Abstract:
BACKGROUND:It is hypothesized that somatic symptom alleviation is a significant predictor of overall outcome in depressed primary care patients. METHODS:Depressed primary care patients (N=205) meeting DSM-IV-TR criteria received open-label antidepressant therapy. The primary symptom measurement tool used was the 17-item Hamilton Depression Rating Scale (HAMD-17), with the Montgomery-Asberg Depression Rating Scale (MADRS) and the Clinical Global Impression Improvement/Severity (CGI-I/S) used as secondary measures. As proxies for somatic symptoms, 8 items from the HAMD-17 (HAMD-S) and 3 items from the MADRS (MADRS-S) that measure somatic symptoms were identified and extracted. RESULTS:There was a significant correlation between improvement on the HAMD-S score and overall reduction on the MADRS total score (r=.766, P<.001), response (r=.594, P<.001), and remission (r=.552, P<.001). Improvement on the MADRS-S also correlated with overall HAMD-17 improvement (r=.782, P<.001), along with response (r=.649, P<.001) and remission (r=.539, P<.001) rates. Both the HAMD-S and the MADRS-S correlated with global improvement as measured by the CGI-I/S (P<.001). CONCLUSIONS:A reciprocal interaction between somatic symptoms and other depressive-symptom domains is implied by this analysis. Clinicians are encouraged to identify, track, and target the somatic symptoms of depressive illnesses.
journal_name
J Psychosom Resjournal_title
Journal of psychosomatic researchauthors
McIntyre RS,Konarski JZ,Mancini DA,Zurowski M,Giacobbe P,Soczynska JK,Kennedy SHdoi
10.1016/j.jpsychores.2005.09.010subject
Has Abstractpub_date
2006-03-01 00:00:00pages
279-82issue
3eissn
0022-3999issn
1879-1360pii
S0022-3999(05)00428-9journal_volume
60pub_type
杂志文章abstract::Governmental agencies do not systematically investigate the presence of daytime sleepiness as a determinant of driving accidents. We surveyed automobile drivers traveling on summer vacations and driving long distances on a European highway. We evaluated their subjective daytime sleepiness while driving and any sleep d...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/0022-3999(96)00127-4
更新日期:1996-09-01 00:00:00
abstract:OBJECTIVE:Multimorbidity refers to the individual has two or more medical conditions, which include physical multimorbidity (two or more physical conditions), mental multimorbidity (two or more mental conditions) and physical and mental multimorbidity (one or more mental and one or more physical conditions). This study...
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abstract::Simultaneous monitoring of penile diameter and penile arterial pulse during laboratory-based erotic stimulation with film and fantasy, has been used to compare diabetic and non-diabetic impotent men with non-impotent controls. The degree of erection to erotic film distinguished between organic and psychogenic aetiolog...
journal_title:Journal of psychosomatic research
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abstract:OBJECTIVE:Persistent post-surgical pain is common among patients undergoing surgery, is detrimental to patients' quality of life, and can precipitate long-term opioid use. The purpose of this randomized controlled trial is to assess the effects of a behavioral intervention offered prior to surgery for patients at risk ...
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doi:10.1016/j.jpsychores.2020.110250
更新日期:2020-11-01 00:00:00
abstract::Aerophagia has been shown to occur in association with hiatus hernia, and it has been suggested that it may have an aetiological role. Two behavioural methods are described, which are designed to reduce the rate of swallowing. They were applied to a group of 12 patients with hiatus hernia, in whom aerophagia had been ...
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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更新日期:1983-01-01 00:00:00
abstract::The topic of a single vs multiple premenstrual syndromes has generated much discussion. In this study, multivariate profile analysis was used to determine whether or not physical and affective symptoms associated with the premenstrual syndrome (PMS) could be explained as the manifestation of one underlying pathophysio...
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pub_type: 杂志文章
doi:10.1016/0022-3999(93)90034-d
更新日期:1993-04-01 00:00:00
abstract::The relationships between several psychological variables and salivary cortisol levels were investigated in 70 young mothers throughout the first five days following the delivery of a healthy baby. We hypothesized that postpartum blues is associated with ineffective coping strategies, high anxiety levels, and elevated...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
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更新日期:1990-01-01 00:00:00
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journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/s0022-3999(99)00076-8
更新日期:2000-01-01 00:00:00
abstract:OBJECTIVE:The effect of support, from dependable non-household relationships, on breast cancer progression was studied using a prospective, longitudinal design. METHODS:Dependable social support was assessed in women with invasive breast carcinoma Stages II and III within 18 months after diagnosis. Disease outcome was...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2004.12.002
更新日期:2005-11-01 00:00:00
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journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2020.110225
更新日期:2020-11-01 00:00:00
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journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/0022-3999(92)90028-z
更新日期:1992-02-01 00:00:00
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journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/0022-3999(94)90134-1
更新日期:1994-01-01 00:00:00
abstract:BACKGROUND:Comorbidity studies have shown that depression and somatization (multiple somatoform symptoms) often overlap. Therefore it has been suggested to classify at least some patients with somatization syndromes under the category of depressive disorders. We wanted to investigate whether psychobiological investigat...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章,评审
doi:10.1016/j.jpsychores.2010.02.001
更新日期:2010-05-01 00:00:00
abstract:OBJECTIVE:To investigate the role of stressful events, social support, attachment security and alexithymia in triggering or exacerbating psoriasis. METHODS:Outpatients experiencing a recent onset or exacerbation of psoriasis (n=40) were compared with outpatients with skin conditions in which psychosomatic factors are ...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/s0022-3999(02)00574-3
更新日期:2003-09-01 00:00:00
abstract:OBJECTIVE:The demanding behavioral changes for weight control to manage diabetes might contribute to lower quality of life (QOL). This research examines whether the demands of diet and exercise contribute to lower QOL among persons with diabetes. METHODS:Data were from the Behavioral Risk Factor Surveillance System (B...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2005.06.062
更新日期:2005-12-01 00:00:00
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journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2019.05.002
更新日期:2019-07-01 00:00:00
abstract:OBJECTIVE:Physical complaints such as faintness, dizziness, cold limbs and headaches have been well-established in chronic low blood pressure (hypotension). This study investigated the occurrence of adverse emotional states and the symptoms of depression in this condition. As autonomic dysregulation, particularly dimin...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2016.12.008
更新日期:2017-02-01 00:00:00
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journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/s0022-3999(00)00087-8
更新日期:2000-06-01 00:00:00
abstract:BACKGROUND AND AIM:In 40% of patients presenting to medical clinics with heartburn, no objective evidence of gastro-oesophageal reflux disease can be demonstrated. Little research has been performed regarding the psychological characteristics of these patients. The aim of this study was to assess the psycho-social prof...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/0022-3999(94)00102-b
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,随机对照试验
doi:10.1016/j.jpsychores.2014.06.016
更新日期:2014-11-01 00:00:00
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journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/s0022-3999(99)00027-6
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journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2016.04.008
更新日期:2016-07-01 00:00:00
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journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/s0022-3999(02)00318-5
更新日期:2002-06-01 00:00:00
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journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2020.110302
更新日期:2021-01-01 00:00:00
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journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2013.08.015
更新日期:2013-11-01 00:00:00
abstract:OBJECTIVE:The aim of this study was to determine whether absorption and spirituality predict the placebo response independently of expectancy. METHOD:This was an open study of self-treatment with self-selected Bach flower essences. Participants' expectancy of the effect of flower essences, attitudes to complementary m...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2005.06.073
更新日期:2006-01-01 00:00:00
abstract:OBJECTIVES:A new sleep journal, Behavioral Sleep Medicine (BSM), will publish its first issue shortly. This journal is interested in the application of behavioral/cognitive science to the study of normal and disordered sleep. I review the historical background leading to the creation of this journal and then focus on t...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/s0022-3999(02)00541-x
更新日期:2003-01-01 00:00:00
abstract::Several studies have reported raised levels of psychopathology based on self-rating scales in patients with spasmodic torticollis. Recent publications have also proposed that psychopathology, especially symptoms of depression, might be a reaction to dystonia or constitute a nonspecific reaction pattern. To determine t...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/s0022-3999(97)00229-8
更新日期:1998-06-01 00:00:00
abstract:OBJECTIVE:The purpose of this study was to examine the relationship between alexithymia and perinatal depressive symptoms and the stability of the alexithymia construct in a sample of low-income, predominantly Latina women during pregnancy and the early postpartum period. METHODS:Seventy-seven pregnant women completed...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2006.09.012
更新日期:2007-02-01 00:00:00
abstract:BACKGROUND:We have previously reported that 35% CO2 challenge induced myocardial ischemia in 81% of coronary artery disease (CAD) patients with comorbid panic disorder (PD) and previous positive nuclear exercise stress tests. However, it is yet unclear whether this is the case among CAD patients with PD and normal nucl...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2013.08.003
更新日期:2014-01-01 00:00:00