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Kontos, Nicholas, John Querques y Oliver Freudenreich. "Psychological Symptom Amplification". Harvard Review of Psychiatry 24, n.º 4 (2016): 302–7. http://dx.doi.org/10.1097/hrp.0000000000000104.
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Dhingra, Lara, Kin Y. Lam, William Cheung, Theresa H. Shao, Zujun Li, Sandra Van de Maele, Victor Tsu-Shih Chang et al. "Symptom distress and symptom clusters in underserved Chinese-American cancer patients." Journal of Clinical Oncology 32, n.º 31_suppl (1 de noviembre de 2014): 27. http://dx.doi.org/10.1200/jco.2014.32.31_suppl.27.
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27 Background: Cancer is prevalent in the rapidly-growing Chinese-American community, yet little is known about symptom burden to guide comprehensive treatment planning. We evaluated symptom distress and symptom clusters in a large sample of Chinese-American patients with cancer. Methods: Patients were consecutively recruited from four oncology practices and completed a translated cancer symptom scale. Latent class cluster analysis explored symptom distress clusters in patients. Results: Of 1,436 patients screened, 94.4% were non-English speaking and 45.1% were undergoing active cancer therapy. The most common cancer sites were breast (32.6%), lung (14.8%), head and neck (12.5%), and hematologic (10.1%). Overall, 1,289 (89.8%) patients had > 1 symptom and 1,129 (78.6%) patients had > 2. The most prevalent symptoms were lack of energy (57.0%), dry mouth (55.6%), feeling sad (49.3%), worrying (47.5%), and difficulty sleeping (46.8%). Symptoms causing “quite a bit” or “very much” distress included: difficulty sleeping (37.9%), lack of appetite (37.2%), feeling nervous (35.8%), pain (35.2%), and worrying (34.0%). Four symptom distress clusters were identified: very low physical and psychological symptom distress (49.5%); very low physical and moderate psychological symptom distress (25.2%); moderate physical and psychological symptom distress (17.4%), and high physical and psychological symptom distress (7.8%). Patients in the last group reported lack of energy, difficulty sleeping, pain, feeling sad, and worrying. Conclusions: Symptom prevalence is high in community-dwelling, Chinese-American cancer patients and half experience moderate to high distress from clusters of physical symptoms, psychological symptoms, or both. These data have important implications for the development of effective interventions for symptom control.
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Dodes, Lance M. "Addiction as a psychological symptom". Psychodynamic Practice 15, n.º 4 (noviembre de 2009): 381–93. http://dx.doi.org/10.1080/14753630903230468.
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Huijer, Huda Abu-Saad, Souha Fares, Rachele Bejjani, Suzanne Dhaini, Samar Noureddine y Husam Ghusn. "Symptom prevalence and management in older adult patients in Lebanon". Palliative and Supportive Care 17, n.º 04 (21 de septiembre de 2018): 464–71. http://dx.doi.org/10.1017/s1478951518000676.
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AbstractObjectiveThe purpose of this study is to explore symptoms and the effectiveness of their management in older adult palliative care candidates in Lebanon. The aims of this study were to: (1) determine symptom prevalence in Lebanese older adults who qualify for palliative care; (2) identify the severity and distress of symptoms; (3) identify the prevalence of symptom management and its efficacy; and (4) explore the relationship between overall symptom burden and its correlates.MethodThis study uses an observational cross-sectional design using convenience sampling (N = 203) to recruit older adults qualifying for palliative care from three major medical centers in Lebanon.ResultThe mean age of the sample was 78.61 years. The most prevalent symptoms were lack of energy (93.5%), worrying (83.2%), and pain (71.4%). Psychological symptoms had the highest mean scores, preceded only by the physical symptoms and lack of energy. The most treated symptoms were physical with pain having the highest treatment prevalence (91%). Although psychological symptoms were the most burdensome, they were poorly treated. Multiple regression analysis showed that symptom scores had significant positive associations with financial status, social functioning, and comorbidities; there was a negative association with age.Significance of resultsLack of energy and psychological symptoms were the most prevalent, with the latter having the highest mean total symptom scores. Treatment was poor for psychological symptoms and effective for physical ones. Associations were found between age, comorbidity, financial problems, social functioning, and total physical and psychological mean symptom burden scores. More attention needs to be given to psychological symptoms and their management among older adults receiving palliative care.
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Chang, Yu-Ping, Young Seo y Tania Von Visger. "Symptom Experience Among Family Caregivers: Symptom Cluster Analysis". Innovation in Aging 4, Supplement_1 (1 de diciembre de 2020): 152–53. http://dx.doi.org/10.1093/geroni/igaa057.497.
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Abstract Family caregivers of older adults experience physical and psychological symptoms such as fatigue, insomnia, depression, or anxiety which may negatively impact their quality of life. Although those symptoms often co-occur, there is no prior research on symptom clusters identification among family caregivers. Symptom cluster analysis in chronic disease populations demonstrates usefulness in clinical management. An in-depth understanding of the pattern of symptom experience can guide intervention development to improve caregiving experience, coping skills, and well-being. This study aimed to identify symptom clusters as experienced by family caregivers in the US. We analyzed responses of 2,652 unpaid caregivers from the National Study of Caregiving (NSOC) III (2017) survey to identify underlying symptom clusters. The NSOC is a nationally representative survey of family caregivers to older adults with limited functions in daily activities. We used 17 binary items measuring the physiological and psychological symptoms of caregivers. We conducted a hierarchical cluster analysis with Ward linkage method to identify the symptom clusters. Three symptom clusters were identified based on the optimum silhouette width as follows: (1) Cluster 1 (lack of cheerfulness, peacefulness, and full of life, breathing problems, and sleep interrupted); Cluster 2 (feeling lonely, down, bored, nervous, worrisome, upset, and having little interest); and (3) Cluster 3 (limited strengths in arms and legs, having low energy, pain, and troubles falling back asleep). Our findings indicate that physical and psychological symptoms are highly preventable in family caregivers. Future research on symptoms management strategies can focus on targeting multiple symptoms based on their co-occurence.
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Li, Xiao-Ling, Nan Hu, Meng-Shan Tan, Jin-Tai Yu y Lan Tan. "Behavioral and Psychological Symptoms in Alzheimer’s Disease". BioMed Research International 2014 (2014): 1–9. http://dx.doi.org/10.1155/2014/927804.
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Neuropsychiatric symptoms (NPS) such as depression, apathy, aggression, and psychosis are now recognized as core features of Alzheimer’s disease (AD), and there is a general consensus that greater symptom severity is predictive of faster cognitive decline, loss of independence, and even shorter survival. Whether these symptoms result from the same pathogenic processes responsible for cognitive decline or have unique etiologies independent of AD-associated neurodegeneration is unclear. Many structural and metabolic features of the AD brain are associated with individual neuropsychiatric symptoms or symptom clusters. In addition, many genes have been identified and confirmed that are associated with symptom risk in a few cases. However, there are no single genes strongly predictive of individual neuropsychiatric syndromes, while functional and structural brain changes unique to specific symptoms may reflect variability in progression of the same pathological processes. Unfortunately, treatment success for these psychiatric symptoms may be lower when comorbid with AD, underscoring the importance of future research on their pathobiology and treatment. This review summarizes some of the most salient aspects of NPS pathogenesis.
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GIBBS, JOHN J. "Symptoms of Psychopathology among Jail Prisoners". Criminal Justice and Behavior 14, n.º 3 (septiembre de 1987): 288–310. http://dx.doi.org/10.1177/0093854887014003003.
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This article examines the contribution of person and environment factors to symptoms of psychopathology among jail prisoners. The data challenge the conventional view that a disproportionate number of jail prisoners exhibit symptoms of psychological and psychiatric disorders because they are mentally ill before they enter jail. The SCL-90 was administered to a sample of jail prisoners (N = 339) within 72 hours of confinement. Initially, the respondents were asked to rate symptoms since then had been confined and the week prior to their arrest and confinement. The instrument was administered again to available members of the sample (N = 102) after 5 days of incarceration, at which time the respondents were asked to rate their symptoms since their initial interview. A repeated measures analysis of variance of prisoner symptom scores for the three rating intervals indicated that for several dimensions symptoms increase markedly during incarceration's initial period and then stabilize or diminish after five days of confinement. An examination of the symptom scores in conjunction with measures of history of psychological disorder suggested that although those with a history of disorder had higher symptom scores for most dimensions than those without such a history, for some dimensions, the symptom scores of those without a history of disorder showed a sharper increase in response to incarceration than did those of their psychologically troubled counterparts. The findings demonstrate that jail can have considerable effects on symptom levels, and these effects are not restricted to those who we normally view as susceptible. The results suggest that those who hold an exclusively person-centered view of psychological disturbance among jail prisoners should expand their view to include the contribution of the jail environment.
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Jorge Fernandes Soares, Joaquim, Eija Viitasara, Gloria Macassa, Maria Gabriella Melchiorre, Mindaugas Stankunas, Jutta Lindert, Henrique Barros, Elisabeth Ioannidi-Kapolou y Francisco Torres-González. "The impact of psychological abuse on somatic symptoms: a study of older persons aged 60-84 years". Journal of Adult Protection 16, n.º 4 (5 de agosto de 2014): 213–31. http://dx.doi.org/10.1108/jap-08-2013-0034.
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Purpose – The purpose of this paper is to examine differences in the experience of somatic symptoms by domain (exhaustion, musculoskeletal, gastrointestinal, heart distress) between psychologically abused and non-abused older persons, and to scrutinize associations between abuse and somatic symptoms while considering other factors (e.g. social support). Design/methodology/approach – The design was cross-sectional. The participants were 4,467 women/men aged 60-84 years living in seven European cities. The data were analysed using bivariate/multivariate methods. Findings – Psychologically abused participants scored higher on all somatic symptom domains than non-abused, and thus were more affected by the symptoms. The regressions confirmed a positive association between psychological abuse and most somatic symptom domains, but other factors (e.g. depression, anxiety) were more salient. Demographics/socio-economics were positively (e.g. marriage/cohabitation) or negatively (e.g. education) associated with somatic symptoms depending on the domain. Social support and family structure “protected” the experience of somatic symptoms. Research limitations/implications – The research focused on psychological abuse. It did not incorporate other abuse types calling for further research on the effects of other abuse types on somatic symptoms. Nevertheless, the findings indicate that psychological abuse is linked to somatic symptoms, but the role of other factors (e.g. depression, anxiety, social support) is also important. Practical implications – Improvements in the older person's situation regarding somatic symptoms need to consider psychological abuse, co-morbidities, social support and living conditions. Originality/value – The paper reports data from the ABUEL Survey, which collected population-based data on elder abuse.
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Airi, Oksanen, Laimi Katri, Löyttyniemi Eliisa y Kunttu Kristina. "Prospective study of pain and psychological symptoms of first-year university students". Journal of Novel Physiotherapy and Rehabilitation 5, n.º 1 (10 de febrero de 2021): 001–4. http://dx.doi.org/10.29328/journal.jnpr.1001038.
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Background: Even if pain and psychological symptoms experienced by university students are common, the prognosis of these symptoms is unknown. Objective: To examine the incidence and the outcome of frequent musculoskeletal and psychological symptoms in a 4-year follow-up of first-year university students. Methods: In 2008, a national random sample (N=2750) of Finnish university students completed a questionnaire concerning pain and psychological symptoms. Of the 416 first-year students, 123 responded to the same questionnaire also in their fourth study year in 2012. Results: Of the first-year university students with frequent pain or psychological symptoms, one half (47% - 65%) reported frequent symptoms also four years later. Almost all (78% – 95%) of the symptom-free first-year students were symptom-free also in their fourth study year. Conclusion: Our findings indicate that pain and psychological symptoms in university students are rather persistent during the first four study years. On the other hand, as half of those with frequent symptoms become symptomless and as the prognosis of symptom-free students is favourable, there is still need for further cohort studies on this issue.
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van Servellen, Gwen y Marylynn Gibson Aguirre. "Symptoms, Symptom Management, and Psychological Morbidity Among Persons with HIV Disease". AIDS Patient Care 9, n.º 3 (junio de 1995): 134–39. http://dx.doi.org/10.1089/apc.1995.9.134.
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Gariépy, Geneviève y Frank J. Elgar. "Trends in Psychological Symptoms among Canadian Adolescents from 2002 to 2014: Gender and Socioeconomic Differences". Canadian Journal of Psychiatry 61, n.º 12 (24 de septiembre de 2016): 797–802. http://dx.doi.org/10.1177/0706743716670130.
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Objective: To describe trends in psychological health symptoms in Canadian youth from 2002 to 2014 and examine gender and socioeconomic differences in these trends. Method: We used data from the Canadian Health Behaviour in School-aged Children (HBSC) study. We assessed psychological symptoms from a validated symptom checklist and calculated a symptom score (range, 0-16). We stratified our analyses by gender and affluence tertile based on an index of material assets. We then plotted trends in symptom score and calculated the probability of experiencing specific symptoms over time. Results: Between 2002 and 2014, psychological symptom score increased by 1.01 (95% confidence interval [CI], 0.73 to 1.41), 1.08 (95% CI, 0.79 to 1.37), and 0.84 (95% CI, 0.55 to 1.13) points in girls in the low-, middle-, and high-affluence tertiles, respectively. In boys, psychological symptoms decreased by –0.39 (95% CI, –0.66 to –0.12) and –0.12 (95% CI, –0.43 to 0.19) points in the high- and middle-affluence tertiles, respectively, and increased by 0.30 (95% CI, –0.04 to 0.63) points in the low-affluence tertile. The probability of feeling anxious and having sleep problems at least once a week notably increased in girls from all affluence groups, while the probability of feeling depressed and irritable decreased among boys from the high-affluence tertile. Conclusion: Psychological symptoms increased in Canadian adolescent girls across all affluence groups while they remained stable in boys from low and middle affluence and decreased in boys from high affluence. Specific psychological symptoms followed distinct trends. Further research is needed to uncover the mechanisms driving these trends.
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Ogurlu, Uzeyir, Hatun Sevgi Yalin y Fazilet Yavuz Birben. "The Relationship Between Psychological Symptoms, Creativity, and Loneliness in Gifted Children". Journal for the Education of the Gifted 41, n.º 2 (27 de marzo de 2018): 193–210. http://dx.doi.org/10.1177/0162353218763968.
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The aim of this study was to examine the relationship between psychological symptoms, creativity, and loneliness among gifted middle school students and to analyze gender difference in psychological symptoms. The study used a correlational design, consisting of 91 gifted middle school students. The Brief Symptom Inventory, the University of California, Los Angeles (UCLA) Loneliness Scale, and the Torrance Tests of Creative Thinking were used as data-collection instruments. The results showed that there was no significant difference between gifted female and male students in the Brief Symptom Inventory total score and subscales except in the depression subscale. In addition, the Brief Symptom Inventory including subscales was significantly and positively correlated with the UCLA Loneliness Scale. There was no significant correlation between the Torrance Tests of Creative Thinking and the other scales. Loneliness was found to be a significant predictor of psychological symptoms. The results of this study suggest that loneliness is a major factor for the psychological well-being of gifted students.
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Rao, Seema Rajesh, Nandini Vallath, Vishwanath Siddini, Tukaram Jamale, Divya Bajpai, Nitish Nitin Sancheti y Dharshan Rangaswamy. "Symptom Management among Patients with Chronic Kidney Disease". Indian Journal of Palliative Care 27 (30 de mayo de 2021): S14—S29. http://dx.doi.org/10.4103/ijpc.ijpc_69_21.
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Patients with chronic kidney disease (CKD) experience high symptom burden, both physical and psychological, that is underrecognized and undertreated. The high symptom burden significantly impacts the quality of life for patients and their families. This review enumerates the various physical and psychological symptoms that patients with CKD often experience and guides in the management of these symptoms. This review follows the recommended international guidelines and has been tailored to suit the Indian context.
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Burgess, Adrian P., Gillian Irving y Massimo Riccio. "The Reliability and Validity of a Symptom Checklist for Use in HIV Infection: A Preliminary Analysis". International Journal of STD & AIDS 4, n.º 6 (noviembre de 1993): 333–38. http://dx.doi.org/10.1177/095646249300400606.
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The aim of the study was to determine the reliability and validity of a self-report symptom checklist designed for use in HIV infection. One hundred and seventy-one gay men completed a 28-item symptom checklist which produces 3 dimensions: physical, cognitive and psychological. The validity of each dimension was examined by comparing scores on the checklist with indices of disease progression and previously validated psychological scales. People with more advanced HIV disease had higher scores on the physical and cognitive checklists, though the psychological scale was not related to disease stage. All the scales showed moderate correlations with measures of psychological health. Examination of individual item responses suggested that patients over-reported the presence of some symptoms. Although individual items should be interpreted with caution, the overall scores of the RSC are reliable and valid as measures of subjective health status in HIV infection. The importance of psychological factors in the reporting of symptoms suggests that symptom checklists should be interpreted in the light of adequate measures of psychological state.
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Brooker, J. E., J. M. Fletcher, M. J. Dally, R. J. S. Briggs, V. C. Cousins, G. M. Malham, R. J. Kennedy, R. I. Smee y S. Burney. "Factors associated with symptom-specific psychological and functional impact among acoustic neuroma patients". Journal of Laryngology & Otology 128, S2 (19 de diciembre de 2013): S16—S26. http://dx.doi.org/10.1017/s0022215113003216.
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AbstractIntroduction:The main purpose of this study was to investigate the psychological and functional impact attributed to acoustic neuroma symptoms.Materials and methods:A sample of 207 acoustic neuroma patients completed a study-specific questionnaire about the severity, frequency, and psychological and functional impact of 9 acoustic neuroma symptoms.Results:The survey response rate was 56.4 per cent. All symptoms had some degree of psychological impact for the majority of participants; hearing loss was the symptom most often reported to have a severe psychological impact. The majority of respondents reported functional impact attributed to hearing loss, balance disturbance, dizziness, eye problems, headache and fatigue; balance disturbance was the symptom most often reported to have a severe functional impact. For most symptoms, psychological and functional impact were related to severity and frequency.Conclusion:Of the acoustic neuroma symptoms investigated, hearing loss and balance disturbance were the most likely to have a severe psychological and functional impact, respectively.
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Nickerson, Angela, Dusan Hadzi-Pavlovic, Ben Edwards, Meaghan O’Donnell, Mark Creamer, Kim L. Felmingham, David Forbes et al. "Identifying distinctive psychological symptom profiles among a nationally representative sample of refugees resettled in Australia". Australian & New Zealand Journal of Psychiatry 53, n.º 9 (28 de abril de 2019): 908–19. http://dx.doi.org/10.1177/0004867419846403.
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Objective: The number of refugees worldwide is unprecedented in recent history. Little is known, however, about profiles of psychological symptoms following persecution and displacement. Methods: This study reports on a latent class analysis that identified profiles of posttraumatic stress disorder (PTSD), depression and anxiety symptoms in a nationally representative sample of 1625 refugees in Australia. The association between specific symptom profiles, exposure to potentially traumatic events and post-migration stressors, and overall health and help-seeking was examined. Results: Latent class analysis yielded an optimal five-class solution. These classes comprised the Pervasive Symptom class (19.2%), the High PTSD Symptom class (17.1%), the High Depression/Anxiety Symptom class (16.4%), the Moderate PTSD Symptom class (16.2%) and the Low Symptom class (31.1%). Participants in the symptomatic classes were more likely to be female, older and report greater post-migration stressors than those in the Low Symptom class. In addition, individuals in classes characterized by PTSD symptoms had been exposed to more types of potentially traumatic events. Membership in symptomatic classes was associated with poorer overall heath and greater help-seeking. Conclusion: Qualitatively distinct symptom profiles were observed in a nationally representative sample of refugees. In addition to a group of people who reported high symptoms across psychological disorders and may warrant clinical intervention, we identified two subclinical classes who may be missed by existing diagnostic classification systems. Post-migration stressors play an important role in influencing refugee symptom profiles over and above exposure to potentially traumatic events. Clinicians should consider specific symptom profiles and contextual factors when planning interventions with refugees.
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Perez, Gabriela R., Sara M. Stasik-O’Brien, Lauren M. Laifer y Rebecca L. Brock. "Psychological and Physical Intimate Partner Aggression Are Associated with Broad and Specific Internalizing Symptoms during Pregnancy". International Journal of Environmental Research and Public Health 19, n.º 3 (31 de enero de 2022): 1662. http://dx.doi.org/10.3390/ijerph19031662.
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Background: Intimate partner violence (IPV) has serious consequences, particularly during high-risk periods such as pregnancy, which poses a significant risk to maternal mental health. However, it is unclear whether IPV presents a broad risk for psychopathology or is specific to distinct diagnoses or symptom dimensions (e.g., panic, social anxiety). Further, the relative impact of physical versus psychological aggression remains unclear. Methods: One hundred and fifty-nine pregnant couples completed surveys assessing psychological and physical intimate partner aggression unfolding in the couple relationship, as well as a range of internalizing symptoms. Results: Psychological and physical aggression were each associated with broad negative affectivity, which underlies mood and anxiety disorders; however, only psychological aggression demonstrated a unique association. Further, for pregnant women, aggression was uniquely associated with several symptom dimensions characteristic of PTSD. In contrast, men demonstrated a relatively heterogeneous symptom presentation in relation to aggression. Conclusion: The present study identifies unique symptom manifestations associated with IPV for couples navigating pregnancy and suggests psychological aggression can be more detrimental to mental health than physical aggression. To promote maternal perinatal mental health, clinicians should screen for covert forms of psychological aggression during pregnancy (e.g., raised voices, insults), trauma-related distress, and symptom elevations in women and their partners.
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Van Vliet, K. P., W. Everaerd, F. J. Van Zuuren, F. B. Lammes, M. Briët, G. Kleiverda y M. Schutte. "Symptom perception: psychological correlates of symptom reporting and illness behavior of women with medically unexplained gynecological symptoms". Journal of Psychosomatic Obstetrics & Gynecology 15, n.º 3 (enero de 1994): 171–81. http://dx.doi.org/10.3109/01674829409025643.
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Akalin, Turgay y Aysin Sinal. "Psychological Symptoms in Young Adult Migraineurs". Mediterranean Journal of Social Sciences 11, n.º 1 (10 de enero de 2020): 42. http://dx.doi.org/10.36941/mjss-2020-0005.
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We aimed to reveal psychological symptoms of young university students (18-25 y/o) with no secondary disease with complaints of migraine headaches. We compared the psychological symptoms with a young control group that did not present headaches and other studies examining migraines in different age groups to determine any similarities. The study consisted of 75 migraine cases; 13 with aura and 62 without aura) and 42 non-headache control subjects. The International Classification of Headache Disorders 3 (ICHD-3) with criteria questions and the Psychological Symptom Research Scale were applied to all participants and SPSS Statistics Program evaluated the data. Findings: 1) In the test of Descriptive Statistics for the Sample of Students, average values of both sexes were taken and found the average values of the migraine groups were higher than control group. 2) The Anova Test found differences in the diagnostic group besides depression (Somatisation p<., others p<.01) with no significant difference in depression (p=0.315). 3)The Pearson Correlation Analysis, found no association between age and psychological symptoms. There’s a significant relationship between psychological symptoms with somatisation (besides paranoid) (p<.05). There’s a significant relationship between depression and other psychological symptoms (p<.05). There’s a significant relationship between anxiety, obsession, interpersonal relationships, psychoticism, paranoia, anger, phobia, additional scale and other psychological symptoms (p<.01). Result: The study demonstrated psychological symptoms in young migraineurs. The average psychological symptoms of both migraine groups were higher than the control group, this showed psychological symptom similarities between young migraineurs and migraine patients of different age groups.
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Cheng, Sheung-Tak y R. Nicholas Hamid. "THE STABILITY OF SYMPTOM MEASURES: IMPLICATIONS FOR STRESS RESEARCH". Social Behavior and Personality: an international journal 26, n.º 3 (1 de enero de 1998): 245–57. http://dx.doi.org/10.2224/sbp.1998.26.3.245.
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Forty-nine female undergraduates completed life events and stress ratings on a daily basis over a 4-week period. They also completed a checklist of physical and psychological symptoms at the end of each week. Data from this study as well as others reported in the literature showed that physical and psychological symptom scores are highly stable over time. Although life events and stress ratings predicted future symptoms, the correlations diminished after initial symptom levels were controlled. The correlation between stress measured at time 1 and symptoms measured at time 2 is largely a function of their concurrent correlation at time 1 as well as the stability of the symptom measure. Hence, the value of computing lagged correlations between stress and symptoms has to be reexamined. Possible reasons for the stability of symptom measures are discussed.
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Li, Hongjin, Anna L. Marsland, Yvette P. Conley, Susan M. Sereika y Catherine M. Bender. "Genes Involved in the HPA Axis and the Symptom Cluster of Fatigue, Depressive Symptoms, and Anxiety in Women With Breast Cancer During 18 Months of Adjuvant Therapy". Biological Research For Nursing 22, n.º 2 (7 de enero de 2020): 277–86. http://dx.doi.org/10.1177/1099800419899727.
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This study aimed to (1) identify subgroups of women with breast cancer with the psychological symptom cluster (fatigue, depressive symptoms, and anxiety) during the first 18 months of adjuvant therapy and (2) explore associations between demographic and clinical characteristics and variations in genetic polymorphisms related to hypothalamic–pituitary–adrenal (HPA) axis function and predicted symptom trajectory subgroup membership. We obtained symptom data at 4 time points from baseline to 18 months of adjuvant therapy among 292 postmenopausal women with breast cancer. Genetic data were collected in a subgroup at baseline ( N = 184). Group-based multitrajectory modeling was used to classify women into subgroups with similar psychological symptom cluster trajectories. Binary logistic regression was used to explore the associations between each genotypic and phenotypic predictor and predicted subgroup membership. Two distinct symptom subgroups (low and high) were identified based on the trajectories of the symptom cluster of fatigue, depressive symptoms, and anxiety over the first 18 months of adjuvant therapy. Women who were younger, less educated, and who received chemotherapy had greater likelihood of being in the high-symptom subgroup. Variation in genes regulating the HPA axis ( FKBP5 rs9394309 [odds ratio ( OR) = 3.98, p = .015], NR3C2 rs5525 [ OR = 2.54, p = .036], and CRHR1 rs12944712 [ OR = 3.99, p = .021]) was associated with membership in the high-symptom subgroup. These results may help to identify women with breast cancer who are at increased risk for psychological symptoms, facilitating the development of individualized and preemptive interventions to better manage these symptoms during adjuvant therapy.
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CHEN, J. H., A. J. BIERHALS, H. G. PRIGERSON, S. V. KASL, C. M. MAZURE y S. JACOBS. "Gender differences in the effects of bereavement-related psychological distress in health outcomes". Psychological Medicine 29, n.º 2 (marzo de 1999): 367–80. http://dx.doi.org/10.1017/s0033291798008137.
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Background. This study examined whether traumatic grief, depressive and anxiety symptoms formed three distinct factors for widows and widowers. In addition, we examined whether high symptom levels of traumatic grief, depression and anxiety predicted different mental and physical health outcomes for widows and widowers.Method. Ninety-two future widows and 58 future widowers were interviewed at the time of their spouse's hospital admission and then at 6 weeks, 6, 13 and 25 month follow-ups. Principal axis factor analyses tested the distinctiveness of traumatic grief, depressive and anxiety symptoms, by gender. Repeated measures ANOVA tested for gender differences and changes over time in mean symptom levels of traumatic grief, depression and anxiety. Linear and logistic regression models estimated the effects of high symptom levels of traumatic grief, depression and anxiety at 6 months on health outcomes at 13 and 25 months post-intake by gender.Results. Three distinct symptom clusters (i.e. traumatic grief, depressive and anxiety symptoms) were found to emerge for both widows and widowers. Widows had higher mean levels of traumatic grief, depressive and anxiety symptoms. High symptom levels of traumatic grief measured at 6 months predicted a physical health event (e.g. cancer, heart attack) at 25 months post-intake for widows. High symptom levels of anxiety measured at 6 months predicted suicidal ideation at 25 months for widowers.Conclusions. The results suggest that there are gender differences in the levels of psychological symptoms resulting from bereavement and in their effects on subsequent mental and physical health for widows and widowers.
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Park, Jumin, Debra K. Moser, Kathleen Griffith, Jeffrey R. Harring y Meg Johantgen. "Exploring Symptom Clusters in People With Heart Failure". Clinical Nursing Research 28, n.º 2 (5 de septiembre de 2017): 165–81. http://dx.doi.org/10.1177/1054773817729606.
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Patients with heart failure (HF) experience multiple symptoms or symptom clusters. The purposes of this study were to (a) determine if distinct latent classes of HF symptoms could be identified, and (b) explore whether sociodemographic and clinical characteristics influenced symptom cluster membership. A total of 4,011 HF patients recruited from outpatient setting completed the Minnesota Living With Heart Failure Questionnaire (MLHFQ), including five physical symptoms (edema, shortness of breath, fatigue-increased need to rest, fatigue-low energy, and sleep difficulties) and three psychological symptoms (worrying, feeling depressed, and cognitive problems). Four distinct classes using latent class profile analysis were identified: low distress (Class 1), physical distress (Class 2), psychological distress (Class 3), and high distress (Class 4). Significant differences among the four latent classes were found for age, education level, and comorbidities. Symptom clusters are useful for recognition of HF symptoms, allowing for the development of strategies that target symptom groups.
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Kozlov, Elissa K., Veerawat Phongtankuel y Cary Reid. "PREVALENCE AND CORRELATES OF SYMPTOMS OF ANXIETY AND DEPRESSION AT THE VERY END OF LIFE". Innovation in Aging 3, Supplement_1 (noviembre de 2019): S669. http://dx.doi.org/10.1093/geroni/igz038.2475.
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Abstract Rates of psychological symptoms for patients with serious illness is high, but there has been limited research investigating psychological symptoms at the very end of life. The aim of this study was to better understand the prevalence, intensity and correlates of psychological distress at the very end of life. This cross-sectional study utilized caregiver proxy interviews. Caregivers were contacted after their loved one recently died after being on home hospice and invited to participate in a brief interview with a trained research assistant. Patient, caregiver and hospice utilization data were also abstracted from electronic medical records. N = 351 caregivers were included in the study. According to caregivers, 46.4% of patients had moderate to severe anxiety, as assessed with a score of ≥4 on the Edmonton Symptom Assessment Scale (ESAS) and 43% had moderate to severe symptoms of depression in the last week of life. Symptoms of anxiety and depression were significantly associated with caregiver burden scores and inversely associated with the age of the patient. Psychological symptom management at the very end of life is essential to providing comprehensive hospice care. Our study revealed that nearly half of patients die with moderate to severe symptoms of anxiety and/or depression. Future research is needed to improve psychological symptom management at the very end of life in order to improve the quality of life for both patients and their families.
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Lee, Tsoy-Ing, Hsing-Hsia Chen y Mei-Ling Yeh. "Effects of Chan-Chuang Qigong on Improving Symptom and Psychological Distress in Chemotherapy Patients". American Journal of Chinese Medicine 34, n.º 01 (enero de 2006): 37–46. http://dx.doi.org/10.1142/s0192415x06003618.
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The purpose of this study was to explore the effect of Chan-Chuang qigong on symptoms distress and psychological distress of breast cancer patients who underwent chemotherapy. A quasi-experimental design was adopted. Subjects were recruited from breast cancer outpatients receiving chemotherapy at an 1800-bed medical center in Taipei, Taiwan. Of these subjects, 35 were assigned to the control group and 32 to the experimental group in which Chan-Chuang qigong was administered. Assignment was not random. The instruments included a 21-item symptom distress scale and psychological distress with the symptom checklist-90-revised. Data of the symptoms and psychological distress were collected on the day before chemotherapy as baseline values, and also collected on days 8, 15 and 22 of chemotherapy. The results showed that the overall severity of symptom distress in the experimental group was significantly lower than the control group on day 22 ( p < 0.05). The symptoms with significant improvement included pain, numbness, heartburn and dizziness ( p < 0.05). With regard to psychological distress, the difference of overall severity between the two groups was not statistically significant ( p > 0.05). However, the items of "unwillingness to live" ( p < 0.05) and "hopelessness about the future" ( p < 0.05) were significantly improved in the experimental group. In conclusion, Chan-Chuang qigong had the effect of attenuating the symptom distress and probably some part of the psychological distress of chemotherapy patients.
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Connors, Mary E. "Symptom formation: An integrative self psychological perspective." Psychoanalytic Psychology 11, n.º 4 (1994): 509–23. http://dx.doi.org/10.1037/h0079580.
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Jaggers, Jason R., Wesley D. Dudgeon, Stephanie Burgess, Kenneth D. Phillips, Steven N. Blair y Gregory A. Hand. "Psychological Correlates of HIV-Related Symptom Distress". Journal of the Association of Nurses in AIDS Care 25, n.º 4 (julio de 2014): 309–17. http://dx.doi.org/10.1016/j.jana.2013.06.003.
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Larsman, Pernilla, Anders Pousette y Jan Johansson Hanse. "Psychological and mechanical workload and musculoskeletal symptoms among female child-care workers". Occupational Ergonomics 7, n.º 4 (4 de junio de 2008): 275–87. http://dx.doi.org/10.3233/oer-2007-7405.
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The aim was to test a structural model of the relations between psychological and mechanical workload and musculoskeletal neck/shoulder symptoms. This two-wave longitudinal cohort study was based on a questionnaire survey among Swedish female child-care workers (n=789). Two models were tested using structural equation modelling, one containing only those participants considered symptom free at baseline, thus focusing on symptom development, and one containing all participants irrespective of their baseline musculoskeletal status. The results indicate that psychological workload was related to the development of neck/shoulder symptoms, and thus highlight the importance of addressing psychosocial work environment factors in organization design and workplace interventions. However, psychological workload was not related to symptoms (when controlling for baseline mechanical workload and symptoms) in the model not distinguishing between different symptoms processes. These findings point to the importance of distinguishing between different processes such as development, maintenance and recovery from symptoms in studies of workplace factors and musculoskeletal symptoms. Mechanical workload was not related to neck/shoulder symptoms, when controlling for baseline psychological workload and symptoms, in any of the models tested. No interaction effect was found for psychological and mechanical workload on neck/shoulder symptoms.
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Sundquist, Kristina, Leena-Maria Johansson, Valeri DeMarinis, Sven-Erik Johansson y Jan Sundquist. "Posttraumatic stress disorder and psychiatric co-morbidity: symptoms in a random sample of female Bosnian refugees". European Psychiatry 20, n.º 2 (marzo de 2005): 158–64. http://dx.doi.org/10.1016/j.eurpsy.2004.12.001.
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AbstractObjectivesThis study investigated psychological symptoms in Bosnian women 3–4 years after their arrival in Sweden.MethodsA simple random sample of 163 Bosnian women aged 19–59 was drawn from the Swedish populations register in 1996. The control group consisted of 392 Swedish-born women. Data were collected in face-to-face interviews. The Hopkins Symptom Checklist 25 (HSCL-25) and the Posttraumatic Symptom Scale (PTSS-10) were used to measure psychological symptoms of depression, anxiety, psychological distress, and posttraumatic stress disorder (PTSD). Unconditional logistic regression was used to estimate odds ratios (OR) for psychological symptoms after adjustment for age, country of birth, education, marital status, economic difficulties, social network, and feeling secure.ResultsThe prevalence of symptoms of PTSD was 28.3% among the Bosnian women. Bosnian women had significantly higher risks of symptoms of depression, anxiety, and psychological distress than Swedish-born women. For depression the odds ratio was 9.50 among Bosnian women.ConclusionsPsychiatric community interventions need to target Bosnian refugee women. Awareness among health-care workers who encounter these women in a clinical setting should be improved.
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Kim, Chang Yeop y Bong Yul Huh. "Psychological Symptoms Analysis of Night Duty Workers by Symptom Checklist-90-Revision". Korean Journal of Occupational and Environmental Medicine 1, n.º 2 (1989): 228. http://dx.doi.org/10.35371/kjoem.1989.1.2.228.
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Batra, Atul, akash kumar, Raja Pramanik, Sachin Khurana, Deepam Pushpam, Sameer Bakhshi, Atul Sharma, Ajay Gogia y Prabhat Singh Malik. "Physical and psychological symptom burden in patients newly diagnosed with solid organ cancers in a tertiary care centre in India." Journal of Clinical Oncology 40, n.º 16_suppl (1 de junio de 2022): e24081-e24081. http://dx.doi.org/10.1200/jco.2022.40.16_suppl.e24081.
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e24081 Background: Assessment of physical and psychological symptoms using patient-reported outcome (PRO) scales is an often overlooked aspect in oncological practice in resource constrained settings. We assessed the pattern of symptoms at diagnosis in solid organ cancers using an innovative smart device based delivery of the Edmonton Symptom Assessment Scale (ESAS). Methods: We assessed PROs using ESAS at diagnosis in adult patients diagnosed with solid organ cancers at a large tertiary care centre in New Delhi, India from September 2021 to January 2022. The ESAS was delivered to patient's smart phone as a text message that provided a unique link to complete the questionnaire in Hindi or English, as preferred by the patient. Symptom severity was categorized into physical, psychological, and total symptom domains and the scores were further classified as none to mild (0-3) or moderate to severe (4-10). Univariate and Multivariate logistic regression analyses were performed to determine predictive factors. Results: Text message with ESAS completion link was sent to 653 consecutive patients, of whom 509 (77.9%) completed the questionnaire during the study period. The median age was 52 years and 53.2 % were males. The primary cancer site was lung, breast, gastrointestinal, and others in 27.7%, 28.1%, 14.4%, and 29.8%, respectively. Pain (59.1%) and tiredness (57.8%) constituted the maximum physical symptom scores in moderate and severe category. Patients with lung cancer had most physical symptoms categorised in moderate and severe compared with other cancers (P = 0.03), while psychological symptoms were more likely to be moderate to severe females (P = 0.01). In the multivariable logistic regression analysis after adjusting for measured confounders, primary cancer site (lung vs others) and sex (female vs male) were significant predictors for moderate and severe physical and psychological symptoms, respectively. Conclusions: A simple mobile-based ESAS delivery system can help in collecting PRO data to assess symptom burden in patients diagnosed with cancer. The symptom burden assessment can aid in providing personalised symptom-directed measures to improve the quality of life of patients with cancer.
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Kopacheva-Barsova, Gabriela, Nikola Nikolovski, Slavica Arsova y Dragoslav Kopachev. "Psychological Patient Reactions after Septorhinoplasty - Our Personal View". Open Access Macedonian Journal of Medical Sciences 3, n.º 4 (30 de octubre de 2015): 635–39. http://dx.doi.org/10.3889/oamjms.2015.100.
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AIM: The aim of our study is to observe adequate and inadequate psychological reactions in patients who are candidates for septorhinoplasty, before and after surgery and to create an adequate psychological model of a person suitable for septorhinoplasty in this group of patients.MATERIAL AND METHODS: In this study, 140 patients with nasal septal deviation (deviatio septi nasi), alone or together with other nasal deformities, were observed in the period of 4 years (2011-2015 year). Our patients were psychologically observed using two standard psychological tests: Patients selection for septorhinoplasty and their psychological abilities (“Self-body image” questionnaire) and Brief Symptom Inventory (BSI) test.RESULTS: Most of the patients 43 (39.8%), thought that after rhinoseptoplasty their self-confidence arise, 32 (29.63%) expected changing's in their life's, few of them 9 (8, 3%) thought that the environment will act different with them. The Brief Symptom Inventory (BSI) in women group was shown that most of the women patients presented symptoms of somatisation; 23 (23.33%) and 15 (25%) one year after surgery.CONCLUSIONS: The patients made a sound decision for intervention, which was useful for the surgeon too, because it helped them choose an adequate operative technique and especially helped them in the postoperative period.
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Livanou, Maria, Yiannis Kasvikis, Metin Başoğlu, Pashalia Mytskidou, Vivi Sotiropoulou, Efrosyni Spanea, Titika Mitsopoulou y Nikoletta Voutsa. "Earthquake-related psychological distress and associated factors 4 years after the Parnitha earthquake in Greece". European Psychiatry 20, n.º 2 (marzo de 2005): 137–44. http://dx.doi.org/10.1016/j.eurpsy.2004.06.025.
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AbstractExposure to earthquakes has been associated with psychological distress and in particular the development of post-traumatic stress disorder (PTSD). Earthquake-related psychological distress can be longstanding. The present study involved 157 Greek survivors of the 1999 Parnitha earthquake assessed approximately 4 years after the earthquake. Assessments were based on the Traumatic Stress Symptom Checklist (TSSC). Using stringent calibrations for the estimation of symptom presence 25% of the survivors endorsed at least 5 and 12% at least 10 TSSC symptoms. Approximately 22% of the survivors reported subjective distress and 15% impaired adjustment due to their symptoms. Intensity of fear during the earthquake and participation in rescue operations related to greater post-earthquake psychological distress. The results suggest that the psychological consequences of earthquakes can be serious and long-standing even when the magnitude of the earthquake is moderate. Psychological treatments that have been proven to reduce fear and PTSD symptoms need to be made available to the survivors. Such treatments may also increase the survivors' psychological preparedness and emotional resilience in view of future earthquakes.
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Lorona, Rosemond T., Thomas A. Fergus, David P. Valentiner, Lindsay M. Miller y Patrick B. McGrath. "Self-Stigma and Etiological Attributions About Symptoms Among Individuals Diagnosed With an Anxiety Disorder: Relations With Symptom Severity and Symptom Improvement Following CBT". Journal of Social and Clinical Psychology 37, n.º 7 (septiembre de 2018): 536–57. http://dx.doi.org/10.1521/jscp.2018.37.7.536.
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Nearly one-third of individuals in the U.S. will be diagnosed with an anxiety disorder during their lifetime. Receiving that label can evoke self-stigma, with self-stigma relating to greater symptom severity and negatively impacting treatment outcomes. A lesser-studied variable related to self-stigma is etiological attributions about symptoms, including biological and psychological attributions. The current study examined interrelations among self-stigma, etiological attributions, and symptom severity among 213 individuals diagnosed with an anxiety disorder who completed a cognitive-behavioral treatment (CBT) program. How self-stigma and etiological attributions related to symptom improvement following the program was examined in a subset of participants. Etiological attributions and self-stigma shared positive associations with symptom severity. Regression analyses indicated that, when controlling for overlap among self-stigma and etiological attributions, psychological attributions emerged as particularly relevant for understanding symptom severity. Changes in self-stigma and attributions were positively associated with changes in symptom severity following the CBT program. Study implications are discussed.
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Tanır, Halil y Murat Özmaden. "The Importance of Physical Activity in the Protection of the Mental Health of Students of Faculty of Sport Sciences". Journal of Education and Training Studies 6, n.º 10 (15 de agosto de 2018): 92. http://dx.doi.org/10.11114/jets.v6i10.3539.
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The purpose of the present research is determining the psychological symptoms observed among the students of the Faculty of Sports Sciences and to define the effects of physical activity on the mental health of the students. The sample of the research consists of 222 volunteer students (n=75 female and n=147 male) who study at Adnan Menderes University Faculty of Sports Sciences in 2017-2018 Academic Year. International Physical Activity Questionnaire (IPAQ) was used to define the physical activity levels of students and Symptom Distress Check List (SCL-90-R) was used to define the psychological symptoms of the students. SPSS 22.0 package program was used for the statistical analysis of the data collected for the present research. According to the findings of the statistical analyses, the most frequent psychological symptoms observed among students respectively were obsessive-compulsive symptoms (70.3%, n=156), paranoid thoughts (63.1%, n=140), interpersonal sensitivity (51.8%, n=115) and anger hostility (51.4%, n=114). It was also found that there was a significant negative correlation between the physical activity levels of the students and general symptom averages and the psychological symptoms such as obsessive-compulsive symptoms, depression, anxiety, anger hostility at 0.01 level (p>0.05). According to the findings of the present research, symptoms, such as obsessive-compulsive symptoms, paranoid thoughts, interpersonal sensitivity and anger hostility are observed, and general symptom average was high among students of Faculty of Sports Sciences and psychological symptoms such as obsessive-compulsive symptoms, depression, anxiety, anger hostility, phobic reaction decreased as the physical activity level of the students increased. Psychological symptoms other than psychotics were mostly among female students. Participation in meditation, yoga, music therapy, exercise and physical activity programs as well as applied lessons in the curriculum can contribute to the prevention of mental problems among students with these symptoms.
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Keren, Yocheved, Katherine E. Russell y Rosemarie Basile. "A-281 The Relationship Between Mood, Cognition, and Functional Impairment in Recovered COVID-19 Patients". Archives of Clinical Neuropsychology 37, n.º 6 (17 de agosto de 2022): 1432. http://dx.doi.org/10.1093/arclin/acac060.281.
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Abstract Objective: Recent studies exploring the psychological and cognitive effects of COVID-19 indicate decline in memory, language, and executive functioning, as well as symptoms of depression and anxiety. The objective of this study was to determine the relationship between acute COVID-19 symptom load and self-report of psychological, cognitive, and functional outcomes after recovery. Method: 65 adults treated by Staten Island University Hospital for COVID-19 participated in a brief battery of screening measures. The protocol included the Generalized Anxiety Disorder-2, Patient Health Questionnaire-2, Primary Care PTSD Screen for DSM-5, and World Health Organization Schedule Disability Assessment Schedule 2.0 (WHODAS). Participants were asked about 11 symptoms they may have experienced when acutely ill to determine the total COVID-19 symptom load (CSL) and current cognitive and psychological symptoms. Pearson’s correlation was used to investigate associations between variables. Results: CSL was not associated with total WHODAS score, although it was weakly associated with the Self-Care and Life Activities domains. Current cognitive symptom load was moderately associated with most WHODAS domains. It was most strongly associated with Understanding and Communication (r=0.36; p=0.003). All psychological domains were associated with greater WHODAS impairment, and depression had the strongest association (r=0.43; p< 0.001). Conclusions: CSL does not appear to predict the functional impacts of COVID-19. Psychological factors, particularly depression, appear to be slightly more associated with functional impairment than cognitive symptoms. Results highlight the importance of targeted intervention for current cognitive and psychological symptoms in recovered COVD-19 patients, regardless of CSL.
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Austin, Kim Wieczorek, Suzanne Weil Ameringer y Leslie Jameleh Cloud. "An Integrated Review of Psychological Stress in Parkinson’s Disease: Biological Mechanisms and Symptom and Health Outcomes". Parkinson's Disease 2016 (2016): 1–15. http://dx.doi.org/10.1155/2016/9869712.
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Parkinson’s disease (PD) is characterized by complex symptoms and medication-induced motor complications that fluctuate in onset, severity, responsiveness to treatment, and disability. The unpredictable and debilitating nature of PD and the inability to halt or slow disease progression may result in psychological stress. Psychological stress may exacerbate biological mechanisms believed to contribute to neuronal loss in PD and lead to poorer symptom and health outcomes. The purpose of this integrated review is to summarize and appraise animal and human research studies focused on biological mechanisms, symptom, and health outcomes of psychological stress in PD. A search of the electronic databases PubMed/Medline and CINAHL from 1980 to the present using the key wordsParkinson’s disease and stress, psychological stress, mental stress, and chronic stressresulted in 11 articles that met inclusion criteria. The results revealed significant associations between psychological stress and increased motor symptom severity and loss of dopamine-producing neurons in animal models of PD and between psychological stress and increased symptom severity and poorer health outcomes in human subjects with PD. Further research is needed to fully elucidate the underlying biological mechanisms responsible for these relationships, for the ultimate purpose of designing targeted interventions that may modify the disease trajectory.
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Recklitis, Christopher, Tara O’Leary y Lisa Diller. "Utility of Routine Psychological Screening in the Childhood Cancer Survivor Clinic". Journal of Clinical Oncology 21, n.º 5 (1 de marzo de 2003): 787–92. http://dx.doi.org/10.1200/jco.2003.05.158.
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Purpose: This study examined the utility of routine psychologic screening in a childhood cancer survivor clinic by evaluating patient acceptance, comparing subjects’ symptoms to normative data, examining the utility of specific tests, and identifying risk factors associated with psychological distress. Methods: During their annual clinic visit, 101 adult survivors of childhood cancer (median age, 25 years) completed the Symptom Checklist 90 Revised (SCL-90), as well as the Short Form 36 (SF-36), Beck Depression Inventory (BDI), and one additional suicide question. Psychological distress was operationally defined according to the published SCL-90 clinical case rule, classifying subjects with a consistent pattern of symptom elevations as clinical cases. Results: The majority of subjects (80%) completed the screening in less than 30 minutes and reported little (15%) or no (84%) distress. Sixty-four percent believed it would help “very much” or “moderately” in getting to know them, and 35% thought it would help “slightly.” On the SCL-90, 32 subjects (31.7%) had a positive screen, indicating significant psychological distress. All subjects with clinically significant symptoms on the BDI and SF-36 Mental Health Scale were cases on the SCL-90 (case-positive). Suicidal symptoms were reported in 13.9% of the sample, all of whom were SCL-90 cases. In a logistic regression model, subjects’ dissatisfaction with physical appearance, poor physical health, and treatment with cranial radiation were associated with psychological distress. Conclusion: Results demonstrate that routine psychological screening can be successfully integrated into the cancer survivor clinic and may be effective in identifying those survivors with significant distress who require further evaluation.
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Kozlov, Elissa, Bahar Niknejad y M. C. Reid. "Palliative Care Gaps in Providing Psychological Treatment: A Review of the Current State of Research in Multidisciplinary Palliative Care". American Journal of Hospice and Palliative Medicine® 35, n.º 3 (8 de agosto de 2017): 505–10. http://dx.doi.org/10.1177/1049909117723860.
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Background: Patients with advanced illness often have high rates of psychological symptoms. Many multicomponent palliative care intervention studies have investigated the efficacy of overall symptom reduction; however, little research has focused explicitly on how interventions address psychological symptoms associated with serious illness. Methods: The current study reviewed 59 multicomponent palliative care intervention articles and analyzed the mental health components of palliative care interventions and their outcomes in order to better understand the current state of psychological care in palliative care. Results: The majority of articles (69.5%) did not provide any details regarding the psychological component delivered as part of the palliative care intervention. Most (54.2%) studies did not specify which provider on the team was responsible for providing the psychological intervention. Studies varied regarding the type of outcome measure utilized; multi-symptom assessment scales were used in 54.2% of studies, mental health scales were employed in 25.4%, quality of life and distress scales were used in 16.9%, and no psychological scales were reported in 28.8%. Fewer than half the studies (42.4%) documented a change in a psychological outcome. Discussion and Conclusion: The majority of analyzed studies failed to describe how psychological symptoms were identified and treated, which discipline on the team provided the treatment, and whether psychological symptoms improved as a result of the intervention. Future research evaluating the effects of palliative care interventions on psychological symptoms will benefit from using reliable and valid psychological outcome measures and providing specificity regarding the psychological components of the intervention and who provides it.
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Semerci, Remziye, Melahat Akgunmela Kostak, Tuba Eren, Filiz Savran y Gulcan Avci. "Symptoms and symptom clusters in adolescents with cancer". International Journal of Emerging Trends in Health Sciences 5, n.º 2 (21 de agosto de 2021): 14–24. http://dx.doi.org/10.18844/ijeths.v5i2.5559.
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Abstract Clinical specialists have suggested that adolescents with cancer experience multiple problems including physical, psychological, and emotional symptoms. This study aimed to identify symptoms and symptoms clusters among adolescent inpatients and outpatients receiving cancer treatment. The study’s sample consisted of 26 adolescents who were selected with the purposeful sampling method in a paediatric oncology unit in Edirne, Turkey. Data were collected using the Memorial Symptom Assessment Scale (MSAS). From the results of the research, in terms of symptoms, outpatients reported a greater lack of concentration than inpatients did. Inpatients reported more hair loss and weight loss symptoms than outpatients. Adolescent inpatients and outpatients experienced the most symptoms during the treatment. Inpatient adolescents experienced more acute treatment-related symptoms than did outpatients. The study recommends regular monitoring and screening for nurses to identify symptom and symptom clusters. Keywords: Adolescent; nursing; symptom cluster; symptom assessment; cancer;
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Smits, Iris A. M., Marieke E. Timmerman, Dick P. H. Barelds y Rob R. Meijer. "The Dutch Symptom Checklist-90-Revised". European Journal of Psychological Assessment 31, n.º 4 (octubre de 2015): 263–71. http://dx.doi.org/10.1027/1015-5759/a000233.
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Abstract. The Symptom Checklist-90-Revised (SCL-90-R; Derogatis, 1977 , 1994 ) was constructed to measure both general psychological distress and specific primary symptoms of distress. In this study, we evaluated to what extent the scale scores of the Dutch SCL-90-R reflect general and/or specific aspects of psychological distress in a psychiatric outpatients sample (N = 1,842), using a hierarchical factor model. The results revealed that the total scale score measures general psychological distress, with high reliability. The subscale scores Sleep Difficulties, Agoraphobia, Hostility, and Somatization reflect the specific primary symptoms reasonably well, with high reliability. The subscale score Depression hardly measures specific symptoms of distress, but instead a very common construct as is measured with the total scale of the SCL-90-R. The use of the Depression subscale score beyond the total scale score of the SCL-90-R appears therefore of limited value in clinical practice.
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Wright, Breanna K., Helen L. Kelsall, David M. Clarke, Alexander C. McFarlane y Malcolm R. Sim. "Symptom attribution and treatment seeking in Australian veterans". Journal of Health Psychology 25, n.º 10-11 (7 de marzo de 2018): 1498–510. http://dx.doi.org/10.1177/1359105318760156.
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To understand the role of symptom attribution in treatment-seeking behaviours, survey results of 1356 veterans (age = 38–72 years) were analysed. Controlling for symptom frequency, significant relationships were found for specialist and psychological-related consultations. Those who favoured psychological explanations for symptoms were more likely to attend specialist and psychology-related consultations and filled significantly more prescriptions than people who predominantly explained symptoms by situational factors (normalisers). Veterans who favoured somatic explanations attended more general practitioner consultations than normalisers. Attributional style should be considered part of the constellation of factors influencing healthcare usage. Normalisers, the predominant group, used fewest health services and filled fewest prescriptions; this may have important implications for healthcare considering their tendency to minimise or downplay symptoms.
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Han, Claire J., Kerryn Reding, Bruce A. Cooper, Steven M. Paul, Yvette Conley, Marilyn J. Hammer, Fay Wright, Frances Cartwright, Jon Levine y Christine Miaskowski. "Stability of symptom clusters in patients with gastrointestinal cancers receiving chemotherapy." Journal of Clinical Oncology 37, n.º 27_suppl (20 de septiembre de 2019): 193. http://dx.doi.org/10.1200/jco.2019.37.27_suppl.193.
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193 Background: Patients with gastrointestinal (GI) cancers who undergo chemotherapy (CTX) experience on average of thirteen symptoms. These co-occurring symptoms often cluster together and can influence various patient outcomes including quality of life (QOL). However, little evidence is available on how these symptoms change during a cycle of chemotherapy (CTX). An evaluation of how these symptom cluster together and how these symptom clusters change over time may provide useful information to guide symptom management strategies tailored to multiple symptoms. Objectives: The purpose of this study was to identify and compare symptom clusters using three symptom dimensions (i.e., occurrence, severity, and distress) at different time points during CTX (i.e., prior to CTX [T1], one week after CTX administration [T2], and two weeks after CTX administration [T3]) in patients with GI cancers. Methods: A modified version of the Memorial Symptom Assessment Scale was used to assess the occurrence, severity, and distress of 38 symptoms. Exploratory factor analyses were used to create the symptom clusters. Results: Five distinct symptom clusters were identified across the three symptom dimensions and the three assessments (i.e., psychological, CTX-related, weight change, GI, and epithelial). Psychological, CTX-related and weight change clusters were relatively stable for all three symptom dimensions as well as across time. GI cluster was identified only at T1, while epithelial cluster was identified at T2 and T3 for all three symptom dimensions. Conclusions: The number and types of symptom clusters appear to be relatively stable over time and across the symptom dimensions. Timely management of symptom clusters should be continued over the course of CTX including the recovery phases. Further studies are needed to explore the mechanisms of symptom clusters in patients with GI cancers undergoing CTX.
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Ramanathan, Deepa M., Amanda R. Rabinowitz, Fiona H. Barwick y Peter A. Arnett. "Validity of Affect Measurements in Evaluating Symptom Reporting in Athletes". Journal of the International Neuropsychological Society 18, n.º 1 (17 de noviembre de 2011): 101–7. http://dx.doi.org/10.1017/s1355617711001457.
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AbstractIdentifying factors that improve the assessment of athletes’ psychological functioning is imperative to make proper return-to-play decisions following concussion. Prior research indicates that an individual's affect is related to symptom reporting. The present study examines two novel methods of affect assessment in college athletes at baseline participating in a sports-concussion management program. A total of 256 athletes completed a neuropsychological baseline battery with measurements of psychological symptoms (BDI-Fast Screen, Post-Concussion Symptom Scale, and ImPact Total Symptom Score) and a measure of affective memory bias (the Affective Verbal Learning Test; AVLT). Examiners completed an observation-based rating of affect. Multivariate analysis of variance and χ2 analyses were conducted to examine the effect of affect on symptom reports. Examiners’ Affect Ratings were predictive of broad symptom reporting, while the performance based index of affect (Affective Verbal Learning Test, AVLT) was more predictive of depressive symptoms. These findings suggest that performance on the AVLT may be a useful indicator of self-reported depression in a collegiate athlete sample. Additionally, these results demonstrate that examiners’ behavioral assessments of affect are important in the assessment of psychological functioning in athletes. Continued work should focus on developing objective measures that are sensitive and valid for the evaluation of outcomes from concussion. (JINS, 2012, 18, 101–107)
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McKelvey, Robert S. y John A. Webb. "Comparative Levels of Psychological Distress in a Pre-Migratory Refugee Population". Australian & New Zealand Journal of Psychiatry 31, n.º 4 (agosto de 1997): 543–48. http://dx.doi.org/10.3109/00048679709065076.
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Objective: This study compares levels of psychological distress in a pre-migratory sample of Vietnamese Amerasians with those in a like-aged, non-migratory sample of Vietnamese living in Ho Chi Minh City, Vietnam. Method: Subjects were assessed using two measures developed and validated for Vietnamese clinical populations in the United States: the Hopkins Symptom Checklist-25 and the Vietnamese Depression Scale. Results: Amerasians had significantly higher symptom levels on the depression scale of the Hopkins Symptom Checklist-25, but not on the other measures utilised. Conclusions: Amerasians' higher levels of depressive symptoms are probably a result of their traumatic lives in Vietnam, but may also reflect acute situational factors or selection bias.
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Fischer, Susanne, Rebecca Strawbridge, Andres Herane Vives y Anthony J. Cleare. "Cortisol as a predictor of psychological therapy response in depressive disorders: Systematic review and meta-analysis". British Journal of Psychiatry 210, n.º 2 (febrero de 2017): 105–9. http://dx.doi.org/10.1192/bjp.bp.115.180653.
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BackgroundMany patients with depressive disorders demonstrate resistance to psychological therapy. A frequent finding is hypothalamic–pituitary–adrenal (HPA) axis alterations. As cortisol is known to modulate cognitive processes, those patients may be less likely to profit from psychological therapy.AimsTo conduct a systematic review and meta-analysis on cortisol as a predictor of psychological therapy response.MethodThe Cochrane Library, EMBASE, MEDLINE and PsycINFO databases were searched. Records were included if they looked at patients with any depressive disorder engaging in psychological therapy, with a pre-treatment cortisol and a post-treatment symptom measure.ResultsEight articles satisfied our selection criteria. The higher the cortisol levels before starting psychological therapy, the more symptoms patients with depression experienced at the end of treatment and/or the smaller their symptom change.ConclusionsOur findings suggest that patients with depression with elevated HPA functioning are less responsive to psychological therapy.
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Lee, Na-Hyun, Junghan Lee, Keun-Ah Cheon, Kyung-yoon Kim y Dong-Ho Song. "One-year Cohort Follow-up on the Diagnosis and Posttraumatic Symptoms in Child Sexual Assault Victims in Korea". Psychiatry Investigation 19, n.º 12 (25 de diciembre de 2022): 1046–54. http://dx.doi.org/10.30773/pi.2022.0065.
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Objective The victims and their families of child sexual abuse (CSA) may confront persistent psychological sequela. We aimed to investigate the psychological symptoms, diagnosis, and family functions in children and adolescents with CSA.Methods We assessed the symptom scales at 6-month intervals, and conducted diagnostic re-assessments at 1-year intervals. Trauma Symptom Checklist for Children (TSCC), Trauma Symptom Checklist for Young Children (TSCYC), Family Adaptability and Cohesion Evaluation Scales IV (FACES-IV), and Family Communication Scale (FCS) scores were reported by children or parents.Results We found in parent-reported TSCYC, that posttraumatic stress symptoms domain scores significantly decreased with time progression. The scores decreased more in the evidence-based treatment group over time in anxiety and posttraumatic stress symptom domains of TSCC. In FACES-IV and FCS scores, indices of family function have been gradually increasing both after 6 months and after 1 year compared to the initial evaluation. Further, about 64% of the children diagnosed with psychiatric diseases, including posttraumatic stress disorder (PTSD) at the initial assessment maintained the same diagnosis at follow-up.Conclusion We observed changes in psychological symptoms and family functioning in sexually abused children with time progression during 1 year. It is postulated that PTSD may be a persistent major mental illness in the victims of CSA.
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Grau, Peter P., Thomas G. Adams y Chad T. Wetterneck. "An Analysis of the Relationship Between Self-Compassion, Psychological Inflexibility, Psychological Health, and PTSD Severity in a Partial Hospitalization Program". Violence and Victims 37, n.º 6 (1 de diciembre de 2022): 768–82. http://dx.doi.org/10.1891/vv-2021-0063.
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PTSD symptoms and psychological inflexibility have been linked to a lack of self-compassion and poor psychological health. Prior work has explored these relationships in a trauma-exposed undergraduate population and found that, while self-compassion was correlated with PTSD symptom severity at the bivariate level, this relationship was no longer significant when accounting for psychological inflexibility. Additionally, self-compassion and psychological inflexibility predicted psychological health. The present study sought to test these findings in PTSD patients enrolled in an exposure-based partial hospitalization program. Acceptance and Commitment Therapy (ACT)-consistent measures (i.e., Valued Living Questionnaire, Behavioral Activation for Depression Scale [Short Form], Quality of Life Enjoyment and Satisfaction Questionnaire [Short Form]) were used to assess psychological health. The PTSD checklist for DSM-5 and the Acceptance and Action Questionnaire (II) were used to measure PTSD symptoms and Psychological Inflexibility, respectively. Our results were largely consistent with previous investigations. We found a negative relationship between psychological inflexibility and psychological health, as well as a positive relationship between psychological inflexibility and PTSD symptom severity. Future research should measure these constructs across different time points to explore the benefit of viewing self-compassion and other related constructs (e.g., courage and love) as values in an ACT model for PTSD treatment.
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Pennebaker, James W. "Psychological Bases of Symptom Reporting: Perceptual and Emotional Aspects of Chemical Sensitivity". Toxicology and Industrial Health 10, n.º 4-5 (julio de 1994): 497–511. http://dx.doi.org/10.1177/074823379401000519.
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The reporting of physical symptoms is influenced to a large degree by psychological processes. Individuals are more likely to notice subtle sensations in environments lacking in stimulation than those demanding external attention. The beliefs or schemas that people hold dictate where and how they attend to their bodies as well. These normal perceptual processes help explain why people are of ten poor at accurately detecting internal physiological activity. Several individual differences are also related to the symptom reporting process. Females are more likely to base their symptom reports on external situational cues than are males. In addition, individuals with chronic anxiety those high in Negative Affectivity (NA) report more symptoms than those low in NA. Finally, individuals who have had traumatic experiences, either in childhood or within 16 months prior to a major symptom reporting episode, tend to be high symptom reporters. Several recommendations are made to help researchers and clinicians distinguish between psychological or perceptual factors with presumed biological effects. One implication of this work is that MCS and allied syndromes should be viewed as both a mental and a physical health problem.
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Kalishchuk, Svitlana. "THE NATURE OF SYMPTOMS: FLUCTUATION OR RESPONSIBILITY AND FREEDOM INTERNALLY OF CHOICE". Bulletin of Taras Shevchenko National University of Kyiv. Series “Psychology”, n.º 1 (10) (2019): 45–47. http://dx.doi.org/10.17721/bsp.2019.1(10).11.
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The paper raises the issue of exacerbation of psychological problems caused by the political and economic environment, which creates a general social tension and becomes a background that exacerbates the existential problems of the individual. That's why author emphasizes on a particular need for the development of therapeutic direction and a detailed and well-grounded development of therapeutic concepts. It creates ways of an effective solve of current problems of psychological health and well-being of the person. The article explained the conceptual provisions of the establishment, operation and therapeutic work with the symptom. The main characteristics, structure and overall symptom phenomenological expanse from the standpoint of the existential approach of the theory of system solutions and system modeling. Psychological functions of a symptom are considered. Issues of operationalization of a symptom and definition of conceptual provisions of its formation are solved . Basic rules of interpretation of a symptom and interpretation of the concept are described in terms of several approaches. The conceptual provisions of symptom formation that allow to include it in psycho-corrective methods are considered in detail. The methods of the existential-systemic technological approach for providing psychological assistance to the client are analyzed and empirically tested, providing dynamic changes in the content of the "picture of the world" of clients in the cognitive and ontological plans. According to the empirical study, psychosomatic, emotional and behavioral symptoms were presented. It has been shown that symptoms with different specificities have unchanging constituents and functions. It also has been shown that applying an existential approach helps the symptomatic client to produce a new, better reality that will take into account the actual needs and aspirations of the subject. Thus, the main task, which is directed and work with the symptom – is the person's approach to himself/herself, greater sensitivity to his own real existential aspirations.