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Somatoform Pain

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https://www.readbyqxmd.com/read/27884009/motivation-for-psychological-treatment-predicts-favorable-outcomes-in-multimodal-interdisciplinary-treatment-for-chronic-somatoform-pain
#1
Julian A Stewart, Niklaus Egloff, Roland von Känel, Johannes Grolimund, Martina Studer, Martin Grosse Holtforth
No abstract text is available yet for this article.
November 25, 2016: Psychotherapy and Psychosomatics
https://www.readbyqxmd.com/read/27756342/the-relation-between-the-patient-health-questionnaire-15-and-dsm-somatic-diagnoses
#2
Shih-Cheng Liao, Wei-Lieh Huang, Huei-Mei Ma, Min-Tzu Lee, Tzu-Ting Chen, I-Ming Chen, Susan Shur-Fen Gau
BACKGROUND: Our purpose was to examine the reliability and validity of the Chinese version of the Patient Health Questionnaire-15 (PHQ-15) in Taiwan, and to explore its relation to somatoform disorders (DSM-IV) and to somatic symptom and related disorders (DSM-5). METHODS: We recruited 471 individuals, 151 with somatoform disorders and 200 with somatic symptom and related disorders. Subjects completed the Chinese version of the PHQ-15, Beck Depression Inventory-II (BDI-II), Beck Anxiety Inventory (BAI), and received a DSM-IV- and DSM-5-based diagnostic interview...
October 18, 2016: BMC Psychiatry
https://www.readbyqxmd.com/read/27719855/functional-facial-and-tongue-movement-disorders
#3
A Fasano, M Tinazzi
Functional movement disorders (FMDs) affecting the eyelids, tongue, and other facial muscles are often underrecognized because their phenomenology has not been fully characterized. Nevertheless, these disorders are more common than previously thought. In this chapter we will discuss the phenomenology as well as the clinical and instrumental diagnosis of facial FMDs. Facial FMDs should be considered when a patient exhibits any combination of the following features: (1) fixed unilateral facial contractions, especially with lower lip, with or without ipsilateral jaw involvement, of maximal severity at onset; (2) inconsistent features such as changes in side and pattern during or between examination; (3) associated somatoform or nonphysiologic sensory or motor findings; (4) reduction or abolition of facial spasm with distraction; (5) response to suggestion or psychotherapy; (6) rapid onset and/or spontaneous remissions; and (7) normal neurologic examination...
2017: Handbook of Clinical Neurology
https://www.readbyqxmd.com/read/27681778/-impact-of-attachment-behavior-on-chronic-and-somatoform-pain
#4
A-C Pfeifer, J C Ehrenthal, E Neubauer, C Gerigk, M Schiltenwolf
In addition to being a risk factor for the course of chronic pain, the personality characteristics of the individual attachment style are also predictors for the success of medical and psychosocial interventions and aspects of the physician-patient relationship. Insecurely attached patients seem to be less able to sustain the positive effects of pain therapy. These results are especially relevant as insecure attachment patterns are overrepresented among chronic pain patients. As a result the attachment style can be seen as a psychosocial vulnerability factor for the chronification of acute pain...
October 2016: Der Schmerz
https://www.readbyqxmd.com/read/27676812/management-of-preadolescents-and-adolescents-suffering-from-complex-somatoform-disorders-with-pain-the-experience-of-the-unity-of-mpr-psychiatry-in-medical-and-educational-center-for-adolescents-fsef
#5
Amélie Bremare, Nicolas Girardon, Mélanie Margot
Within the framework of cooperation between the physical medicine and rehabilitation (PMR) department and psychiatry department in our establishment with care and education, we have created in 2006 a unit with both somatic and psychic care, allowing management of preadolescents and adolescents suffering from complex somatoform disorder with pain in full-time hospitalization. They have chronic pain associated with motor exclusion of a limb, which have for consequence a participation restriction on scholar and extra-scholar activities with a larger impact than it should be...
September 2016: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27667488/-clinical-features-and-treatment-of-hashimoto-encephalopathy
#6
Yoshimitsu Maki, Hiroshi Takashima
Hashimoto encephalopathy (HE) is characterized by heterogeneous neurological symptoms. HE is diagnosed based on three criteria-the presence of antithyroid antibodies, neurological symptoms from the cerebrum and/or cerebellum, and a positive response to immunotherapy. We clinically analyzed 18 patients (3 men, 15 women; age range, 38-81years) diagnosed with HE in our hospital from May 2013 to January 2016. Eleven patients showed sensory abnormalities such as strong pain, deep muscle pain, dysesthesia, paresthesia, or neuralgia...
September 2016: Brain and Nerve, Shinkei Kenkyū No Shinpo
https://www.readbyqxmd.com/read/27641732/altered-neural-correlates-of-emotion-associated-pain-processing-in-persistent-somatoform-pain-disorder-an-fmri-study
#7
Yanli Luo, Chao Yan, Tianming Huang, Mingxia Fan, Liang Liu, Zhiyong Zhao, Kaiji Ni, Hong Jiang, Xiao Huang, Zheng Lu, Wenyuan Wu, Mingyuan Zhang, Xiaoduo Fan
Patients with persistent somatoform pain disorder (PSPD) suffer from long-term pain and emotional conflicts. Recently, accumulating evidence indicated that emotion has a significant role in pain perception of somatoform pain disorder. To further understand the association between emotion and pain-related brain activities, functional activities of patients with PSPD fulfilling ICD-10 criteria and healthy controls were assessed using functional magnetic resonance imaging technology, while participants viewed a series of positive, neutral, or negative pictures with or without pinprick pain stimulation...
September 19, 2016: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/27417632/treatment-of-lower-back-pain-the-gap-between-guideline-based-treatment-and-medical-care-reality
#8
Andreas Werber, Marcus Schiltenwolf
Despite the fact that unspecific low back pain is of important impact in general health care, this pain condition is often treated insufficiently. Poor efficiency has led to the necessity of guidelines addressing evidence-based strategies for treatment of lower back pain (LBP). We present some statements of the German medical care reality. Self-responsible action of the patient should be supported while invasive methods in particular should be avoided due to lacking evidence in outcome efficiency. However, it has to be stated that no effective implementation strategy has been established yet...
2016: Healthcare (Basel, Switzerland)
https://www.readbyqxmd.com/read/27328799/characteristics-of-patients-contacting-a-center-for-undiagnosed-and-rare-diseases
#9
Tobias Mueller, Andreas Jerrentrup, Max Jakob Bauer, Hans Walter Fritsch, Juergen Rolf Schaefer
BACKGROUND: Little is known about the characteristics of patients seeking help from dedicated centers for undiagnosed and rare diseases. However, information about their demographics, symptoms, prior diagnoses and medical specialty is crucial to optimize these centers' processes and infrastructure. METHODS: Using a questionnaire, structured information from 522 adult patients contacting a center for undiagnosed and rare diseases was obtained. The information included basic sociodemographic data (age, gender, insurance status), previous hospital admissions, primary symptoms of complaint and previously determined diagnosis...
June 21, 2016: Orphanet Journal of Rare Diseases
https://www.readbyqxmd.com/read/27324753/-stress-induced-hyperalgesia-sih-as-a%C3%A2-consequence-of-emotional-deprivation-and-psychosocial-traumatization-in-childhood-implications-for-the-treatment-of-chronic-pain
#10
U T Egle, N Egloff, R von Känel
It is now widely recognized that in many chronic pain syndromes the intensity and severity of individually perceived pain does not correlate consistently with the degree of peripheral nervous system tissue damage or with the intensity of primary afferent or spinal nociceptive neurone activity. In particular, stress and anxiety exert modulatory influences on pain depending on the nature, duration and intensity of the stressor and developmental influences on the maturation of the stress as well as the pain system...
June 21, 2016: Der Schmerz
https://www.readbyqxmd.com/read/27294453/misuse-of-prescription-opioids-in-chronic-non-cancer-pain
#11
Pooja Patnaik Kuppilli, Roshan Bhad, Ravindra Rao, Prabhu Dayal, Atul Ambekar
Somatization disorder is a common cause of chronic non-cancer pain. The use of opioids in such conditions carries a risk of their potential abuse. Lax regulations coupled with sub-optimal medical training in India lead to the rampant use of prescription opioids. We present a case of somatization disorder along with injection pentazocine dependence in a woman, in whom use of pentazocine was initiated by a registered medical practitioner for somatoform pain management, followed by self-injection because of its easy availability in local pharmacy shops...
November 2015: National Medical Journal of India
https://www.readbyqxmd.com/read/27291934/yoga-intervention-and-functional-pain-syndromes-a-selective-review
#12
Roshan Sutar, Suresh Yadav, Geetha Desai
The definition of functional pain syndromes is varied across literature. No effort has been made to see all functional pain disorder groups under broad nomenclature which would exclude conditions for which pathophysiology is strongly known. Since these disorders are commonly treated with alternative treatment modalities and impose significant burden on health utilization, an effort to look into studies on yoga-based interventions on 'functional pain syndromes' (FPS) was made. This study defined FPS as 'Chronic relapsing remitting pain conditions, the origin of which is difficult to trace with no definite physical pathology on clinical suspicion or available laboratory measures and are valid based on subjective pain reporting, associated distress and socio-occupational dysfunction'...
June 2016: International Review of Psychiatry
https://www.readbyqxmd.com/read/27286363/yoga-based-intervention-in-patients-with-somatoform-disorders-an-open-label-trial
#13
Roshan Sutar, Geetha Desai, Shivarama Varambally, B N Gangadhar
Somatoform disorders are common mental disorders associated with impaired functioning and increased utilization of health resources. Yoga-based interventions have been used successfully for anxiety, depression, and chronic pain conditions. However, literature on the use of yoga in treatment of somatoform disorders is minimal. The current study assessed the effect of a specific yoga-based intervention in patients with somatoform disorders. Consenting patients meeting ICD-10 criteria for somatoform disorders were offered a specific yoga module (1 h per day) as a treatment...
June 2016: International Review of Psychiatry
https://www.readbyqxmd.com/read/27181184/transitional-object-use-in-adolescence-a-developmental-phenomenon-or-a-sign-of-problems
#14
Ritva Erkolahti, Marjaana Nyström, Tero Vahlberg, Hanna Ebeling
BACKGROUND: Transitional object (TO) use is suggested to be related with various health problems. Prolonged TO use in adolescence is quite common, and research on its associations with health and psychosocial wellbeing is relevant because it does not necessarily represent pathologies in this age group. AIMS: To investigate the role of transitional phenomena and attachment to an inanimate object in adolescence, possible explanatory variables were studied, including sociodemographic and psychosocial factors and self-image...
October 2016: Nordic Journal of Psychiatry
https://www.readbyqxmd.com/read/27078991/-treatment-of-persistent-somatoform-pain-disorder-by-floating-needle-therapy-and-duloxetine
#15
RANDOMIZED CONTROLLED TRIAL
Wan-wen Ren, Zhi-ying Zhou, Mi-mi Xu, Sen Long, Guang-zheng Tang, Hong-jing Mao, Shu-lin Chen
OBJECTIVE: To evaluate clinical effect and safety of floating needle therapy and duloxetine in treating patients with persistent somatoform pain disorder (PSPD). METHODS: Totally 108 PSPD patients were randomly assigned to the floating needle treatment group, the duloxetine treatment group, and the placebo treatment group, 36 in each group. Patients in the floating needle treatment group received floating needle therapy and placebo. Those in the duloxetine treatment group received duloxetine and simulated floating needle therapy...
February 2016: Chinese Journal of Integrated Traditional and Western Medicine
https://www.readbyqxmd.com/read/27037573/iga-igm-responses-to-tryptophan-and-tryptophan-catabolites-trycats-are-differently-associated-with-prenatal-depression-physio-somatic-symptoms-at-the-end-of-term-and-premenstrual-syndrome
#16
Chutima Roomruangwong, Buranee Kanchanatawan, Sunee Sirivichayakul, George Anderson, André F Carvalho, Sebastien Duleu, Michel Geffard, Michael Maes
There is some evidence that lowered tryptophan and an activated tryptophan catabolite (TRYCAT) pathway play a role in depression, somatoform disorder, and postpartum blues. The aim of this study is to delineate the associations between the TRYCAT pathway and premenstrual syndrome (PMS) and perinatal depressive and physio-somatic symptoms. We examine the associations between end of term serum IgM and IgA responses to tryptophan and 9 TRYCATs in relation to zinc, C-reactive protein (CRP), and haptoglobin and prenatal physio-somatic (previously known as psychosomatic) symptoms (fatigue, back pain, muscle pain, dyspepsia, obstipation) and prenatal and postnatal depression and anxiety symptoms as measured using the Edinburgh Postnatal Depression Scale (EPDS), Hamilton Depression Rating Scale (HAMD), and Spielberger's State Anxiety Inventory (STAI)...
April 1, 2016: Molecular Neurobiology
https://www.readbyqxmd.com/read/27020071/heart-rate-variability-predicts-therapy-outcome-in-pain-predominant-multisomatoform-disorder
#17
Angela Angelovski, Heribert Sattel, Peter Henningsen, Martin Sack
BACKGROUND: Autonomic imbalance establishes an important model to understand organically unexplained physical complaints. Our study aimed to investigate whether the functioning of the autonomous nervous system corresponds with somatoform symptoms and predicts the outcome of brief psychotherapy in these patients. METHOD: As a part of multicenter study assessing effects of brief psychodynamic interpersonal therapy on multisomatoform disorder (PISO-study), 106 patients participated in a stress experiment investigating autonomic reactivity during application of the Stroop-test...
April 2016: Journal of Psychosomatic Research
https://www.readbyqxmd.com/read/27016848/-clinic-of-somatoform-disorders-in-abused-adolescents
#18
Capucine Marquis, Nathalie Vabres, Emmanuelle Caldagues, Olivier Bonnot
UNLABELLED: Child abuse represents a contributing factor to develop various psychopathological disorders, such as somatoform disorders. OBJECTIVES: Improving the detection of child abuse, based on the analysis of somatoform disorders and the comparison between non-abused and abused patients, in a population of hospitalized teens in a general pediatric ward. METHODS: A retrospective study at the University Hospital of Nantes, involving every adolescents from 11 to 16 y...
April 2016: La Presse Médicale
https://www.readbyqxmd.com/read/26997020/profile-of-female-patients-seeking-in-patient-treatment-for-prescription-opioid-abuse-from-a-tertiary-care-drug-dependence-treatment-centre-from-india
#19
Prabhoo Dayal, Yatan Pal Singh Balhara
BACKGROUND & OBJECTIVES: There has been a limited focus on prescription drug abuse among women in the country. Choice of psychoactive substance, reasons for initiation and co-occurring disorders have been found to be different among men and women. The current study was aimed at studying the profile of female patients seeking in-patient treatment for prescription drug use over a period of five years at a tertiary care drug dependence treatment centre in India. METHODS: Case records of all female patients admitted with substance use disorder at a national level drug dependence treatment centre in north India across five years (between January 2008 and December 2012) were reviewed retrospectively to study their socio-demographic and clinical profile...
January 2016: Indian Journal of Medical Research
https://www.readbyqxmd.com/read/26977802/altered-spontaneous-activity-in-patients-with-persistent-somatoform-pain-disorder-revealed-by-regional-homogeneity
#20
Tianming Huang, Zhiyong Zhao, Chao Yan, Jing Lu, Xuzhou Li, Chaozheng Tang, Mingxia Fan, Yanli Luo
Persistent somatoform pain disorder (PSPD) is a mental disorder un-associated with any somatic injury and can cause severe somatosensory and emotional impairments in patients. However, so far, the neuro-pathophysiological mechanism of the functional impairments in PSPD is still unclear. The present study assesses the difference in regional spontaneous activity between PSPD and healthy controls (HC) during a resting state, in order to elucidate the neural mechanisms underlying PSPD. Resting-state functional Magnetic Resonance Imaging data were obtained from 13 PSPD patients and 23 age- and gender-matched HC subjects in this study...
2016: PloS One
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