The presence of psychiatric disorders reduces the likelihood of neurologic disease among referrals to a neurology clinic.


OBJECTIVES:This study aims to explore the prevalence and impact of psychiatric disorders on the likelihood of an organic, neurological explanation for symptoms among neurology referrals. METHODS:Consecutive new adult neurology referrals were screened for psychiatric disorders (PRIME-MD) prior to evaluation by neurologists, blinded to these results. Diagnoses were stratified into three categories: no neurological diagnosis, neurological-headache, and neurological-nonheadache. RESULTS:Of 235 patients enrolled, 79 (34%) received no neurological diagnosis, 54 (23%) headache and 102 (43%) a neurological diagnosis. Overall, 39% had an underlying psychiatric disorder. Patients with psychiatric disorders were less likely to have a neurological diagnosis (RR: 0.66, 95% CI: 0.48-0.90): 25% of patients with a neurological diagnosis had an underlying psychiatric disorder, compared to 43% among those with no diagnosis and 57% among those with headaches. CONCLUSION:Psychiatric disorders are common among neurology referrals, particularly those with headaches and are associated with a decreased likelihood of an underlying neurological process.


J Psychosom Res


Ekstrand JR,O'Malley PG,Labutta RJ,Jackson JL




Has Abstract


2004-07-01 00:00:00














  • Gender specific temporal and cross-sectional associations between BMI-class and symptoms of depression in the elderly.

    abstract:OBJECTIVE:The aim of the study was the gender specific analysis of cross-sectional and longitudinal associations between body mass index class (BMI-class) and symptoms of depression in a representative sample of elderly German people. METHODS:At the baseline of the ESTHER study (2000-2002), 9953 participants completed...

    journal_title:Journal of psychosomatic research

    pub_type: 杂志文章


    authors: Wild B,Herzog W,Lechner S,Niehoff D,Brenner H,Müller H,Rothenbacher D,Stegmaier C,Raum E

    更新日期:2012-05-01 00:00:00

  • A study of myocardial perfusion in patients with panic disorder and low risk coronary artery disease after 35% CO2 challenge.

    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


    authors: Fleet R,Foldes-Busque G,Grégoire J,Harel F,Laurin C,Burelle D,Lavoie K

    更新日期:2014-01-01 00:00:00

  • Dissociation of rated emotional valence and Stroop interference in observer-rated alexithymia.

    abstract:OBJECTIVE:The objective of this study was to investigate a theoretically predicted deficit in the capacity to process emotions in alexithymia. The performance of patients high and that of patients low in alexithymia was tested in a computerized emotional Stroop task. METHODS:Reaction times of high and low self- and ob...

    journal_title:Journal of psychosomatic research

    pub_type: 杂志文章


    authors: Mueller J,Alpers GW,Reim N

    更新日期:2006-08-01 00:00:00

  • Adult attachment and social support interact to reduce psychological but not cortisol responses to stress.

    abstract:OBJECTIVE:Adult attachment has been suggested to mediate the effect of social support on stress protection. The purpose of this study was to investigate the effects of adult attachment and social support on psychological and endocrine responses to psychosocial stress. METHODS:Sixty-three healthy men who were married o...

    journal_title:Journal of psychosomatic research

    pub_type: 杂志文章,随机对照试验


    authors: Ditzen B,Schmidt S,Strauss B,Nater UM,Ehlert U,Heinrichs M

    更新日期:2008-05-01 00:00:00

  • Longitudinal patterns of mental health service utilisation by those with mental-physical comorbidity in the community.

    abstract:OBJECTIVE:Successful healthcare integration demands an understanding of current service utilisation by people with comorbidity. Physical illness may impact on mental health service use (MHSU), but longitudinal studies of comorbidity and MHSU are rare. This study 1) estimated associations between mental-physical comorbi...

    journal_title:Journal of psychosomatic research

    pub_type: 杂志文章


    authors: Harber-Aschan L,Hotopf M,Brown JSL,Henderson M,Hatch SL

    更新日期:2019-02-01 00:00:00

  • Cardiovascular responses of individuals with type A behavior pattern and parental coronary heart disease.

    abstract::Cardiovascular and other responses of stress of subjects considered to be at risk for coronary heart disease (CHD) were studied in order to evaluate two hypothesized pathways in the link between CHD risk factors and the disease process. Forty-seven male subjects with and without a parental history of CHD and with eith...

    journal_title:Journal of psychosomatic research

    pub_type: 杂志文章


    authors: Newlin DB,Levenson RW

    更新日期:1982-01-01 00:00:00

  • Are changes in workplace bullying status related to changes in salivary cortisol? A longitudinal study among Danish employees.

    abstract:OBJECTIVES:This study aims to investigate whether incident workplace bullying and its dicontinuance is related to subsequent change in morning and evening saliva cortisol concentrations. METHODS:Participants came from two Danish cohort studies, the PRISME cohort (n=4489) and the Workplace Bullying and Harassment Cohor...

    journal_title:Journal of psychosomatic research

    pub_type: 杂志文章


    authors: Gullander M,Grynderup M,Hansen ÅM,Hogh A,Persson R,Kolstad HA,Mors O,Kaerlev L,Bonde JP

    更新日期:2015-11-01 00:00:00

  • Personality and peritraumatic dissociation in the prediction of PTSD in victims of road traffic accidents.

    abstract:OBJECTIVES:To investigate the contribution of personality and peritraumatic dissociation in the development of posttraumatic stress disorder (PTSD). METHOD:Victims of road traffic accidents (RTA) were assessed within 2-4 weeks (Time 1) of the accident and again between 4 and 6 months (Time 2). The Eysenck Personality ...

    journal_title:Journal of psychosomatic research

    pub_type: 杂志文章


    authors: Holeva V,Tarrier N

    更新日期:2001-11-01 00:00:00

  • Anger, negative emotions, and cardiovascular reactivity during interpersonal conflict in women.

    abstract:OBJECTIVE:In order to evaluate the relationship between women's subjective emotional discomfort with anger and cardiovascular responses to stress, cardiovascular and affective responses were examined during two anger-provoking conditions: one in which anger would be in self-defense, and one in which anger would be in d...

    journal_title:Journal of psychosomatic research

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Lavoie KL,Miller SB,Conway M,Fleet RP

    更新日期:2001-09-01 00:00:00

  • Sense of life worth living (ikigai) and incident functional disability in elderly Japanese: The Tsurugaya Project.

    abstract:OBJECTIVE:To test the hypothesis that elderly persons who feel ikigai (a sense of life worth living) have a lower risk of incident functional disability than those who do not. Recent studies have suggested that ikigai impacts on mortality. However, its impact upon disability is unknown. The aim of the present study was...

    journal_title:Journal of psychosomatic research

    pub_type: 杂志文章


    authors: Mori K,Kaiho Y,Tomata Y,Narita M,Tanji F,Sugiyama K,Sugawara Y,Tsuji I

    更新日期:2017-04-01 00:00:00

  • Somatosensory evoked potentials and headache: a further examination of the central theory.

    abstract::The central theory of headache was investigated by examining the amplitude of the somatosensory evoked potential (SSEP) in headache sufferers and headache-free controls. The P1-N1 amplitude was found to be greater, and to increase more rapidly with increasing stimulus intensity, for headache subjects than for controls...

    journal_title:Journal of psychosomatic research

    pub_type: 杂志文章


    authors: Marlowe N

    更新日期:1995-02-01 00:00:00

  • The generalizability of cardiovascular responses across settings.

    abstract::The generalizability of cardiovascular reactivity change scores remains largely unsupported. In previous studies, several factors differed between laboratory and field, making poor lab-to-life correlations difficult to interpret. The present study varied only one parameter between the lab and field: setting. In this s...

    journal_title:Journal of psychosomatic research

    pub_type: 杂志文章


    authors: Gerin W,Christenfeld N,Pieper C,DeRafael DA,Su O,Stroessner SJ,Deich J,Pickering TG

    更新日期:1998-02-01 00:00:00

  • Psychological treatment of depressive symptoms in patients with medical disorders: a meta-analysis.

    abstract:OBJECTIVE:It is widely acknowledged that the prevalence of depression in the general population is high, but that it is even higher for patients with medical disorders. Yet, the effectiveness of psychological treatments in these patient populations has not been firmly established. METHODS:We conducted a meta-analysis ...

    journal_title:Journal of psychosomatic research

    pub_type: 杂志文章,meta分析


    authors: van Straten A,Geraedts A,Verdonck-de Leeuw I,Andersson G,Cuijpers P

    更新日期:2010-07-01 00:00:00

  • The three-factor eating questionnaire to measure dietary restraint, disinhibition and hunger.

    abstract::This report describes the construction of a questionnaire to measure three dimensions of human eating behavior. The first step was a collation of items from two existing questionnaires that measure the related concepts of 'restrained eating' and 'latent obesity', to which were added items newly written to elucidate th...

    journal_title:Journal of psychosomatic research

    pub_type: 杂志文章


    authors: Stunkard AJ,Messick S

    更新日期:1985-01-01 00:00:00

  • Intranasal oxytocin enhances positive self-attribution in healthy men.

    abstract:OBJECTIVE:A growing body of studies consistently demonstrates that social responsiveness toward others is influenced by the neurohormone oxytocin. However, the potential role of oxytocin for self-perception remains relatively unexplored. Thus, we investigated whether oxytocin administration influences the self-attribut...

    journal_title:Journal of psychosomatic research

    pub_type: 杂志文章,随机对照试验


    authors: Colonnello V,Heinrichs M

    更新日期:2014-11-01 00:00:00

  • Twenty minutes versus forty-five minutes morning bright light treatment on sleep onset insomnia in elderly subjects.

    abstract:OBJECTIVE:To compare the efficacy of 20 min versus 45 min light exposure for relieving psychophysiological insomnia in the elderly. METHODS:Prospective recruitment of subjects 60 years and older with psychophysiological insomnia. Random distribution to 20 or 45 min of daily exposure to 10,000 lux for 60 days. Sleep la...

    journal_title:Journal of psychosomatic research

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Kirisoglu C,Guilleminault C

    更新日期:2004-05-01 00:00:00

  • The classification of back pain patients: functional versus organic.

    abstract::Substantial numbers of patients suffer from chronic back pain without demonstrating identifiable organic pathology of the spine. Since standardized methods of assessing psychological disturbances (e.g. MMPI) in such patients often provoke hostility and resentment, a questionnaire (BPCS) was developed which employs ver...

    journal_title:Journal of psychosomatic research

    pub_type: 杂志文章


    authors: Biedermann HJ,Monga TN,Shanks GL,McGhie A

    更新日期:1986-01-01 00:00:00

  • The Rationality/Emotional Defensiveness Scale--II. Convergent and discriminant correlational analysis in males and females with and without cancer.

    abstract::The psychological correlates of the Rationality/Emotional Defensiveness Scale and its two subscales were examined in 1236 males and 863 females from the Western Collaborative Group Study. An additional 157 males and 164 females with some form of cancer other than of the skin were also included in this analysis. Charac...

    journal_title:Journal of psychosomatic research

    pub_type: 杂志文章


    authors: Swan GE,Carmelli D,Dame A,Rosenman RH,Spielberger CD

    更新日期:1992-05-01 00:00:00

  • Longitudinal associations between self-reported experiences of discrimination and depressive symptoms in young women and men post- myocardial infarction.

    abstract:OBJECTIVES:Research suggests that following a myocardial infarction (MI), women under the age of 60 have more elevated depressive symptoms and adverse outcomes than similarly aged men. Identifying risk factors that contribute to gender differences in depressive symptoms among this group may be critical to the developme...

    journal_title:Journal of psychosomatic research

    pub_type: 杂志文章


    authors: Saelee R,Vaccarino V,Sullivan S,Hammadah M,Shah A,Wilmot K,Abdelhadi N,Elon L,Pimple P,Kaseer B,Levantsevych O,Bremner JD,Lewis TT

    更新日期:2019-09-01 00:00:00

  • Illness experience, depression, and anxiety in chronic fatigue syndrome.

    abstract:OBJECTIVE:Given the high rate of psychiatric comorbidity with chronic fatigue syndrome (CFS), we considered two possible correlates of anxiety and depression: lack of illness legitimization and beliefs about limiting physical activity. METHOD:A total of 105 people diagnosed with CFS reported on their experiences with ...

    journal_title:Journal of psychosomatic research

    pub_type: 杂志文章


    authors: Lehman AM,Lehman DR,Hemphill KJ,Mandel DR,Cooper LM

    更新日期:2002-06-01 00:00:00

  • Hypertension and appraisal of physical and psychological stressors.

    abstract:OBJECTIVE:In the operant conditioning of hypertension hypothesis, it is assumed that the frequently found diminished sensitivity to painful stimuli in hypertensives can be generalized to sensitivity to other stressors, including psychological stressors. The validity of this assumption is examined in the present study. ...

    journal_title:Journal of psychosomatic research

    pub_type: 杂志文章


    authors: Nyklícek I,Vingerhoets AJ,Van Heck GL

    更新日期:2001-05-01 00:00:00

  • Legal and medical aspects of liability for negligently occasioned nervous shock: a current perspective.

    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


    authors: Mendelson D

    更新日期:1995-08-01 00:00:00

  • Simple quantitative analysis of Hoover's test in patients with psychogenic and organic limb pareses.

    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


    authors: Diukova GM,Ljachovetckaja NI,Begljarova MA,Gavrileyko GI

    更新日期:2013-04-01 00:00:00

  • The paradoxical relation between diastolic blood pressure change under stress and the H factor of the Jenkins Activity Survey.

    abstract::This study examined the relation of the Type A scale and of the three factors of the Jenkins Activity Survey to the cardiovascular responses of twenty-six subjects during two stressful tasks. The two tasks were reaction time (RT) and paced arithmetic (PA) and the sample was drawn from a general medical practice. While...

    journal_title:Journal of psychosomatic research

    pub_type: 杂志文章


    authors: Goldstein HS,Edelberg R,Meier CF,Orzano JA,Blaufuss L

    更新日期:1985-01-01 00:00:00

  • A pilot study of postnatal depression following caesarean section using two retrospective self-rating instruments.

    abstract::In a retrospective comparison study of rates of postnatal depression using two self-rating instruments, a significantly higher incidence of postnatal depression was found among subjects who had undergone Caesarean section than in those who had a vaginal delivery. The excess of cases of postnatal depression among the C...

    journal_title:Journal of psychosomatic research

    pub_type: 杂志文章


    authors: Edwards DR,Porter SA,Stein GS

    更新日期:1994-02-01 00:00:00

  • Perceived importance of activities of daily living and arthritis helplessness in rheumatoid arthritis; a prospective investigation.

    abstract:OBJECTIVE:To examine the contribution of perceived importance of activities of daily living (ADL) to arthritis-specific helplessness in a sample of rheumatoid arthritis (RA) patients over a 1-year period. METHOD:Forty-two individuals from an outpatient rheumatology clinic completed measures of ADL importance, helpless...

    journal_title:Journal of psychosomatic research

    pub_type: 杂志文章


    authors: Hommel KA,Wagner JL,Chaney JM,White MM,Mullins LL

    更新日期:2004-08-01 00:00:00

  • Psychological factors associated with delay in attending hospital following a myocardial infarction.

    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


    authors: O'Carroll RE,Smith KB,Grubb NR,Fox KA,Masterton G

    更新日期:2001-10-01 00:00:00

  • Application of the Type D Scale (DS14) in Chinese coronary heart disease patients and healthy controls.

    abstract:OBJECTIVE:To examine the psychometric properties of the Type D Scale (DS14) in mainland China. METHODS:One hundred and seventy-eight coronary heart disease (CHD) patients and 376 healthy controls were recruited. They completed the Chinese version of the DS14, the Zung Self-Rating Depression Scale, the Positive Affect ...

    journal_title:Journal of psychosomatic research

    pub_type: 杂志文章


    authors: Yu XN,Zhang J,Liu X

    更新日期:2008-12-01 00:00:00

  • Male gender and unemployment are associated with lower levels of perceived social support in adults with cystic fibrosis.

    abstract:OBJECTIVE:Adults with cystic fibrosis (CF) face unique challenges with regard to the attainment and maintenance of social support. Although social support has been shown to improve treatment outcomes in other patient-populations, research on social support in adults with CF is limited. In fact, no studies have examined...

    journal_title:Journal of psychosomatic research

    pub_type: 杂志文章


    authors: Flewelling KD,Sellers DE,Sawicki GS,Robinson WM,Dill EJ

    更新日期:2019-12-01 00:00:00

  • Systematic approaches to the prevention and management of patients with delirium.

    abstract::Delirium is a common complication of acute illness in older people. Earlier and more reliable detection could be achieved by greater routine cognitive testing in older people. Research evidence suggests that episodes of delirium and duration of delirium could be reduced by about one third if systems of care that prior...

    journal_title:Journal of psychosomatic research

    pub_type: 杂志文章,评审


    authors: Young J,Leentjens AF,George J,Olofsson B,Gustafson Y

    更新日期:2008-09-01 00:00:00