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https://www.readbyqxmd.com/read/29677034/functional-somatic-symptoms-across-cultures-perceptual-and-health-care-issues
#1
Bernd Löwe, Christian Gerloff
Functional neurological disorders are conceptualized as patterns of neurological symptoms that cannot be attributed to a clear organic etiology. The study by Wilkins et al. published in this issue of Psychosomatic Medicine, revealed that 8.2% of patients who were initially presented with suspected stroke were later diagnosed with functional disorders, i.e., "functional stroke mimics." However, the percentage of functional stroke mimics varied substantially with patients' nationality, age, and sex...
April 19, 2018: Psychosomatic Medicine
https://www.readbyqxmd.com/read/29676534/consensus-based-european-guidelines-for-treatment-of-atopic-eczema-atopic-dermatitis-in-adults-and-children-part-i
#2
A Wollenberg, S Barbarot, T Bieber, S Christen-Zaech, M Deleuran, A Fink-Wagner, U Gieler, G Girolomoni, S Lau, A Muraro, M Czarnecka-Operacz, T Schäfer, P Schmid-Grendelmeier, D Simon, Z Szalai, J C Szepietowski, A Taïeb, A Torrelo, T Werfel, J Ring
This guideline was developed as a joint interdisciplinary European project, including physicians from all relevant disciplines as well as patients. It is a consensus-based guideline, taking available evidence from other guidelines, systematic reviews and published studies into account. This first part of the guideline covers methods, patient perspective, general measures and avoidance strategies, basic emollient treatment and bathing, dietary intervention, topical anti-inflammatory therapy, phototherapy and antipruritic therapy, whereas the second part covers antimicrobial therapy, systemic treatment, allergen-specific immunotherapy, complementary medicine, psychosomatic counselling and educational interventions...
May 2018: Journal of the European Academy of Dermatology and Venereology: JEADV
https://www.readbyqxmd.com/read/29672778/fear-of-progression-in-parents-of-children-with-cancer-results-of-an-online-expert-survey-in-pediatric-oncology
#3
Katharina Clever, Florian Schepper, Luise Küpper, Holger Christiansen, Julia Martini
BACKGROUND: Fear of Progression (FoP) is a commonly reported psychological strain in parents of children with cancer. This expert survey investigates how professionals in pediatric oncology estimate the burden and consequences of FoP in parents and how they assess and treat parental FoP. METHOD: N=77 professionals in pediatric oncology (members and associates of the Psychosocial Association in Paediatric Oncology and Haematology, PSAPOH) were examined in an online survey with a self-developed questionnaire...
April 19, 2018: Klinische Pädiatrie
https://www.readbyqxmd.com/read/29672540/the-impact-of-attachment-distress-on-affect-centered-mentalization-an-experimental-study-in-psychosomatic-patients-and-healthy-adults
#4
Anna S Herrmann, Manfred E Beutel, Katharina Gerzymisch, Richard D Lane, Janine Pastore-Molitor, Jörg Wiltink, Rüdiger Zwerenz, Mita Banerjee, Claudia Subic-Wrana
INTRODUCTION: We investigated the impact of attachment distress on affect-centered mentalization in a clinical and a non-clinical sample, comparing mentalization in a baseline condition to mentalization under a condition of attachment distress. METHODS: The sample consisted of 127 adults who underwent inpatient psychosomatic treatment, and 34 mentally healthy adults. Affect-centered mentalization was assessed by analyzing participants' narratives on interpersonal situations in a baseline condition with the Levels of Emotional Awareness Scale (LEAS), and an experimental condition inducing attachment distress with the Adult Attachment Projective Picture System (AAP)...
2018: PloS One
https://www.readbyqxmd.com/read/29671085/-gerontopsychosomatic-consultation-liaison-service-in-inpatient-acute-geriatrics-effects-of-trust-and-support-on-patient-nurse-interaction
#5
REVIEW
Reinhard Lindner
BACKGROUND: Geriatric and psychosomatic medicine follow a biopsychosocial paradigm. Despite this similar "Menschenbild" in general, collaboration between geriatrics and psychosomatics is still rare. OBJECTIVES: This comparative interventional study aims to find possible effects of psychosomatic work in geriatrics on the interaction between patients and nursing staff and contentment of patients with treatment in general. MATERIAL AND METHODS: In the period of one year 238 geriatric patients (return rate 22...
April 18, 2018: Zeitschrift Für Gerontologie und Geriatrie
https://www.readbyqxmd.com/read/29664808/trends-in-pharmacological-emergency-treatment-of-patients-suffering-from-schizophrenia-over-a-16-year-observation-period
#6
Monika Edlinger, Anna-Sophia Welte, Nursen Yalcin-Siedentopf, Georg Kemmler, Felix Neymeyer, W Wolfgang Fleischhacker, Alex Hofer
Patients suffering from schizophrenia are often treated in locked psychiatric units because of psychomotor agitation, hostility and aggressive behavior, or suicidality. Because of legal conditions, investigations on these acutely ill patients are difficult, and many studies do not represent 'real-life psychiatry'. This retrospective survey was conducted at the Department of Psychiatry, Psychotherapy and Psychosomatics of the Medical University, Innsbruck, Austria. Data were collected from the records of all adult inpatients suffering from a schizophrenia spectrum disorder according to the International Classification of Diseases, 10th ed...
April 16, 2018: International Clinical Psychopharmacology
https://www.readbyqxmd.com/read/29618626/demoralization-in-parkinson-disease
#7
Brian B Koo, Christopher A Chow, Divya R Shah, Farhan H Khan, Brittani Steinberg, Danielle Derlein, Keerthana Nalamada, Kiran Sai Para, Vikramjeet M Kakade, Amar S Patel, John M de Figueiredo, Elan D Louis
OBJECTIVE: To determine the prevalence and associated features of demoralization in Parkinson disease (PD). METHODS: Participants with PD and controls were prospectively recruited from outpatient movement disorder clinics and the community. Demoralization was defined as scoring positively on the Diagnostic Criteria for Psychosomatic Research, Demoralization questionnaire or Kissane Demoralization Scale score ≥24. Depression was defined as Patient Health Questionnaire-9 score ≥10...
April 4, 2018: Neurology
https://www.readbyqxmd.com/read/29616284/-urology-and-alternative-medicine-1900-1970
#8
REVIEW
F G Mildenberger
Disorders of the lower abdomen were often associated with sexually transmitted diseases (STDs) or related conditions. The urological diagnostic workup and treatment was based on the idea that technical devices and objective scientific examination methods would lead to targeted success. The fact that illnesses such as urinary retention, urinary incontinence, urge incontinence, orchitis or urethritis often implicated psychosomatic complications and had a possibly far more important impact on sexual life did not play a role in the early years of urology...
April 3, 2018: Der Urologe. Ausg. A
https://www.readbyqxmd.com/read/29603590/potential-effects-of-multimodal-psychosomatic-inpatient-treatment-for-patients-with-functional-vertigo-and-dizziness-symptoms-a-pilot-trial
#9
Karina Limburg, Gabriele Schmid-Mühlbauer, Heribert Sattel, Andreas Dinkel, Katharina Radziej, Melanie Gonzales, Joram Ronel, Claas Lahmann
OBJECTIVES: Functional vertigo and dizziness (VD) are frequent and severely distressing complaints that are often described as hard to treat. Our aim was to provide preliminary data on potential effects of multimodal psychosomatic inpatient therapy for patients with functional VD symptoms in reducing vertigo-related handicap and related psychopathology, and to evaluate the role of symptom burden and body-related locus of control in predicting vertigo-related handicap at follow-up. DESIGN: We conducted an uncontrolled clinical pilot trial...
March 30, 2018: Psychology and Psychotherapy
https://www.readbyqxmd.com/read/29596869/retraining-of-automatic-action-tendencies-in-individuals-with-obesity-a-randomized-controlled-trial
#10
Hannah Ferentzi, Hannah Scheibner, Reinout Wiers, Eni S Becker, Johannes Lindenmeyer, Sylvia Beisel, Mike Rinck
Obesity is a major health concern, characterized by an automatically activated tendency to (over)-eat. Recent research suggests that an effective way to counteract automatic approach tendencies in unhealthy consumption behavior might be approach bias modification. Therefore, we investigated an approach-avoidance training for unhealthy food cues in 189 patients with obesity of a psychosomatic inpatient clinic who were participating in a nutrition advice program. Patients in the active training group were trained to make avoidance movements (pushing a joystick) in response to unhealthy food pictures and approach movements (pulling the joystick) in response to positive pictures, while the control group received sham training (approaching and avoiding both picture types)...
March 26, 2018: Appetite
https://www.readbyqxmd.com/read/29580705/-consultation-liaison-addiction-medicine-tools-and-specificities
#11
P Poloméni, G Cleirec, C Icard, A Ramos, B Rolland
Since the 1970s, the concept of "consultation/liaison (CL) psychiatry" has pertained to specialized mobile teams which meet inpatients hospitalized in non-psychiatric settings to offer them on-the-spot psychiatric assessment, treatment, and, if needed, adequate referral. Since the birth of CL psychiatry, a long set of theoretical books and articles has aimed at integrating CL psychiatry into the wider scope of psychosomatic medicine. In the year 2000, a circular issued by the Health Ministry defined the organization of "CL addiction services" in France...
March 23, 2018: L'Encéphale
https://www.readbyqxmd.com/read/29568790/treatment-changes-in-general-practice-patients-with-chronic-mental-disorders-following-a-psychiatric-psychosomatic-consultation
#12
Michael Linden, Beate Muschalla, Nils Noack, Christoph Heintze, Susanne Doepfmer
Objective: To determine whether a psychiatric-psychosomatic consultation can identify unmet treatment needs and improve treatment of patients with mental disorders in general practice. Methods: In 40 primary care practices, 307 consecutive primary patients who met criteria for chronic mental disorders were assessed by a psychiatric-psychosomatic consultant. After random assignment, general practitioners (GPs) were informed for half of the patients about the results of the assessment and received recommendations on how to improve treatment...
January 2018: Health Services Research and Managerial Epidemiology
https://www.readbyqxmd.com/read/29544663/an-update-on-telepsychiatry-and-how-it-can-leverage-collaborative-stepped-and-integrated-services-to-primary-care
#13
Donald M Hilty, Terry Rabinowitz, Robert M McCarron, David J Katzelnick, Trina Chang, Amy M Bauer, John Fortney
INTRODUCTION: In this era of patient-centered care, telepsychiatry (TP; video or synchronous) provides quality care with outcomes as good as in-person care, facilitates access to care, and leverages a wide range of treatments at a distance. METHOD: This conceptual review article explores TP as applied to newer models of care (e.g., collaborative, stepped, and integrated care). RESULTS: The field of psychosomatic medicine (PSM) has developed clinical care models, educates interdisciplinary team members, and provides leadership to clinical teams...
December 26, 2017: Psychosomatics
https://www.readbyqxmd.com/read/29522588/-anxiety-and-depression-in-daily-clinical-practice
#14
Nicolás H Noriega
Anxiety and depression are two important clinical entities associated not only with mental health, but to health and illness in general. However, professionals in most of the non-psychiatric health settings avoid referring to either one. The prime objective of this work is to review publications showing the important correlation between anxiety and depression and various diseases. For the purpose of this study, diseases were divided into specialties, taking into account the bibliographical sources of the articles cited...
July 2017: Vertex: Revista Argentina de Psiquiatriá
https://www.readbyqxmd.com/read/29481333/pyoderma-gangrenosum-of-the-scalp-a-rare-clinical-variant
#15
Angela S Gupta, Julia R Nunley, Michael J Feldman, Alex G Ortega-Loayza
Pyoderma gangrenosum (PG) is a rare, neutrophil-predominant dermatosis that usually presents as a papule or pustule and progresses into a painful ulcer. Clinical and histopathological features are nonspecific, making PG a challenging condition to diagnose. Lesions may occur anywhere on the body; however, the lower extremity is the most common location. Solitary lesions in atypical locations such as the scalp are uncommon, making this clinical variant especially difficult to recognize and diagnose. Although the clinical features and subsequent management of scalp PG might be different from other anatomic sites, the typical presentation and treatment of scalp PG is still unclear...
February 2018: Wounds: a Compendium of Clinical Research and Practice
https://www.readbyqxmd.com/read/29457938/predicting-and-preventing-alcohol-relapse-in-alcohol-related-liver-disease
#16
Iyoni Ranasinghe, Jacqueline Sin, Ian Norman, Margaret Lau-Walker
BACKGROUND: despite a 450% increase in UK alcohol-related liver disease mortality over the past 30 years, little evidence-based guidance exists regarding preventing recidivism post-liver transplant for alcohol-related liver disease. METHOD: a systematic literature review was conducted to identify demographic variables predictive of alcohol relapse and effective psychosocial interventions for alcohol-related liver disease patients post-liver transplant. RESULTS: variables most significantly predictive of alcohol relapse post-transplant were-less than 12 months pre-liver transplant abstinence; patients with children; poor pre-liver transplant psychosomatic evaluation; non-compliance with post-liver transplant treatment plan; and patients with active insurance policies...
February 22, 2018: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/29448281/-evaluation-of-factor-structure-and-construct-validity-of-the-12-item-short-version-of-the-opd-structure-questionnaire-opd-sqs-in-psychosomatic-patients
#17
Alexander Obbarius, Nina Obbarius, Felix Fischer, Gregor Liegl, Matthias Rose
BACKGROUND: Screening for personality dysfunction is regarded as increasingly important for treatment planning in clinical settings as this allows to determine specific clinical pathways in an early stage. Recently, the 12-item OPD Structure Questionnaire (OPD-SQS) was developed for this purpose and initial results of the factor structure and validity have been published. This study aimed to investigate and validate the OPD-SQS in further patient samples beyond the team of developers and to provide reference values...
February 15, 2018: Psychotherapie, Psychosomatik, Medizinische Psychologie
https://www.readbyqxmd.com/read/29439279/-comorbid-mental-disorders-in-gastroenterology-and-hepatology-prevalence-and-psychosocial-needs-in-tertiary-care
#18
Alexander Niecke, Hanna Lemke, Tobias Goeser, Martin Hellmich, Frank Vitinius, Christian Albus
BACKGROUND: In the field of gastroenterology and hepatology, associations and interactions with comorbid mental disorders are often described, but there is currently a lack of methodologically high-quality studies on prevalence and the need for care. The aim of the study was to take account of this shortcoming. METHODS: Prospective, monocentric, cross-sectional study of a representative sample of inpatients at a university hospital. A total of 308 participants were examined for the presence of 8 frequent psychological syndromes with a validated questionnaire (PHQ-D)...
February 13, 2018: Psychotherapie, Psychosomatik, Medizinische Psychologie
https://www.readbyqxmd.com/read/29385714/do-working-conditions-of-patients-in-psychotherapeutic-consultation-in-the-workplace-differ-from-those-in-outpatient-care-results-from-an-observational-study
#19
Amira Barrech, Reinhold Kilian, Edit Rottler, Lucia Jerg-Bretzke, Michael Hölzer, Monika Annemarie Rieger, Marc Nicolas Jarczok, Harald Gündel, Eva Rothermund
In previous studies, it was found that patients treated at a psychosomatic outpatient clinic (PSOC) for common mental disorders showed more severe symptoms than those who used a psychotherapeutic consultation service at the workplace (PSIW). This study examines whether the higher symptom severity of the PSOC patients in comparison to their PSIW counterparts is also related to higher levels of occupational stress as measured by the demand-control-support model (DCS). N = 253 participants (PSIW n = 100; PSOC n = 153) provided self-reported data on demands, decision latitude, social support, and health before consultation...
January 30, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29369810/effect-of-melissa-officinalis-capsule-on-the-mental-health-of-female-adolescents-with-premenstrual-syndrome-a-clinical-trial-study
#20
Naval Heydari, Mansure Dehghani, Maasumeh Emamghoreishi, Marzieh Akbarzadeh
Introduction In spite of its importance, the psychological health requirements of adolescents are ignored; due to the occurrence of mental disorders in this age group and also public interest in the use of supplementary and alternative treatments such as herbal drugs for mental disorders, this study was carried out aimed at examining the impact of the Melissa officinalis capsule on the psychological health of female adolescents. Methodology In this randomized clinical trial study, 100 female adolescents were assigned to two groups of either drug and placebo groups...
January 25, 2018: International Journal of Adolescent Medicine and Health
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