Psychosomatic characterization of adjustment disorders in the medical setting: some suggestions for DSM-V.
Identifieur interne : 000143 ( PubMed/Curation ); précédent : 000142; suivant : 000144Psychosomatic characterization of adjustment disorders in the medical setting: some suggestions for DSM-V.
Auteurs : Luigi Grassi [Italie] ; Lara Mangelli ; Giovanni A. Fava ; Silvana Grandi ; Fedra Ottolini ; Piero Porcelli ; Chiara Rafanelli ; Marco Rigatelli ; Nicoletta SoninoSource :
- Journal of affective disorders [ 0165-0327 ] ; 2007.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Comorbidité, Diagnostic and stastistical manual of mental disorders (USA), Entretien psychologique, Femelle, Humains, Italie, Mâle, Rôle de malade, Soins ambulatoires, Sujet âgé, Trouble de conversion (diagnostic), Trouble de conversion (psychologie), Troubles de l'adaptation (diagnostic), Troubles de l'adaptation (psychologie), Troubles de l'adaptation (épidémiologie), Troubles psychosomatiques (diagnostic), Troubles psychosomatiques (psychologie), Troubles psychosomatiques (épidémiologie).
- MESH :
- diagnostic : Trouble de conversion, Troubles de l'adaptation, Troubles psychosomatiques.
- psychologie : Trouble de conversion, Troubles de l'adaptation, Troubles psychosomatiques.
- épidémiologie : Troubles de l'adaptation, Troubles psychosomatiques.
- Adulte, Adulte d'âge moyen, Comorbidité, Diagnostic and stastistical manual of mental disorders (USA), Entretien psychologique, Femelle, Humains, Italie, Mâle, Rôle de malade, Soins ambulatoires, Sujet âgé.
- Wicri :
- geographic : Italie.
English descriptors
- KwdEn :
- Adjustment Disorders (diagnosis), Adjustment Disorders (epidemiology), Adjustment Disorders (psychology), Adult, Aged, Ambulatory Care, Comorbidity, Conversion Disorder (diagnosis), Conversion Disorder (psychology), Diagnostic and Statistical Manual of Mental Disorders, Female, Humans, Interview, Psychological, Italy, Male, Middle Aged, Psychophysiologic Disorders (diagnosis), Psychophysiologic Disorders (epidemiology), Psychophysiologic Disorders (psychology), Sick Role.
- MESH :
- geographic : Italy.
- diagnosis : Adjustment Disorders, Conversion Disorder, Psychophysiologic Disorders.
- epidemiology : Adjustment Disorders, Psychophysiologic Disorders.
- psychology : Adjustment Disorders, Conversion Disorder, Psychophysiologic Disorders.
- Adult, Aged, Ambulatory Care, Comorbidity, Diagnostic and Statistical Manual of Mental Disorders, Female, Humans, Interview, Psychological, Male, Middle Aged, Sick Role.
Abstract
Adjustment disorders have been found to be the most frequent psychiatric diagnosis in the medically ill. Problems have been raised, however, as to their clinical value. The aim of the study was to characterize the psychosomatic features of adjustment disorders.
DOI: 10.1016/j.jad.2006.11.011
PubMed: 17196662
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Fava</name></author><author><name sortKey="Grandi, Silvana" sort="Grandi, Silvana" uniqKey="Grandi S" first="Silvana" last="Grandi">Silvana Grandi</name></author><author><name sortKey="Ottolini, Fedra" sort="Ottolini, Fedra" uniqKey="Ottolini F" first="Fedra" last="Ottolini">Fedra Ottolini</name></author><author><name sortKey="Porcelli, Piero" sort="Porcelli, Piero" uniqKey="Porcelli P" first="Piero" last="Porcelli">Piero Porcelli</name></author><author><name sortKey="Rafanelli, Chiara" sort="Rafanelli, Chiara" uniqKey="Rafanelli C" first="Chiara" last="Rafanelli">Chiara Rafanelli</name></author><author><name sortKey="Rigatelli, Marco" sort="Rigatelli, Marco" uniqKey="Rigatelli M" first="Marco" last="Rigatelli">Marco Rigatelli</name></author><author><name sortKey="Sonino, Nicoletta" sort="Sonino, Nicoletta" uniqKey="Sonino N" first="Nicoletta" last="Sonino">Nicoletta Sonino</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2007">2007</date><idno type="doi">10.1016/j.jad.2006.11.011</idno><idno type="RBID">pubmed:17196662</idno><idno type="pmid">17196662</idno><idno type="wicri:Area/PubMed/Corpus">000143</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000143</idno><idno type="wicri:Area/PubMed/Curation">000143</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">000143</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Psychosomatic characterization of adjustment disorders in the medical setting: some suggestions for DSM-V.</title><author><name sortKey="Grassi, Luigi" sort="Grassi, Luigi" uniqKey="Grassi L" first="Luigi" last="Grassi">Luigi Grassi</name><affiliation wicri:level="1"><nlm:affiliation>Department of Medical Sciences of Communication and Behavior, Section of Psychiatry, University of Ferrara, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Medical Sciences of Communication and Behavior, Section of Psychiatry, University of Ferrara</wicri:regionArea></affiliation></author><author><name sortKey="Mangelli, Lara" sort="Mangelli, Lara" uniqKey="Mangelli L" first="Lara" last="Mangelli">Lara Mangelli</name></author><author><name sortKey="Fava, Giovanni A" sort="Fava, Giovanni A" uniqKey="Fava G" first="Giovanni A" last="Fava">Giovanni A. Fava</name></author><author><name sortKey="Grandi, Silvana" sort="Grandi, Silvana" uniqKey="Grandi S" first="Silvana" last="Grandi">Silvana Grandi</name></author><author><name sortKey="Ottolini, Fedra" sort="Ottolini, Fedra" uniqKey="Ottolini F" first="Fedra" last="Ottolini">Fedra Ottolini</name></author><author><name sortKey="Porcelli, Piero" sort="Porcelli, Piero" uniqKey="Porcelli P" first="Piero" last="Porcelli">Piero Porcelli</name></author><author><name sortKey="Rafanelli, Chiara" sort="Rafanelli, Chiara" uniqKey="Rafanelli C" first="Chiara" last="Rafanelli">Chiara Rafanelli</name></author><author><name sortKey="Rigatelli, Marco" sort="Rigatelli, Marco" uniqKey="Rigatelli M" first="Marco" last="Rigatelli">Marco Rigatelli</name></author><author><name sortKey="Sonino, Nicoletta" sort="Sonino, Nicoletta" uniqKey="Sonino N" first="Nicoletta" last="Sonino">Nicoletta Sonino</name></author></analytic><series><title level="j">Journal of affective disorders</title><idno type="ISSN">0165-0327</idno><imprint><date when="2007" type="published">2007</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adjustment Disorders (diagnosis)</term><term>Adjustment Disorders (epidemiology)</term><term>Adjustment Disorders (psychology)</term><term>Adult</term><term>Aged</term><term>Ambulatory Care</term><term>Comorbidity</term><term>Conversion Disorder (diagnosis)</term><term>Conversion Disorder (psychology)</term><term>Diagnostic and Statistical Manual of Mental Disorders</term><term>Female</term><term>Humans</term><term>Interview, Psychological</term><term>Italy</term><term>Male</term><term>Middle Aged</term><term>Psychophysiologic Disorders (diagnosis)</term><term>Psychophysiologic Disorders (epidemiology)</term><term>Psychophysiologic Disorders (psychology)</term><term>Sick Role</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Comorbidité</term><term>Diagnostic and stastistical manual of mental disorders (USA)</term><term>Entretien psychologique</term><term>Femelle</term><term>Humains</term><term>Italie</term><term>Mâle</term><term>Rôle de malade</term><term>Soins ambulatoires</term><term>Sujet âgé</term><term>Trouble de conversion (diagnostic)</term><term>Trouble de conversion (psychologie)</term><term>Troubles de l'adaptation (diagnostic)</term><term>Troubles de l'adaptation (psychologie)</term><term>Troubles de l'adaptation (épidémiologie)</term><term>Troubles psychosomatiques (diagnostic)</term><term>Troubles psychosomatiques (psychologie)</term><term>Troubles psychosomatiques (épidémiologie)</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Italy</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Adjustment Disorders</term><term>Conversion Disorder</term><term>Psychophysiologic Disorders</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Trouble de conversion</term><term>Troubles de l'adaptation</term><term>Troubles psychosomatiques</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Adjustment Disorders</term><term>Psychophysiologic Disorders</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Trouble de conversion</term><term>Troubles de l'adaptation</term><term>Troubles psychosomatiques</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Adjustment Disorders</term><term>Conversion Disorder</term><term>Psychophysiologic Disorders</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Troubles de l'adaptation</term><term>Troubles psychosomatiques</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Ambulatory Care</term><term>Comorbidity</term><term>Diagnostic and Statistical Manual of Mental Disorders</term><term>Female</term><term>Humans</term><term>Interview, Psychological</term><term>Male</term><term>Middle Aged</term><term>Sick Role</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Comorbidité</term><term>Diagnostic and stastistical manual of mental disorders (USA)</term><term>Entretien psychologique</term><term>Femelle</term><term>Humains</term><term>Italie</term><term>Mâle</term><term>Rôle de malade</term><term>Soins ambulatoires</term><term>Sujet âgé</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Italie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Adjustment disorders have been found to be the most frequent psychiatric diagnosis in the medically ill. Problems have been raised, however, as to their clinical value. The aim of the study was to characterize the psychosomatic features of adjustment disorders.</div></front></TEI><pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">17196662</PMID><DateCreated><Year>2007</Year><Month>06</Month><Day>12</Day></DateCreated><DateCompleted><Year>2007</Year><Month>08</Month><Day>17</Day></DateCompleted><DateRevised><Year>2009</Year><Month>09</Month><Day>28</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Print">0165-0327</ISSN><JournalIssue CitedMedium="Print"><Volume>101</Volume><Issue>1-3</Issue><PubDate><Year>2007</Year><Month>Aug</Month></PubDate></JournalIssue><Title>Journal of affective disorders</Title><ISOAbbreviation>J Affect Disord</ISOAbbreviation></Journal><ArticleTitle>Psychosomatic characterization of adjustment disorders in the medical setting: some suggestions for DSM-V.</ArticleTitle><Pagination><MedlinePgn>251-4</MedlinePgn></Pagination><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Adjustment disorders have been found to be the most frequent psychiatric diagnosis in the medically ill. Problems have been raised, however, as to their clinical value. The aim of the study was to characterize the psychosomatic features of adjustment disorders.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">One hundred patients with medical illness and a diagnosis of adjustment disorder according to DSM-IV criteria were interviewed according to the Diagnostic Criteria for Psychosomatic Research (DCPR) system, consisting of 12 clusters.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">A considerable overlap was shown between adjustment disorders and DCPR clusters related to abnormal illness behavior (health anxiety, tanatophobia, nosophobia and illness denial) (54%), somatization (functional somatic symptoms secondary to a psychiatric disorder, persistent somatization, conversion symptoms and anniversary reaction) (37%) and demoralization (33%). Only 13 of the patients with adjustment disorders did not present any DCPR syndromes.</AbstractText><AbstractText Label="LIMITATIONS" NlmCategory="CONCLUSIONS">The study is cross-sectional and does not allow to determine the prognostic features of DCPR categorization.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">The clinical information which derives from the concomitant application of the DCPR might improve and make more specific the treatment of patients with adjustment disorders.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Grassi</LastName><ForeName>Luigi</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Department of Medical Sciences of Communication and Behavior, Section of Psychiatry, University of Ferrara, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mangelli</LastName><ForeName>Lara</ForeName><Initials>L</Initials></Author><Author ValidYN="Y"><LastName>Fava</LastName><ForeName>Giovanni A</ForeName><Initials>GA</Initials></Author><Author ValidYN="Y"><LastName>Grandi</LastName><ForeName>Silvana</ForeName><Initials>S</Initials></Author><Author ValidYN="Y"><LastName>Ottolini</LastName><ForeName>Fedra</ForeName><Initials>F</Initials></Author><Author ValidYN="Y"><LastName>Porcelli</LastName><ForeName>Piero</ForeName><Initials>P</Initials></Author><Author ValidYN="Y"><LastName>Rafanelli</LastName><ForeName>Chiara</ForeName><Initials>C</Initials></Author><Author ValidYN="Y"><LastName>Rigatelli</LastName><ForeName>Marco</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Sonino</LastName><ForeName>Nicoletta</ForeName><Initials>N</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016448">Multicenter Study</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2006</Year><Month>12</Month><Day>28</Day></ArticleDate></Article><MedlineJournalInfo><Country>Netherlands</Country><MedlineTA>J Affect Disord</MedlineTA><NlmUniqueID>7906073</NlmUniqueID><ISSNLinking>0165-0327</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName MajorTopicYN="N" UI="D000275">Adjustment Disorders</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000175">diagnosis</QualifierName><QualifierName MajorTopicYN="N" UI="Q000453">epidemiology</QualifierName><QualifierName MajorTopicYN="N" UI="Q000523">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D000328">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D000368">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D000553">Ambulatory Care</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D015897">Comorbidity</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D003291">Conversion Disorder</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000175">diagnosis</QualifierName><QualifierName MajorTopicYN="N" UI="Q000523">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="Y" UI="D039721">Diagnostic and Statistical Manual of Mental Disorders</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D005260">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D006801">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D007406">Interview, Psychological</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" Type="Geographic" UI="D007558">Italy</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D008297">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D008875">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D011602">Psychophysiologic Disorders</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000175">diagnosis</QualifierName><QualifierName MajorTopicYN="N" UI="Q000453">epidemiology</QualifierName><QualifierName MajorTopicYN="N" UI="Q000523">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="Y" UI="D012803">Sick Role</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2006</Year><Month>9</Month><Day>19</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2006</Year><Month>11</Month><Day>10</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2006</Year><Month>11</Month><Day>13</Day></PubMedPubDate><PubMedPubDate 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