From Soma To Psyche: An Outcome Evaluation Of Psychodynamic Psychotherapy In A Patient With Somatic Symptoms And Chronic Diseases

2020 ◽  
Vol 36 (1) ◽  
pp. 93-110
Author(s):  
Pricilla Braga Laskoski ◽  
Fernanda Barcellos Serralta ◽  
Alcina Juliana Soares Barros ◽  
Stefania Pigatto Teche ◽  
Simone Hauck ◽  
...  
Keyword(s):  
Chronic Diseases ◽  
Psychodynamic Psychotherapy ◽  
Somatic Symptoms ◽  
Outcome Evaluation

scholarly journals Interaction structures in the psychodynamic psychotherapy of a patient with chronic diseases and somatic symptoms

2019 ◽  
Vol 41 (2) ◽  
pp. 128-135
Author(s):  
Pricilla Braga Laskoski ◽  
Simone Hauck ◽  
Stefania Pigatto Teche ◽  
Carolina Stopinski Padoan ◽  
Alcina Juliana Soares Barros ◽  
...  
Keyword(s):  
Chronic Diseases ◽  
Psychodynamic Psychotherapy ◽  
Somatic Symptoms ◽  
Principal Component ◽  
Clinical Validity ◽  
Specific Patient ◽  
Technical Management ◽  
Process Studies ◽  
Patterns Of Interaction

Abstract Objective This study aimed to identify and analyze the interaction structures (ISs) (patterns of reciprocal interaction between the patient-therapist dyad) that characterize the process of a successful long-term psychodynamic psychotherapy (28 months) of a patient with chronic diseases (lupus and fibromyalgia) and somatic symptoms. Methods The 113 sessions were videotaped and analyzed alternately (n = 60) by independent judges using the Psychotherapy Process Q-Set. Inter-rater reliability ranged from 0.60 to 0.90, with a mean of r = 0.71 (Pearson’s correlation). Through a principal component exploratory factor analysis, four ISs were identified. Result The patterns of interaction between patient and therapist showed clinical validity (i.e., they were easily interpretable in the context of the case under study). The ISs were non-linear and more or less prominent across different treatment sessions and stages. Some ISs were similar to those in other studies, and others were probably unique to the present process. In addition, some ISs were independent, whereas others were interrelated over time. Conclusion Process studies, such as the present one, seek to address questions about the characteristics of the interaction between patient and therapist as well as to identify particular patterns of interaction that are most prominent with a specific patient at a specific condition or time. Therefore, these studies can provide some support in establishing knowledge for clinical practice, assisting in the training of therapists, as well as in the elaboration of general guidelines for the technical management of patients with specific characteristics.

scholarly journals Emotional Exhaustion in Housewives and Alzheimer Patients’ Caregivers: Its Effects on Chronic Diseases, Somatic Symptoms and Social Dysfunction

2019 ◽  
Vol 16 (18) ◽  
pp. 3250 ◽  
Author(s):  
Campos-Puente ◽  
Avargues-Navarro ◽  
Borda-Mas ◽  
Sánchez-Martín ◽  
Aguilar-Parra ◽  
...  
Keyword(s):  
Chronic Diseases ◽  
Emotional Exhaustion ◽  
Ad Hoc ◽  
Structural Model ◽  
General Health Questionnaire ◽  
Somatic Symptoms ◽  
Maslach Burnout Inventory ◽  
Cross Sectional Survey ◽  
Social Dysfunction ◽  
Cross Sectional

Background: Emotional exhaustion causes adverse effects in those who suffer from it. Housewives are not excluded. Domestic and care chores, which are considered to be sources of stress, increase when taking on the role of caregiver for a family member with Alzheimer’s disease. Objective: To analyse the influence of emotional exhaustion, somatic symptoms and social dysfunction, based on the activity they carry out. Methodology: Cross-sectional survey. 193 women participated, of which: housewives (HWs) (n = 97), and Alzheimer’s patient caregiver-housewives (CHWs) (n = 96). The evaluation tools were: sociodemographic/working data questionnaire (ad hoc), Maslach Burnout Inventory (MBI) and Goldberg General Health Questionnaire (GHQ-28). Results: High rates of emotional exhaustion are observed, as well as an existing positive link between chronic diseases, somatic symptoms and social dysfunction. The structural model indicates that emotional exhaustion predicts the amount and extent of diseases, somatic symptoms and social dysfunction. The influence is higher in CHWs. Limitations: Sample procedure implemented at convenience; the variable of the grade of dependence of the Alzheimer’s patient caregiver was not included in the study. Conclusions: The domestic and care chores that HWs and CHWs carry out affect their health. Hence the need to develop psychoeducative programmes that are adapted to the particular needs of these women and focused on the different areas of their everyday lives.

scholarly journals Quality of life diabetes mellitus: definitions, modern research approaches, tool for evaluation

2011 ◽  
Vol 14 (3) ◽  
pp. 70-75 ◽  
Author(s):  
Yulia Andreevna Shishkova ◽  
Oleg Gennad'evich Motovilin ◽  
Elena Viktorovna Surkova ◽  
Alexander Yur'evich Mayorov
Keyword(s):  
Quality Of Life ◽  
Diabetes Mellitus ◽  
Chronic Diseases ◽  
Somatic Symptoms ◽  
Chronic Complications ◽  
Complex Control ◽  
Evaluation Approaches

Quality of life (QoL) studies are very important in many chronic diseases. Diabetes srongly impacts on QoL because of complex control and treatmentregiments and multiple somatic symptoms (acute and chronic complications). In turn, QoL has a significant impact on the prognosis of the disease.The paper reviws QoL definitions, evaluation approaches in medicine, list of examination tools.

scholarly journals Somatic symptoms and level of anxiety and depression in self-referral patients at the emergency department

2020 ◽  
Vol 13 (4) ◽  
pp. 1-23
Author(s):  
Ada Lisowska ◽  
Katarzyna Szwamel ◽  
Donata Kurpas
Keyword(s):  
Emergency Department ◽  
Chronic Diseases ◽  
Depressive Disorders ◽  
Depression Scale ◽  
Somatic Symptoms ◽  
Care Facility ◽  
Anxiety And Depression ◽  
Primary Health Care Facility ◽  
Medical Diagnoses ◽  
Common Diagnosis

Background. Due to multiple morbidities, patients experience various symptoms that may be of psychogenic or somatic origin. Anxiety and depression can induce somatization and the feeling that ailments require urgent medical intervention. Aim of the study. This study aimed to: (1) identify which symptoms self-referral patients most commonly report at the emergency department (ED) and which medical diagnoses they are discharged with; and (2) determine whether the type and severity of symptoms, as well as, sociodemographic variables are related to anxiety and depression levels. Material and methods. The study included 110 patients who self-referred to the ED at the University Clinical Hospital in Opole. Diagnostic surveys and questionnaires were used, including the Hospital Anxiety and Depression Scale and an original questionnaire developed by the authors. Results. Among those suffering from chronic diseases (n = 53; 48.62%), 12 patients (22.64%) did not complete a single visit to the PHCF (Primary Health Care Facility), and 30 patients (56.60%) did not complete a visit to OSC (Outpatient Specialist Care) during the previous 12 months. The most common cause of reporting to the ED were pain and a burning sensation in the chest (n = 29; 27.10%). During discharge, the most common diagnosis was “other chest pains” (n = 22; 20.00%). 82.73% (n = 91) of patients had clear anxiety disorders, and 68.18% (n = 75) had clear depressive disorders. Conclusions: In case of somatic symptoms without a discernible cause in patients, it is necessary to implement comprehensive measures within PHCF, such as periodic measurements of anxiety and depression severity, psychological consultation, and an in-depth medical interview. These data also suggest that proper clinical monitoring should be implemented, including clinical parameters relevant for chronic diseases and the number of visits to the PHCF and OSC.

Anorexia Nervosa – Focal Psychodynamic Psychotherapy

2018 ◽  
Author(s):  
Hans-Christoph Friederich ◽  
Beate Wild ◽  
Stephan Zipfel ◽  
Henning Schauenburg ◽  
Wolfgang Herzog ◽  
...  
Keyword(s):  
Anorexia Nervosa ◽  
Psychodynamic Psychotherapy

The Mental Health and Social Exclusion European Network

2000 ◽  
Vol 5 (3) ◽  
pp. 245-251 ◽  
Author(s):  
Luigi Leonori ◽  
Manuel Muñoz ◽  
Carmelo Vázquez ◽  
José J. Vázquez ◽  
Mary Fe Bravo ◽  
...  
Keyword(s):  
Mental Health ◽  
European Union ◽  
Social Exclusion ◽  
Mentally Ill ◽  
Outcome Evaluation ◽  
World Federation ◽  
The European Union ◽  
Capital Cities ◽  
Homeless Mentally Ill ◽  
The Impact

This report concerns the activities developed by the Mental Health and Social Exclusion (MHSE) Network, an initiative supported by the Mental Health Europe (World Federation of Mental Health). We report some data from the preliminary survey done in five capital cities of the European Union (Madrid, Copenhagen, Brussels, Lisbon, and Rome). The main aim of this survey was to investigate, from a mostly qualitative point of view, the causal and supportive factors implicated in the situation of the homeless mentally ill in Europe. The results point out the familial and childhood roots of homelessness, the perceived causes of the situation, the relationships with the support services, and the expectations of future of the homeless mentally ill. The analysis of results has helped to identify the different variables implicated in the social rupture process that influences homelessness in major European cities. The results were used as the basis for the design of a more ambitious current research project about the impact of the medical and psychosocial interventions in the homeless. This project is being developed in 10 capital cities of the European Union with a focus on the program and outcome evaluation of the health and psychosocial services for the disadvantaged.

Interpersonal Stress and Poor Health

2010 ◽  
Vol 15 (1) ◽  
pp. 3-11 ◽  
Author(s):  
Mette M. Aanes ◽  
Maurice B. Mittelmark ◽  
Jørn Hetland
Keyword(s):  
Psychological Distress ◽  
Depressive Symptoms ◽  
Social Relationships ◽  
Indirect Effects ◽  
Social Connectedness ◽  
Somatic Symptoms ◽  
Total Effect ◽  
Subjective Feeling ◽  
Interpersonal Stress ◽  
The Relationship

This paper investigated whether the lack of social connectedness, as measured by the subjective feeling of loneliness, mediates the well-known relationship between interpersonal stress and psychological distress. Furthermore, a relationship between interpersonal stress and somatic symptoms was hypothesized. The study sample included 3,268 women and 3,220 men in Western Norway. The main findings were that interpersonal stress was significantly related to psychological distress as well as to somatic symptoms, both directly and indirectly via paths mediated by loneliness. The size of the indirect effects varied, suggesting that the importance of loneliness as a possible mediator differs for depressive symptoms, anxiety symptoms, and somatic symptoms. In the case of depressive symptoms, more than 75% of the total effect was mediated through loneliness, while in the case of somatic symptoms just over 40% of the total effect was mediated through loneliness. This study supports the hypotheses that social connectedness mediates a relationship between interpersonal stress and psychological distress. The study also provides the first link between interpersonal stress, as measured by the Bergen Social Relationships Scale, and somatic symptoms, extending earlier research on the relationship between interpersonal stress and psychological distress.

Response to C. Albert Bardi's review of The Craft of Psychodynamic Psychotherapy

PsycCRITIQUES ◽  
2006 ◽  
Vol 51 (12) ◽  
Author(s):  
Angelica Kaner ◽  
Ernst Prelinger
Keyword(s):  
Psychodynamic Psychotherapy
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