Abstract：
:To study the prevalence of somatoform disorders (SDs) in primary care, a questionnaire including the modified 25-item version of the Symptom Checklist-90 was administered to 191 patients consecutively consulting their family physician. A stratified sample of the patients was interviewed with the Schedules for Clinical Assessment in Neuropsychiatry. The study showed that 22.3% (confidence interval [CI]: 95%: 16.4-28.1) of the patients fulfilled the diagnostic criteria for an International Classification of Diseases--10th Revision (ICD-10) SD, excluding SD, unspecified, and 57.5% (CI: 95%: 50.5-64.5) for DSM-IV SD. But 30.3% met the criteria (CI: 95%: 23.8-36.9) when the DSM-IV Not Otherwise Specified (NOS) diagnostic group is excluded. The most frequent ICD-10 diagnosis was autonomous dysfunction, for which 14.1% of the patients fulfilled the criteria, whereas the prevalence of the other somatoform diagnosis was between 3.0% and 8.1%. The most frequent DSM-IV diagnoses were SD NOS and undifferentiated SD, which 29.93% and 27.3% of the interviewed patients, respectively, received, whereas the prevalence of the other diagnoses was between 1.0% and 8.1%. A high comorbidity between SDs and other mental disorders was found. The general practitioners identified between 50% and 71% of the patients with an ICD-10 SD and between 36% and 48%, according to DSM-IV criteria. Patients with SDs used more nonpsychiatric health care facilities than other patients (P = 0.01).
journal_name
Psychosomaticsjournal_title
Psychosomaticsauthors
Fink P,Sørensen L,Engberg M,Holm M,Munk-Jørgensen Pdoi
10.1016/S0033-3182(99)71228-4subject
Has Abstractpub_date
1999-07-01 00:00:00pages
330-8issue
4eissn
0033-3182issn
1545-7206pii
S0033-3182(99)71228-4journal_volume
40pub_type
杂志文章相关文献
PSYCHOSOMATICS文献大全abstract：BACKGROUND:Psychiatric consultations involving the evaluation of patients' medical decision-making capacity often seem to have little to do with truly compromised patient autonomy. OBJECTIVE:The authors seek to examine hidden ethical dilemmas that lead to capacity evaluation requests. METHOD:The authors utilize the "...
journal_title：Psychosomatics
pub_type： 杂志文章
doi：10.1016/j.psym.2012.06.003
更新日期：2013-03-01 00:00:00
abstract：BACKGROUND:Comorbidity between vestibular and psychiatric disorders in predisposed individuals is underestimated, untreated, and may result in chronicization and poor quality of life. There are few studies concerning the type and the prevalence of psychiatric-psychosomatic distress in patients with benign paroxysmal po...
journal_title：Psychosomatics
pub_type： 杂志文章
doi：10.1016/j.psym.2013.02.005
更新日期：2014-05-01 00:00:00
abstract：:This article reviews diagnostic issues about body dysmorphic disorder and discusses its relationship to other disorders. Diagnostic and symptomatic overlap with obsessive-compulsive disorder is explored; associated features, course of illness, presumed etiology, and treatment outcome are compared; and similarities and...
journal_title：Psychosomatics
pub_type： 杂志文章,评审
doi：10.1016/S0033-3182(92)71991-4
更新日期：1992-04-01 00:00:00
abstract：BACKGROUND:Depression in patients with diabetes is associated with poorer adherence and worse health outcomes, however treating depression may help improve these outcomes. OBJECTIVE:The present systematic review identified published papers to evaluate treatments for depression in patients with diabetes. RESULTS:Seven...
journal_title：Psychosomatics
pub_type： 杂志文章,评审
doi：10.1016/j.psym.2010.11.007
更新日期：2011-01-01 00:00:00
abstract：BACKGROUND:Anxiety symptoms commonly occur in dermatological patients and can affect the severity of dermatological symptoms. Anxiety sensitivity (AS), defined as the fear of anxiety symptoms, is a well-supported cognitive vulnerability factor that may be particularly significant in these patients. OBJECTIVE:This stud...
journal_title：Psychosomatics
pub_type： 杂志文章
doi：10.1016/j.psym.2016.03.001
更新日期：2016-09-01 00:00:00
abstract：:The future of organ transplant psychiatry depends less on immunologic and surgical advances than on 1) an increased supply of donor organs, 2) more sophisticated multicenter outcome studies, and 3) understanding of the subjective as well as objective aspects of compliance and quality of life for transplant recipients....
journal_title：Psychosomatics
pub_type： 杂志文章,评审
doi：10.1016/S0033-3182(95)71623-1
更新日期：1995-09-01 00:00:00
abstract：BACKGROUND:Research has shown that Intensive Short-Term Dynamic Psychotherapy (ISTDP) can effectively decrease pain intensity and improve quality of life in patients with medically unexplained pain. OBJECTIVE:Understanding that not all patients with medically unexplained pain have access to in-person ISTDP, this study...
journal_title：Psychosomatics
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.psym.2016.01.001
更新日期：2016-05-01 00:00:00
abstract：:The contributions of consultation-liaison psychiatrists have significantly influenced the practice of medicine. The author reviews the pertinent literature that substantiates this observation as well as suggests areas that hold promise for such contributions in the future. ...
journal_title：Psychosomatics
pub_type： 杂志文章,评审
doi：10.1016/S0033-3182(96)71562-1
更新日期：1996-05-01 00:00:00
abstract：:The temporolimbic structures of the brain that subserve emotional representation are highly epileptogenic and play an important role in the modulation of hormonal secretion and mediation of hormonal feedback. Estrogen is highly epileptogenic and exerts energizing and antidepressant effects. Excessive estrogen influenc...
journal_title：Psychosomatics
pub_type： 杂志文章,评审
doi：10.1016/S0033-3182(99)71254-5
更新日期：1999-03-01 00:00:00
abstract：:Medical records were reviewed for 94 consecutive inpatients diagnosed with nonepileptic seizures. A 122-item follow-up questionnaire was returned by 71 patients (76%). The majority of the subjects reported fewer seizures (73%), their general health as "very good" (20%) or "good" (37), and "improved" quality of life (5...
journal_title：Psychosomatics
pub_type： 杂志文章
doi：10.1016/S0033-3182(97)71398-7
更新日期：1997-11-01 00:00:00
abstract：BACKGROUND:Medical directors need management skills; yet, few studies describe the specific tasks that directors consider most important, their confidence for these tasks, and how their confidence develops. We studied these questions among directors in the subspecialty of Consultation-Liaison Psychiatry. METHODS:A nee...
journal_title：Psychosomatics
pub_type： 杂志文章
doi：10.1016/j.psym.2020.09.006
更新日期：2020-09-22 00:00:00
abstract：:Psychotropic drugs are frequently used in both psychiatric and general medical practice. Familiarity with common side effects and their management may assist psychiatrists in the selection of agents to suit individual patient needs. The authors describe the morphologic features and pathologic basis of cutaneous reacti...
journal_title：Psychosomatics
pub_type： 杂志文章,评审
doi：10.1016/S0033-3182(97)71418-X
更新日期：1997-09-01 00:00:00
abstract：BACKGROUND:Hypertensive diseases in pregnancy (HDP) are a great challenge for healthcare providers. OBJECTIVE:The study aimed to investigate the experience of women developing HDP with different stressors associated with healthcare after a diagnosis of HDP. METHOD:A self- administered questionnaire referring to stres...
journal_title：Psychosomatics
pub_type： 杂志文章
doi：10.1176/appi.psy.49.5.413
更新日期：2008-09-01 00:00:00
abstract：BACKGROUND:Antipsychotic drugs have many side effects, including elevation of prolactin levels through tuberoinfundibular dopamine-receptor blockade. Although a number of studies claim that aripiprazole is a prolactin-sparing antipsychotic drug that may even lower prolactin levels, there has not been an exhaustive eval...
journal_title：Psychosomatics
pub_type： 杂志文章,评审
doi：10.1176/appi.psy.50.4.317
更新日期：2009-07-01 00:00:00
abstract：:In a 12-week placebo-controlled study of fluoxetine in the treatment of body dysmorphic disorder, the authors investigated change in psychosocial functioning and mental health-related quality of life in 60 subjects. The subjects were assessed with the LIFE-RIFT (a measure of impaired functioning), Social and Occupatio...
journal_title：Psychosomatics
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1176/appi.psy.45.5.438
更新日期：2004-09-01 00:00:00
abstract：:Depressive disorders are far more serious than most people realize, and depressive disorders are disabling affected persons progressively earlier in life. Heavy utilization of medical services, extensive disability and morbidity, and high suicide risk exact a staggering economic toll in the United States annually. Dep...
journal_title：Psychosomatics
pub_type： 杂志文章,评审
doi：10.1016/S0033-3182(95)71698-X
更新日期：1995-03-01 00:00:00
abstract：BACKGROUND:Wernicke-Korsakoff syndrome (WKS) is a well described syndrome of neurological and cognitive problems that comprises both Wernicke's encephalopathy (WE) and Korsakoff syndrome (KS). WE is an acute neuropsychiatric disorder caused by thiamine deficiency. KS is a chronic consequence of thiamine deficiency with...
journal_title：Psychosomatics
pub_type： 杂志文章,评审
doi：10.1016/j.psym.2012.04.008
更新日期：2012-11-01 00:00:00
abstract：BACKGROUND:Delirium is a serious postoperative condition for which few pharmacologic prevention trials have been conducted. OBJECTIVE:The authors tested the efficacy of perioperative olanzapine administration to prevent postoperative delirium in elderly patients after joint-replacement surgery. METHOD:The authors con...
journal_title：Psychosomatics
pub_type： 杂志文章,随机对照试验
doi：10.1176/appi.psy.51.5.409
更新日期：2010-09-01 00:00:00
abstract：:The purpose of this study was to determine the utilization of medical specialists by anxiety disorder patients. The setting was a university's clinical outpatient drug trails for anxiety disorders. The participants were subjects identified by advertisement and diagnosed by psychiatric interviews and, in some instances...
journal_title：Psychosomatics
pub_type： 杂志文章
doi：10.1016/S0033-3182(97)71478-6
更新日期：1997-03-01 00:00:00
abstract：:Depression is the major psychiatric complication of Parkinson's disease, and it occurs in approximately one-third of all cases. Diagnosis of depression is complicated by the overlap of depressive and parkinsonian symptoms. Its etiology is not fully understood but involves changes in dopamine and serotonin. Depression ...
journal_title：Psychosomatics
pub_type： 杂志文章,评审
doi：10.1016/S0033-3182(91)72039-2
更新日期：1991-10-01 00:00:00
abstract：BACKGROUND:Job descriptions for psychiatrists will change significantly over the next decade, as psychiatrists will be called on to work as caseload consultants to the primary care team. OBJECTIVE:The purpose of this pilot study was to examine the effects of an American Association of Directors of Psychiatric Residenc...
journal_title：Psychosomatics
pub_type： 杂志文章
doi：10.1016/j.psym.2015.03.006
更新日期：2015-11-01 00:00:00
abstract：:This study examined ways of determining a useful measure of the timing of referral to a consultation-liaison psychiatry unit. Seven hundred and twelve consecutive inpatient referrals between February 1990 and January 1995 were studied prospectively. Usage of a simple mathematical ratio of the time elapsed between admi...
journal_title：Psychosomatics
pub_type： 杂志文章
doi：10.1016/S0033-3182(98)71319-2
更新日期：1998-07-01 00:00:00
abstract：BACKGROUND:People with serious mental illness (SMI) are at elevated risk of HIV infection, but do not receive HIV tests regularly. Inpatient psychiatric admissions provide opportunities for HIV testing. OBJECTIVE:This study retrospectively examined the impact of three sequential interventions designed to increase HIV ...
journal_title：Psychosomatics
pub_type： 杂志文章
doi：10.1016/j.psym.2017.10.007
更新日期：2018-01-01 00:00:00
abstract：:Injuries from blows to the head often are manifested only as subjective complaints. Postconcussional syndrome thus can be feigned for financial or psychological gain. The authors review the pathology of brain trauma, symptoms of postconcussional syndrome, and criteria for diagnosis. In addition to somatic deficits, ps...
journal_title：Psychosomatics
pub_type： 杂志文章,评审
doi：10.1176/appi.psy.46.3.195
更新日期：2005-05-01 00:00:00
abstract：BACKGROUND:Although anesthetics have been used for more than a century, their mechanisms of action remain poorly understood. Given that a number of intraoperative and postoperative neuropsychiatric syndromes have been linked to the use of anesthetics, practitioners should familiarize themselves with these conditions. ...
journal_title：Psychosomatics
pub_type： 杂志文章,评审
doi：10.1016/j.psym.2013.06.020
更新日期：2014-01-01 00:00:00
abstract：:Much of the psychiatric literature advocates vigorous confrontation of patients with factitious physical disorder. Believing that such a strategy often drives the patient to a new physician, the author developed alternatives to confrontation. These strategies include use of inexact interpretations of psychological def...
journal_title：Psychosomatics
pub_type： 杂志文章
doi：10.1016/S0033-3182(89)72243-X
更新日期：1989-10-01 00:00:00
abstract：BACKGROUND:Psychosocial assessment is an essential component of the pretransplant evaluation. Many individuals have significant psychosocial problems, and they are either denied for transplantation or deferred from listing and transplant until the psychosocial issues are addressed. OBJECTIVE:The primary aim of this st...
journal_title：Psychosomatics
pub_type： 杂志文章
doi：10.1016/j.psym.2018.06.003
更新日期：2019-01-01 00:00:00
abstract：BACKGROUND:Late-life somatic symptom disorder (SSD) is characterized by various aging-associated factors, such as a functional decline, psychosocial problems, and cognitive dysfunction. However, the details of the cognitive dysfunction that occur in late-life SSD are still unknown. OBJECTIVE:The aims of this study wer...
journal_title：Psychosomatics
pub_type： 杂志文章
doi：10.1016/j.psym.2014.10.004
更新日期：2015-09-01 00:00:00
abstract：BACKGROUND:Neurodegenerative diseases cause progressive irreversible neuronal loss that has broad downstream effects. The neuroendocrine system regulates homeostasis of circuits that control critical functions such as the stress response, metabolism, reproduction, fluid balance, and glucose control. These systems are f...
journal_title：Psychosomatics
pub_type： 杂志文章,评审
doi：10.1016/j.psym.2019.11.002
更新日期：2020-01-01 00:00:00
abstract：BACKGROUND:Somatoform disorders (SDs) are a heterogeneous group of psychiatric syndromes characterized by common symptoms, which may mimic a physical condition but they are not explained by a medical condition. Although the biologic nature of this disorder has been widely accepted, the neuroanatomical correlates charac...
journal_title：Psychosomatics
pub_type： 杂志文章
doi：10.1016/j.psym.2018.07.005
更新日期：2019-01-01 00:00:00
