Showing papers in "Psychosomatics in 1999"

TL;DR: In this paper, the authors conducted an investigation in four tertiary-care centers to determine if psychiatric comorbidity and psychological variables were predictive of functional impairment in patients with fibromyalgia syndrome.

TL;DR: A study of 100 patients who made a severe suicide attempt suggested that the managed care criteria often applied for approving admission to hospitals for potentially suicidal patients were not, in fact, predictive of features seen in patients who actually made such attempts.

TL;DR: 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.

TL;DR: It is hypothesize that somatizing patients display anxious attachment behavior that derives from childhood experiences with caregivers that reinforces the somatizer's belief that he or she will be abandoned.

TL;DR: Results suggest that significant psychological distress exists in ambulatory women with breast cancer; all three instruments effectively measured that level of distress.

TL;DR: Impaired sight alone can acutely affect otherwise psychologically healthy individuals and serious consideration of this problem and definition of clear guidelines may prevent suicidal behaviour.

TL;DR: Being female, having a history of psychiatric illness, and having lower friend support were increased risks for PTSD-T, and Severity and duration of disorder were similar across the groups.

TL;DR: In this article, a pilot study found that patients' quality of life (QOL) was relatively high and stable over time, whereas primary caregivers rated the patient's QOL lower than patient self-ratings.

TL;DR: The Delirium Rating Scale (DRS) as discussed by the authors is the most widely used scale to assess delirium that has been translated into at least seven other languages and has high scale characteristics, including internal consistency, validity, specificity, sensitivity and interrater reliability.

TL;DR: Results indicate that AR is associated with higher rates of depression and anxiety disorder and prescription treatment of AR moderated the increased expenditures associated with comorbidity.

TL;DR: The hematologic side effects of the commonly prescribed psychotropics, including antipsychotics, antidepressants, benzodiazepines, lithium, mood stabilizers, and the acetylcholinesterase inhibitors are reviewed.

TL;DR: Combined therapy using an aromatase inhibitor along with testosterone improves sexual function and may reduce seizures in men with epilepsy and women with anovulatory cycles.

TL;DR: Peripheral blood lymphocytes of patients with PTSD associated with a history of childhood sexual abuse were examined for changes in immune phenotype and suggest the presence of increased lymphocyte activation in the PBL of Patients with PTSD.

TL;DR: In this article, a novel instrument is described that, according to preliminary data, measures what in German is termed Leidensdruck -the perceived burden of suffering due to illness.

TL;DR: Five additional cases of depression that developed during treatment with interferon-alpha are reported, identified by chart review of all patients seen over a 2-year period by the psychiatry consultation-liaison service at the University of Iowa.

TL;DR: Combined patterns of social support and coping style and correlations with adjustment to cancer were investigated in early-stage melanoma patients, finding high social support, combined either with active coping or with stoicism was associated with good adjustment.

TL;DR: Although the primary responsibility for treating demoralization rests with the patient’s physician, the consulting psychiatrist must make an accurate diagnosis and begin the process of supportive psychotherapy.

TL;DR: A case of severe skin picking attributable to delusional BDD is reported, which resulted in considerable medical morbidity and a nearly fatal outcome, and is the first report of decreased skin picking in delusional B DD with fluvoxamine.

TL;DR: In addition to psychiatric diagnoses, the authors elicited information on demographic variables, medical history, impairment in functioning, psychiatric comorbidity, psychiatric symptoms, personality traits, and childhood experiences from a group of first-degree relatives of hypochondriacal and nonhypochondRIacal probands who participated in a family study.

TL;DR: The relationship between patients' causal attributions for pain and biopsychosocial measures was investigated and it was found that women who made psychosocial attributions reported higher pain scores, higher levels of psychological distress, lower levels of marital adjustment, more problems with sexual function, and more frequent reports of sexual assault.

TL;DR: Ketamine was touted as safe and reliable and has filled an important niche in anesthesia because, unlike barbiturates, it increases cardiac drive and does not depress respiratory drive, which have made ketamine a useful anesthetic in pediatric, geriatric, obstetric, and trauma patients.

TL;DR: 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.

TL;DR: Pretransplant psychiatric history, educational level, posttransplant caregiver support, and health concerns were the most important independent correlates of the recipients' psychological outcome.

TL;DR: In this article, a diathesis-stress model can be used to incorporate illness characteristics and attributes of the child and environmental effects in an overall framework to guide future research and treatment.

TL;DR: STAIC was thus a useful method for anxiety disorder screening in a pediatric population and had a sensitivity and specificity of 73% and a specificity of 70%.

TL;DR: Depression and anxiety are treatable disorders that occur frequently in patients with end-stage lung disease, and a premorbid history of either did not predict a worse outcome posttransplantation in this study of lung transplantation recipients.

TL;DR: The normative data suggest that the study's liver transplant candidates have poorer cognitive functioning and health-related quality of life when compared with available normative comparison groups, yet the former group is more comparable to medically ill peers on measures of anxiety, depression, psychosocial adjustment, and coping.

TL;DR: Preclinical and clinical literature describing the morbidity associated with interleukin-2 and interferon-alpha is reviewed and appropriate clinical management strategies are suggested and future directions for research are suggested.

TL;DR: The authors found a high rate of depression based upon Ham-D scores among the Russian-Jewish émigrés in primary care and suggest that this high rate is attributable to a culturally specific tendency to express distress in somatic terms.