Abstract:
BACKGROUND:Little is known about how patients rate their health perceptions. Our objectives were to identify systematic multivariate patterns of perceptions using cluster analysis, and to investigate associations among the clusters, psychosocial characteristics and medication nonadherence. METHODS:Demographic, clinical and psychosocial data on 200 patients with inflammatory bowel disease (IBD) were collected prior to the index office visit and health perceptions were collected afterwards. Cluster analysis using a k-means method was used to identify subgroups of patients based on their responses to the Patient-Physician Discordance Scales (PPDS), an instrument that assesses perceptions of health status and of the clinical visit. RESULTS:We identified five different patient groups: a "healthy, not distressed, good communication, low expectation for medication/testing" group; a "healthy, relatively distressed, good communication, high expectation for medication, low expectation for testing" group; a "symptomatic, distressed, good communication, high expectation for medication/testing" group; a "healthy, not distressed, good communication, high expectation for medication/testing" group; and a "relatively healthy, relatively distressed, poor communication, low expectation for medication/testing" group. After adjustment for age, sex, language, form of IBD, and disease activity, statistically significant between-clusters differences were found in psychological distress, social support satisfaction and medication nonadherence. CONCLUSIONS:Distinct patterns of patients' health perceptions correlated with psychological health and adherence to treatment. This categorization may be used to help identify patients at higher risks for ineffective communication and nonadherence to medication.
journal_name
J Psychosom Resjournal_title
Journal of psychosomatic researchauthors
Sewitch MJ,Leffondré K,Dobkin PLdoi
10.1016/S0022-3999(03)00508-7subject
Has Abstractpub_date
2004-03-01 00:00:00pages
323-32issue
3eissn
0022-3999issn
1879-1360pii
S0022399903005087journal_volume
56pub_type
杂志文章abstract:OBJECTIVE:Type D personality is a psychosocial risk factor for cardiovascular events and in-stent restenosis (ISR), but the mechanisms involved are not well understood. This study aimed to evaluate the effects of dietary patterns on the association between Type D personality and ISR in patients with coronary artery dis...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2020.110244
更新日期:2020-11-01 00:00:00
abstract:OBJECTIVE:Acute lung injury (ALI) is common in the intensive care unit (ICU), typically requiring life support ventilation. Survivors often experience anxiety after hospital discharge. We evaluated general anxiety symptoms 3 months after ALI for: (1) associations with patient characteristics and ICU variables, and (2) ...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章,多中心研究
doi:10.1016/j.jpsychores.2013.06.002
更新日期:2013-09-01 00:00:00
abstract::We investigated two groups of men with regard to vasectomy acceptance, and subsequent erectile dysfunction. Group I was a group of 45 men chosen at random from 254 vasectomized patients. Group II was a group of 18 men who, out of 180 patients treated for erectile dysfunction, attributed their dysfunction to previous v...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/0022-3999(94)90028-0
更新日期:1994-10-01 00:00:00
abstract:OBJECTIVE:Military veterans experience a high prevalence of psychopathologies such as posttraumatic stress disorder (PTSD). Relationships between physical and psychological health are increasingly recognised. This study investigated associations between PTSD and hypertension in male Australian Gulf War veterans. METHO...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2011.08.002
更新日期:2012-01-01 00:00:00
abstract:OBJECTIVE:This prospective study investigated associations between maternal stress exposure and maternal psychological stress measures during pregnancy with obstetric and neonatal outcomes. We also tested whether any observed associations would be moderated by increasing glucose levels, as increased glycaemia is also a...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2019.109795
更新日期:2019-10-01 00:00:00
abstract:OBJECTIVE:Anxiety disorders and symptoms are highly prevalent and problematic comorbidities in people with epilepsy (PWE), yet they remain poorly understood and often go undetected. This research aimed to further our understanding about anxiety in PWE. METHODS:Study 1 assessed the effectiveness of the commonly utilise...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2014.12.002
更新日期:2015-02-01 00:00:00
abstract:OBJECTIVES:Somatoform disorders are characterized by the presence of multiple somatic symptoms. While the accuracy of perceiving bodily signal (interoceptive awareness) is only sparely investigated in somatoform disorders, recent research has associated autonomic imbalance with cognitive and emotional difficulties in s...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2011.03.012
更新日期:2011-10-01 00:00:00
abstract::Thirty pregnant women with raised serum alpha fetoprotein (AFP) were interviewed before and after they received real-time ultrasound scanning to further diagnose fetal abnormalities. Thirty pregnant mothers receiving routine ultrasound scanning for dates served as the controls. The 'at risk' group were more anxious an...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/0022-3999(87)90095-x
更新日期:1987-01-01 00:00:00
abstract:OBJECTIVE:The objective of the current study was to examine whether depression and anxiety are independently associated with 5-year cardiac-related hospitalizations and all-cause mortality in patients with ischemic heart disease (IHD). METHODS:Patients treated for MI, angina, or ischemic heart failure (N=610) were rec...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2013.10.005
更新日期:2013-12-01 00:00:00
abstract::The cardiovascular fitness, blood pressure, resting pulse, lung capacity and body fat of 246 subjects were measured and each subject completed activity, mental health and mood questionnaires. The results of this study support the hypothesis that participation in physical activity, rather than cardiovascular fitness, i...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/0022-3999(92)90055-7
更新日期:1992-10-01 00:00:00
abstract:OBJECTIVE:The purpose of this study is to compare the effectiveness of a combined 12-week home-based exercise (EX)/cognitive behavioral therapy (CBT) program (n=18) with CBT alone (n=19), EX alone (n=20), and with usual care (UC, n=17) in stable New York Heart Association Class II to III heart failure (HF) patients dia...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.jpsychores.2010.01.013
更新日期:2010-08-01 00:00:00
abstract:OBJECTIVE:To determine the role of undifferentiated and dysregulated affects in somatoform disorders by using a multimethod assessment approach of alexithymia. METHODS:Forty patients with ICD-10 somatoform disorders (SoD) and 20 healthy controls, matched for age, education and sex, were included in the study. Alexithy...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/S0022-3999(03)00613-5
更新日期:2004-09-01 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
doi:10.1016/0022-3999(90)90088-l
更新日期:1990-01-01 00:00:00
abstract:OBJECTIVE:Sperms induced IgE production by seminal B cells from patients with atopic eczema via interaction of B cells with galectin-3 on sperms. We studied the effect of viewing a humorous film on IgE production by seminal B cells cultured with sperms. METHODS:Twenty-four male patients with atopic eczema viewed a hum...
journal_title:Journal of psychosomatic research
pub_type: 临床试验,杂志文章
doi:10.1016/j.jpsychores.2008.06.006
更新日期:2009-02-01 00:00:00
abstract::Evidence from survey-based studies suggests that monotonous work increases the risk of coronary heart disease (CHD). In this study of 1944 male and 832 female blue-collar workers aged 20-64 yr, we examined the association of CHD risk factors with two distinct objective work conditions--repetitive work (3 levels) and w...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/0022-3999(94)00088-m
更新日期:1995-01-01 00:00:00
abstract:OBJECTIVE:This study sought to determine the frequency of use and types of antidepressants used in IBD patients and to collect data with respect to any effect of antidepressants on the course of IBD in a usual care setting. METHOD:A case-note audit was conducted at an IBD Service in a public tertiary hospital. Include...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2011.06.006
更新日期:2012-02-01 00:00:00
abstract:OBJECTIVE:To assess undiagnosed and comorbid disorders in patients referred to a tertiary care center with a presumed diagnosis of chronic fatigue syndrome (CFS). METHODS:Patients referred for chronic unexplained fatigue entered an integrated diagnostic pathway, including internal medicine assessment, psychodiagnostic...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2013.07.010
更新日期:2013-11-01 00:00:00
abstract::Impaired sexual functioning limits the quality of life of 34-75% of post-myocardial infarction (MI) patients. This study examined the effects of three factors: (a) beta-blocker intake, (b) psychological distress, and (c) information about safety of sexual activity, on post-MI decreased sexual functioning. Sixty-three ...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/0022-3999(94)90018-3
更新日期:1994-10-01 00:00:00
abstract:BACKGROUND:Alexithymia is a personality construct involving difficulties identifying and verbalizing feelings, and an externally oriented thinking style. There is preliminary evidence for alexithymia subtypes that may carry different risk profiles for psychiatric illness. The aim of this study was to gain support for t...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2017.04.010
更新日期:2017-06-01 00:00:00
abstract:OBJECTIVE:Little is known about whether illness perceptions affect health outcomes in primary care patients. The aim of this study was to examine if patients' illness perceptions were associated with their self-rated health in a 2-year follow-up period. METHODS:One thousand seven hundred eighty-five primary care patie...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2006.09.003
更新日期:2007-02-01 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
doi:10.1016/0022-3999(83)90039-9
更新日期:1983-01-01 00:00:00
abstract:OBJECTIVE:With the increasing prevalence of multiple conditions in older age, the high prevalence of mental disorders, and the many social challenges facing elderly people, a high-risk patient group in need of interdisciplinary (biological, psychological, and social) care is emerging. The INTERMED interview is an integ...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2010.09.003
更新日期:2011-02-01 00:00:00
abstract:OBJECTIVES:To examine the associations between a wide range of mental disorders and subsequent onset of stroke. Lifecourse timing of stroke was examined using retrospectively reconstructed data from cross-sectional surveys. METHODS:Data from the World Mental Health Surveys were accessed. This data was collected from g...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2015.05.008
更新日期:2015-08-01 00:00:00
abstract:OBJECTIVE:The relationship between resting-state heart rate variability (HRV) and somatic symptom disorder (SSD) has been explored in several studies. We planned to examine HRV during the performance of psychological tasks, and assumed that it could be applied for the diagnosis of SSD. METHODS:Fifty-three patients wit...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2019.05.007
更新日期:2019-08-01 00:00:00
abstract:BACKGROUND:Following the 1991 Gulf War (GW) there was much controversy surrounding service-related health effects. Evidence from the Vietnam experience suggested that self-reported ill health following that conflict might be related to how service during the conflict is framed. The aim of this article is to determine i...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2006.01.002
更新日期:2006-08-01 00:00:00
abstract: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 neurolog...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/S0022-3999(03)00564-6
更新日期:2004-07-01 00:00:00
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
doi:10.1016/0022-3999(86)90002-4
更新日期:1986-01-01 00:00:00
abstract:OBJECTIVE:The current study focused on the role of trait mindfulness in asthma-related quality of life (QoL) and asthma control in adolescent asthma patients. Furthermore, potential underlying mechanisms (general and asthma-specific stress) of this relationship were investigated. METHODS:In this cross-sectional study,...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2017.06.014
更新日期:2017-08-01 00:00:00
abstract::The prevalence of alexithymia in fifty-five motor vehicle accident survivors who had chronic pain complaints and met DSM-III-R criteria for somatoform pain disorder was 53%. Alexithymic and non-alexithymic patients did not differ on self-reports of current pain severity or in the number of pain locations. Alexithymic ...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/0022-3999(94)90049-3
更新日期:1994-08-01 00:00:00
abstract::Significant advances in this past decade have improved our understanding of erectile physiology. A variety of tests are available for diagnosing impotence. SRE testing provides objective physiological information that is useful for indexing erectile capability and formulating a rational treatment plan. As such, SRE te...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章,评审
doi:10.1016/s0022-3999(97)00014-7
更新日期:1997-06-01 00:00:00