Abstract:
:Although cognitive dysfunctions in psychosis have classically been associated with schizophrenia, there is clinical evidence that some bipolar patients show cognitive disturbances either during acute phases or in remission periods. The authors critically review the data on cognitive impairment in bipolar disorder. The main computerized databases (Medline, Psychological Abstracts, Current Contents) have been consulted crossing the terms 'cognitive deficits', 'neuropsychology', 'intellectual impairment', 'mania', 'depression' and 'bipolar disorder'. Changes in the fluency of thought and speech, learning and memory impairment, and disturbances in associational patterns and attentional processes are as fundamental to depression and mania as are changes in mood and behavior. Moreover, a significant number of bipolar patients show persistent cognitive deficits during remission from affective symptoms. However, there are several methodological pitfalls in most studies such as unclear remission criteria, diagnostic heterogeneity, small sample sizes, absence of longitudinal assessment, practice effect and poor control of the influence of pharmacological treatment. Most studies point at the presence of diffuse cognitive dysfunction during the acute phases of bipolar illness. Most of these deficits seem to remit during periods of euthymia, but some of them may persist in approximately one third of bipolar patients. Methodological limitations warrant further research in order to clear up the relationship between neuropsychological functioning and clinical, demographic and treatment variables in bipolar disorder.
journal_name
Psychother Psychosomjournal_title
Psychotherapy and psychosomaticsauthors
Martínez-Arán A,Vieta E,Colom F,Reinares M,Benabarre A,Gastó C,Salamero Mdoi
10.1159/000012361subject
Has Abstractpub_date
2000-01-01 00:00:00pages
2-18issue
1eissn
0033-3190issn
1423-0348pii
12361journal_volume
69pub_type
杂志文章,评审abstract::The pathogenesis of psychosomatic distress is considered. This emphasises interest in aetiology of distress rather than solely of disease. The influence of psychological aspects is as important whether the disease is of known or unknown aetiology, and can be of greater importance in poorer socio-economic circumstances...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000287824
更新日期:1984-01-01 00:00:00
abstract::114 patients with permanent colostomy for carcinoma of the rectum were compared by questionnaire and interview with 110 cancer patients, having undergone colonic resection but not bearing a colostomy. The patients' own assessment of their health was for the colostomy group even better than for the controls. The emotio...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000286938
更新日期:1975-01-01 00:00:00
abstract::This paper traces the author's empirical research journey into the measurement of symbolic function as a dimension of alexithymia. The archetypal test with 9 elements (AT9) is proposed as a tool to discrimnate between forms and degrees of disorganization in symbolic behavior of alexithymic subjects. The results seem t...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000287895
更新日期:1985-01-01 00:00:00
abstract::Hypnosis as an intrapsychological and interpersonal experience is used as an integrative and amplifying procedure in relation to biofeedback mechanism and behavior therapy. The hypnotic capacity for linking cognitive to affective reactions within a feedback loop of sensory and motor imagery is presented as a dynamic a...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000287343
更新日期:1979-01-01 00:00:00
abstract:BACKGROUND:Families can have considerable influence on the health of a patient with a chronic physical disease, and attempts have been made to optimise treatment by involving family members. This meta-analysis aimed to systematically assess the effects of family-oriented interventions on adults with chronic physical di...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,meta分析
doi:10.1159/000286958
更新日期:2010-01-01 00:00:00
abstract::We have described examples of behaviors that occur antecedent to, concurrent with, or as a consequence of childhood asthma. Ways these patterns can be altered have also been described. Three points should be emphasized: first, social learning techniques can contribute to a child acquiring self-monitoring and self-mana...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,评审
doi:10.1159/000287396
更新日期:1979-01-01 00:00:00
abstract:BACKGROUND:The purpose of this study was to determine whether psychiatric disturbances, particularly somatization, and an increased number of traumatic and critical life events, which have been found in women with idiopathic chronic pelvic pain (ICPP), can also be observed in women with chronic pelvic pain and abdomina...
journal_title:Psychotherapy and psychosomatics
pub_type: 临床试验,杂志文章
doi:10.1159/000012318
更新日期:1999-03-01 00:00:00
abstract::In addition to the diagnosis of symptoms we recently proposed the empirical analysis of psychodynamic levels; this paper aims at an empirical study of a third, and most essential, problem area: disturbances and/or regulatory processes of the self-system. Based on Deneke's newly developed questionnaire, 30 anorexia ner...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000288103
更新日期:1988-01-01 00:00:00
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journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,meta分析
doi:10.1159/000343131
更新日期:2013-01-01 00:00:00
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journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,评审
doi:10.1159/000288624
更新日期:1992-01-01 00:00:00
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journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,评审
doi:10.1159/000343508
更新日期:2013-01-01 00:00:00
abstract:BACKGROUND:The aim of the present study was to find out whether alexithymia is common in frequently attending primary health care patients and whether alexithymia and psychological distress are associated in these patients. METHODS:Alexithymia was measured by the TAS-26 and psychological distress by the SCL-25 in a ra...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000289075
更新日期:1996-01-01 00:00:00
abstract:BACKGROUND:Insufficient response to monotreatment for depression is a common phenomenon in clinical practice. Even so, evidence indicating how to proceed in such cases is sparse. METHODS:This study looks at the second phase of a sequential treatment algorithm, in which 103 outpatients with moderately severe depression...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,随机对照试验
doi:10.1159/000341177
更新日期:2013-01-01 00:00:00
abstract:BACKGROUND:Exercise training may be especially helpful for patients with generalized anxiety disorder (GAD). We conducted a randomized controlled trial to quantify the effects of 6 weeks of resistance (RET) or aerobic exercise training (AET) on remission and worry symptoms among sedentary patients with GAD. METHODS:Th...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,随机对照试验
doi:10.1159/000327898
更新日期:2012-01-01 00:00:00
abstract:BACKGROUND:Evidence suggests substantial comorbidity between symptoms of somatization and depression in clinical as well as nonclinical populations. However, as most existing research has been retrospective or cross-sectional in design, very little is known about the specific nature of this relationship. In particular,...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000071897
更新日期:2003-09-01 00:00:00
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journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000082020
更新日期:2005-01-01 00:00:00
abstract:BACKGROUND:There is a paucity of research concerning the identification of individual characteristics predictive of outcome in the treatment of personality disorders (PDs). METHODS:In this study, we carried out a predictor analysis of a sample of 73 hospitalized patients with a primary diagnosis of cluster B PD admitt...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000107562
更新日期:2007-01-01 00:00:00
abstract::Given the contradictory reports concerning psychophysiological reactivity of hypertensives this issue was reexamined. In contrast to the large majority of studies, the hypertensive sample should not be made up of patients in medical care and the control group should be comparable in all relevant aspects other than blo...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000288936
更新日期:1995-01-01 00:00:00
abstract::An approach to the psychotherapy of ego-depleted states or with morbid disease involves the commitment of the therapist far beyond a distant psychoanalytic stance. Engagement must occur before a therapeutic alliance and exploration of underlying issues can begin. The patient in a helpless state needs the therapist's c...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000287416
更新日期:1980-01-01 00:00:00
abstract:BACKGROUND:Research on Mindfulness-Based Stress Reduction (MBSR) has supported the utility of the technique in a number of clinical settings. This study explored whether MBSR, used as an adjunct to individual psychotherapy, would result in more rapid alleviation of symptoms, increased achievement of therapeutic goals, ...
journal_title:Psychotherapy and psychosomatics
pub_type: 临床试验,杂志文章
doi:10.1159/000083169
更新日期:2005-01-01 00:00:00
abstract::The concept of denial is important for the psychosomatic understanding of cardiovascular disease and treatment. This study evaluated denial using several psychometric assessment scales in patients referred for psychiatric evaluations prior to heart transplantation. Surviving patients who had a mean survival of more th...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000288421
更新日期:1991-01-01 00:00:00
abstract::Past studies have found that medical patients with the diagnosis of depression (comorbidity) have longer hospital lengths of stay (LOS) than those without the diagnosis of depression. This suggested that scores on a depression scale would be positively correlated with LOS. On a rehabilitation ward, 14 stroke and 17 am...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000288575
更新日期:1992-01-01 00:00:00
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journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000101500
更新日期:2007-01-01 00:00:00
abstract:BACKGROUND:Guided Internet-based cognitive behavior therapy (ICBT) has been tested in many trials and found to be effective in the treatment of anxiety and mood disorders. Generalized anxiety disorder (GAD) has also been treated with ICBT, but there are no controlled trials on guided Internet-based psychodynamic treatm...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,随机对照试验
doi:10.1159/000339371
更新日期:2012-01-01 00:00:00
abstract::Thirteen alexithymic patients and 13 panic disorder patients were compared with matched controls regarding their use of self-solacing strategies. Whereas the panic disorder group used significantly more (p less than 0.001) solacing objects, activities and sounds than normals, the alexithymic subjects used significantl...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000288141
更新日期:1989-01-01 00:00:00
abstract::Psychopathology and verbal expression were investigated in 20 psychoneurotic patients and 20 psychosomatic patients (10 patients with ulcerative colitis and 10 patients with Crohn's disease). The Crohn's disease patients showed as much psychopathology as the psychoneurotic patients, but the ulcerative colitis patients...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000287620
更新日期:1982-01-01 00:00:00
abstract::The concept of the specificity of psychosomatic diseases (Alexander) is being differentiated at the time. In order to clarify some aspects of this problem, we want to investigate whether types of self-rating of normal persons differ from those of patients with bronchial asthma. In a second step we shall examine whethe...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000288407
更新日期:1991-01-01 00:00:00
abstract:BACKGROUND:While the extent of medical comorbidity in depressive illness is widely recognised, there have been few studies where objective and subjective assessment of comorbidity in chronic depression have been made. The aim of this study was to determine the extent and nature of medical comorbidity, in terms of both ...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000289144
更新日期:1997-01-01 00:00:00
abstract::Alexithymic characteristics were examined in a sample of 30 patients fulfilling the DSM-III criteria for psychogenic pain disorder using an interviewer-rated scale (Beth Israel Hospital Psychosomatic Questionnaire), a self-rated scale (Toronto Alexithymia Scale) and a projective technique (Thematic Apperception Test)....
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000287992
更新日期:1987-01-01 00:00:00
abstract::The results of several studies on sleep EEG and dreams in patients with eating disorders are presented and compared with the data obtained in patients with a major depression. The sleep pattern, which is characteristic of depression, could not be found in the eating disorder group. Regarding the cholinergic REM induct...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000288048
更新日期:1987-01-01 00:00:00