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Showing papers in "Psychosomatics in 1995"



Journal ArticleDOI
TL;DR: The modified Global Assessment of Functioning (GAF) scale has more detailed criteria and a more structured scoring system than the original GAF as mentioned in this paper, and the two scales were compared for reliability and validity.

860 citations


Journal ArticleDOI

497 citations


Journal ArticleDOI
TL;DR: Diagnosing depression in the medically ill is a difficult diagnostic task that will not be clarified appreciably by DSM-IV, and suggested guidelines for using the DSM- IV to diagnose depressive disorders in the medical ill are reviewed.

181 citations


Journal ArticleDOI
TL;DR: Psychiatric disorders and sexual victimization are common in women with chronic pelvic pain and should be considered in the evaluation and treatment of these patients.

127 citations


Journal ArticleDOI
TL;DR: The authors discuss the known risk factors for the development of TDP and review the literature on ventricular arrhythmias associated with haloperidol use.

119 citations


Journal ArticleDOI
TL;DR: In this paper, the authors conducted a randomized controlled clinical trial of group therapy with 70 patients with somatization disorder (SD) to identify an effective method of treating patients with SD.

118 citations


Journal ArticleDOI
TL;DR: Religious coping, a strategy heavily dependent on cognitive processes, is associated with fewer cognitive but not somatic symptoms of depression in medically ill older patients.

118 citations


Journal Article
TL;DR: The diagnosis of depressive disorders is a clinical challenge that requires systematic, persistent clinical scrutiny as discussed by the authors, and it is difficult to accurately diagnose a depressive disorder in a medically ill patient in a clinical setting.

114 citations


Journal ArticleDOI
TL;DR: Correctly diagnosing a depressive disorder in a medically ill patient is a clinical challenge that requires systematic, persistent clinical scrutiny, and compassion demands that depressive disorders, when diagnosed, be treated aggressively.

113 citations


Journal ArticleDOI
TL;DR: Psychosocial assessments of candidates for organ transplant surgery are conducted to ascertain that potential patients are likely to benefit from the surgery through adequate coping, good compliance, and commitment to rehabilitation.

Journal ArticleDOI
TL;DR: S Severity of throat symptoms, but not personality or psychological distress scores, predicted the degree of medical help sought for the symptom, and significantly elevated levels of psychological distress.

Journal ArticleDOI
TL;DR: Current understandings of the psychiatric aspects of requests by terminally ill patients for assisted suicide and euthanasia are reviewed; an approach to the common problems of physical, psychological, social, and spiritual suffering encountered in managing dying patients are described; and the functions of the psychiatrist are elaborate.

Journal ArticleDOI
TL;DR: In the United States, depressive disorders represent a major national public health problem, ranking within the top 10 most costly diseases in the USA as mentioned in this paper, and are a chronic, recurrent, and severe burden to both patients and their families.

Journal ArticleDOI
TL;DR: Somatization syndromes were defined in a sample of 102 psychosomatic inpatients according to the restrictive criteria of DSM-III-R somatization disorder and the broader diagnostic concept of the Somatic Symptom Index (SSI), providing further evidence for the validity of the SSI concept.

Journal ArticleDOI
TL;DR: The role of the consultation-liaison psychiatrist in the clinical management of the systemic lupus erythematosus (SLE) patient with neuropsychiatric disturbances is discussed in this article.

Journal ArticleDOI
TL;DR: While anxiety and depression were correlated with some sleep measures, neither contributed significantly to overall variance in sleep quality and the effect on sleep variables was dominated by on-off symptom phenomena, levodopa dose, and age.

Journal ArticleDOI
TL;DR: Patients with environmental somatization syndrome believe that their symptoms are caused by exposure to tangible components of the external environment or by ergonomic stress at work, and they usually refuse alternative explanations of their symptoms.

Journal ArticleDOI
TL;DR: Thirty inpatients with multiple somatoform symptoms admitted to a psychosomatic hospital were diagnosed using the Structured Clinical Interview for DSM-III-R and questionnaires and found high comorbidity rates not only for affective disorders, but also for anxiety disorders.

Journal ArticleDOI
TL;DR: In this paper, the authors conducted a clinical trial that included a three-phase assessment so only ambulatory medical patients judged eligible for treatment of this disorder in medical settings were recruited.

Journal ArticleDOI
TL;DR: In this paper, two scales for summarizing the results of psychosocial evaluations of transplant candidates have been published, the Psychosocial Assessment of Candidates for Transplantation (PACT) and the Transplant Evaluation Rating Scale (TERS).

Journal ArticleDOI
TL;DR: The authors applied DSM-III criteria to inpatient and outpatient medical records and attempted to follow 98 patients who met criteria for somatization disorder or conversion disorder to predict impairment in a variety of domains.

Journal ArticleDOI
TL;DR: Given the grave prognostic implications of delayed or missed diagnosis, one needs to be aware that the presentation of delirium may be disguised as depression.

Journal ArticleDOI
TL;DR: Risperidone has been found to be an effective antipsychotic agent with a relatively favorable side-effect profile, and there appears to be less risk for extrapyramidal symptoms and tardive dyskinesia compared to traditional neuroleptics.

Journal ArticleDOI
TL;DR: This study confirms previous reports of dementia as a common feature ofgressive supranuclear palsy and suggests that psychiatric disturbances, while common, are generally relatively mild, though more serious psychiatric illness may be seen.

Journal ArticleDOI
TL;DR: The process of psychiatric consultation appeared to facilitate acceptance of treatment initially refused in both groups, and differential psychiatric interventions were recommended.

Journal ArticleDOI
TL;DR: The authors may not be able to make you love reading, but stress catecholamines and cardiovascular disease will lead you to love reading starting from now.

Journal ArticleDOI
TL;DR: Six patients who, after surgery for refractory complex partial seizures, postoperatively experienced pseudoseizures (also known as nonepileptic seizures), confirmed with EEG monitoring are presented.


Journal ArticleDOI
TL;DR: In this paper, the relationship between two biochemical risk factors for coronary artery disease, serum lipids and dehydroepiandrosterone-sulfate (DHEA-S), and both fitness and perceived stress among a cohort of senior male Army officers was evaluated.