Prediction of treatment outcome of patients with functional gastrointestinal disorders by the diagnostic criteria for psychosomatic research.
Identifieur interne : 000195 ( PubMed/Corpus ); précédent : 000194; suivant : 000196Prediction of treatment outcome of patients with functional gastrointestinal disorders by the diagnostic criteria for psychosomatic research.
Auteurs : Piero Porcelli ; Massimo De Carne ; Orlando TodarelloSource :
- Psychotherapy and psychosomatics [ 0033-3190 ]
English descriptors
- KwdEn :
- Adult, Cohort Studies, Diagnosis, Differential, Diagnostic and Statistical Manual of Mental Disorders, Female, Follow-Up Studies, Gastrointestinal Diseases (diagnosis), Gastrointestinal Diseases (epidemiology), Gastrointestinal Diseases (physiopathology), Humans, Male, Prevalence, Psychophysiologic Disorders (diagnosis), Psychophysiologic Disorders (epidemiology), Severity of Illness Index, Surveys and Questionnaires.
- MESH :
- diagnosis : Gastrointestinal Diseases, Psychophysiologic Disorders.
- epidemiology : Gastrointestinal Diseases, Psychophysiologic Disorders.
- physiopathology : Gastrointestinal Diseases.
- Adult, Cohort Studies, Diagnosis, Differential, Diagnostic and Statistical Manual of Mental Disorders, Female, Follow-Up Studies, Humans, Male, Prevalence, Severity of Illness Index, Surveys and Questionnaires.
Abstract
The Diagnostic Criteria for Psychosomatic Research (DCPR) have been demonstrated to be useful in identifying specific psychological conditions of medical patients. The aim of this study was to evaluate the clinical utility of the DCPR in predicting the treatment outcome of patients with functional gastrointestinal disorders (FGID).
DOI: 10.1159/000076454
PubMed: 15031589
Links to Exploration step
pubmed:15031589Le document en format XML
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<author><name sortKey="Porcelli, Piero" sort="Porcelli, Piero" uniqKey="Porcelli P" first="Piero" last="Porcelli">Piero Porcelli</name>
<affiliation><nlm:affiliation>Psychosomatic Unit, IRCCS De Bellis Hospital, Castellana Grotte, Italy. porcellip@mail.media.it</nlm:affiliation>
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<author><name sortKey="De Carne, Massimo" sort="De Carne, Massimo" uniqKey="De Carne M" first="Massimo" last="De Carne">Massimo De Carne</name>
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<author><name sortKey="Todarello, Orlando" sort="Todarello, Orlando" uniqKey="Todarello O" first="Orlando" last="Todarello">Orlando Todarello</name>
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<front><div type="abstract" xml:lang="en">The Diagnostic Criteria for Psychosomatic Research (DCPR) have been demonstrated to be useful in identifying specific psychological conditions of medical patients. The aim of this study was to evaluate the clinical utility of the DCPR in predicting the treatment outcome of patients with functional gastrointestinal disorders (FGID).</div>
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<DateCreated><Year>2004</Year>
<Month>03</Month>
<Day>19</Day>
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<DateCompleted><Year>2004</Year>
<Month>07</Month>
<Day>27</Day>
</DateCompleted>
<DateRevised><Year>2015</Year>
<Month>11</Month>
<Day>19</Day>
</DateRevised>
<Article PubModel="Print"><Journal><ISSN IssnType="Print">0033-3190</ISSN>
<JournalIssue CitedMedium="Print"><Volume>73</Volume>
<Issue>3</Issue>
<PubDate><MedlineDate>2004 May-Jun</MedlineDate>
</PubDate>
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<Title>Psychotherapy and psychosomatics</Title>
<ISOAbbreviation>Psychother Psychosom</ISOAbbreviation>
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<ArticleTitle>Prediction of treatment outcome of patients with functional gastrointestinal disorders by the diagnostic criteria for psychosomatic research.</ArticleTitle>
<Pagination><MedlinePgn>166-73</MedlinePgn>
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<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">The Diagnostic Criteria for Psychosomatic Research (DCPR) have been demonstrated to be useful in identifying specific psychological conditions of medical patients. The aim of this study was to evaluate the clinical utility of the DCPR in predicting the treatment outcome of patients with functional gastrointestinal disorders (FGID).</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">FGID outpatients were allocated to improved (n = 65) and unimproved (n = 40) groups on the basis of preestablished criteria following 6 months of treatment. Patients were administered the structured interview for DCPR at baseline and the Gastrointestinal Symptom Rating Scale both at baseline and follow-up.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">In the unimproved patients, the prevalence of the DCPR categories of alexithymia (82.2%) and persistent somatization (72.5%) was significantly higher while health anxiety was more prevalent in improved patients (21.5%). No unimproved patient lacked a DCPR diagnosis while multiple DCPR diagnoses were significantly higher in the unimproved group (90%). In the regression analysis, alexithymia, persistent somatization, a higher number of DCPR diagnoses for each patient and, to a lesser extent, greater symptom severity at baseline were significant predictors of unimprovement. Health anxiety, even after controlling for gastrointestinal symptoms, was a significant predictor of improvement.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The ability to predict treatment outcome indicates the clinical utility of the DCPR. Clinicians may improve treatment outcome for FGID patients by identifying particular psychosomatic syndromes (alexithymia, persistent somatization, and health anxiety) and patients with multiple DCPR clusters, and attempting to address specific therapeutic interventions.</AbstractText>
<CopyrightInformation>Copyright 2004 S. Karger AG, Basel</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Porcelli</LastName>
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<AffiliationInfo><Affiliation>Psychosomatic Unit, IRCCS De Bellis Hospital, Castellana Grotte, Italy. porcellip@mail.media.it</Affiliation>
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<Author ValidYN="Y"><LastName>De Carne</LastName>
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<Author ValidYN="Y"><LastName>Todarello</LastName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D012720">Severity of Illness Index</DescriptorName>
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