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Psychiatric Diagnostic Criteria Fail To Identify Psychological Suffering In Oncology
March 18, 2005A group of researchers of the University of Ferrara studied the psychological and psychosomatic distress associated with cancer in the march issue of Psychotherapy and Psychosomatics.
Psycho-oncology literature has shown that 30-50% of cancer patients meet the criteria for a psychiatric diagnosis, according to the usual nosographic classification (e.g. DSM). The Diagnostic Criteria for Psychosomatic Research (DCPR) have been shown to be useful in identifying psychological constellations in patients with medical illness.
The aims of the study were to compare the DSM-IV and the DCPR in their application to cancer patients. One hundred and forty-six patients with cancer underwent semistructured interviews to assess psychiatric morbidity and psychosocial syndromes according to the DSM-IV and the DCPR, respectively. The Brief Symptom Inventory (BSI) was also used to assess psychological stress symptoms. Sixty-five subjects (44.5%) met the criteria for a DSM-IV diagnosis (DSM cases), while 104 patients (71.2%) presented symptoms meeting the criteria for at least one DCPR syndrome. Three DCPR dimensions were more frequent than others, specifically Health Anxiety (37.7%), Demoralization (28.8%) and Alexithymia (26%). Among the subjects with no formal DSM-IV diagnosis (n = 81), 58% had at least one DCPR syndrome. DSM-IV cases had higher scores on several BSI subscales in comparison with patients with only one DCPR syndrome, while no difference was found in patients with more than one DCPR diagnosis.
The DCPR system was found to be useful in oncology in investigating psychological conditions which are not identified by the DSM-IV alone. Assessment of more specific constructs, other than intensity of general stress symptoms, may give more specific information and help in tailoring psychological intervention for patients with cancer.
Psychotherapy and Psychosomatics, Journal of
The DCPR system was found to be useful in oncology in investigating psychological conditions which are not identified by the DSM-IV alone. Assessment of more specific constructs, other than intensity of general stress symptoms, may give more specific information and help in tailoring psychological intervention for patients with cancer.
Psychotherapy and Psychosomatics, Journal of
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Looming Unemployment Harms Older Workers' Health
Downsizing and demotions at the workplace can be a health hazard for people over age 50, according to research reported in a recent issue of The Journals of Gerontology Series B: Psychological and Social Sciences (Volume 65B, Number 1).
Engineers: Weak laser can ignite nanoparticles, with exciting possibilities
University of Florida engineering researchers have found they can ignite certain nanoparticles using a low-power laser, a development they say opens the door to a wave of new technologies in health care, computing and automotive design.
Transcription Factors May Dictate Differences Between Individuals
Researchers are only beginning to understand how individual variation in gene regulation can have a lasting impact on one's health and susceptibility to certain diseases.
Tryptophan-enriched diet reduces pig aggression
Feeding the amino acid tryptophan to young female pigs as part of their regular diet makes them less aggressive and easier to manage, according to a study by Agricultural Research Service (ARS) scientists and cooperators.
Behind a child with aggressive behaviour there is a negative family environment, according to conclusions of PhD thesis.
Children who use violence usually come from conflictive families; as has been shown by a number of research studies.
Feeling lonely adds to rate of blood pressure increase in people 50 years old and older
Chronic feelings of loneliness take a toll on blood pressure over time, causing a marked increase after four years, according to a new study at the University of Chicago.
Modified Home Video Game Shows Promise for Improving Hand Function in Teens with Cerebral Palsy
Engineers at Rutgers University have modified a popular home video game system to help teenagers with cerebral palsy improve hand functions. In a pilot trial with three participants, the system improved the teens' abilities to perform a range of daily personal and household activities.
Stress during pregnancy may increase offspring's risk of asthma
Stress during pregnancy may raise the risk of asthma in offspring, according to researchers at Brigham and Women's Hospital and Harvard Medical School in Boston.
New technique reduces tobacco smoke damage to lungs in mice
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