Demoralization in Patients with Medical Illness
Identifieur interne : 000107 ( Pmc/Corpus ); précédent : 000106; suivant : 000108Demoralization in Patients with Medical Illness
Auteurs : Randy A. Sansone ; Lori A. SansoneSource :
- Psychiatry (Edgmont) [ 1550-5952 ] ; 2010.
Abstract
Demoralization is a dysphoric state encountered in both psychiatric and medical populations, and is characterized by the individual's sense of disempowerment and futility. While depression may coexist with demoralization, they appear to be distinct clinical entities, with the former being characterized by anhedonia and the latter being characterized by helplessness. Assessment measures for demoralization are available, such as the Diagnostic Criteria for Psychosomatic Research and the Demoralization Scale of the Minnesota Multiphasic Personality Inventory version 2 restructured clinical scales. However, the administration requirements of these measures tend to limit them to research environments. As for prevalence, demoralization is commonplace in medical populations, perhaps even normative. However, up to one-third of physically ill patients experience
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PubMed: 20877533
PubMed Central: 2945856
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Demoralization in Patients with Medical Illness</title><author><name sortKey="Sansone, Randy A" sort="Sansone, Randy A" uniqKey="Sansone R" first="Randy A." last="Sansone">Randy A. Sansone</name></author><author><name sortKey="Sansone, Lori A" sort="Sansone, Lori A" uniqKey="Sansone L" first="Lori A." last="Sansone">Lori A. Sansone</name></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">20877533</idno><idno type="pmc">2945856</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2945856</idno><idno type="RBID">PMC:2945856</idno><date when="2010">2010</date><idno type="wicri:Area/Pmc/Corpus">000107</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000107</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Demoralization in Patients with Medical Illness</title><author><name sortKey="Sansone, Randy A" sort="Sansone, Randy A" uniqKey="Sansone R" first="Randy A." last="Sansone">Randy A. Sansone</name></author><author><name sortKey="Sansone, Lori A" sort="Sansone, Lori A" uniqKey="Sansone L" first="Lori A." last="Sansone">Lori A. Sansone</name></author></analytic><series><title level="j">Psychiatry (Edgmont)</title><idno type="ISSN">1550-5952</idno><idno type="eISSN">1555-5194</idno><imprint><date when="2010">2010</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Demoralization is a dysphoric state encountered in both psychiatric and medical populations, and is characterized by the individual's sense of disempowerment and futility. While depression may coexist with demoralization, they appear to be distinct clinical entities, with the former being characterized by anhedonia and the latter being characterized by helplessness. Assessment measures for demoralization are available, such as the Diagnostic Criteria for Psychosomatic Research and the Demoralization Scale of the Minnesota Multiphasic Personality Inventory version 2 restructured clinical scales. However, the administration requirements of these measures tend to limit them to research environments. As for prevalence, demoralization is commonplace in medical populations, perhaps even normative. However, up to one-third of physically ill patients experience <italic>clinically</italic> meaningful demoralization. Identification by the clinician is important as there are several proposed interventions that may be helpful in alleviating demoralization in medically compromised patients.</p></div></front></TEI><pmc article-type="other"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Psychiatry (Edgmont)</journal-id><journal-id journal-id-type="publisher-id">PE</journal-id><journal-title-group><journal-title>Psychiatry (Edgmont)</journal-title></journal-title-group><issn pub-type="ppub">1550-5952</issn><issn pub-type="epub">1555-5194</issn><publisher><publisher-name>Matrix Medical Communications</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">20877533</article-id><article-id pub-id-type="pmc">2945856</article-id><article-id pub-id-type="other">PE_7_8_42</article-id><article-categories><subj-group subj-group-type="heading"><subject>The Interface</subject></subj-group></article-categories><title-group><article-title>Demoralization in Patients with Medical Illness</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Sansone</surname><given-names>Randy A.</given-names></name><degrees>MD</degrees><aff>Dr. R. Sansone is a professor in the Departments of Psychiatry and Internal Medicine at Wright State University School of Medicine in Dayton, Ohio, and Director of Psychiatry Education at Kettering Medical Center in Kettering, Ohio</aff></contrib><contrib contrib-type="author"><name><surname>Sansone</surname><given-names>Lori A.</given-names></name><degrees>MD</degrees><aff>Dr. L. Sansone is a family medicine physician (government service) and Medical Director of the Primary Care Clinic at Wright-Patterson Air Force Base. The views and opinions expressed in this column are those of the authors and do not reflect the official policy or the position of the United States Air Force, Department of Defense, or US government.</aff></contrib></contrib-group><author-notes><corresp><bold>ADDRESS CORRESPONDENCE TO:</bold> Randy A. Sansone, MD, Sycamore Primary Care Center, 2115 Leiter Road, Miamisburg, OH 45342; Phone: (937) 384-6850; Fax: (937) 384-6938; E-mail: <email>Randy.sansone@khnetwork.org</email>.</corresp><fn><p><bold>FUNDING:</bold> There was no funding for the development and writing of this article.</p></fn><fn><p><bold>FINANCIAL DISCLOSURES:</bold> The authors have no conflicts of interest relevant to the content of this article.</p></fn></author-notes><pub-date pub-type="epub"><month>8</month><year>2010</year></pub-date><volume>7</volume><issue>8</issue><fpage>42</fpage><lpage>45</lpage><abstract><p>Demoralization is a dysphoric state encountered in both psychiatric and medical populations, and is characterized by the individual's sense of disempowerment and futility. While depression may coexist with demoralization, they appear to be distinct clinical entities, with the former being characterized by anhedonia and the latter being characterized by helplessness. Assessment measures for demoralization are available, such as the Diagnostic Criteria for Psychosomatic Research and the Demoralization Scale of the Minnesota Multiphasic Personality Inventory version 2 restructured clinical scales. However, the administration requirements of these measures tend to limit them to research environments. As for prevalence, demoralization is commonplace in medical populations, perhaps even normative. However, up to one-third of physically ill patients experience <italic>clinically</italic> meaningful demoralization. Identification by the clinician is important as there are several proposed interventions that may be helpful in alleviating demoralization in medically compromised patients.</p></abstract><kwd-group><kwd>Demoralization</kwd><kwd>medical illness</kwd><kwd>psychosomatic</kwd><kwd>dysphoria</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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