Psychological factors affecting medical conditions in consultation-liaison psychiatry.
Identifieur interne : 000138 ( PubMed/Checkpoint ); précédent : 000137; suivant : 000139Psychological factors affecting medical conditions in consultation-liaison psychiatry.
Auteurs : Antonello Bellomo [Italie] ; Mario Altamura ; Antonio Ventriglio ; Angelo Rella ; Roberto Quartesan ; Sandro EliseiSource :
- Advances in psychosomatic medicine [ 0065-3268 ] ; 2007.
Descripteurs français
- KwdFr :
- Diagnostic and stastistical manual of mental disorders (USA), Diagnostic différentiel, Humains, Orientation vers un spécialiste, Psychiatrie (), Psychologie, Troubles mentaux (diagnostic), Troubles mentaux (psychologie), Troubles psychosomatiques (diagnostic), Troubles psychosomatiques (psychologie).
- MESH :
English descriptors
- KwdEn :
- MESH :
- diagnosis : Mental Disorders, Psychophysiologic Disorders.
- methods : Psychiatry.
- psychology : Mental Disorders, Psychophysiologic Disorders.
- Diagnosis, Differential, Diagnostic and Statistical Manual of Mental Disorders, Humans, Psychology, Referral and Consultation.
Abstract
Consultation-liaison (C-L) psychiatry has an important role in the identification and management of psychological problems in patients with medical disorders in general hospitals. The diagnostic tools C-L psychiatrists are usually provided with may reveal to be limited because of particular psychosomatic syndromes and subthreshold psychopathology that are undetected by psychiatric diagnostic criteria. The Diagnostic Criteria for Psychosomatic Research (DCPR) were developed with the aim of providing clinicians with operational criteria for psychosomatic syndromes to overcome the limitations shown by the most often diagnosed disorders in medical settings as adjustment, somatoform, mood, and anxiety disorders. In a group of 66 consecutive C-L psychiatry inpatients, a consistent prevalence of 71% DCPR syndromes was found, particularly secondary functional somatic symptoms, persistent somatization, health anxiety, and demoralization. Their overlap rates with DSM-IV diagnoses showed that the DCPR syndromes were able to identify psychological dimensions (as somatic symptom clustering, anxiety triggered by the current health status, and a feeling state of hopelessness) that do not meet or are not detected by DSM-IV. Furthermore, the DCPR syndromes identified patients with clinically significant functional impairment. These results replicate previous findings in C-L psychiatry using the DCPR categories and pave the way for further research to clarify their mediating role in the course and the outcome variance of medical and psychological problems of hospital inpatients referred for psychiatric consultation.
DOI: 10.1159/0000106801
PubMed: 17684323
Affiliations:
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first="Antonio" last="Ventriglio">Antonio Ventriglio</name></author><author><name sortKey="Rella, Angelo" sort="Rella, Angelo" uniqKey="Rella A" first="Angelo" last="Rella">Angelo Rella</name></author><author><name sortKey="Quartesan, Roberto" sort="Quartesan, Roberto" uniqKey="Quartesan R" first="Roberto" last="Quartesan">Roberto Quartesan</name></author><author><name sortKey="Elisei, Sandro" sort="Elisei, Sandro" uniqKey="Elisei S" first="Sandro" last="Elisei">Sandro Elisei</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2007">2007</date><idno type="doi">10.1159/0000106801</idno><idno type="RBID">pubmed:17684323</idno><idno type="pmid">17684323</idno><idno type="wicri:Area/PubMed/Corpus">000149</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000149</idno><idno type="wicri:Area/PubMed/Curation">000149</idno><idno type="wicri:explorRef" wicri:stream="PubMed" 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The diagnostic tools C-L psychiatrists are usually provided with may reveal to be limited because of particular psychosomatic syndromes and subthreshold psychopathology that are undetected by psychiatric diagnostic criteria. The Diagnostic Criteria for Psychosomatic Research (DCPR) were developed with the aim of providing clinicians with operational criteria for psychosomatic syndromes to overcome the limitations shown by the most often diagnosed disorders in medical settings as adjustment, somatoform, mood, and anxiety disorders. In a group of 66 consecutive C-L psychiatry inpatients, a consistent prevalence of 71% DCPR syndromes was found, particularly secondary functional somatic symptoms, persistent somatization, health anxiety, and demoralization. Their overlap rates with DSM-IV diagnoses showed that the DCPR syndromes were able to identify psychological dimensions (as somatic symptom clustering, anxiety triggered by the current health status, and a feeling state of hopelessness) that do not meet or are not detected by DSM-IV. Furthermore, the DCPR syndromes identified patients with clinically significant functional impairment. These results replicate previous findings in C-L psychiatry using the DCPR categories and pave the way for further research to clarify their mediating role in the course and the outcome variance of medical and psychological problems of hospital inpatients referred for psychiatric consultation.</div></front></TEI><pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">17684323</PMID><DateCreated><Year>2007</Year><Month>08</Month><Day>08</Day></DateCreated><DateCompleted><Year>2007</Year><Month>10</Month><Day>11</Day></DateCompleted><DateRevised><Year>2009</Year><Month>11</Month><Day>11</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0065-3268</ISSN><JournalIssue CitedMedium="Print"><Volume>28</Volume><PubDate><Year>2007</Year></PubDate></JournalIssue><Title>Advances in psychosomatic medicine</Title><ISOAbbreviation>Adv Psychosom Med</ISOAbbreviation></Journal><ArticleTitle>Psychological factors affecting medical conditions in consultation-liaison psychiatry.</ArticleTitle><Pagination><MedlinePgn>127-40</MedlinePgn></Pagination><Abstract><AbstractText>Consultation-liaison (C-L) psychiatry has an important role in the identification and management of psychological problems in patients with medical disorders in general hospitals. The diagnostic tools C-L psychiatrists are usually provided with may reveal to be limited because of particular psychosomatic syndromes and subthreshold psychopathology that are undetected by psychiatric diagnostic criteria. The Diagnostic Criteria for Psychosomatic Research (DCPR) were developed with the aim of providing clinicians with operational criteria for psychosomatic syndromes to overcome the limitations shown by the most often diagnosed disorders in medical settings as adjustment, somatoform, mood, and anxiety disorders. In a group of 66 consecutive C-L psychiatry inpatients, a consistent prevalence of 71% DCPR syndromes was found, particularly secondary functional somatic symptoms, persistent somatization, health anxiety, and demoralization. Their overlap rates with DSM-IV diagnoses showed that the DCPR syndromes were able to identify psychological dimensions (as somatic symptom clustering, anxiety triggered by the current health status, and a feeling state of hopelessness) that do not meet or are not detected by DSM-IV. Furthermore, the DCPR syndromes identified patients with clinically significant functional impairment. These results replicate previous findings in C-L psychiatry using the DCPR categories and pave the way for further research to clarify their mediating role in the course and the outcome variance of medical and psychological problems of hospital inpatients referred for psychiatric consultation.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Bellomo</LastName><ForeName>Antonello</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Section of Psychiatry and Clinical Psychology, Department of Medical Sciences, University of Foggia, Foggia, Italy. a.bellomo@unifg.it</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Altamura</LastName><ForeName>Mario</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Ventriglio</LastName><ForeName>Antonio</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Rella</LastName><ForeName>Angelo</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Quartesan</LastName><ForeName>Roberto</ForeName><Initials>R</Initials></Author><Author ValidYN="Y"><LastName>Elisei</LastName><ForeName>Sandro</ForeName><Initials>S</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016454">Review</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>Switzerland</Country><MedlineTA>Adv Psychosom Med</MedlineTA><NlmUniqueID>0101303</NlmUniqueID><ISSNLinking>0065-3268</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName MajorTopicYN="N" UI="D003937">Diagnosis, Differential</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D039721">Diagnostic and Statistical Manual of Mental Disorders</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D006801">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D001523">Mental Disorders</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000175">diagnosis</QualifierName><QualifierName MajorTopicYN="N" UI="Q000523">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D011570">Psychiatry</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000379">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D011584">Psychology</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D011602">Psychophysiologic Disorders</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000175">diagnosis</QualifierName><QualifierName MajorTopicYN="N" UI="Q000523">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="Y" UI="D012017">Referral and Consultation</DescriptorName></MeshHeading></MeshHeadingList><NumberOfReferences>60</NumberOfReferences></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2007</Year><Month>8</Month><Day>9</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2007</Year><Month>10</Month><Day>12</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2007</Year><Month>8</Month><Day>9</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pii">106801</ArticleId><ArticleId IdType="doi">10.1159/0000106801</ArticleId><ArticleId IdType="pubmed">17684323</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Italie</li></country></list><tree><noCountry><name sortKey="Altamura, Mario" sort="Altamura, Mario" uniqKey="Altamura M" first="Mario" last="Altamura">Mario Altamura</name><name sortKey="Elisei, Sandro" sort="Elisei, Sandro" uniqKey="Elisei S" first="Sandro" last="Elisei">Sandro Elisei</name><name sortKey="Quartesan, Roberto" sort="Quartesan, Roberto" uniqKey="Quartesan R" first="Roberto" last="Quartesan">Roberto Quartesan</name><name sortKey="Rella, Angelo" sort="Rella, Angelo" uniqKey="Rella A" first="Angelo" last="Rella">Angelo Rella</name><name sortKey="Ventriglio, Antonio" sort="Ventriglio, Antonio" uniqKey="Ventriglio A" first="Antonio" last="Ventriglio">Antonio Ventriglio</name></noCountry><country name="Italie"><noRegion><name sortKey="Bellomo, Antonello" sort="Bellomo, Antonello" uniqKey="Bellomo A" first="Antonello" last="Bellomo">Antonello Bellomo</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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