Search results for "Somatization"
showing 9 items of 59 documents
Influence of Psychological Factors on Pain and Disability in Anterior Knee Pain Patients
2011
AKP patients express chronic pain but also disability. However, the correlation between pain and disability is not complete and linear. Some patients with a lot of pain show mild disability while others with much less pain also show great disability. The disability is profoundly influenced by other emotional and cognitive factors that are associated with the perception of pain. Therefore, the clinical efforts do not have to be focused only on treating the pain as a feeling but on identifying and modifying these factors.
Differentiating hypochondriasis from panic disorder
2003
Hypochondriasis and panic disorder are both characterized by prevalent health anxieties and illness beliefs. Therefore, the question as to whether they represent distinct nosological entities has been raised. This study examines how clinical characteristics can be used to differentiate both disorders, taking the possibility of mixed symptomatologies (comorbidity) into account. We compared 46 patients with hypochondriasis, 45 with panic disorder, and 21 with comorbid hypochondriasis plus panic disorder. While panic patients had more comorbidity with agoraphobia, hypochondriasis was more closely associated with somatization. Patients with panic disorder were less pathological than hypochondri…
Immigrants Psychopathology: Emerging Phenomena and Adaptation of Mental Health Care Setting by Native Language.
2018
Mental health of immigrants is an important social and clinical issue. Immigrants may report higher rates of mental disorders and lower levels of use of mental health service with respect to natives. The aim of the present work is to review recent findings of the psychopathology of immigrants and analyze how to adapt the mental care settings through the use of mother tongues. We searched the literature to individuate and review the most recent scientific articles focused on the psychopathology of immigrants realized in Europe. Moreover, we summarized the guidelines about immigrants mental health care and we focused on the barriers caused by language. We individuated 15 papers reporting data…
Psychoanalytically-Oriented Inpatient Psychotherapy of Somatoform Disorders
2008
Somatoform disorders have been neglected in psychoanalytic publications. Unlike the descriptive approach of DSM-IV and ICD-10, sophisticated psychoanalytical models have been proposed for many years explaining the development of physical symptoms without definable medical cause. Based on a review of the psychoanalytic models of somatization and conversion, this article explores difficulties in the medical and psychotherapeutic treatments of somatoform disorders. The unique tradition of psychosomatic inpatient treatment in Germany is illustrated by the psychoanalytic treatment setting at the University of Mainz. A case report of a somatoform patient shows how childhood trauma is activated an…
Opioid tolerance and dependence -- do they matter?
2004
The use of opioids has long been accepted as the standard of care in patients with cancer and acute pain. Opioids can further be used effectively in specific subgroups of patients with chronic nonmalignant pain states. While the development of tolerance and physical dependence are known effects of opioids in cancer and noncancer pain populations, these patients can not be regarded as addicted. However, long-term therapy with short-acting opioids predisposes to tolerance and addiction. Recent research has confirmed the important role of psychopathologic and psychosocial conditions as predictors of failed opioid effectiveness in a significant number of noncancer pain subgroups. The clinical p…
Listado de síntomas breve (short checklist of symptoms) in Argentinean adults: Psychometric study of its main clinical scales
2016
The main objective of this research was studying the psychometric properties of the Listado de síntomas breve (short checklist of symptoms; LSB-50) in a sample of 994 Argentinean adults (49.9% females; 50.1% males). Mean age was 40.66 years (standard deviation=17.01; Min=18; Max=89). This screening test has seven main clinical scales: hypersensitivity, obsessive-compulsive, anxiety, hostility, somatization, depression, and sleep disturbance. Pearson correlations indicated that all scales had positive and mostly moderate associations. The second order confirmatory factor analysis showed a good fit for a hierarchical model where all scales loaded in one major factor. Internal consistency by C…
High utilizers of medical care
2004
Abstract Objective Patients with somatoform disorders (SFD) are likely to overutilize healthcare services. This study investigates (a) whether extraordinarily high medical costs can be predicted from patient characteristics or psychopathology, and (b) whether high-utilizing patients respond differently to cognitive–behavioral treatment. Methods We compared 42 SFD high utilizers with 53 SFD average utilizers and 29 patients suffering from other than SFD mental disorders. High utilization was defined by healthcare expenditures of ≥€2500 during the past 2 years. Costs were computed from medical and billing records of health insurance companies. Somatization distress, hypochondriasis, depressio…
Sleepless in Carver Country: Insomnia and Existential Crisis in Raymond Carver’s Short Fiction
2020
Chez Raymond Carver, la nuit n’est jamais uniquement une toile de fond réaliste. Dans ses nouvelles se déroulant après la tombée de la nuit, Carver joue à déconstruire les clichés généralement associés au confort de l’intimité nocturne et du lit conjugal. L’insomnie qui frappe certains de ses personnages les renvoie au contraire à leur complète solitude et à leur condition de mortels. Cet article cherche donc à voir comment la nuit blanche carvérienne est utilisée métaphoriquement pour exprimer l’angoisse de personnages souvent peu expansifs, qui veulent leur part du Rêve américain mais se retrouvent pris au piège d’un cauchemar existentiel. In Raymond Carver’s short fiction, the night is n…
Vecāku audzināšanas stilu saistība ar somatizācijai raksturīgiem somatiskiem simptomiem 15-17 gadus veciem pusaudžiem
2019
Bakalaura darba pētījuma mērķis bija noskaidrot, kādas saistības pastāv starp vecāku audzināšanas stiliem un somatizācijai raksturīgiem somatiskiem simptomiem, kā arī vai pastāv dzimumu atšķirības pusaudžu pašnovērtējumā par somatiskiem simptomiem. Pētījuma grupa sastāv no 92 respondentiem, 58 ir sievietes, 34 vīrieši. Grupas vidējais vecums ir 16 gadi (M = 16,33, SD = 0,83). Audzināšanas stilu novērtēšanai tika izmantota vecāku audzināšanas stilu aptauja (Parental Authority Questionnaire /PAQ; Buri, 1991). Somatizācijai raksturīgi somatiski simptomi tika mērīti ar Bērnu somatizācijas aptauju (Children’s Somatization Inventory, Child Report Form /Walker et.al., 1991). Pētījuma rezultāti par…