Abstract:
OBJECTIVE AND METHODS:The relationship between psychological distress measured by the General Health Questionnaire 30 (GHQ-30) and risk factors for coronary heart disease, angina, electrocardiogram (ECG) abnormalities and chronic sputum was modelled using logistic regression on baseline data from a community study of 15,406 men and women. RESULTS:Psychological distress was associated with low forced expiratory volume (FEV(1)) and low body mass index (BMI) in men, and low systolic blood pressure only in women. There were associations between psychological distress and coronary heart disease and cardiorespiratory outcomes. The associations were particularly strong for angina without ECG abnormalities (Men: OR 3.26, 95% CI 2.52-4.21; Women: OR 2.89, 95% CI 2.35-3.55) and for angina with ECG abnormalities (Men: OR 2.68, 95% CI 2.03-4.52; Women: OR 2.88, 95% CI 1.89-4.39), in both men and women, even after adjusting for classical CHD and cardiorespiratory risk factors. An association between psychological distress and severe chest pain, indicative of previous myocardial infarction, was found in both men and women (Men: OR 1.89, 95% CI 1.44-2.47; Women: OR 1.91, 95% CI 1.48-2.47), respectively, and between psychological distress and ECG ischaemia, but in men only (OR 1.32, 95% CI 1.00-1.76). CONCLUSION:The association between psychological distress and cardiorespiratory outcomes is likely to be a consequence of the pain and discomfort of the symptoms of the illness. Chest pain may also be a symptom of psychological distress. However, psychological distress, as a predictor and possible risk factor increasing the risk of coronary heart disease, cannot be ruled out.
journal_name
J Psychosom Resjournal_title
Journal of psychosomatic researchauthors
Rasul F,Stansfeld SA,Hart CL,Gillis C,Smith GDdoi
10.1016/s0022-3999(02)00352-5subject
Has Abstractpub_date
2002-12-01 00:00:00pages
1163-70issue
6eissn
0022-3999issn
1879-1360pii
S0022399902003525journal_volume
53pub_type
杂志文章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:OBJECTIVES:The purpose of this study was to collate all works relating to delirium and probable delirium in children and adolescents published since 1980. METHODS:A systematic review of the literature in all languages published between 1980 and March 2009 was conducted. RESULTS:The literature is limited to small case...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章,评审
doi:10.1016/j.jpsychores.2009.10.011
更新日期:2010-04-01 00:00:00
abstract:OBJECTIVE:Hostility has been established as a risk factor for the development of coronary artery disease. Putatively pathogenic hemodynamic and neuroendocrine responses to psychological stressors are associated with hostility, but the cerebral effects of hostility and their relationship to these responses are unknown. ...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/s0022-3999(00)00100-8
更新日期:2000-04-01 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::Seventy-five patients with recent-onset dyspepsia and endoscopically visible duodenal ulcer underwent psychological evaluation. Following ranitidine treatment, they were reinterviewed periodically for 12 to 76 months (mean 38.6). Ulcer symptoms were present during a mean of 14.9% of follow-up months. Patients did sign...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/s0022-3999(96)00196-1
更新日期:1996-11-01 00:00:00
abstract::The past 25 yrs has seen the evolution from concepts based on specificity of stimulus, mediating pathway and target organ response to concepts embodying the multifactorical nature of psychosomatic disorders in which various combinations of causal factors operate within a particular disorder which is therefore heteroge...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/0022-3999(83)90093-4
更新日期:1983-01-01 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::Thirty healthy nonsmoking men and 30 women underwent a laboratory reactivity assessment with systolic (SBP) and diastolic blood pressure (DBP), and heart rate (HR) recorded at rest and during behavioral (mirror image tracing, mental arithmetic, color word conflict task and a semistructured Type A interview), and physi...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/0022-3999(90)90112-h
更新日期:1990-01-01 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:Depression and anxiety are considered etiological factors in cardiovascular disease (CVD), though their relative contribution and differentiation by clinical characteristics have not been studied intensively. We examined 6-year associations between depressive and anxiety disorders, clinical characteristics an...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2014.10.007
更新日期:2015-02-01 00:00:00
abstract::The 28-item General Health Questionnaire (GHQ) was validated against the PSE-derived Index of Definition in a sample of amputees with long-standing phantom and stump pain attending a Limb Fitting Centre. This form of the GHQ is a sensitive identifier of overt psychiatric disorder in this setting. ...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/0022-3999(86)90003-6
更新日期:1986-01-01 00:00:00
abstract:OBJECTIVE:Modern health worries (MHW) are concerns about health risks from features of modern life (e.g. additives in food, contaminated water supply, drug resistant bacteria, etc.). We investigated the role of MHW for care seeking for all purposes at the general practitioner (GP) and studied the role of neuroticism, s...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2012.07.007
更新日期:2012-10-01 00:00:00
abstract::Nature and frequency of somatic complaints, severity of anxiety and depression, and nature of psychiatric symptoms and disorders were evaluated in 81 adequately treated cancer patients, disease-free or with residual disease, using a controlled, prospective follow-up design. Patients were included in the index group (n...
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(98)00013-0
更新日期:1998-09-01 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:OBJECTIVES:Suicidal ideation is an important phase in the suicidal process, preceding suicide attempts and completed suicide. Weak social ties and low support from friends or relatives have been significantly associated with suicidal ideation. This study investigated the relationship between social support and suicidal...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2010.03.002
更新日期:2010-10-01 00:00:00
abstract:BACKGROUND:Felt security in close relationships may affect individual adaptation responses to existential threat in severe illness. We examined the contribution of attachment security to demoralization, a state of existential distress involving perceived pointlessness and meaninglessness in advanced cancer. METHOD:A m...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2018.11.018
更新日期:2019-01-01 00:00:00
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
doi:10.1016/0022-3999(85)90010-8
更新日期:1985-01-01 00:00:00
abstract:OBJECTIVES:The objective of this study was to examine the effectiveness of mindfulness-based stress reduction (MBSR) on depression, anxiety and psychological distress across populations with different chronic somatic diseases. METHODS:A systematic review and meta-analysis were performed to examine the effects of MBSR ...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章,meta分析,评审
doi:10.1016/j.jpsychores.2009.10.005
更新日期:2010-06-01 00:00:00
abstract:BACKGROUND:Sleep disorders are very common in patients with chronic kidney disease and they may not always subside after kidney transplantation. AIM AND METHODS:The aim of this cross-sectional study was to evaluate the self-reported quality of sleep, insomnia problems in particular, and examine the factors that distur...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2016.12.013
更新日期:2017-02-01 00:00:00
abstract:OBJECTIVE:The hyperarousal hypothesis is evaluated while controlling the influence of the quality of sleep in the night preceding the evaluation. METHOD:Eleven primary insomniacs and 11 healthy age matched controls participated to the study. Participants filled in 2 weeks of sleep logs and self-monitored their subject...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/s0022-3999(02)00579-2
更新日期:2003-01-01 00:00:00
abstract:OBJECTIVE:Type D personality is a combination of high negative affectivity (NA) and high social inhibition (SI). This trait is related to increased mortality and poor health outcomes in patients with cardiovascular diseases, although it is less well-established if Type D personality also poses an increased risk in heal...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2011.05.004
更新日期:2011-11-01 00:00:00
abstract:OBJECTIVE:This study aimed for a comprehensive evaluation of major depressive disorder (MDD) in stable coronary heart disease (CHD) patients, excluding all other potential psychiatric comorbidities, and including associations with cardiac biomarkers such as C-reactive protein (CRP), troponin T (TnT), and amino-terminal...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2008.09.010
更新日期:2009-03-01 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 aims of this study were: i) to compare the severity of somatoform and psychoform dissociation and childhood trauma among migraine patients, tension-type headache patients (TTH), and healthy controls; and, ii) to identify any relationships between headache characteristics and dissociative symptoms and trau...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2014.04.007
更新日期:2014-07-01 00:00:00
abstract:OBJECTIVE:To test age- and sex-specific associations between adverse life events and functional bodily symptoms (FBS) in the general population. METHODS:In a population-based cohort, 964 participants (mean age 55 years SD 11, 48% male) completed two measurements waves of the present study. Lifetime exposure to 12 adve...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2015.05.013
更新日期:2015-08-01 00:00:00
abstract:OBJECTIVE:This review aimed to examine evidence for the role of hormonal changes in the onset and course of depressive symptomatology and to assess the possible future role of hormonal therapies in the treatment of depression. METHODS:A Medline and PsycINFO search of the literature published between 1965 and 2006 was ...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章,评审
doi:10.1016/j.jpsychores.2006.12.019
更新日期:2007-04-01 00:00:00
abstract::This study of 113 adolescent females with IDDM and their mothers investigated whether: (1) interaction patterns are more dysfunctional in families of girls with eating disturbances than in those without; and (2) the relationship between family functioning and metabolic control is mediated by an eating disturbance. Bas...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/s0022-3999(97)00273-0
更新日期:1998-03-01 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::Forty-eight patients with rheumatoid arthritis were compared to 52 pain-free controls in terms of tolerance/avoidance and rated intensity of cold pressor pain. The patients had lower thresholds and tolerated the cold pressor pain for a shorter period, although not significantly so. However, the patients rated the nove...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/0022-3999(89)90065-2
更新日期:1989-01-01 00:00:00
abstract:OBJECTIVE:Investigate the association of dispositional optimism with chronic kidney disease (CKD) and rapid kidney function decline (RKFD) and determine if there is modification by age, sex, and educational attainment among African Americans. METHODS:Optimism was measured using the 6-item Life Orientation Test-Revised...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2020.110267
更新日期:2020-12-01 00:00:00