Abstract:
BACKGROUND:The lifetime prevalence of DSM-IV traumatic events and posttraumatic stress disorder (PTSD) was assessed in outpatients of a tertiary referral mental health center; differences in psychopathology and service utilization between PTSD and non-PTSD patients were evaluated. METHODS:Five hundred eighty-three outpatients (35.3 years, S.D.=12.5; 74.3% women and 25.7% men), who had been initially examined by clinically experienced medical and psychological psychotherapists, were investigated by means of standardized trauma-specific questionnaires. RESULTS:Of the patients, 61.1% reported at least one traumatic event during their lifetime, but only 34.3% of the total sample met the DSM-IV (A1 and A2) criteria. The lifetime prevalence of PTSD-positive screening was 10.1%. In 2.7% of these patients, PTSD had been diagnosed in clinical routine (ICD-10: F43.1); 6.6% of the men and 11.3% of the women met the diagnostic criteria for lifetime prevalence of PTSD. All in all, patients with PTSD had higher levels of depression and anxiety and lower levels of sense of coherence (P < .001) than did patients without PTSD (all P < .001). In addition, PTSD patients reported significantly higher rates of medical consultations (P < .001), psychotropic medication (P < .001), and psychotherapy (P < .001). CONCLUSIONS:About one third of the outpatients suffered from DSM-IV traumas, and 10%, from PTSD. However, PTSD had been diagnosed only in very few patients within the routine diagnostic procedure. These findings suggest that PTSD is frequently overlooked not only in primary but also in tertiary care settings. Finally, our study supports previous results that PTSD patients use more service utilization and are more affected by psychopathology symptoms.
journal_name
J Psychosom Resjournal_title
Journal of psychosomatic researchauthors
Tagay S,Herpertz S,Langkafel M,Senf Wdoi
10.1016/j.jpsychores.2004.09.007subject
Has Abstractpub_date
2005-05-01 00:00:00pages
439-46issue
5eissn
0022-3999issn
1879-1360pii
S0022-3999(04)00676-2journal_volume
58pub_type
杂志文章abstract::This article examines recent developments in Australian and English common law relating to negligently occasioned psychiatric illness (nervous shock) in the light of advances in understanding of aetiology, neurophysiology and psychology of emotional injury. The legal analysis focuses on the modern concept of proximity...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章,评审
doi:10.1016/0022-3999(95)00012-8
更新日期:1995-08-01 00:00:00
abstract::The aim of this study was to investigate the relationship between cholesterol and mood states in the initial puerperal period. The Profile of Mood States (POMS) was administered to 72 women on the third day after normal pregnancy, uncomplicated vaginal delivery and healthy baby. Plasma cholesterol concentration was me...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/s0022-3999(01)00310-5
更新日期:2002-02-01 00:00:00
abstract:BACKGROUND:Periodic limb movement disorder (PLMD) and restless legs syndrome (RLS) are two sleep disorders characterized by abnormal leg movements and are responsible for deterioration in sleep quality. However, the prevalence of these disorders is not well known in the general population. This study aims to document t...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章,多中心研究
doi:10.1016/s0022-3999(02)00443-9
更新日期:2002-07-01 00:00:00
abstract::This study investigated whether the level of somatic complaint increases as men make the supposedly stressful passage from work to retirement. For 171 retirees, pre- to post-retirement changes in the sum of selected somatic complaints from the Cornell Medical Index were compared with changes over a comparable time int...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/0022-3999(83)90110-1
更新日期:1983-01-01 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
abstract::The effect of exercise training on quality of life and exercise capacity was studied in 67 patients with mild to moderate chronic heart failure (CHF; age: 65.6+/-8.3 years; left ventricular ejection fraction: 26.5+/-9.6%). Patients were randomly allocated to either a training group or to a control group. After interve...
journal_title:Journal of psychosomatic research
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/s0022-3999(97)00309-7
更新日期:1998-11-01 00:00:00
abstract::Functional somatic symptoms (FSS) are bodily sensations which do not result from physical disease, but which the patient responds to as if they did. Such symptoms are common and usually transient. In some patients they become persistent and associated with distress and disability. In such cases specific treatment is i...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章,评审
doi:10.1016/0022-3999(92)90037-3
更新日期:1992-09-01 00:00:00
abstract:PURPOSE:The aim of this study was to examine the illness beliefs and locus of control of patients with recent onset pseudoseizures and to compare these with patients with recent onset epilepsy. METHODS:Twenty consecutive patients with pseudoseizures of recent onset (mean duration 5.4 months) were compared with 20 cons...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2004.03.013
更新日期:2004-12-01 00:00:00
abstract:OBJECTIVE:Depressive symptoms are common after liver transplantation (LT). We studied whether depressive symptoms affect long-term survival after LT. METHODS:In a prospective cohort study, 134 liver transplant patients were assessed for depressive symptoms using the Beck Depression Inventory-short form (BDI), focusing...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2010.12.008
更新日期:2011-07-01 00:00:00
abstract:OBJECTIVE:Some peer reviewers may inappropriately, or coercively request that authors include references to the reviewers' own work. The objective of this study was to evaluate whether, compared to reviews for a journal with single-blind peer review, reviews for a journal with open peer review included (1) fewer self-c...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2015.08.004
更新日期:2015-12-01 00:00:00
abstract:BACKGROUND:Chronic Fatigue Syndrome (CFS) is characterised by persistent fatigue, disability and a range of other symptoms. The PACE trial was randomised to compare four non-pharmacological treatments for patients with CFS in secondary care clinics. The aims of this sub study were to describe the use of complementary a...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.jpsychores.2016.06.005
更新日期:2016-08-01 00:00:00
abstract::The present study investigates the association between the severity of coronary artery disease (CAD) and feelings of exhaustion. Vital exhaustion consists of three major components: lack of energy, increased irritability, and demoralization. Previous studies showed that exhaustion is of predictive value for first myoc...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/0022-3999(95)00613-3
更新日期:1996-04-01 00:00:00
abstract::This study evaluated the benefits produced by "Superstuff", a self-help program for asthmatic children aged 7-12. Forty-three children with a confirmed diagnosis of moderate to severe asthma were randomly assigned to either the totally self-administered Superstuff condition or to a nocontact Control condition. Self-re...
journal_title:Journal of psychosomatic research
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/0022-3999(85)90014-5
更新日期:1985-01-01 00:00:00
abstract:OBJECTIVE:Multiple chemical sensitivity (MCS) is characterized by a variety of symptoms in response to nontoxic concentrations of chemicals. To further test a laboratory model of MCS based on symptom learning, we used a stronger respiratory challenge in this study than in previous studies to induce symptoms (20% CO(2)-...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2009.03.009
更新日期:2010-01-01 00:00:00
abstract:OBJECTIVE:There is wide variability in latency to attend hospital following a myocardial infarction (MI). The present study assessed possible psychological factors that may be implicated in delayed presentation. METHOD:Seventy-two patients who had experienced a confirmed MI were interviewed in hospital, 3-5 days post-...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/s0022-3999(01)00265-3
更新日期:2001-10-01 00:00:00
abstract:OBJECTIVE:The goal of this investigation was to determine in healthy adults the effect of expectation manipulations on the development of motion sickness, as indicated by abnormal gastric myoelectric activity and subjective reports of symptoms of motion sickness. METHOD:Eighty participants, moderately susceptible to m...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/S0022-3999(03)00130-2
更新日期:2004-06-01 00:00:00
abstract::In order to explore hypochondriacal concerns in patients with Chronic Airflow Obstruction (CAO) the authors administered the Illness Attitude Scales and the somatization, anxiety, depression and anger-hostility scales of the Hopkins Symptom Checklist to 50 patients with CAO and to matched family practice patients. Som...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/0022-3999(87)90036-5
更新日期:1987-01-01 00:00:00
abstract:OBJECTIVE:In this cross-sectional pilot study of couples in whom the man was diagnosed with prostate cancer or the woman with breast cancer, the purpose was to identify and compare the variables that characterize couples where both spouses are in high psychological distress with couples where the psychological distress...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/s0022-3999(03)00502-6
更新日期:2003-11-01 00:00:00
abstract:OBJECTIVE:Presently, little is known about the characteristics and impact of integrated care programs for patients with psychological comorbidity. The aim was to provide an overview of these integrated care programs and their effectiveness. METHODS:Systematic literature review including papers published between 1995 a...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章,meta分析,评审
doi:10.1016/j.jpsychores.2015.07.013
更新日期:2015-12-01 00:00:00
abstract:OBJECTIVE:Current models assume somatoform pain disorder (SPD) to be the result of a complex interaction between bio- and psychosocial factors, but the etiology is still not well understood. This study aimed to investigate the distribution of attachment style and the frequency of traumatic life events, especially child...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2017.10.003
更新日期:2017-12-01 00:00:00
abstract:OBJECTIVES:Little work has investigated the relationship between unfairness and risk factors for heart disease. We examine the role of unfairness in predicting the metabolic syndrome and explaining the social gradient of the metabolic syndrome. METHODS:The design is a prospective study with an average follow-up of 5.8...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2007.04.006
更新日期:2007-10-01 00:00:00
abstract::Few studies have investigated relationships between psychological variables and survival after bone marrow transplantation (BMT). There is some evidence that psychological variables play a role in the course of cancer, and also after BMT. The present study focused on relationships between psychological variables and s...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/s0022-3999(98)00003-8
更新日期:1998-10-01 00:00:00
abstract::The predictive validity of subjects' self-reports of the severity of four groups of symptoms associated with the premenstrual syndrome (PMS) was assessed by canonical correlation of retrospective self-reports of usual symptom severities with prospectively obtained symptom severity scores from the next two cycles. Pros...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/0022-3999(87)90075-4
更新日期:1987-01-01 00:00:00
abstract:OBJECTIVES:To perform a quantitative evaluation of Hoover's test using a simple device--routine weighing scales. To determine a cut-off value of a Hoover's index, and to analyze the behavior of Hoover's test in "painful paresis". METHODS:The subjects were 9 patients presenting with psychogenic paresis of one leg, 9 wi...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2012.10.004
更新日期:2013-04-01 00:00:00
abstract:OBJECTIVE:The transplanted organ is a key element of the recipient's daily life. But its representations are neither spontaneously expressed by patients, nor taken into account by transplantation professionals. Our objective was to assess specifically the transplanted organ representations in liver transplant recipient...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2012.07.012
更新日期:2012-10-01 00:00:00
abstract:INTRODUCTION:Sedation is a core concept in the intensive care setting, however, the impact of sedation on delirium has not yet been studied to date. METHODS:In this prospective cohort study, 225 patients with Richmond Agitation and Sedation (RASS) scores of -1 - drowsiness and 0 - alert- and calmness were assessed wit...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2017.09.011
更新日期:2017-12-01 00:00:00
abstract:OBJECTIVE:The objectives were to give an overview of studies on the validity of the Toronto Alexithymia Scale (TAS-20) and to present data regarding the validity of the TAS-20. METHODS:The literature on the psychometric properties of the TAS-20 was reviewed and a study was conducted of its psychometric properties in a...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章,评审
doi:10.1016/s0022-3999(02)00348-3
更新日期:2002-12-01 00:00:00
abstract:OBJECTIVE:There is a concern about negative cognitive effects of systemic chemotherapy. We prospectively explored self-reported cognitive problems in testicular cancer patients (TCPs) treated with and without chemotherapy. METHODS:One hundred and twenty-two TCPs were interviewed about concentration and memory problems...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2010.12.004
更新日期:2011-05-01 00:00:00
abstract:OBJECTIVE:Psychosocial factors have been associated with a decline of the quality of semen. The study was aimed at (i) estimating the association between work stress and semen quality and (ii) exploring the moderating effect of social support in semen parameters among Chinese male workers. METHODS:Data were obtained f...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2018.10.013
更新日期:2019-02-01 00:00:00
abstract::The EEG photic driving response is a sensitive neurophysiological measure. It has been used to assess drug effects, forms of epilepsy, neurological status of Alzheimer's patients, and physiological arousal. Photic driving also impacts the psychological status of a person by producing increased visual imagery and decre...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/s0022-3999(97)00204-3
更新日期:1998-05-01 00:00:00