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Showing papers in "Psychosomatics in 1991"


Journal ArticleDOI
TL;DR: This paper reviews the development and validation of the alexithymia construct and discusses its clinical implications for psychosomatic medicine.

639 citations


Journal ArticleDOI
TL;DR: Routine psychiatric evaluations of 100 adult patients undergoing allogeneic bone marrow transplantation for acute leukemia were reviewed to examine the possible relationship of psychiatric and psychosocial factors to duration of survival following the procedure.

166 citations


Journal ArticleDOI
TL;DR: Contrary to clinical studies, women at risk for breast cancer showed good overall coping with few signs of significant dysfunctions in relation to comparison subjects.

143 citations


Journal ArticleDOI
TL;DR: In this paper, a review summarizes recent systematic research literature regarding psychological factors as they affect chronic renal disease, focusing on depression, quality of life, noncompliance, outcome studies, withdrawal from dialysis, and directions for future research.

109 citations


Journal ArticleDOI
TL;DR: Factor analysis of BDI responses revealed that cognitive symptoms of depression were prominent in the diabetic patients with complications, and symptoms of sexual dysfunction were significantly correlated with Symptoms of depression in diabetic women but not in diabetic men.

95 citations


Journal ArticleDOI
TL;DR: Psychiatric morbidity in patients was associated with psychopathology in family members, peri-operative AICD shocks, and social support that was perceived to be inadequate.

88 citations


Journal ArticleDOI
TL;DR: A review of normal water homeostasis and the SIADH will be included and a historical overview of compulsive water drinking and SIWI is provided.

83 citations


Journal ArticleDOI
TL;DR: The hospital charts of 198 patients with acute medical or surgical illnesses who had been treated with either dextroamphetamine or methylphenidate for secondary depression during a 5-year period at the Massachusetts General Hospital were examined and showed improvement following psychostimulant treatment.

82 citations


Journal ArticleDOI
TL;DR: It is suggested here that intentional undertreatment with insulin in some individuals with IDDM may be regarded as an equivalent to purging, with similar purpose and consequences.

82 citations


Journal ArticleDOI
TL;DR: This article critically reviews the literature on cancer and its potential connections to affective states, coping/defensive styles and personality traits, behaviors, and stressful life events.

67 citations


Journal ArticleDOI
TL;DR: Overall, patients demonstrated adjustment comparable with other medical patients, and a high prevalence of depression was shown to be associated with impaired function.

Journal ArticleDOI
TL;DR: In this article, the authors presented two cases of successful telephone therapy with cancer patients exemplify and highlight the effect of this mode of interaction on the therapeutic process and relationship, which makes it an especially effective psychotherapeutic tool for the medically ill patient.

Journal ArticleDOI
TL;DR: The "Psychosocial levels system" as mentioned in this paper assesses patients on three gradations of intensity: Level 1 (mild/minimal), Level 2 (moderate), and Level 3 (severe), taking into account past psychiatric history, quality of family and social support, prior coping history, coping with disease and treatment, and mental status.

Journal ArticleDOI
TL;DR: In this article, the effects of beta-blockers on cardiovascular reactivity to psychosocial stressors are reviewed and found that across all classifications of betablockers, heart rate reactivity was reduced.

Journal ArticleDOI
TL;DR: Three case reports of children with head-injured parents are presented, followed by a discussion of treatment considerations for this emerging "at-risk" population of parents of dependent children.

Journal ArticleDOI
TL;DR: The cases presented here, along with a preliminary body of clinical literature, suggest that, in conjunction with other factors, cyclosporine has an etiologic role in the production of a variety of organic mental disorders, including delirium, generalized anxiety disorder, hallucinosis, and organic mood disorder-depressed.

Journal ArticleDOI
TL;DR: Fear of medical legal consequences, physician's anxiety, lack of understanding of the rights of patients to refuse treatment, and a misunderstanding of the physician's duty when presented with such refusal seem to be the reasons for the large number of referrals.

Journal ArticleDOI
TL;DR: The vast majority of the variance is unexplained, indicating the existence of "unexplained" factors for the presence of NDSA in chronic pain patients.

Journal ArticleDOI
TL;DR: There are concerns about several aspects of the research decisions made by Toch and his research team, apart from the high selectivity of the sample (inmates incarcerated for a violent offense).

Journal ArticleDOI
TL;DR: While the factor structure of the SSPS-R was found to be reasonably congruent with the theoretical domains of the alexithymia construct, the scale lacked homogeneity and internal reliability.

Journal ArticleDOI
TL;DR: The evaluation and management of psychiatric patients with drug-induced alopecia are discussed, and certain psychotropic drugs--such as the beta-blockers, lithium, and anticonvulsants--are most likely to induce a drug-related alopECia.

Journal ArticleDOI
TL;DR: Methamphetamine and cocaine were the drugs most often abused by patients who abused drugs or both drugs and alcohol from 1985 to 1988, and Mechanisms of burn injury in these patients included "accidental" burn injury related to acute intoxication, and self-injury due to psychosis or depression.


Journal ArticleDOI
TL;DR: Oral sustained-release theophylline 200-400 mg, given 10 hours prior to electroconvulsive therapy (ECT) increased ECT seizure length in each of eight male patients who had shown unacceptably short seizures.

Journal ArticleDOI
TL;DR: Depression is the major psychiatric complication of Parkinson's disease, and it occurs in approximately one-third of all cases.

Journal ArticleDOI
TL;DR: The charts of 100 delirious patients seen by a psychiatric consultation service were reviewed, and hypoalbuminemic patients were more likely to have a combination of medical problems, long hospital stays, and increased mortality, while patients with normal albumin were morelikely to have drug toxicities and short hospital stays.

Journal ArticleDOI
TL;DR: Following the program, participants displayed a significantly greater reduction in average daily caloric intake and levels of perceived stress, anxiety, hostility, depression, psychological distress, and type A behavior as compared to the officers who did not participate in it.

Journal ArticleDOI
TL;DR: It appears that tricyclic antidepressants are safe and effective in heart transplant recipients treated with antidepressant medicines, and indicators of autonomic, electrocardiographic, and hemodynamic functions showed no adverse effects.

Journal ArticleDOI
Alan Stoudemire1
TL;DR: In this article, the development of affective language is a complex process that may be influenced by sociocultural, psychodynamic, developmental, cognitive, and behavioral factors, and multidimensional factors are discussed.

Journal ArticleDOI
TL;DR: This review examines some of the questions and current literature regarding psychological factors as they affect pulmonary and rheumatologic diseases and recommends directions for future research in these areas.