International Review of Psychiatry (Abingdon, England)最新文献_第8页

Somatic symptoms in primary care and psychological comorbidities in Qatar: neglected burden of disease. 卡塔尔初级保健中的躯体症状和心理合并症:被忽视的疾病负担。

IF 2.8

International Review of Psychiatry (Abingdon, England) Pub Date : 2013-02-01 DOI: 10.3109/09540261.2012.730993

Abdulbari Bener, Elnour E Dafeeah, Santosh K Chaturvedi, Dinesh Bhugra

{"title":"Somatic symptoms in primary care and psychological comorbidities in Qatar: neglected burden of disease.","authors":"Abdulbari Bener, Elnour E Dafeeah, Santosh K Chaturvedi, Dinesh Bhugra","doi":"10.3109/09540261.2012.730993","DOIUrl":"https://doi.org/10.3109/09540261.2012.730993","url":null,"abstract":"Although somatic complains are the predominant reasons for seeking general medical care, there has been limited research on the clinical presentation of somatic symptoms in primary care settings in developing countries. The frequency of somatic symptoms in primary care in Qatar and its relationship to comorbidities of mental disorders is presented here. A total of 2,320 Arab patients were approached, of whom 76% agreed to participate for the survey conducted among primary healthcare (PHC) centre patients. The study was conducted with the help of general practitioners (GPs), using the General Health Questionnaire (GHQ-12), Patient Health Questionnaire (PHQ)-8 for depression, the Generalized Anxiety Disorder Scale (GAD)-7 for anxiety, PHQ-15 for somatic symptoms and the Psychological Stress Measure (PSM)-9 for stress. Of the subjects with somatic symptoms (229 cases), most were Qataris (57.2%). Poor hearing (52.1%), palpitation (47.1%) and stomach pain (43.8%) were the most common in men, whereas constipation (54.6%), feeling depressed (50.9%), and poor hearing (50.6%) were the most common in women; 48.5% had more than four somatic symptoms. Somatic symptoms were severe in 31.9%. Somatic symptoms were associated with depression (15.3%), anxiety (8.7%) and stress disorders (19.2%). The study findings revealed that somatic symptoms were significantly associated with socio-economic status. Somatic symptoms were significantly associated with depression, anxiety and stress disorders.","PeriodicalId":306151,"journal":{"name":"International Review of Psychiatry (Abingdon, England)","volume":" ","pages":"100-6"},"PeriodicalIF":2.8,"publicationDate":"2013-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/09540261.2012.730993","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31216393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 23

'I'm more sick than my doctors think': ethical issues in managing somatization in developing countries. “我的病比我的医生认为的更严重”:发展中国家管理躯体化的伦理问题。

IF 2.8

International Review of Psychiatry (Abingdon, England) Pub Date : 2013-02-01 DOI: 10.3109/09540261.2012.737312

Prabha S Chandra, Veena A Satyanarayana

{"title":"'I'm more sick than my doctors think': ethical issues in managing somatization in developing countries.","authors":"Prabha S Chandra, Veena A Satyanarayana","doi":"10.3109/09540261.2012.737312","DOIUrl":"https://doi.org/10.3109/09540261.2012.737312","url":null,"abstract":"Several ethical issues confront the healthcare professional who is managing somatization in developing countries where cost constraints, low literacy, poverty, poor nutrition and infections and inadequate access to healthcare are common. The paper discusses these in the context of the ethical principles of autonomy, beneficence, non-maleficence and justice. Some of the ethical issues in managing somatization include being influenced by patient distress rather than rational medical decision-making, inadequate attention to the cultural meaning of symptoms, psychologizing versus medicalizing, the ethics of nomenclature and labels, communicating ethically with patients, and managing them adequately given lack of evidence and training. An ethical approach to managing somatization in this context would include using an integrated and simultaneous medical and psychiatric approach. To ensure patient beneficence, the medical, psychological and social assessment should be undertaken side-by-side as much as possible and should be cost effective. Respecting patient autonomy by using adequate communication methods and the patient's cultural model of the illness as part of management is also integral to ethical practice. In the developing world, issues of equity are also an important ethical concern. When more serious illnesses are the health priority, functional syndromes may not get equal importance or resources.","PeriodicalId":306151,"journal":{"name":"International Review of Psychiatry (Abingdon, England)","volume":" ","pages":"77-85"},"PeriodicalIF":2.8,"publicationDate":"2013-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/09540261.2012.737312","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31216391","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Measurement and assessment of somatic symptoms. 躯体症状的测量和评估。

IF 2.8

International Review of Psychiatry (Abingdon, England) Pub Date : 2013-02-01 DOI: 10.3109/09540261.2012.727787

Santosh K Chaturvedi, Geetha Desai

{"title":"Measurement and assessment of somatic symptoms.","authors":"Santosh K Chaturvedi, Geetha Desai","doi":"10.3109/09540261.2012.727787","DOIUrl":"https://doi.org/10.3109/09540261.2012.727787","url":null,"abstract":"Somatic symptoms are common presentations in health settings. They can manifest as symptoms of another underlying mental disorder or be termed as medically unexplained. When they are medically unexplained they are invariably subsumed under the diagnostic categories of somatoform disorders. They are associated with interference in functioning, poor quality of life and are burdensome on health resources. The measurement of these symptoms is essential for understanding the individual and planning treatment. There are various instruments that have somatic symptoms measurement in their items. The tools have included somatic symptoms measurement in measuring general psychopathology, somatic symptoms as part of anxiety and depression, somatic symptoms specifically, and as a screening instrument for somatoform disorders. The advantages and disadvantages of common measures have been discussed. It appears that no one measure fulfils the essential criteria of an ideal measure for somatic symptoms. The measures of somatic symptoms should also be culturally sensitive and serve diagnostic, prognostic and heuristic purposes. These aspects are highlighted in the review.","PeriodicalId":306151,"journal":{"name":"International Review of Psychiatry (Abingdon, England)","volume":" ","pages":"31-40"},"PeriodicalIF":2.8,"publicationDate":"2013-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/09540261.2012.727787","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31216436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 13

Many faces of somatic symptom disorders. 躯体症状障碍的许多方面。

IF 2.8

International Review of Psychiatry (Abingdon, England) Pub Date : 2013-02-01 DOI: 10.3109/09540261.2012.750491

Santosh K Chaturvedi

引用次数: 4

Diagnostic criteria for psychosomatic research and somatic symptom disorders. 心身研究和躯体症状障碍诊断标准。

IF 2.8

International Review of Psychiatry (Abingdon, England) Pub Date : 2013-02-01 DOI: 10.3109/09540261.2012.726923

Laura Sirri, Giovanni A Fava

{"title":"Diagnostic criteria for psychosomatic research and somatic symptom disorders.","authors":"Laura Sirri, Giovanni A Fava","doi":"10.3109/09540261.2012.726923","DOIUrl":"https://doi.org/10.3109/09540261.2012.726923","url":null,"abstract":"The Diagnostic Criteria for Psychosomatic Research (DCPR) were introduced in 1995 by an international group of investigators to expand the traditional domains of the disease model. The DCPR are a set of 12 'psychosomatic syndromes' which provide operational tools for psychosocial variables with prognostic and therapeutic implications in clinical settings. Eight syndromes concern the main manifestations of abnormal illness behaviour: somatization, hypochondriacal fears and beliefs, and illness denial. The other four syndromes (alexithymia, type A behaviour, demoralization and irritable mood) refer to the domain of psychological factors affecting medical conditions. This review describes the conceptual bases of the DCPR and the main findings concerning their application, with particular reference to the incremental information they added to the customary psychiatric classification. The DCPR were also compared with the provisional DSM-5 somatic symptom disorders. The DCPR were found to be more sensitive than DSM-IV in identifying subthreshold psychological distress and characterizing patients' psychological response to medical illness. DSM-5 somatic symptom disorders seem to neglect important clinical phenomena, such as illness denial, resulting in a narrow view of patients' functioning. The additional information provided by the DCPR may enhance the decision-making process.","PeriodicalId":306151,"journal":{"name":"International Review of Psychiatry (Abingdon, England)","volume":" ","pages":"19-30"},"PeriodicalIF":2.8,"publicationDate":"2013-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/09540261.2012.726923","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31216435","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 67

Behavioural and psychological management of somatic symptom disorders: an overview. 躯体症状障碍的行为和心理管理:概述。

IF 2.8

International Review of Psychiatry (Abingdon, England) Pub Date : 2013-02-01 DOI: 10.3109/09540261.2012.746649

Mahendra P Sharma, M Manjula

{"title":"Behavioural and psychological management of somatic symptom disorders: an overview.","authors":"Mahendra P Sharma, M Manjula","doi":"10.3109/09540261.2012.746649","DOIUrl":"https://doi.org/10.3109/09540261.2012.746649","url":null,"abstract":"The number of patients who seek help at primary and secondary care for somatic symptoms which cannot be explained by any known medical condition is enormous. It has been proposed to rename 'somatoform disorders' in DSM-IV as 'somatic symptom disorders' in DSM-5. This is supposed to include disorders such as somatization disorder, hypochondriasis, undifferentiated somatoform disorder, pain disorder and factitious disorder. The reason for the renaming and grouping is that all these disorders involve presentation of physical symptoms and/or concern about medical illness. In the literature, there is considerable variation adopted with respect to diagnosis and in the approaches adopted for intervention. However, the common feature of these disorders is the chronicity, social dysfunction, occupational difficulties and the increased healthcare use and high level of dissatisfaction for both the clinician and the patient. A number of behavioural and psychological interventions for somatic symptoms have been carried out at primary, secondary and tertiary care settings and recently there have been more attempts to involve the primary care physicians in the psychological interventions. This review aims at giving an overview of the components of the behavioural and other psychological interventions available for addressing medically unexplained somatic symptoms and to present their efficacy.","PeriodicalId":306151,"journal":{"name":"International Review of Psychiatry (Abingdon, England)","volume":" ","pages":"116-24"},"PeriodicalIF":2.8,"publicationDate":"2013-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/09540261.2012.746649","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31216395","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 23

Somatic symptom disorders and illness behaviour: current perspectives. 躯体症状障碍和疾病行为:目前的观点。

IF 2.8

International Review of Psychiatry (Abingdon, England) Pub Date : 2013-02-01 DOI: 10.3109/09540261.2012.732043

Kirsty N Prior, Malcolm J Bond

{"title":"Somatic symptom disorders and illness behaviour: current perspectives.","authors":"Kirsty N Prior, Malcolm J Bond","doi":"10.3109/09540261.2012.732043","DOIUrl":"https://doi.org/10.3109/09540261.2012.732043","url":null,"abstract":"The behavioural aspects of somatic symptom disorders have received minimal research attention to date. The first section of this paper identifies key theoretical perspectives relevant to behavioural responses to illness. Specifically, the sociological concept of illness behaviour is offered as a general framework in which to consider the range of psychosocial factors associated with responses to perceived illness. Further, the potential relevance of the construct of abnormal illness behaviour and the cognitive behavioural conceptualization of health anxiety is explored. The second part of the paper describes various approaches to the operationalization of illness behaviour, with particular emphasis on the Illness Behaviour Questionnaire, an instrument with a rich history of application. Additional insight is provided into two contemporary instruments which aim to measure overt behavioural aspects of illness more specifically. The third and final section of the paper makes recommendations for how future research may advance the understanding of state- versus trait-based characteristics of illness behaviour. Suggestions are made for how adaptive forms of behaviour (e.g. self-management, appropriate coping) may reduce the risk of developing a somatic symptom disorder or alternatively, minimizing the potentially negative psychosocial implications of such a presentation.","PeriodicalId":306151,"journal":{"name":"International Review of Psychiatry (Abingdon, England)","volume":" ","pages":"5-18"},"PeriodicalIF":2.8,"publicationDate":"2013-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/09540261.2012.732043","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31216434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 15

Psychopharmacotherapy of somatic symptoms disorders. 躯体症状障碍的精神药物治疗。

IF 2.8

International Review of Psychiatry (Abingdon, England) Pub Date : 2013-02-01 DOI: 10.3109/09540261.2012.729758

Bettahalasoor Somashekar, Ashok Jainer, Balaji Wuntakal

{"title":"Psychopharmacotherapy of somatic symptoms disorders.","authors":"Bettahalasoor Somashekar, Ashok Jainer, Balaji Wuntakal","doi":"10.3109/09540261.2012.729758","DOIUrl":"https://doi.org/10.3109/09540261.2012.729758","url":null,"abstract":"Somatic symptoms are often common causes for medical consultation. The treatment of somatic symptoms disorders is complicated by lack of boundary, conceptual clarity, and overemphasis on psychosocial causation and effectiveness of psychological treatments. In clinical practice all classes of psychotropics are used to treat somatic symptoms disorder. Five principal groups of drugs such as tricyclic antidepressants (TCA), serotonin reuptake inhibitors (SSRI), serotonin and noradrenalin reuptake inhibitors (SNRI), atypical antipsychotics and herbal medication are systematically studied. The evidence indicates that all five groups are effective in a wide range of disorders. All classes of antidepressants seem to be effective against somatoform and related disorders. SSRIs are more effective against hypochondriasis and body dysmorphic disorder (BDD), and SNRIs appear to be more effective than other antidepressants when pain is the predominant symptom. Research leaves many unanswered questions regarding dosing, duration of treatment, sustainability of improvement in the long term and differential response to different class drugs. Further studies need to focus on treatments based on clinical features/psychopathology and collaborative research with other specialists in understanding the relation of somatic symptom disorders and functional somatic syndromes (FSS), and comparing psychotropics and non-psychotropics and combinations treatments.","PeriodicalId":306151,"journal":{"name":"International Review of Psychiatry (Abingdon, England)","volume":" ","pages":"107-15"},"PeriodicalIF":2.8,"publicationDate":"2013-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/09540261.2012.729758","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31216394","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 40

Somatization and somatic symptom presentation in cancer: a neglected area. 癌症的躯体化和躯体症状表现:一个被忽视的领域。

IF 2.8

International Review of Psychiatry (Abingdon, England) Pub Date : 2013-02-01 DOI: 10.3109/09540261.2012.731384

Luigi Grassi, Rosangela Caruso, Maria Giulia Nanni

{"title":"Somatization and somatic symptom presentation in cancer: a neglected area.","authors":"Luigi Grassi, Rosangela Caruso, Maria Giulia Nanni","doi":"10.3109/09540261.2012.731384","DOIUrl":"https://doi.org/10.3109/09540261.2012.731384","url":null,"abstract":"Abstract The recognition of somatization process in cancer patients is a challenging and neglected area, for the extreme difficulty in differentiating and assessing the psycho(patho)logical components from those biologically determined and related to cancer and cancer treatment, as well as for the scarce usefulness of rigid categorical DSM criteria. However, several dimensions of somatization (and the interconnected concept of abnormal illness behaviour) have been shown to be diagnosable in cancer patients and to negatively influence coping and quality of life outcomes. An integration of the formal DSM-ICD nosology with a system specifically taking into account the patients' emotional responses to cancer and cancer treatment, such as the Diagnostic Criteria for Psychosomatic Research (DCPR), is suggested. More data on some specific symptom dimensions, including pain, fatigue and sexual disorders, are needed to examine their possible psychological components. More research is also needed regarding the association of somatization with personality traits (e.g. type D distressed personality, alexithymia), developmental dimensions (e.g. attachment), and cultural issues (e.g. culturally mediated attributional styles to somatic symptoms). Also, the impact and effectiveness of specific therapeutic intervention in 'somatizing' cancer patients is necessary.","PeriodicalId":306151,"journal":{"name":"International Review of Psychiatry (Abingdon, England)","volume":" ","pages":"41-51"},"PeriodicalIF":2.8,"publicationDate":"2013-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/09540261.2012.731384","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31216437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 34

Somatic symptoms in consultation-liaison psychiatry. 会诊-联络精神病学中的躯体症状

IF 2.8

International Review of Psychiatry (Abingdon, England) Pub Date : 2013-02-01 DOI: 10.3109/09540261.2012.727786

Sandeep Grover, Natasha Kate

{"title":"Somatic symptoms in consultation-liaison psychiatry.","authors":"Sandeep Grover, Natasha Kate","doi":"10.3109/09540261.2012.727786","DOIUrl":"https://doi.org/10.3109/09540261.2012.727786","url":null,"abstract":"In medically ill patients the term 'somatic symptoms' is used to understand those symptoms which cannot be fully understood in the light of existing medical illness(es). These include a number of physical symptoms and also certain clinical syndromes such as irritable bowel syndrome, fibromyalgia, and chronic fatigue syndrome among others. However, it is increasingly recognized that such patients have larger degrees of psychological morbidities, especially depressive and anxiety disorders, and have disproportionately elevated rates of medical care utilization, including outpatient visits, hospitalizations and total healthcare costs. In view of this psychological morbidity, significant distress and functional impairment, the role of the consultation-liaison psychiatrist is prominent in the management of these patients. A consultation-liaison (CL) psychiatrist is expected to be part of the primary care team to manage patient with unexplained SS, and at the same time is expected to guide colleagues to practice a patient-centred approach to improve the outcome of patients with such symptoms. The clinical work of a CL psychiatrist involves evaluation of patients with medically unexplained symptoms for probable psychiatric disorders and treatment of psychiatric morbidity and also management of patients without psychiatric morbidity. Management strategies include reattribution, cognitive behaviour therapy and antidepressants, with each strategy showing varying degrees of success.","PeriodicalId":306151,"journal":{"name":"International Review of Psychiatry (Abingdon, England)","volume":" ","pages":"52-64"},"PeriodicalIF":2.8,"publicationDate":"2013-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/09540261.2012.727786","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31216390","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 18