2.50
Hdl Handle:
http://hdl.handle.net/10541/91951
Title:
Persistent somatization in cancer: a controlled follow-up study.
Authors:
Chaturvedi, Santosh K; Maguire, Peter
Abstract:
Nature and frequency of somatic complaints, severity of anxiety and depression, and nature of psychiatric symptoms and disorders were evaluated in 81 adequately treated cancer patients, disease-free or with residual disease, using a controlled, prospective follow-up design. Patients were included in the index group (n=60) if they had persistent somatic complaints or unexplained nature or severity of somatic complaints, or the control group (n=21), if they did not report somatic complaints. Instruments used for evaluation were the Scale for Assessment of Somatic Symptoms, Hospital Anxiety and Depression Scale, Psychiatric Assessment Schedule, and DSM-III-R. Common somatic complaints in the index group were pain (19%), fatigue (17%), sensory symptoms (30%), and mixed symptoms (27%). Subjects in the index group significantly (p<0.001) more often had depressive or anxiety disorder (19%) and atypical somatoform disorder (15%). Patients were treated appropriately with psychotropic medications and counseling. Follow-up at 4-6 months revealed a significant reduction in the number of somatic symptoms (p<0.001) and anxiety (p<0.001) and depression (p<0.05) scores. The observations confirm that somatic symptoms may persist in cancer patients, which are related to concomitant psychopathology, and require psychiatric intervention.
Affiliation:
Cancer Research Campaign, Psychological Medicine Group, Christie Hospital, Manchester, UK. chatur@nimhans.ren.nic.in
Citation:
Persistent somatization in cancer: a controlled follow-up study. 1998, 45 (3):249-56 J Psychosom Res
Journal:
Journal of Psychosomatic Research
Issue Date:
Sep-1998
URI:
http://hdl.handle.net/10541/91951
DOI:
10.1016/S0022-3999(98)00013-0
PubMed ID:
9776370
Type:
Article
Language:
en
ISSN:
0022-3999
Appears in Collections:
All Christie Publications

Full metadata record

DC FieldValue Language
dc.contributor.authorChaturvedi, Santosh Ken
dc.contributor.authorMaguire, Peteren
dc.date.accessioned2010-02-12T11:25:25Z-
dc.date.available2010-02-12T11:25:25Z-
dc.date.issued1998-09-
dc.identifier.citationPersistent somatization in cancer: a controlled follow-up study. 1998, 45 (3):249-56 J Psychosom Resen
dc.identifier.issn0022-3999-
dc.identifier.pmid9776370-
dc.identifier.doi10.1016/S0022-3999(98)00013-0-
dc.identifier.urihttp://hdl.handle.net/10541/91951-
dc.description.abstractNature and frequency of somatic complaints, severity of anxiety and depression, and nature of psychiatric symptoms and disorders were evaluated in 81 adequately treated cancer patients, disease-free or with residual disease, using a controlled, prospective follow-up design. Patients were included in the index group (n=60) if they had persistent somatic complaints or unexplained nature or severity of somatic complaints, or the control group (n=21), if they did not report somatic complaints. Instruments used for evaluation were the Scale for Assessment of Somatic Symptoms, Hospital Anxiety and Depression Scale, Psychiatric Assessment Schedule, and DSM-III-R. Common somatic complaints in the index group were pain (19%), fatigue (17%), sensory symptoms (30%), and mixed symptoms (27%). Subjects in the index group significantly (p<0.001) more often had depressive or anxiety disorder (19%) and atypical somatoform disorder (15%). Patients were treated appropriately with psychotropic medications and counseling. Follow-up at 4-6 months revealed a significant reduction in the number of somatic symptoms (p<0.001) and anxiety (p<0.001) and depression (p<0.05) scores. The observations confirm that somatic symptoms may persist in cancer patients, which are related to concomitant psychopathology, and require psychiatric intervention.en
dc.language.isoenen
dc.subjectCanceren
dc.subject.meshDepressive Disorder-
dc.subject.meshFemale-
dc.subject.meshFollow-Up Studies-
dc.subject.meshHumans-
dc.subject.meshMale-
dc.subject.meshMiddle Aged-
dc.subject.meshNeoplasms-
dc.subject.meshPain-
dc.subject.meshProspective Studies-
dc.subject.meshPsychiatric Status Rating Scales-
dc.subject.meshSeverity of Illness Index-
dc.subject.meshSomatoform Disorders-
dc.titlePersistent somatization in cancer: a controlled follow-up study.en
dc.typeArticleen
dc.contributor.departmentCancer Research Campaign, Psychological Medicine Group, Christie Hospital, Manchester, UK. chatur@nimhans.ren.nic.inen
dc.identifier.journalJournal of Psychosomatic Researchen

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