::In a small pilot controlled study over 8 weeks, 12 obsessive-compulsive ruminators listened for 2 h daily to their own audiotaped voice either (1) describing their anxiogenic thoughts (exposure) but omitting anxiolytic thoughts (mental/cognitive rituals), or (2) reading neutral prose or poetry. Taking all patients, bo...
journal_title:Psychotherapy and psychosomatics
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1159/000288883
更新日期:1994-01-01 00:00:00
abstract::The concept of illness behavior was introduced to indicate the ways in which given symptoms may be perceived, evaluated and acted upon at an individual level. Illness behavior may vary greatly according to illness-related, patient-related and doctor-related variables and their complex interactions. In the past decades...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,评审
doi:10.1159/000343508
更新日期:2013-01-01 00:00:00
abstract::Alexithymic characteristics were examined in a sample of 30 patients fulfilling the DSM-III criteria for psychogenic pain disorder using an interviewer-rated scale (Beth Israel Hospital Psychosomatic Questionnaire), a self-rated scale (Toronto Alexithymia Scale) and a projective technique (Thematic Apperception Test)....
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000287992
更新日期:1987-01-01 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:Somatic illness and its consequences evoke strong emotions of various kinds. They may affect the course of illness and the treatment results through their physiological components. The purpose of the study was to explore emotional reactions to different kinds of illnesses and changes of these emotions over t...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000012348
更新日期:1999-01-01 00:00:00
abstract:BACKGROUND:Several studies suggested that the surroundings of chronic fatigue syndrome (CFS) patients are of importance in the persistence of complaints. Contrary to what was expected, participation in support groups has not led to clinical improvement. The purpose of the present study was to describe social support in...
journal_title:Psychotherapy and psychosomatics
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.1159/000076455
更新日期:2004-05-01 00:00:00
abstract::The impact of the loss of the breast in women undergoing surgical treatment for breast cancer is subordinated to the confrontation with the diagnosis of a malignancy in causing depression. The equal distribution of depression in mastectomy and in lumpectomy patients supports the hypothesis that it is the confrontation...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000288153
更新日期:1989-01-01 00:00:00
abstract::51 patients on chronic dialysis, awaiting transplantation, were assessed using a standardised psychiatric interview, together with measures of anxiety, depression, locus of control and social adjustment. 33% of the patients warranted a psychiatric diagnosis. During the study period, 30 patients received a transplanted...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000288297
更新日期:1989-01-01 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: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:BACKGROUND:Following remission of an anxiety disorder or a depressive disorder, antidepressants are frequently discontinued and in the case of symptom occurrence reinstated. Reinstatement of antidepressants seems less effective in some patients, but an overview is lacking. This systematic review aimed to provide insigh...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,评审
doi:10.1159/000491550
更新日期:2018-01-01 00:00:00
abstract::An approach to the psychotherapy of ego-depleted states or with morbid disease involves the commitment of the therapist far beyond a distant psychoanalytic stance. Engagement must occur before a therapeutic alliance and exploration of underlying issues can begin. The patient in a helpless state needs the therapist's c...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000287416
更新日期:1980-01-01 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:Parent-child treatments have been shown to be superior to child-focused treatments of childhood obesity. Yet until now, the comparative effectiveness of parent-only and parent-child approaches has been little studied. METHOD:Fifty-six obese children and their families were randomly assigned to a 16-session ...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,随机对照试验
doi:10.1159/000129659
更新日期:2008-01-01 00:00:00
abstract:BACKGROUND:Clinicians and researchers synthesize data from randomized controlled trials (RCTs) of antidepressants to make conclusions about the efficacy of medications for depression. All treatments include nonspecific factors in addition to the specific effects of drugs, and study design may influence patient outcomes...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000209348
更新日期:2009-01-01 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: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:Cognitive-behavioural therapy (CBT) is the first-choice treatment in clients with ultra-high risk (UHR) for psychosis. However, CBT is an umbrella term for a plethora of different strategies, and little is known about the association between the intensity and content of CBT and the severity of symptomatic ou...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,随机对照试验
doi:10.1159/000477551
更新日期:2017-01-01 00:00:00
abstract:OBJECTIVE:The study investigates individual differences in the mental representation of attachment and their impact on the cortisol response to psychosocial stress in idiopathic spasmodic torticollis (IST). It was hypothesized (a) that in IST insecure attachment is more prevalent than in a non-clinical control group an...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000012384
更新日期:2000-05-01 00:00:00
abstract::Phobic patients have been shown to be, on average, more hypnotizable than others. The essence of the phobic experience is not unlike that of the event of hypnosis, and the phobic experience might be a spontaneously occurring panic-filled trance-like or dissociative experience. This dissociation is viewed as a maladapt...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000287509
更新日期:1981-01-01 00:00:00
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: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
abstract:OBJECTIVE:Long-term follow-ups several years after receiving cognitive behavioral therapy (CBT) are scarce and most of the existing literature describes follow-up data of randomized-controlled trials. Thus, very little is known about the long-term effects of CBT in routine care. METHODS:We investigated psychological f...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000500188
更新日期:2019-01-01 00:00:00
abstract::Preliminary results are reported on the efficacy of a behaviorally oriented group therapy (n = 17) intended to improve coping with fear of long-term complications in patients with diabetes mellitus. Treatment consisted of exposure in imagination, relaxation training and analysis of dysfunctional health beliefs. Pre-, ...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000289009
更新日期:1995-01-01 00:00:00
abstract::This paper describes a practical working situation for a psychiatrist situated in the northern part of Norway. The psychiatrist is attached to the local hospital on a part time basis and takes care of the psychiatric cases in the medical ward together with somatic cases. In addition, he works in a polyclinical setting...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000287374
更新日期:1979-01-01 00:00:00
abstract::A retrospective chart review of 600 general hospital patients, of whom 200 had been admitted to a medical-psychiatric unit, 200 to a conventional psychiatric unit and 200 to medical-surgical units, and for whom psychiatric consultation had been requested, disclosed significant differences in the patient populations of...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000287879
更新日期:1985-01-01 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:BACKGROUND:There is a scarcity of published studies of the effects of cardiac counselling among professional drivers (PD). Aims of the study were: (1) to examine explanatory variables for two classical 'driver' risk factors - body mass index (BMI), and smoking - and to analyse the interrelations among smoking cessation...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000012285
更新日期:1998-07-01 00:00:00