Abstract:
OBJECTIVE:To determine the independent effects of depressed mood and markers of medical disease severity on mortality in consecutive medical inpatients. METHODS:Consecutive general medical inpatients were asked to complete the Hospital Anxiety and Depression Scale (HADS) at admission. Prognostic indicators were obtained from patients' records and physicians' ratings. The study endpoint was mortality from all causes at 1 year. RESULTS:The baseline assessment was completed by 575 patients (87.7%). Survival data were available for 572 of these (86 deaths). HADS depression scores and several physical risk indicators predicted mortality. In multivariate analyses, physicians' rating of prognosis was the best predictor of mortality [adjusted odds ratio (OR) 3.6; 95% confidence interval (CI), 2.5--5.4]. Other independent predictors included a principal diagnosis of hemato-oncological disease, comorbidity scores, and HADS depression (adjusted OR 1.75; 95% CI, 1.10--2.79). CONCLUSION:Our data demonstrate an independent prognostic effect of depressed mood on mortality in general medical inpatients. Screening for depression may improve risk stratification in these patients over and above that obtained by routinely available physical parameters and physicians' clinical judgement.
journal_name
J Psychosom Resjournal_title
Journal of psychosomatic researchauthors
Herrmann-Lingen C,Klemme H,Meyer Tdoi
10.1016/s0022-3999(00)00226-9subject
Has Abstractpub_date
2001-06-01 00:00:00pages
295-301issue
6eissn
0022-3999issn
1879-1360pii
S0022399900002269journal_volume
50pub_type
杂志文章abstract:OBJECTIVE:Despite being recognized as an important prognostic factor for the outcome in gender identity disorder (GID), psychiatric comorbidity has rarely been assessed by means of standardized diagnostic instruments. The aim of this study was to assess current and lifetime psychiatric comorbidity in patients with GID....
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2004.08.010
更新日期:2005-03-01 00:00:00
abstract:OBJECTIVE:We explored the factor structure of the Massachusetts General Hospital Hairpulling Scale (MGH-HPS), a self-report measure for trichotillomania (TTM). METHODS:Self-reported hairpullers who responded to an Internet-based survey (N=990) completed the MGH-HPS, demographic items, and other survey instruments. Pri...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2006.12.003
更新日期:2007-06-01 00:00:00
abstract:OBJECTIVE:Multiple physical symptoms not attributable to known organic disease are common in all medical fields and associated with major personal and social consequences. This study investigated multiple physical symptoms according to the construct of bodily distress syndrome (BDS) and associated individual characteri...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2020.109941
更新日期:2020-01-28 00:00:00
abstract:OBJECTIVE:Detailed evidence for the construct validity of stress questionnaires has been repeatedly demanded. This study aimed to investigate the construct validity of the Perceived Stress Questionnaire (PSQ) in the context of a transactional view of stress. METHODS:The examination was based on the PSQ and on standard...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2007.02.010
更新日期:2007-07-01 00:00:00
abstract:OBJECTIVE:Previous studies demonstrated that a history of childhood trauma is linked to mental disorders in adulthood, particularly to depression. Adverse childhood experiences are also considered to contribute to the risk of hypochondriasis, but the results of previous studies have not been conclusive with respect to ...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2014.06.004
更新日期:2014-08-01 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::Thirty-seven patients hospitalized for cardiac disorders were classified by cluster analysis in four groups based on their patterns of perception of health during the first year of recovery. Striking differences were found in the four patterns obtained. The groups were compared for variables of demographic background,...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/0022-3999(84)90044-8
更新日期:1984-01-01 00:00:00
abstract:OBJECTIVE:Rheumatoid arthritis (RA) has been associated with a variety of emotional stressors, but findings remain inconclusive if RA is related to childhood trauma, which is known to have long-lasting negative consequences for physical health decades into adulthood. We investigated the association between childhood tr...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2012.10.007
更新日期:2013-04-01 00:00:00
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
doi:10.1016/j.jpsychores.2019.109858
更新日期:2019-12-01 00:00:00
abstract::The main aspects of the most common models describing depression in chronic pain patients are reviewed. It is suggested that dualistic thinking provides neither a satisfactory model of chronic pain, nor of depression, and relies on questionable assumptions of homogeneous, diagnostically defined entities. Models of dep...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章,评审
doi:10.1016/s0022-3999(99)00045-8
更新日期:1999-09-01 00:00:00
abstract:BACKGROUND:Chronic fatigue syndrome (CFS) is associated with a high use of health care services. To reduce the related costs for patients and society, it will be useful to know which factors determine CFS patients' amount of health care use. Little is known, however, about these factors. METHOD:The present study retro...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2008.03.015
更新日期:2008-07-01 00:00:00
abstract::The extent to which measures of anxiety and personality characteristics, which had been assessed preoperatively, could predict the length of hospital stay following surgery, above and beyond what could be predicted on the basis of biographical, medical-status and post-operative anxiety variables, was examined in 58 pa...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/0022-3999(91)90082-y
更新日期:1991-01-01 00:00:00
abstract::This review examines the literature on psychological reactions, often referred to as 'compensation neurosis', which occur after an accident and which are thought to be produced or maintained by a compensation claim. Theories and research are examined. The area is complicated and research so far is limited in scope and...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章,评审
doi:10.1016/0022-3999(83)90085-5
更新日期:1983-01-01 00:00:00
abstract:OBJECTIVE:This research aimed to study the salivary flow and other autonomic reactions -heart rate (HR) and skin conductance response (SCR)- in blood-injection-injury (BII) phobia and snake phobia participants, under the assumption that exposure to blood-related pictures in BII phobia will provoke an increase in parasy...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2018.10.018
更新日期:2018-12-01 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: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
doi:10.1016/j.jpsychores.2007.11.011
更新日期:2008-05-01 00:00:00
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, clinica...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/S0022-3999(03)00508-7
更新日期:2004-03-01 00:00:00
abstract::Four patients who had suffered a myocardial infarction were given biofeedback training in order to assess (1) the possibility of increasing heart rate variability with the help of a feedback; (2) the possible cardiac consequences, from the clinical viewpoint, of biofeedback treatment. A biofeedback procedure alternate...
journal_title:Journal of psychosomatic research
pub_type: 临床试验,杂志文章
doi:10.1016/0022-3999(82)90086-1
更新日期:1982-01-01 00:00:00
abstract:BACKGROUND:Untreated depression during pregnancy may have adverse outcomes for the mother and her child. Screening for depression in the general pregnant population is thus recommended. The Edinburgh Depression Scale (EDS) is widely used for postpartum depression screening. There is no consensus on which EDS cutoff val...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2010.07.008
更新日期:2011-04-01 00:00:00
abstract::Due to the fact that oral contraceptives (OCs) can alter the pain threshold and since evidence of possible concomitant changes in the cardiovascular response to pain is still missing, an investigation of the response of heart rate (HR), blood pressure (BP), and systolic time interval (STI) to ischemic pain in OC users...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/0022-3999(81)90113-6
更新日期:1981-01-01 00:00:00
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
doi:10.1016/s0022-3999(01)00217-3
更新日期:2001-09-01 00:00:00
abstract::Endometriosis is a common gynecological condition associated with debilitaing pain and poor mental health. This review examines the evidence for psychological and mind-body (PMB) interventions to improve endometriosis pain, psychological distress, sleep and fatigue. Electronic databases searched included PsychINFO, ME...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2019.109756
更新日期:2019-09-01 00:00:00
abstract::This report examines initial distress levels, course of symptoms, incidence of posttraumatic stress disorder (PTSD), predictors of short-term outcome, and value of prophylactic counseling in a consecutive series of 40 ambulant trauma clinic attenders with minor road traffic accident (RTA) injuries. Subjects were rando...
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)00068-3
更新日期:1999-01-01 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:Individuals with medical conditions are likely to have elevated health anxiety; however, research has not demonstrated how medical status impacts response patterns on health anxiety measures. Measurement bias can undermine the validity of a questionnaire by overestimating or underestimating scores in groups o...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2014.12.014
更新日期:2015-04-01 00:00:00
abstract:OBJECTIVE:To examine self-harm risk across the adult age range in patients diagnosed with various physical illnesses using the General Practice Research Database - a broadly representative sample of all people registered with a family practice in the United Kingdom. METHODS:We conducted a large nested case-control stu...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2012.05.010
更新日期:2012-08-01 00:00:00
abstract:OBJECTIVE:This article addresses three reliability issues that are problematic in the construction of scales intended for use in psychosomatic research, illustrates how these problems may lead to errors, and suggests solutions. METHODS:We used psychometric results and present five computational studies. The first, thi...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章,评审
doi:10.1016/j.jpsychores.2010.11.002
更新日期:2011-06-01 00:00:00
abstract:OBJECTIVE:We studied the prevalence of alexithymia, its distribution in different age groups in a wide age range, its association with sociodemographic and health-related variables, and its co-occurrence with depression. METHODS:The study forms part of the Health 2000 Study. The original sample comprised 8028 subjects...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2006.04.013
更新日期:2006-11-01 00:00:00
abstract::This longitudinal study evaluated the effects of two types of coping strategies, approach and avoidance, on anxiety, depression, and well-being in patients with coronary heart disease. Measurements were made at three timepoints: 1 month, 3 months, and 12 months after the cardiac event. Both cross-sectional and longitu...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/s0022-3999(99)00024-0
更新日期:1999-08-01 00:00:00
abstract::Chronic pain may be non-organic and also may be non-psychogenic as well. This report pertains to the socio-demographic, clinical, psychometric description and follow-up of 21 such cases. Though these are not different from psychogenic pain disorder as regards clinical presentation, idiopathic pain is more often observ...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/0022-3999(86)90050-4
更新日期:1986-01-01 00:00:00