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Moritz E Wigand, Hauke F Wiegand, Markus Jäger, Thomas Becker
BACKGROUND: In his poem Gerontion (1920) Nobel laureate T.S. Eliot uses powerful language to give a fictional, highly condensed, first-person account of medical and psychological conditions that arise with old age: physical frailty, cognitive decline, sensory impairment, depressive symptoms with embitterment, social withdrawal and the psychological strain of having to face old age and make meaning of one's life. Surprisingly, he wrote the poem as a young man. METHODS: In this qualitative study, we used a hermeneutic approach to interpret Gerontion from a psychiatric perspective...
March 2017: Neuropsychiatrie: Klinik, Diagnostik, Therapie und Rehabilitation
Jeannette Brodbeck, Thomas Berger, Hans Joerg Znoj
BACKGROUND: Marital bereavement and separation or divorce are among the most stressful critical life events in later life. These events require a dissolution of social and emotional ties, adjustments in daily routine and changes in identity and perspectives for the future. After a normative grief or distress reaction, most individuals cope well with the loss. However, some develop a prolonged grief reaction. Internet-based self-help interventions have proved beneficial for a broad range of disorders, including complicated grief...
January 13, 2017: Trials
Evie Michailidis, Mark Cropley
Research on the feeling of embitterment at work is still in its infancy. The present study investigated the predictors and consequences of the feeling of embitterment at work. It was hypothesised that organisational injustice as well as over-controlling supervision would predict embitterment at work and that embitterment would be associated with work-related rumination. Three hundred and thirty-seven employees completed an online survey. Regression analysis revealed that procedural injustice and over-controlling supervision were significant predictors of embitterment and that embitterment contributed significantly to the prediction of increased affective rumination and reduction in detachment...
November 21, 2016: Ergonomics
Ilonka Kreitschmann-Andermahr, Michael Buchfelder, Bernadette Kleist, Johannes Kohlmann, Christa Menzel, Rolf Buslei, Maria Kołtowska-Häggsträm, Christian Strasburger, Sonja Siegel
OBJECTIVE: Even if treated, acromegaly has a considerable impact on patient quality of life (QoL); despite this, the exact clinical determinants of QoL in acromegaly are unknown. This study retrospectively examines a cohort of treated patients with acromegaly, with the aim of identifying these determinants. METHODS: Retrospective survey analysis, with 165 patients included in the study. All patients completed a survey, which included demographic data and the clinical details of their disease, the Short Form-36 Health Survey (SF-36), the revised Beck Depression Inventory (BDI-II), and the Bern Embitterment Inventory (BEI)...
January 2017: Endocrine Practice
Sonja Siegel, Monika Milian, Bernadette Kleist, Tsambika Psaras, Maria Tsiogka, Dagmar Führer, Maria Koltowska-Häggström, Jürgen Honegger, Oliver Müller, Ulrich Sure, Christa Menzel, Michael Buchfelder, Ilonka Kreitschmann-Andermahr
PURPOSE: Quality of life (QoL) and psychosocial well-being are substantially impaired in patients with Cushing's disease (CD), not only at the acute illness stage but also after therapy; however, the reason for these impairments remains unclear. METHODS: In this cross-sectional, patient-reported outcome study, we conducted a postal survey on psychosocial impairment and coping strategies in patients after surgical treatment of CD in three large tertiary referral centers...
December 2016: Pituitary
Tomas Fagerberg, Erik Söderman, J Petter Gustavsson, Ingrid Agartz, Erik G Jönsson
BACKGROUND: Personality is considered as an important aspect that can affect symptoms and social function in persons with schizophrenia. The personality questionnaire Swedish universities Scales of Personality (SSP) has not previously been used in psychotic disorder. AIMS: To investigate if SSP has a similar internal consistency and factor structure in a psychosis population as among healthy controls and if patients with psychotic disorders differ from non-psychotic individuals in their responses to the SSP...
August 2016: Nordic Journal of Psychiatry
Juan Valdes-Stauber, Helen Kämmerle, Susanne Bachthaler
BACKGROUND: Understanding of bitterness ranges from a negative general human emotion to a destructive complex affekt due to a non adequate processed affront or resentment. OBJECTIVE: Relevant associations between kinds of bitterness and clinical as well as personality-related variables in hospitalized psychosomatic patients were examined. METHOD: Prospective naturalistic study over 14 months of consecutive admitted psychosomatic patients without exclusion criteria (N=166)...
December 2015: Psychotherapie, Psychosomatik, Medizinische Psychologie
T Sensky, R Salimu, J Ballard, D Pereira
BACKGROUND: Chronic embitterment is commonly recognized among people seen by occupational health professionals, but its associations remain unclear. AIMS: To investigate the associations of chronic embitterment with procedural justice, the psychological work contract, depression and the Health & Safety Executive's Management Standards Indicator Tool as well as selected employment variables. METHODS: A sample of consecutive attendees at occupational health in a single NHS Trust were asked to complete a set of validated questionnaires and give further information about sickness absence and their work...
August 2015: Occupational Medicine
Charlotta Remröd, Karin Sjöström, Åke Svensson
Pruritus intensity is often not proportional to disease severity in patients with psoriasis or other pruritic dermatoses. Increasing evidence indicates that psychological factors may play an important role in the overall aetiology of pruritus. The aim of this study was to examine whether patients with psoriasis and severe pruritus differ psychologically from those with mild pruritus. In this study of 101 patients with plaque psoriasis, those with severe pruritus reported significantly higher scores for both depression and anxiety...
April 2015: Acta Dermato-venereologica
Michael Linden, Kai Baumann, Max Rotter, Barbara Schippan
Objective. The posttraumatic embitterment disorder (PTED) is a specific form of adjustment disorder. The purpose of this study was to specify diagnostic criteria of PTED, and to develop a standardized instrument which allows a standardized diagnosis. Method. Data were obtained from 50 clinically defined PTED patients and 50 patients with other mental disorders (N=100) using a semi-standardized interview for PTED. Based on the answers of the participants, the description of PTED was refined and a standardized diagnostic interview for PTED was derived...
2008: International Journal of Psychiatry in Clinical Practice
D Blom, S Thomaes, J W J Bijlsma, R Geenen
OBJECTIVES: Health care and vocational professionals regularly encounter patients with rheumatic diseases who are embittered after a disability pension examination. People who are embittered typically feel victimised, experience resentment and injustice, resist help, and have difficulty coping. Our objective was to examine the occurrence of embitterment in patients with rheumatic diseases after a disability pension examination and the association of embitterment with its possible determinants helplessness and illness invalidation at work...
May 2014: Clinical and Experimental Rheumatology
R F Schmitt
Suffering is frequent in life, often ensuing when a wished-for state cannot be realized. One common response to suffering is mourning. Mourning may take problematic forms, and this can lead to chronic denial or embitterment or despair or stagnation. On the other hand, mourning may occur in such manner as to facilitate meaning in life, empathy, caring, and perspective. One's "myths" and beliefs often affect the mourning process and may themselves be influenced by that process. Different myths accompany or influence different identity patterns and life-styles...
June 1981: Journal of Religion and Health
Birgit Kleim, James W Griffith, Ira Gäbler, Matthias Schützwohl, Andreas Maercker
Traumatic experiences may dramatically influence later behavior and cognitive processing. This study investigated how trauma shapes the way that we remember personal experiences. Specifically, we investigated overgeneral autobiographical memory, which is the tendency to remember autobiographical events in an overgeneral rather than specific way. We administered the Autobiographical Memory Test (Williams & Broadbent,) to 86 survivors of political imprisonment 37 years after they had been released from imprisonment...
October 2013: Journal of Traumatic Stress
C Remröd, K Sjöström, A Svensson
BACKGROUND: Onset of psoriasis may occur at any age. Early negative experiences often influence personality development, and may lead to physical disease, anxiety and depression in adulthood. Knowledge about onset of psoriasis and psychopathology is limited. OBJECTIVES: To examine whether patients with early-onset psoriasis differ psychologically from patients with late-onset psoriasis, regarding personality traits, anxiety and depression. METHODS: A descriptive cross-sectional study was conducted among 101 consecutively recruited outpatients with psoriasis...
August 2013: British Journal of Dermatology
Cheolmin Shin, Changsu Han, Michael Linden, Jeong-Ho Chae, Young-Hoon Ko, Yong-Ku Kim, Seung-Hyun Kim, Sook-Haeng Joe, In-Kwa Jung
OBJECTIVE: Embitterment is a persistent feeling of being let down or insulted, feeling like a "loser", or feeling revengeful but helpless. In South Korea, social injustice experienced during rapid industrial development and protracted unemployment during the Asian economic crisis may lead to strong feelings of embitterment. North Korean defectors and victims of industrial disasters may also experience humiliation and feelings of injustice. Posttraumatic Embitterment Disorder (PTED) is a recent conceptualization of a new psychiatric disorder...
December 2012: Psychiatry Investigation
Sonja Siegel, Christine Streetz-van der Werf, Jennifer S Schott, Kay Nolte, Wolfram Karges, Ilonka Kreitschmann-Andermahr
The aim of this study was to systematically assess health care utilisation, diagnostic delay and psychosocial impairment in patients with acromegaly in rural versus urban health care environments. 41 patients with acromegaly were questioned to time lapse of symptom onset, first seeking medical advice and time of acromegaly diagnosis. Quality of life (QoL), and psychosocial impairment (depression, daytime sleepiness, sleep disturbances, disturbances of body image) were measured by self-assessment questionnaires...
December 2013: Pituitary
Carlotta Belaise, Letizia Maria Bernhard, Michael Linden
BACKGROUND: In the last decade, post-traumatic embitterment disorder (PTED) has been internationally recognised as a specific form of adjustment disorder which arises after severe and negative, but not life threatening, life events (conflicts at work, unemployment, death of a relative, divorce, severe illness). More recent research on its specific symptomatologic features, its chronic course, and the difficulties of treatment, have lead to the definition of distinct diagnostic criteria for PTED...
September 2012: Rivista di Psichiatria
David Blom, Henriët van Middendorp, Rinie Geenen
By predisposing to ego-defensive strategies in social situations, a negative attachment history may promote embitterment. The present study identified attachment anxiety - more than attachment avoidance - as a possible vulnerability factor for the development and maintenance of embitterment. This factor should be considered in theories and in interventions of embitterment.
December 2012: Psychology and Psychotherapy
Christian Andreas Bruenahl, Petra Clara Arck, Michael Linden
BACKGROUND: Research endeavors aiming to evaluate the effect of prolonged psychological distress on the immune system have been pursed over the past decades. Due to the complexity of the two systems involved, the mental and immune status, a large number of questions still remains to be addressed. AIM: In the present study, we aimed to test if chronic distress is associated with pro- and anti-inflammatory cytokine levels in a well-defined study cohort. METHODS: We recruited 42 inpatients suffering from post-traumatic embitterment disorder (PTED), a condition that has been demonstrated to cause intense and persistent psychological distress...
June 2013: Nordic Journal of Psychiatry
David Blom, Sander Thomaes, Marianne B Kool, Henriët van Middendorp, Mark A Lumley, Johannes W J Bijlsma, Rinie Geenen
OBJECTIVES: The aim of this study in employed people with FM was to test the hypothesis that embitterment is a function of the joint experience of invalidation from the work environment and helplessness regarding one's illness. METHODS: Sixty-four full-time (36%) or part-time (64%) employed patients with FM (60 females, mean age 45 years) completed the Illness Invalidation Inventory (3*I) to assess work-related discounting and lack of understanding, the Illness Cognition Questionnaire (ICQ) to assess helplessness and the Bern Embitterment Inventory (BEI) to assess embitterment...
February 2012: Rheumatology
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