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Journal articles on the topic 'Diagnostic Criteria for Psychosomatic Research-Revised'

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Author: Grafiati

Published: 10 March 2023

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1

A. Basińska, Małgorzata, and Agnieszka Woźniewicz. "Diagnostic Criteria for Psychosomatic Research – revised version by Giovanni A. Fava and his research team." Psychiatria i Psychologia Kliniczna 21, no. 2 (July 30, 2021): 121–27. http://dx.doi.org/10.15557/pipk.2021.0013.

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Diagnostic Criteria for Psychosomatic Research (DCPR), developed by a team of Italian and American researchers at the end of the 20th century, was elaborated and then revised based on observations and studies conducted by clinicians. In this paper, we present their current version known as DCPR-R. This classification system departs from the functional/organic dichotomy of disorders. The new criteria allow for the assessment of the role of multiple emotional/behavioural dimensions and responses in the functioning of an affected person. The revised version has four diagnostic modules, i.e., stress, illness behaviour, psychological manifestation, and personality. The authors introduced an additional factor to describe life experiences that contribute to stress (allostatic overload). Illness behaviours include health anxiety, disease phobia, hypochondriasis, thanatophobia, illness denial, persistent somatisation, conversion, and anniversary reaction. Irritable mood, somatic symptoms secondary to a psychiatric disorder and demoralisation are psychological manifestations. Type A behaviour pattern and alexithymia are considered personalityrelated factors. The authors of DCPR-R proposed a certain number of criteria to be met in order to diagnose each of these syndromes. The system makes it possible to clearly determine the presence of a given syndrome, but it does not allow to assess its severity. Psychosomatic syndromes play an important role in the development and/or course of somatic diseases. Inclusion of these syndromes in clinical diagnosis has made it possible to expand the spectrum of information about patient’s functioning, and, once they are diagnosed, offer appropriate psychological assistance, which will translate into an improvement in the quality of life.

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2

Cosci, Fiammetta, Andrea Svicher, Sara Romanazzo, Lucia Maggini, Francesco De Cesaris, Silvia Benemei, and Pierangelo Geppetti. "Criterion-related validity in a sample of migraine outpatients: the diagnostic criteria for psychosomatic research." CNS Spectrums 25, no. 4 (October 28, 2019): 545–51. http://dx.doi.org/10.1017/s1092852919001536.

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AbstractObjective.The Diagnostic Criteria for Psychosomatic Research (DCPR) are those of psychosomatic syndromes that did not find room in the classical taxonomy. More recently, the DCPR were updated, called DCPR-revised (DCPR-R). The present study was conducted to test the criterion-related validity of the DCPR-R.Methods.Two hundred consecutive subjects were enrolled at the Headache Center of Careggi University Hospital (Italy): 100 subjects had a diagnosis of chronic migraine (CM) and 100 had a diagnosis of episodic migraine (EM). Participants received a clinical assessment, which included the DCPR-revised Semi-Structured Interview (DCPR-R SSI), the Structured Clinical Interview for DSM-5 (SCID-5), and the psychosocial index (PSI).Results.Forty-seven subjects (23.5%) had at least one DSM-5 diagnosis: major depressive disorder (8.5%; n = 17) and agoraphobia (7.5%; n = 15) were the most frequent. One hundred and ten subjects (55%) reported a DCPR-R diagnosis: allostatic overload (29%; n = 58) and type A behavior (10.5%; n = 21) were the most frequent. When the incremental validity of the DCPR system over the DSM system was tested using PSI subscales as the criterion variable, the DCPR-R increased up to 0.11–0.24 the amount of explained variance. Subjects with at least one DCPR-R diagnosis showed lower PSI well-being scores (p = .001), higher PSI stress scores (p < .001), and higher PSI psychological distress scores (p = .008) than subjects without a DCPR-R diagnosis.Conclusion. The DCPR-R showed a good criterion-related validity in migraine outpatients. Thus, they might be implemented, together with the DSM-5, in the assessment of migraine subjects.

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3

Fava, Giovanni A., Harald J. Freyberger, Per Bech, George Christodoulou, Tom Sensky, Töres Theorell, and Thomas N. Wise. "Diagnostic Criteria for Use in Psychosomatic Research." Psychotherapy and Psychosomatics 63, no. 1 (1995): 1–8. http://dx.doi.org/10.1159/000288931.

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4

Pilowsky, I. "Diagnostic Criteria and Classification in Psychosomatic Research." Psychotherapy and Psychosomatics 65, no. 3 (1996): 115–16. http://dx.doi.org/10.1159/000289061.

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5

Roohafza, Hamidreza, Farzad Goli, Azam Khani, and Hamid Afshar. "Validation of Self-Assessed Form of Diagnostic Criteria for Psychosomatic Research Adapted from Diagnostic Criteria for Psychosomatic Research - Structured Interview." Journal of Research in Medical Sciences 27, no. 1 (2022): 11. http://dx.doi.org/10.4103/jrms.jrms_938_20.

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6

Sirri, Laura, and Giovanni A. Fava. "Diagnostic criteria for psychosomatic research and somatic symptom disorders." International Review of Psychiatry 25, no. 1 (February 2013): 19–30. http://dx.doi.org/10.3109/09540261.2012.726923.

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7

Grassi, Luigi, Silvana Sabato, Elena Rossi, Bruno Biancosino, and Luciana Marmai. "Use of the Diagnostic Criteria for Psychosomatic Research in Oncology." Psychotherapy and Psychosomatics 74, no. 2 (2005): 100–107. http://dx.doi.org/10.1159/000083168.

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8

Wise, Thomas N. "Diagnostic Criteria for Psychosomatic Research Are Necessary for DSM V." Psychotherapy and Psychosomatics 78, no. 6 (2009): 330–32. http://dx.doi.org/10.1159/000235735.

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9

Guidi, Jenny, Antonio Piolanti, Carmen Berrocal, Sara Gostoli, and Danilo Carrozzino. "Incremental Validity Of The Diagnostic Criteria For Psychosomatic Research – Revised (DCPR-R) To Clinical Assessment In Primary Care." Psychiatry Research 291 (September 2020): 113233. http://dx.doi.org/10.1016/j.psychres.2020.113233.

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10

Cui, Xuelian, Jianxin Cao, Chiara Rafanelli, Boheng Zhu, and Sara Gostoli. "Efficacy of group biofeedback treatment on hyperemesis gravidarum with psychosomatic symptoms diagnosed with the revised version of Diagnostic Criteria for Psychosomatic Research (DCPR-R): study protocol for a randomised controlled trial." BMJ Open 12, no. 3 (March 2022): e051295. http://dx.doi.org/10.1136/bmjopen-2021-051295.

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IntroductionHyperemesis gravidarum (HG) is a condition characterised by dehydration, electrolyte imbalance, lack of nutrition and at least 5% loss in body weight, occurring in the first half of pregnancy. The aim of this trial is to examine the efficacy of group biofeedback treatment on patients with HG with psychosomatic symptoms, which will be evaluated through the revised version of Diagnostic Criteria for Psychosomatic Research (DCPR-R).Methods and analysisIn this single-blinded randomised controlled clinical trial, 68 patients with HG diagnosed with at least one psychosomatic syndrome according to DCPR-R and aged 18–40 years, will be recruited in a Chinese Maternal and Child Health Hospital. The sample will be randomised (1:1) into two arms: experimental group, which will undergo group biofeedback treatment, psycho-education and treatment as usual (TAU); and control group, which will undergo psycho-education and TAU only. The primary outcomes will be reduction of the frequency of psychosomatic syndromes, severity of nausea/vomiting, quality of life and heart rate variability. The secondary outcomes will include days of hospitalisation, repeated hospitalisation and laboratory investigations.Ethics and disseminationThis study has received ethical approval from the Nanjing Medical University (No. 2019/491, granted 22 February 2019). All participants will be required to provide written informed consent. Study outcomes will be disseminated through peer-reviewed publications and academic conferences, and used to confirm a tailored biofeedback intervention for patients with HG with psychosomatic symptoms.Trial registration numberChinese Clinical Trial Registry (ChiCTR2000028754).

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11

Galeazzi, G., S. Ferrari, A. Mackinnon, and M. Rigatelli. "16-DIAGNOSTIC CRITERIA FOR PSYCHOSOMATIC RESEARCH IN CONSULTATION LIAISON PSYCHIATRY PATIENTS." Journal of Psychosomatic Research 56, no. 6 (June 2004): 565–66. http://dx.doi.org/10.1016/j.jpsychores.2004.04.020.

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12

Fava, GA, L. Mangelli, F. Ottolini, and N. Sonino. "THE USE OF DIAGNOSTIC CRITERIA FOR PSYCHOSOMATIC RESEARCH IN MEDICAL SETTINGS." Journal of Psychosomatic Research 56, no. 6 (June 2004): 607. http://dx.doi.org/10.1016/j.jpsychores.2004.04.152.

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13

Svicher, A., F. De Cesaris, S. Benemei, V. Tondini, P. Geppetti, and F. Cosci. "Diagnostic Criteria for Psychosomatic Research versus DSM assessment in migraine patients." Journal of Psychosomatic Research 109 (June 2018): 137. http://dx.doi.org/10.1016/j.jpsychores.2018.03.149.

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14

De Caro, Maria Fara, Domenico Laera, Francesca De Robertis, and Alessandro Taurino. "Diagnostic Criteria for Psychosomatic Research and Psychosocial Functioning in Multiple Sclerosis." Psychotherapy and Psychosomatics 85, no. 6 (2016): 384–85. http://dx.doi.org/10.1159/000446706.

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15

Venditti, Francesca, Fiammetta Cosci, Olivia Bernini, and Carmen Berrocal. "Criterion Validity of the Diagnostic Criteria for Psychosomatic Research in Patients with Morbid Obesity." Psychotherapy and Psychosomatics 82, no. 6 (2013): 411–12. http://dx.doi.org/10.1159/000353601.

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16

Grassi, Luigi, Elena Rossi, Silvana Sabato, Giorgio Cruciani, and Maurizio Zambelli. "Diagnostic Criteria for Psychosomatic Research and Psychosocial Variables in Breast Cancer Patients." Psychosomatics 45, no. 6 (November 2004): 483–91. http://dx.doi.org/10.1176/appi.psy.45.6.483.

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17

Fava, G. A., A. Piolanti, J. Gervasi, J. Guidi, and N. Sonino. "Diagnostic Criteria for Psychosomatic Research (DCPR) and DSM-5 in primary care." Journal of Psychosomatic Research 109 (June 2018): 102–3. http://dx.doi.org/10.1016/j.jpsychores.2018.03.056.

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18

Huang, Wei-Lieh, and Shih-Cheng Liao. "Psychometric Properties of the Chinese Version of the Diagnostic Criteria for Psychosomatic Research." Psychotherapy and Psychosomatics 86, no. 2 (2017): 119–20. http://dx.doi.org/10.1159/000450714.

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19

Mangelli, Lara, Federica Semprini, Laura Sirri, Giovanni A. Fava, and Nicoletta Sonino. "Use of the Diagnostic Criteria for Psychosomatic Research (DCPR) in a Community Sample." Psychosomatics 47, no. 2 (March 2006): 143–46. http://dx.doi.org/10.1176/appi.psy.47.2.143.

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20

Desai, Geetha, and Santosh K. Chaturvedi. "Do Diagnostic Criteria for Psychosomatic Research Explain Diagnosis of Medically Unexplained Somatic Symptoms?" Psychotherapy and Psychosomatics 85, no. 2 (2016): 121–22. http://dx.doi.org/10.1159/000441063.

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21

Chaturvedi, Santosh K., and Kausik Goswami. "Feasibility of Diagnostic Criteria for Psychosomatic Research in India: A Pilot Qualitative Evaluation." Psychotherapy and Psychosomatics 81, no. 5 (2012): 320–21. http://dx.doi.org/10.1159/000337361.

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22

Basińska, Małgorzata Anna, and Agnieszka Woźniewicz. "Occurrence of Diagnostic Criteria for Psychosomatic Research Syndromes in Polish Patients with Chronic Illness." Psychotherapy and Psychosomatics 85, no. 6 (2016): 386–87. http://dx.doi.org/10.1159/000447243.

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23

Huang, Wei-Lieh, and Shih-Cheng Liao. "Subgrouping Somatic Symptom Disorder: An Analysis Based on the Diagnostic Criteria for Psychosomatic Research." Psychotherapy and Psychosomatics 87, no. 5 (2018): 316–18. http://dx.doi.org/10.1159/000492227.

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24

Porcelli, Piero, and Jenny Guidi. "The Clinical Utility of the Diagnostic Criteria for Psychosomatic Research: A Review of Studies." Psychotherapy and Psychosomatics 84, no. 5 (2015): 265–72. http://dx.doi.org/10.1159/000430788.

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25

Tossani, Eliana, Maria Grazia Ricci Garotti, and Fiammetta Cosci. "The Use of the Diagnostic Criteria for Psychosomatic Research in Substance Use Disorder Patients." Psychotherapy and Psychosomatics 82, no. 3 (2013): 195–96. http://dx.doi.org/10.1159/000345170.

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26

Porcelli, Piero, and Massimo De Carne. "Criterion-Related Validity of the Diagnostic Criteria for Psychosomatic Research for Alexithymia in Patients with Functional Gastrointestinal Disorders." Psychotherapy and Psychosomatics 70, no. 4 (2001): 184–88. http://dx.doi.org/10.1159/000056251.

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27

Tesio, Valentina, Ada Ghiggia, Marialaura Di Tella, and Lorys Castelli. "Utility of the Diagnostic Criteria for Psychosomatic Research in assessing psychological disorders in fibromyalgia patients." Journal of Affective Disorders 256 (September 2019): 219–20. http://dx.doi.org/10.1016/j.jad.2019.06.013.

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28

Porcelli, Piero, Massimo De Carne, and Gioacchino Leandro. "Distinct associations of DSM-5 Somatic Symptom Disorder, the Diagnostic Criteria for Psychosomatic Research-Revised (DCPR-R) and symptom severity in patients with irritable bowel syndrome." General Hospital Psychiatry 64 (May 2020): 56–62. http://dx.doi.org/10.1016/j.genhosppsych.2020.03.004.

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29

Altamura, Mario, Giovanna D’Andrea, Eleonora Angelini, Fabio M. P. Tortorelli, Angela Balzotti, Piero Porcelli, Maurizio Margaglione, Natale D. Brunetti, Tommaso Cassano, and Antonello Bellomo. "Psychosomatic syndromes are associated with IL-6 pro-inflammatory cytokine in heart failure patients." PLOS ONE 17, no. 3 (March 10, 2022): e0265282. http://dx.doi.org/10.1371/journal.pone.0265282.

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Psychosomatic syndromes have emerged as an important source of comorbidity in cardiac patients and have been associated with increased risk for adverse outcomes in patients with heart failure (HF). Understanding of the mechanisms underlying this connection is limited, however immune activity represents a possible pathway. While there have been numerous studies connecting immune activity to psychosomatic psychopathology, there is a lack of research on patients with HF. We examined forty-one consecutive outpatients affected by HF. We assessed psychosomatic psychopathology using the Diagnostic Criteria for Psychosomatic Research (DCPR) and the Patient Health Questionnaire-15 (PHQ-15). The Psychosocial Index (PSI) was used for assessing stress and psychosocial dimensions. Depression was evaluated with Beck Depression Inventory-II (BDI-II). Circulating levels of proinflammatory cytokines IL-6 and TNF-alpha were ascertained. Univariate and multivariable regression models were used to test for associations between inflammatory cytokines and psychosomatic psychopathology (i.e., DCPR syndromes, PHQ-15) and psychological dimensions (i.e., BDI-II, PSI). A significant positive correlation was found between IL-6 levels and psychosomatic psychopathology even when controlling for any confounding variables (i.e., Body-mass index (BMI), New York Heart Association (NYHA) class, smoking habits, alcohol consumption, statin use, aspirin use, beta blockers use, age, and gender). In contrast, the associations between TNF-alpha levels were non-significant. These findings can contribute to research in support of a psychoneuroimmune connection between psychosomatic psychopathology and HF. Findings also suggest the possibility that elevated IL-6 levels are more relevant for the pathogenesis of psychosomatic syndromes than for depression in patients with HF.

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30

Porcelli, Piero, Massimo De Carne, and Orlando Todarello. "Prediction of Treatment Outcome of Patients with Functional Gastrointestinal Disorders by the Diagnostic Criteria for Psychosomatic Research." Psychotherapy and Psychosomatics 73, no. 3 (2004): 166–73. http://dx.doi.org/10.1159/000076454.

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Cosci, Fiammetta, and Giovanni A. Fava. "The clinical inadequacy of the DSM-5 classification of somatic symptom and related disorders: an alternative trans-diagnostic model." CNS Spectrums 21, no. 4 (December 28, 2015): 310–17. http://dx.doi.org/10.1017/s1092852915000760.

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The Diagnostic and Statistical of Mental Disorders, Fifth Edition (DSM-5) somatic symptom and related disorders chapter has a limited clinical utility. In addition to the problems that the single diagnostic rubrics and the deletion of the diagnosis of hypochondriasis entail, there are 2 major ambiguities: (1) the use of the term “somatic symptoms” reflects an ill-defined concept of somatization and (2) abnormal illness behavior is included in all diagnostic rubrics, but it is never conceptually defined. In the present review of the literature, we will attempt to approach the clinical issue from a different angle, by introducing the trans-diagnostic viewpoint of illness behavior and propose an alternative clinimetric classification system, based on the Diagnostic Criteria for Psychosomatic Research.

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Sonino, Nicoletta, Elena Tomba, Maria Luisa Genesia, Chiara Bertello, Paolo Mulatero, Franco Veglio, Giovanni A. Fava, and Francesco Fallo. "Psychological Assessment of Primary Aldosteronism: A Controlled Study." Journal of Clinical Endocrinology & Metabolism 96, no. 6 (June 1, 2011): E878—E883. http://dx.doi.org/10.1210/jc.2010-2723.

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Objective: Our objective was to investigate psychological correlates in a population with primary aldosteronism (PA) using methods found to be sensitive and reliable in psychosomatic research. Methods: Twenty-three PA patients (12 male, 11 female; mean age 50 ± 9 yr) were compared with 23 patients with essential hypertension (EH) (15 male, eight female; mean age 47 ± 8 yr) and 23 matched normotensive subjects. A modified version of the Structural Clinical Interview for DSM-IV, a shortened version of the structured interview for the Diagnostic Criteria for Psychosomatic Research, and two self-rating questionnaires, the Psychosocial Index and the Symptom Questionnaire, were administered. Results: Twelve of 23 patients with PA (52.2%) suffered from an anxiety disorder compared with four of 23 with EH (17.4%) and one control (4.3%) (P < 0.001). Generalized anxiety disorder was more frequent in PA than in EH patients and controls (P < 0.05). As assessed by Diagnostic Criteria for Psychosomatic Research, irritable mood was more frequent in PA and EH compared with controls (P < 0.05) but did not differentiate PA from EH. According to Psychosocial Index results, patients with PA had higher levels of stress (P < 0.01) and psychological distress (P < 0.01) and lower level of well-being (P < 0.05) than controls. Compared with EH patients, PA patients had higher scores in stress subscale (P < 0.05). The Symptom Questionnaire showed higher levels of anxiety (P < 0.01), depression (P < 0.01) and somatization (P < 0.01) and lower physical well-being (P < 0.05) in PA than controls. Conclusion: A role of mineralocorticoid regulatory mechanisms in clinical situations concerned with anxiety and stress is suggested.

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33

Melnyk, Inna. "PSYCHOLOGICAL COMPONENT OF HEALTH-SAVING COMPETENCE OF FUTURE TEACHERS: RESEARCH RESULTS." Educological discourse 33, no. 3 (2021): 46–60. http://dx.doi.org/10.28925/2312-5829.2021.34.

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The article is devoted to the problems of psychological and pedagogical training. The urgency of the problem is due to lack of knowledge in society about effective mechanisms for maintaining, strengthening and restoring mental health in conditions of constant physical and intellectual overload, stress, social unrest, as evidenced by numerous facts of nervous breakdowns and psychosomatic diseases. The article highlights the quantitative and qualitative results of an empirical study of the psychological component of health competence in future teachers according to certain criteria - cognitive, motivational-value, activity and reflexive. The indicators of each of these criteria are described, as well as the used diagnostic tools for their study are described. It was found that the respondents do not have a high enough level of formation of the psychological component of health competence according to cognitive and reflexive criteria, which indicates the need for intensive work on the formation of deep knowledge of future teachers on the essence of "mental health" and ability to reflect in order to preserve and strengthen their own mental health and the health of children. Based on these results, the main ways and prospects for improving the level of formation of the psychological component of health competence of students on cognitive and reflexive criteria in the process of studying the course "Psychological Anthropology" were identified.

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34

Galeazzi, Gian Maria, Silvia Ferrari, Andrew Mackinnon, and Marco Rigatelli. "Interrater Reliability, Prevalence, and Relation to ICD-10 Diagnoses of the Diagnostic Criteria for Psychosomatic Research in Consultation-Liaison Psychiatry Patients." Psychosomatics 45, no. 5 (September 2004): 386–93. http://dx.doi.org/10.1176/appi.psy.45.5.386.

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35

Belpomme, Dominique, George L. Carlo, Philippe Irigaray, David O. Carpenter, Lennart Hardell, Michael Kundi, Igor Belyaev, et al. "The Critical Importance of Molecular Biomarkers and Imaging in the Study of Electrohypersensitivity. A Scientific Consensus International Report." International Journal of Molecular Sciences 22, no. 14 (July 7, 2021): 7321. http://dx.doi.org/10.3390/ijms22147321.

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Clinical research aiming at objectively identifying and characterizing diseases via clinical observations and biological and radiological findings is a critical initial research step when establishing objective diagnostic criteria and treatments. Failure to first define such diagnostic criteria may lead research on pathogenesis and etiology to serious confounding biases and erroneous medical interpretations. This is particularly the case for electrohypersensitivity (EHS) and more particularly for the so-called “provocation tests”, which do not investigate the causal origin of EHS but rather the EHS-associated particular environmental intolerance state with hypersensitivity to man-made electromagnetic fields (EMF). However, because those tests depend on multiple EMF-associated physical and biological parameters and have been conducted in patients without having first defined EHS objectively and/or endpoints adequately, they cannot presently be considered to be valid pathogenesis research methodologies. Consequently, the negative results obtained by these tests do not preclude a role of EMF exposure as a symptomatic trigger in EHS patients. Moreover, there is no proof that EHS symptoms or EHS itself are caused by psychosomatic or nocebo effects. This international consensus report pleads for the acknowledgement of EHS as a distinct neuropathological disorder and for its inclusion in the WHO International Classification of Diseases.

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Tecuta, Lucia, Giovanni Andrea Fava, and Elena Tomba. "An innovative approach for the assessment of mood disturbances in patients with eating disorders." CNS Spectrums 25, no. 1 (April 15, 2019): 71–78. http://dx.doi.org/10.1017/s1092852919000798.

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Objective.Assessment of mood in eating disorders (EDs) has important clinical implications, but the current standard psychiatric classification (DSM-5) has limitations. The aim of the current study is to broaden the evaluation of depressive symptomatology by providing a comprehensive and innovative assessment approach in EDs through instruments that capture clinical phenomena of demoralization, subclinical distress, and psychological well-being.Methods.Seventy-nine patients who met diagnostic criteria for EDs of the Diagnostic and Statistical Manual of Mental Disorders – Fifth edition (DSM-5) were evaluated for depressive symptoms through Paykel’s Clinical Interview for Depression, the Structured Clinical Interview for DSM-5 for major depressive episode and persistent depressive disorder, and the Diagnostic Criteria for Psychosomatic Research (DCPR) interview for demoralization. Further, self-report inventories encompassing psychological well-being and distress were used.Results.Guilt, abnormal reactivity to social environment, and depressed mood were the most common depressive symptoms in the sample. DSM-defined depressive disorders were found in 55.7% of patients. The DCPR-demoralization criteria identified an additional 20.3% of the sample that would have been undetected with DSM criteria. Both DSM and DCPR diagnostic categories were associated with compromised psychological well-being and distress. Demoralization, unlike depression, was not associated with the severity of ED symptomatology.Conclusion.The findings indicate that a standard psychiatric approach, DSM-5-based, captures only a narrow part of the spectrum of mood disturbances affecting patients with EDs. A broadened clinimetric assessment unravels the presence of demoralization and yields clinical distinctions that may entail prognostic and therapeutic differences among patients who would be otherwise simply labeled as depressed.

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37

Takeichi, Masashi, Takeshi Sato, and Masasuke Takefu. "Studies on the Psychosomatic Functioning of Ill-Health According to Eastern and Western Medicine 6." American Journal of Chinese Medicine 29, no. 02 (January 2001): 247–64. http://dx.doi.org/10.1142/s0192415x01000289.

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In the accompanying paper "Psychosomatic Characteristics of Anxiety and the Anxiety Affinitive Constitution (Provisional Term) in Medical Students," we suggest that anassessment of the relationship between anxiety and the state of thoracic-abdominal balance of breathing, and the creation of an anxiety-affinitive constitution index (AACI) derived from that assessment, will be indispensable for furthering research in the future. Using the tenets of Oriental psychosomatic medicine, we examined in this research medical students (N = 104) from whom we had received fully-informed consent for the research in writing, and patients who met the DSM-IV diagnostic criteria for anxiety disorders (N = 18) and major depressive episodes (N = 20). We then identified their anxiety and depressive psychosomatic traits in accordance with an assessment of the relationship between anxiety and the state of their thoracic-abdominal balance of breathing, and the AACI derived from that assessment. We performed a multiple regression analysis with the STAI trait anxiety as the dependent variable, and the parameters of the somatic tests as the independent variables. We obtained the formula that AACI = - 62.9 + 72.9 × the thoracic/abdominal respiratory movement ratio (the fractal dimensionvalue for the thoracic respiratory curve/the fractal dimension value for the abdominal respiratory curve) + 22.5 × the horizontal eye movement (the fractal dimension value) + 2.4 × the dental indentation of the tongue (existence, 1; none 0). We then obtained data regarding a symptomatological, constitutional, and nosological diagnosis of anxiety and depression based on the AACI values of the Student's t test calculated for the medical students and the anxiety disorder patients with major depressive episodes, and a statistical analysis using ANOVA. We believe the AACI we created in this research will be very important and significant for the preventive treatment of lifestyle illnesses and stress-related diseases.

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38

Lobo, Antonio, Ricardo Campos, M. Jesús Pérez-Echeverría, Julián Izuzquiza, Javier García-Campayo, Pedro Saz, and Guillermo Marcos. "A new interview for the multiaxial assessment of psychiatric morbidity in medical settings." Psychological Medicine 23, no. 2 (May 1993): 505–10. http://dx.doi.org/10.1017/s0033291700028592.

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SynopsisA new semistructured instrument, the Standardized Polyvalent Psychiatric Interview or SPPI has been developed primarily for assessing medical patients. It has been built on the Clinical Interview Schedule and is intended to evaluate individuals in a multiaxial schema: psychopathology, including duration and severity of disorder; somatic disturbance; social problems and social supports: and pre-morbid personality, with especial emphasis on ‘neuroticism’. The SPPI generates enough information to allow the use of different research diagnostic criteria, including DSM-III-R, ICD-10 and Goldberg's criteria of ‘attribution’ of somatic symptoms and ‘relationships between psychiatric and physical disorder’. It also includes a section related to recommended treatment. The new interview fulfils standards of feasibility, face and content validity. An incomplete block design, inter-rater reliability study was carried out with a consecutive sample of 48 out-patients referred to the Psychosomatic-Liaison Service of the University Hospital of Zaragoza. A broad range of agreement coefficients were calculated, the results being quite acceptable (most kappas are in the range from 0·7 to 0·9) and tending to support the procedural validity of the interview.

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39

Fava, G. A., J. Guidi, P. Porcelli, C. Rafanelli, A. Bellomo, S. Grandi, L. Grassi, et al. "A cluster analysis-derived classification of psychological distress and illness behavior in the medically ill." Psychological Medicine 42, no. 2 (July 18, 2011): 401–7. http://dx.doi.org/10.1017/s0033291711001231.

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BackgroundThe classification of psychological distress and illness behavior in the setting of medical disease is still controversial. Current psychiatric nosology does not seem to cover the spectrum of disturbances. The aim of this investigation was to assess whether the joint use of DSM-IV categories and the Diagnostic Criteria for Psychosomatic Research (DCPR), that provide identification of syndromes related to somatization, abnormal illness behavior, irritable mood, type A behavior, demoralization and alexithymia, could yield subtyping of psychosocial variables in the medically ill.MethodA cross-sectional assessment using both DSM-IV and the DCPR was conducted in eight medical centers in the Italian Health System. Data were submitted to cluster analysis. Participants were consecutive medical out-patients and in-patients for whom a psychiatric consultation was requested. A total of 1700 subjects met eligibility criteria and 1560 agreed to participate.ResultsThree clusters were identified: non-specific psychological distress, irritability and affective disturbances with somatization.ConclusionsTwo-step cluster analysis revealed clusters that were found to occur across clinical settings. The findings indicate the need of expanding clinical assessment in the medically ill to include the various manifestations of somatization, illness behavior and subclinical distress encompassed by the DCPR.

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Freyberger, H. J., W. Schneider, and C. P. Malchow. "Assessment of Comorbidity in the Diagnosis of Psychosomatic and Neurotic Disorders: Results from the ICD-10 Field Trials with the Diagnostic Criteria for Research in Germany." Psychotherapy and Psychosomatics 63, no. 2 (1995): 90–98. http://dx.doi.org/10.1159/000288945.

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Ettlin, Thierry, and Udo Kischka. "Psychosomatische Rehabilitation: eine Übersicht." Therapeutische Umschau 76, no. 8 (December 2019): 460–64. http://dx.doi.org/10.1024/0040-5930/a001115.

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Zusammenfassung. Psychosomatische Medizin ist auf der Vorstellung basiert, dass körperliche Erkrankungen von einer Interaktion biologischer, psychologischer und sozialer Faktoren verursacht werden können. Die psychosomatischen Symptome können sich in verschiedenen Organsystemen manifestieren: dem Nervensystem, muskuloskelettalen System, kardiovaskulären System, Atmungssystem, Verdauungssystem, und der Haut. Im Jahr 1995 wurde ein Klassifikationssystem psychosomatischer Symptome vorgestellt, das eine systematische Kategorisierung psychosomatischer Störungen ermöglichen soll (Diagnostic Criteria for Psychosomatic Research, DCPR). Auf Basis der Vorstellung, dass psychosomatischen Erkrankungen körperliche, psychologische und soziale Faktoren zugrunde liegen, wird die Rehabilitation von interdisziplinären Teams durchgeführt. Die medikamentösen und psychotherapeutischen Therapien werden mit Therapien kombiniert, die entspannend wirken und Therapien, die kontrollierte Aktivierung beinhalten (z. B. Physiotherapie, Physiotherapie im Wasser, Medizinische Trainingstherapie, Ergotherapie). Psychosomatische Rehabilitation findet häufig zuerst in einem stationären Rahmen statt und vollzieht sich in mehreren Stufen: Erfassung des Problems (Anamnese und Untersuchungen) (1); Konzeptualisierung des Problems (2); Planung der Rehabilitationsziele (3); Interdisziplinäre Rehabilitationsmassnahmen (4); Überprüfung des Rehaerfolges (5); Vorbereitung der Klinikentlassung (6). Nach der Klinikentlassung wird die Rehabilitation ambulant weitergeführt, um Rückfälle zu vermeiden. Die klinische Effizienz stationärer psychosomatischer Rehabilitation wurde in mehreren Studien nachgewiesen.

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Iakovleva, N. Y. "Specific psychological features of anxiety disorders in patients with otosclerosis." Fundamental and applied researches in practice of leading scientific schools 27, no. 3 (June 29, 2018): 241–52. http://dx.doi.org/10.33531/farplss.2018.3.30.

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The dissertation study addresses specific psychological features of anxiety disorders in patients with otosclerosis. The research findings as based on theoretical analysis are justified and unveil specific psychological features of anxiety disorders in patients with otosclerosis. The diagnostic criteria for anxiety disorders were chosen according to the DSM-5 international diagnostic classification. Anxiety disorders as resulted from otosclerosis have been proven to cause psychological and emotional disorders which can be accompanied by specific mental and behavioral disorders, and poor social adaptation. The study reveals that patients with otosclerosis who suffer from specific types of anxiety disorders (panic attack, panic disorder, generalized anxiety disorder, social phobia, obsessive-compulsive disorder, posttraumatic stress disorder, agoraphobia, specific phobia) exhibit specific psychological features. This questionnaire was used as a screening instrument and a research method in the determination of the anxiety disorders in patients with otosclerosis, during which it was confirmed to be fully consistent with the tasks assigned. A psychocorrectional program has been developed to overcome and correct of anxiety disorders in patients with otosclerosis, which can be used by psychotherapists and medical psychologists in medical institutions. The proposed sophisticated approach to empirical study of specific psychological features of anxiety disorders in patients with otosclerosis who suffer from hearing impairment can be used not only clinically but also can be used for the provision of psychological support and for selecting risk groups for further psycho-diagnostics and psycho-correction. As a result of factor analysis of the patients under study, a four-factor model was constructed that revealed the different nature of anxiety disorders, and the effectiveness and effectiveness of the psycho-correction program was proved. The dissertation sets forth the proofs of the hypothesis that anxiety disorders arise both as a result of negative effects of otosclerosis and as a result of psychotraumatic experiences associated with otosclerosis and determine the pathological and genetic mechanisms that give rise to psychosomatic pathology in patients with otosclerosis.

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Battaglia, Yuri, Elena Martino, Giulia Piazza, Elena Cojocaru, Sara Massarenti, Luana Peron, Alda Storari, and Luigi Grassi. "Abnormal Illness Behavior, Alexithymia, Demoralization, and Other Clinically Relevant Psychosocial Syndromes in Kidney Transplant Recipients: A Comparative Study of the Diagnostic Criteria for Psychosomatic Research System versus ICD-10 Psychiatric Nosology." Psychotherapy and Psychosomatics 87, no. 6 (2018): 375–76. http://dx.doi.org/10.1159/000490000.

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Battaglia, Yuri, Luigi Zerbinati, Elena Martino, Giulia Piazza, Sara Massarenti, Alda Storari, and Luigi Grassi. "Psychosocial Dimensions in Hemodialysis Patients on Kidney Transplant Waiting List: Preliminary Data." Transplantology 1, no. 2 (December 15, 2020): 123–34. http://dx.doi.org/10.3390/transplantology1020012.

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Although the donation rate for deceased and living kidneys has been increasing, the donor organ availability meets only the 30% of kidney needs in Italy. Consequently, hemodialysis patients stay for a long time, an average of 3.2 years, on a waiting list for a kidney transplant with consequent relevant psychological distress or even full-fledged psychiatric disorders, as diagnosed with traditional psychiatric nosological systems. Recent studies report, however, a higher prevalence of other psychosocial syndromes, as diagnosed by using the Diagnostic Criteria for Psychosomatic Research (DCPR) in medically ill and kidney transplant patients. Nevertheless, no data regarding DCPR prevalence are available in patients waitlisted for a renal transplant (WKTs). Thus, the primary aim of this study was to identify sub-threshold or undetected syndromes by using the DCPR and, secondly, to analyze its relationship with physical and psychological symptoms and daily-life problems in WKTs. A total of 30 consecutive WKTs were assessed using the DCPR Interview and the MINI International Neuropsychiatric Interview 6.0. The Edmonton Symptom Assessment System (ESAS) and the Canadian Problem Checklist were used to assess physical and psychological distress symptoms and daily-life problems. A total of 60% of patients met the criteria for at least one DCPR diagnosis; of them, 20% received one DCPR diagnosis (DCPR = 1), and 40% more than one (DCPR > 1), especially the irritability cluster (46.7%), Abnormal Illness Behavior (AIB) cluster (23.3%) and somatization cluster (23.3%). Fifteen patients met the criteria for an ICD diagnosis. Among patients without an ICD-10 diagnosis, 77.8% had at least one DCPR syndrome (p < 0.05). Higher scores on ESAS symptoms (i.e., tiredness, nausea, depression, anxiety, feeling of a lack of well-being and distress), ESAS-Physical, ESAS-Psychological, and ESAS-Total were found among DCPR cases than DCPR non-cases. In conclusion, a high prevalence of DCPR diagnoses was found in WKTs, including those who resulted to be ICD-10 non-cases. The joint use of DCPR and other screening tools (e.g., ESAS) should be evaluated in future research as part of a correct psychosocial assessment of WKTs.

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Bellomo, A., A. Zendoli, A. La Marca, E. Cuozzo, M. La Montagna, A. Rinaldi, N. Melillo, A. Mele, and F. P. Cantatore. "Psychiatric comorbidity in patients affected by fibromyalgia and/or autoimmune rheumatic diseases: Preliminary results of an observational study." European Psychiatry 41, S1 (April 2017): S368. http://dx.doi.org/10.1016/j.eurpsy.2017.02.374.

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IntroductionFibromyalgia is characterized by skeletal muscle pain and axial stiffness, with elective multiple points of tenderness (tender points). According to scientific literature, the prevalence of depression, anxiety and a worse quality of life is higher in patients with fibromyalgia. Trauma (sexual abuse and physical aggression) has a key role in the pain perception.ObjectivesTo describe the clinical characteristics of patients with fibromyalgia and/or autoimmune rheumatic diseases admitted to O.O.R.R. Foggia (Department of Rheumatology), to detect correlation between fibromyalgia and psychiatric disorders.AimsTo underline psychiatric comorbidity in patients affected by fibromyalgia and/or autoimmune rheumatic diseases.MethodsDiagnostic tests at Baseline (T0): Mini International Neuropsychiatric Interview and Structured Clinical Interview for DSM Disorder 2 to assess psychopathology, 12-Item Short Form survey for the quality of life, Diagnostic Criteria for Psychosomatic Research for disorders of somatic symptoms, Insight Scale for the awareness of the disease, Davidson Trauma scales to assess the presence of a post-traumatic stress disorder, Pittsburgh Sleep Quality Index about the quality of sleep. After 3 months (T1): further psychodiagnostic assessment for patients with positive mental status exam in drug treatment.ResultsAffectivity disorders, feelings of anger, irritability, hostility, impaired stress response, increased vulnerability to traumatic events are very frequent in patients affected by fibromyalgia.ConclusionsThe preliminary results of this study show that patients with fibromyalgia have diagnoses of major depression, anxiety disorders, post-traumatic stress disorder and personality disorders (cluster B). Multidisciplinary interventions are needed integrating the rheumatologic therapy with the psychiatric one, based on the detected diagnosis.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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Koo, Brian B., Christopher A. Chow, Divya R. Shah, Farhan H. Khan, Brittani Steinberg, Danielle Derlein, Keerthana Nalamada, et al. "Demoralization in Parkinson disease." Neurology 90, no. 18 (April 4, 2018): e1613-e1617. http://dx.doi.org/10.1212/wnl.0000000000005425.

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ObjectiveTo determine the prevalence and associated features of demoralization in Parkinson disease (PD).MethodsParticipants with PD and controls were prospectively recruited from outpatient movement disorder clinics and the community. Demoralization was defined as scoring positively on the Diagnostic Criteria for Psychosomatic Research, Demoralization questionnaire or Kissane Demoralization Scale score ≥24. Depression was defined as Patient Health Questionnaire-9 score ≥10. Forward stepwise logistic regression was used to determine the odds of having demoralization in the overall, control, and PD cohorts.ResultsDemoralization occurred in 18.1% of 94 participants with PD and 8.1% of 86 control participants (p = 0.05). These 2 groups were otherwise comparable in age, sex, education, economics, race, and marital status. Although demoralization was highly associated with depression, there were individuals with one and not the other. Among participants with PD, 7 of 19 (36.8%) depressed individuals were not demoralized, and 5 of 17 (29.4%) demoralized individuals were not depressed. In the overall cohort, having PD (odds ratio 2.60, 95% confidence interval 1.00–6.80, p = 0.051) was associated with demoralization, along with younger age and not currently being married. In the PD cohort, younger age and Unified Parkinson's Disease Rating Scale, part III score (per score 1) were associated with demoralization (odds ratio 1.06, 95% confidence interval 1.01–1.12, p = 0.02).ConclusionsDemoralization is common in PD and is associated with motor dysfunction. In demoralization, there is a prominent inability to cope, making it somewhat distinct from depression. Treatment approaches are also different, making it important to identify demoralization in patients with PD.

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Gauthier, Serge, Bruno Dubois, Howard Feldman, and Philip Scheltens. "Revised research diagnostic criteria for Alzheimer's disease." Lancet Neurology 7, no. 8 (August 2008): 668–70. http://dx.doi.org/10.1016/s1474-4422(08)70146-7.

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Shamionov, Rail M., and Elena S. Grinina. "Characteristics of students’ academic adaptation at different levels of education in Russia." Perspectives of Science and Education 52, no. 4 (September 1, 2021): 370–80. http://dx.doi.org/10.32744/pse.2021.4.24.

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Introduction. The relevance of the study is conditioned by the need to find effective ways of adaptation due to changing conditions of education and personality development, as well as to inclusion of students with various educational needs and capabilities in the educational process, including those with disabilities (health limitations) and chronic diseases. Currently, there is no conceptual and systematic elaboration of theoretical provisions and experimental research in the field of academic adaptation. Materials and methods. The materials of the study are articles from Russian periodicals. The research method is theoretical analysis of the problem of academic adaptation at different levels of education. Results of the study. Major studies of academic adaptation in Russia are focused on the problems of determining its criteria, age specificity, factors and conditions for successful adaptation, the development of a diagnostic tool, its characteristics in inclusive education, etc. The specificity of academic adaptation at different levels of education is associated with gaining experience of adaptation and psychological development of a student. The determinants of academic adaptation differ depending on the educational level. In the conditions of preschool education the determinants are games and the experience of interaction with peers and adults, psychosomatic development; in the conditions of primary education the determinants are communication skills, educational motivation, interaction with the teacher; in the conditions of secondary education the determinants are correspondence of the educational process organization with characteristics and capabilities of students, interaction with peers and adults; in the conditions of special professional education the determinants are psychophysiological characteristics of students, personality factors (academic motivation, self-reflection), interpersonal factors. Discussion and conclusion. Analysis of academic adaptation as a multicomponent phenomenon makes it possible to develop means of its optimization and to create conditions for children and adults’ academic success in the educational system. Within the context of modern education it is important to study students’ academic adaptation in an inclusive educational environment, the development of the concept of academic adaptation as a process of successive change of its foundations, factors and mechanisms at different educational levels.

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Battaglia, Yuri, Luigi Zerbinati, Martino Belvederi Murri, Michele Provenzano, Pasquale Esposito, Michele Andreucci, Alda Storari, and Luigi Grassi. "Exploring the Level of Post Traumatic Growth in Kidney Transplant Recipients via Network Analysis." Journal of Clinical Medicine 10, no. 20 (October 16, 2021): 4747. http://dx.doi.org/10.3390/jcm10204747.

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Although kidney transplant can lead to psychiatric disorders, psychosocial syndromes and demoralization, a positive post-traumatic growth (PTG) can occur in kidney transplant recipients (KTRs). However, the PTG-Inventory (PTGI), a reliable tool to measure PTG is scarcely used to explore the effect of this stressful event in KTRs. Thus, the purpose of our study was to assess the level of PTG and its correlation with demoralization, physical and emotional symptoms or problems via network analysis in KTRs. Additionally, we aimed at exploring the association of PTG with psychiatric diagnoses, Diagnostic Criteria for Psychosomatic Research (DCPR) conditions, and medical variables. A total of 134 KTRs were tested using MINI International Neuropsychiatric Interview 6.0 (MINI 6.0), DCPR interview, PTGI, Edmonton Symptom Assessment System (ESAS), Canadian Problem Checklist (CPC) and Demoralization scale (DS-IT). PTGI was used to investigate the positive psychological experience of patients after KT. It consists of 21 items divided in five factors. Routine biochemistry, immunosuppressive agents, socio-demographic and clinical data were collected. A symptom network analysis was conducted among PTGI, ESAS and DS-IT. Mean score of PTGI total of sample was 52.81 ± 19.81 with higher scores in women (58.53 ± 21.57) than in men (50.04 ± 18.39) (p < 0.05). PTGI-Relating to Others (16.50 ± 7.99) sub-score was markedly higher than other PTGI factor sub-scores. KTRs with DCPR-alexithymia or International Classification of Diseases, tenth revision (ICD-10) anxiety disorders diagnosis had lower PTGI total score and higher PTGI-Personal Strength sub-score, respectively (p < 0.05). The network analysis identified two communities: PTGI and ESAS with DS-IT. DS-IT Disheartenment, DS-IT Hopelessness and PTGI Relating to Others were the most central items in the network. After 1000 bootstrap procedures, the Exploratory graph analysis revealed the presence of a median of two communities in the network in 97.5% of the bootstrap iterations. A more extensive use of PTGI should be encouraged to identify and enhance the positive psychological changes after KT.

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Battaglia, Yuri, Luigi Zerbinati, Giulia Piazza, Elena Martino, Sara Massarenti, Michele Provenzano, Pasquale Esposito, Michele Andreucci, Alda Storari, and Luigi Grassi. "The Use of Demoralization Scale in Italian Kidney Transplant Recipients." Journal of Clinical Medicine 9, no. 7 (July 5, 2020): 2119. http://dx.doi.org/10.3390/jcm9072119.

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Demoralization is a commonly observed syndrome in medically ill patients. The risk of demoralization may increase in patients after a kidney transplant (KTRs) because of the stressful nature of renal transplantation, psychosocial challenges, and adjustment needs. No study is available on demoralization amongst KTRs. The purpose of our study was to evaluate the validity of the Italian version of the Demoralization Scale (DS-IT) and the prevalence of demoralization in KTRs. Also, we aimed at exploring the association of the DS-IT with International Classification of Diseases (ICD) psychiatric diagnoses, post-traumatic growth (PTG), psychological and physical symptoms, and daily-life problems. A total of 134 KTRs were administered the MINI International Neuropsychiatric Interview 6.0. and the Diagnostic Criteria for Psychosomatic Research–Demoralization (DCPR/D) Interview. The DS-IT, the Edmonton Symptom Assessment System (ESAS), the Canadian Problem Checklist (CPC), were used to measure demoralization, physical and psychological symptoms, and daily-life problems; also, positive psychological experience of kidney transplantation was assessed with the PTG Inventory. Routine biochemistry and sociodemographic data were collected. Exploratory factor analysis demonstrated a four-dimensional factor structure of the DS-IT, explaining 55% of the variance (loss of meaning and purpose, disheartenment, dysphoria, and sense of failure). DS-IT Cronbach alpha coefficients indicated good or acceptable level of internal consistency. The area under the Receiving Operating Characteristics (ROC) curve for DS-IT (against the DCPR/D interview as a gold standard) was 0.92. The DS-IT optimal cut-off points were ≥20 (sensitivity 0.87, specificity 0.82). By examining the level of demoralization, 14.2%, 46.3%, 24.6%, and 14.6% of our sample were classified as having no, low, moderate, and high demoralization, respectively, with differences according to the ICD psychiatric diagnoses (p < 0.001). DS-IT Total and subscales scores were positively correlated with scores of ESAS symptoms and CPC score. A correlation between DS-IT loss of meaning and purpose subscale and PTGI appreciation of life subscale (p < 0.05) was found. This study shows, for the first time, a satisfactory level of reliability of the DS-IT and a high prevalence of severe demoralization in KTRs.

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