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 172,036 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

The present study examined the relationship between psychological factors and pain in order to assess the contribution of emotional disturbance to the perpetuation of pain. A group of 163 chronic pain suffers in multiple settings was compared with 81 control subjects on measures of personal history antecedent to pain onset, as well as on measures of current emotional disturbance. In addition, these psychological variables were examined for their associations with subjectively rated pain intensity. Overall, pain was found to be related to more current depression and less current life satisfaction, but was not associated with most of the personal history variables examined. These results suggests that emotional disturbance in pain patients is more likely to be a consequence than a cause of chronic pain. The dangers of routinely ascribing intractable pain to psychological causation are discussed in the light of these findings.
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PMID:Is emotional disturbance a precipitator or a consequence of chronic pain? 224 16

Emotional disorder in a population of indigent detoxified alcoholics from a reception center was assessed by the MMPI and a drinking pattern survey. On the average, these alcoholics had a much greater degree of psychopathology, as measured by various criteria, than found in most other studies. However, a cluster analysis revealed that the population was not homogeneous for psychopathology. The cross-validated clusters yielded three types: I. Severe Emotional Disturbance had extreme elevations on the psychotic and psychopathic deviate scales, and accounted for 28% of the population; II. Impulsive-Antisocial subjects were moderately elevated on psychopathic deviate and depression scales, constituting 26% of population; and III. Little Evidence of Severe Emotional Disturbance had a pattern similar to II but with only one scale somewhat elevated, accounting for 46%. The distinctly different personality patterns of the grouping of indigent alcoholics indicate the need for different treatment strategies.
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PMID:The indigent alcoholic: personality and psychopathology. 246 23

Neurologic and psychologic studies were done on 16 victims of alternate current electrical injuries. The patients were followed for a period of over 5 years. The findings point to a stereotyped generalized cerebral dysfunction, resulting in depression, divorce, unemployment as well as a high incidence of atypical seizures (atonic and myoclonic seizures). The EEG and CT studies were nondiagnostic. Evoked potentials revealed abnormalities in the upper cervical spinal cord and lower brain stem regions, raising the possibility that the epileptogenic focus was too deep to be recorded by standard surface EEG recording. The fact that the electrical injury patients have a high incidence of severe emotional disturbance and post-traumatic depression along with atypical seizures, in the face of nondiagnostic EEG and CT studies, may result in improper management of such patients.
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PMID:The neurophysiological aspects of electrical injuries. 270 89

In a study of 170 junior house officers who were followed up from their fourth year in medical school mean levels of stress were higher than in other reported occupational groups, and the estimated prevalence of emotional disturbance was 50%, with 28% of the subjects showing evidence of depression. Nearly a fifth of the subjects reported occasional or frequent bouts of heavy drinking, a quarter took drugs for physical illness, and a few took drugs for recreation. Those who were emotionally distressed at the initial study and the follow up were more empathetic and more self critical than those who had low levels of stress on both occasions. Overwork was the most stressful aspect of their jobs, though the number of hours worked was not related to stress levels, unlike diet and sleep. The more stressed they were the more unfavourably they viewed aspects of their jobs. The incidence of distress is unacceptably high in junior house officers, and both they and the hospitals need to deal with the causes of the distress.
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PMID:Emotional distress in junior house officers. 311 13

Ninety-two general medical outpatients were surveyed with an interview, questionnaires, and a medical record review to investigate the relationships among psychiatric disorder (depression and hypochondriasis), somatic symptoms, medical morbidity, and the utilization of ambulatory medical services. Medical utilization correlated with the number of somatic symptoms reported (r = 0.49, P = 0.0001), depressive symptoms (r = 0.34, P = 0.001), and the number of medical diagnoses in the medical record. Somatic symptoms were not significantly correlated with the number of medical diagnoses, but were related to hypochondriacal attitudes (r = 0.52, P = 0.0001) and depression (r = 0.51, P = 0.0001). In stepwise multiple regressions, the number of medical diagnoses accounted for 33% of the variance in medical utilization. Somatic symptoms were the second most powerful predictor, increasing R2 to 0.469. The next best predictors were two hypochondriacal attitudes and the presence of a major psychiatric diagnosis in the medical record. This five-step model explained 56% of the variance. Somatic symptoms are thus powerful determinants of medical utilization, even after controlling for medical morbidity. Depression, disease fear, and bodily preoccupation are also important predictors of utilization. Somatic symptoms are a final common pathway through which emotional disturbance, psychiatric disorder, and organ pathology all express themselves, and which prompt patients to visit doctors.
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PMID:Medical and psychiatric determinants of outpatient medical utilization. 348 10

Obesity appears to be one of today's most common health problems. Its incidence has doubled in the past 75 years (Waxler & Leef, 1969), and it is estimated that 45 million Americans are obese (body weight 15% over ideal weight). There also seems to be preoccupation with dieting, as evidenced by the proliferation of weight-control devices and schemes. It has been noted that depression, distorted body image, problems in peer and family relations, and poor school performance are evident among the obese (Bowers, Faulkner, & Michel, 1979). The literature is replete with evidence of body image distortion in obesity. Among the factors contributing to this distortion are age of onset, presence of emotional disturbance, and negative evaluation of the obese person by significant others (Wineman, 1980). Since body image is an important concept, perhaps movement can be made to other areas of self-concept, such as family, social, identity, and personal conceptions of selfhood. The purpose of this study is to provide information about the total self-concept of obese students as compared to nonobese students in a junior nursing class. A determination is made of the relationships between self-concept and variables of obesity, age of onset, and social class. Implications for nursing care are described.
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PMID:Comparison of self-concept of nonobese and obese university junior female nursing students. 359 6

Parent, teacher, and child reports were used to identify situational and personal factors associated with school refusal in 114 3- to 13-year-old Venezuelan children. The sample consisted of 57 school refusers and 57 nonrefusers matched on age, school, and sex. As compared with nonrefusers, the refusers had changed schools more often, were rated as more dependent, had more school-related fears, and were perceived by their parents as more difficult to manage. Stepwise multiple regression analyses revealed that school refusal status could be predicted by both situational and personality variables including the child's fear level, dependency, depression, frequency of school changes, history of refusal in the family, and other variables. Refusal onset frequently coincided with situational stress (e.g., the beginning of the school year, a new school or teacher, or trouble with a teacher or peers). Categories of refusal resembled those of other studies and included adjustment reaction, school phobia, and emotional disturbance. In the future, these risk factors can be used to identify and treat potential school refusers.
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PMID:Characteristics of Venezuelan school refusers. Toward the development of a high-risk profile. 359 67

We examined the prevalence of depression after burn injury in 139 adults treated at a major burn center. Interviews were held from one to eight years following the burn. Our subsample, taken from 882 patients treated over a six-year period, comprised all patients with 30% total body surface area burns and a random sample of those with burns of lesser severity. We considered 17 possible predictors of depression (including the severity and placement of the burn and the patient's age, educational background, medical history, employment status, income level, and emotional and psychiatric history). We found that it is the person, rather than the injury, that best predicts postburn depression. The factor most strongly linked with depression was a past history of emotional disturbance. However, after being burned, a significant number of even previously well-adjusted patients show clinical postburn depression.
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PMID:Prevalence of postburn depression following burn injury. 365 20

One hundred and three patients referred to a neurological outpatient clinic were examined to assess the relationship between persistent headache, not due to significant physical illness, and emotional disturbance. Overall, the patients showed slightly more evidence of emotional disturbance than a general practice population but less than psychiatric outpatients. Thus, with cut-off points of 4/5 and 9/10 on the General Health Questionnaire (GHQ 28) the whole group had 52% or 20% of psychiatric 'cases' respectively. On the Crown-Crisp Experiential Index the 70 females had mean total scores of 37.19 +/- 11.11 and the 33 males had scores of 31.79 +/- 11.36. In addition the childhood experiences measured by the Parental Bonding Instrument appeared to be normal. Seven patients had significant depressive illness, according to the Levine-Pilowsky Depression Questionnaire. Statistically significant differences in psychological state did not emerge between the diagnoses of cluster headache, classical migraine, common migraine, tension headache or combined headache. However, negative correlations were found between the duration of illness and measures of anxiety. It is concluded that although the emotional state contributes to the development of pain and headache in some patients, there are others in whom comparable headaches are unlikely to be due to emotional factors. Selection effects are held to be important and some of the emotional changes will vary at different phases of a chronic disorder. A new symptom may initially cause anxiety but when a condition persists some patients will be increasingly concerned or depressed whilst others develop tolerance for the situation.
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PMID:Psychological normality and abnormality in persistent headache patients. 405 27

It has often been suggested that Americans tend to seek psychiatric help for depression, whereas Chinese patients are more likely to have somatic symptoms of emotional disturbance. When the authors tested this assumption by studying 99 Taiwanese and 97 American psychiatric outpatients given computerized diagnoses based on information obtained in a standard psychiatric interview schedule, they found that the Chinese patients scored higher on the measures of somatization but also on the measures of depression.
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PMID:Are American psychiatric outpatients more depressed than Chinese outpatients? 406 94


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