Alexithymia in Cancer Patients: Review of the Literature

Vries, A.M.M. De; Forni, Valentina; Voellinger, Rachel; Stiefel, F.

doi:10.1159/000330888

Cited by 62 publications

(41 citation statements)

References 89 publications

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“…The link between alexithymia and cancer has yielded controversial results [59], while more consistent results have been found when specific dimensions of the cancer experience were studied. For example, pain perception has been found closely related to mental adjustment to cancer and abnormal illness behavior [60,61].…”

Section: Discussionmentioning

confidence: 98%

Alexithymia in the medically ill. Analysis of 1190 patients in gastroenterology, cardiology, oncology and dermatology

Porcelli

Guidi

Sirri

et al. 2013

General Hospital Psychiatry

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Section: Discussionmentioning

confidence: 98%

Alexithymia in the medically ill. Analysis of 1190 patients in gastroenterology, cardiology, oncology and dermatology

Porcelli

Guidi

Sirri

et al. 2013

General Hospital Psychiatry

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“…Type A behavior is derived from the ‘specific emotional complex' observed in patients with heart conditions in the late 1950s [46] and has been recognized in 36.1% of subjects at risk of coronary heart disease and in 10.8% of patients with noncardiac diseases [47]. Alexithymia appears to be linked to increased risk and worsened outcome of medical conditions such as cardiovascular diseases, gastrointestinal disorders, cancer, and altered immune response to stress [48,49,50,51]. …”

Section: Psychosocial Factors and Individual Vulnerabilitymentioning

confidence: 99%

Current Psychosomatic Practice

Fava

Cosci²,

Sonino³

2016

Psychother Psychosom

239

317

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Psychosomatic research has advanced over the past decades in dealing with complex biopsychosocial phenomena and may provide new effective modalities of patient care. Among psychosocial variables affecting individual vulnerability, course, and outcome of any medical disease, the role of chronic stress (allostatic load/overload) has emerged as a crucial factor. Assessment strategies include the Diagnostic Criteria for Psychosomatic Research. They are presented here in an updated version based on insights derived from studies carried out so far and encompass allostatic overload, type A behavior, alexithymia, the spectrum of maladaptive illness behavior, demoralization, irritable mood, and somatic symptoms secondary to a psychiatric disorder. Macroanalysis is a helpful tool for identifying the relationships between biological and psychosocial variables and the individual targets for medical intervention. The personalized and holistic approach to the patient includes integration of medical and psychological therapies in all phases of illness. In this respect, the development of a new psychotherapeutic modality, Well-Being Therapy, seems to be promising. The growth of subspecialties, such as psychooncology and psychodermatology, drives towards the multidisciplinary organization of health care to overcome artificial boundaries. There have been major transformations in health care needs in the past decades. From psychosomatic medicine, a land of innovative hypotheses and trends, many indications for changes in the current practice of medicine are now at hand. The aim of this critical review is to outline current and potential clinical applications of psychosomatic methods.

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“…El patrón de comportamiento tipo A y la alexitimia parecen ejercer un efecto sobre la vulnerabilidad general a la enfermedad, si bien la relación de ambas variables con indicadores de salud es controvertida (De Vries, Forni, Voellinger & Stiefel, 2012;Grabe et al, 2008;Shan, White, White, Littler, & 2004;Taylor & Bagby, 2004). Asímismo, el estudio Gubenberg indica que el patrón de comportamiento tipo D, muy relacionado con la alexitimia (Ogrodniczuk, Sierra, Sochting, Joyce, & Piper, 2012), es un factor de riesgo independiente de la enfermedad coronaria y se asocia significativamente con altos niveles de depresión y ansiedad, peor estado de salud, mental y físico, y mayor uso de los servicios sanitarios (Beutel et al, 2012).…”

Section: Conductas De Saludunclassified

Contribuciones de la Medicina Psicosomática a la Medicina Clínica y Preventiva

Montiel

Fava²,

Sonino

2016

AN PSICOL-SPAIN

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Resumen: El trabajo ofrece una revisión actualizada de las principales contribuciones de la Medicina Psicosomática a la medicina clínica y preventiva. Su contenido se basa en los resultados de revisiones sistemáticas, metaanálisis y estudios controlados. La evidencia acumulada indica que la perspectiva psicosomática podría contribuir significativamente a mejorar los resultados de la atención sanitaria, mediante una práctica clínica holística, la evaluación de los factores psicosociales implicados en la vulnerabilidad individual y la integración de intervenciones psicológicas en medicina. Dicha evidencia constituye el terreno ideal para afrontar necesidades emergentes en sanidad, como la gestión de enfermedades crónicas y de síntomas inexplicables, el paciente como productor activo de salud, la prevención temprana y una valoración de resultados que supere el reduccionismo biomédi-co. Palabras clave: medicina psicosomática; biopsicosocial; conducta de enfermedad; atención sanitaria.Title: Contributions of Psychosomatic Medicine to Clinical and Preventive Medicine. Abstract: This paper provides an updated review of the main contributions of Psychosomatic Medicine to clinical and preventive medicine. Metaanalyses, comprehensive reviews and controlled studies were selected. Current advances in the field indicate that health care can be improved by using a psychosomatic approach that takes into account psychosocial factors affecting individual vulnerability, the holistic consideration of patient care, and the integration of psychological interventions in medicine. Consolidated evidence in Psychosomatic Medicine provides the ideal background for dealing with new needs emerging in medical practice, including chronic illness management, somatic unexplained symptoms, the shift in the role of patients from health consumers to actively health producers, primary earlylife prevention, and the appraisal of health outcomes beyond the biomedical reductionism. Keywords: psychosomatic medicine; biopsychosocial; illness behavior; health care. IntroducciónEl término "psicosomático" se ha usado, con frecuencia, para hacer referencia a fenómenos distintos, denotando o generando así cierta ambigüedad en su significado. A veces se ha usado para aludir a un movimiento renovador en Medicina; otras, para referirse a la investigación sobre factores psicológicos implicados en la etiología de las enfermedades físi-cas, para clasificar enfermedades en las que se hipotiza que los factores psicológicos jueguen un papel crucial o, incluso, como etiqueta genérica para denominar todos aquellos sín-tomas somáticos para los que no se dispone de una explicación médica demostrada. Ninguna de estas acepciones es, sin embargo, completa o, al menos, ninguna refleja el concepto de Medicina Psicosomática (MP) que se ha desarrollado en los últimos años . La ambigüedad del término "psicosomático" deriva, probablemente, de la identificación de la MP con algunos de los marcos teóricos y/o métodos de investigación particulares de entre los que han formado parte ...

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Alexithymia in Cancer Patients: Review of the Literature

Cited by 62 publications

References 89 publications

Alexithymia in the medically ill. Analysis of 1190 patients in gastroenterology, cardiology, oncology and dermatology

Alexithymia in the medically ill. Analysis of 1190 patients in gastroenterology, cardiology, oncology and dermatology

Current Psychosomatic Practice

Contribuciones de la Medicina Psicosomática a la Medicina Clínica y Preventiva

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