Clinical utility of the Diagnostic Criteria for Psychosomatic Research for a comprehensive assessment of the elderly

Mansueto, Giovanni; Romanazzo, Sara; Cosci, Fiammetta

doi:10.1002/cpp.2766

Cited by 5 publications

(19 citation statements)

References 48 publications

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“…DCPR-R also confirmed to increase the amount of clinical information over and above the DSM-5 among the elderly (Mansueto et al, 2022).…”

Section: Introductionmentioning

confidence: 67%

“…Around 60% of subjects reported at least one DCPR‐R diagnosis. For more details on descriptive variables, please see Mansueto et al (2022).…”

Section: Resultsmentioning

confidence: 99%

“…Personality includes Type A behaviour and alexithymia (Fava et al, 2017). The DCPR‐R‐SSI showed good criterion‐related validity in a sample of migraine patients (Cosci et al, 2020) and good incremental validity in primary care settings (Guidi et al, 2020) and among elderly subjects (Mansueto et al, 2022) where standard psychiatric assessment based on DSM‐5 was used.…”

Section: Methodsmentioning

confidence: 99%

“…Only one study used DCPR in the general population (Mangelli et al, 2006) and showed a prevalence of 59% of psychosomatic syndromes, a negative correlation between DCPR and well‐being, and a positive correlation between DCPR and psychological distress/stress (Mangelli et al, 2006). Our group for the first time applied DCPR‐R in the elderly of the general population finding a prevalence of 57.9% for psychosomatic syndromes and low psychological well‐being among those with at least one DCPR‐R diagnosis (Mansueto et al, 2022). DCPR‐R also confirmed to increase the amount of clinical information over and above the DSM‐5 among the elderly (Mansueto et al, 2022).…”

Section: Introductionmentioning

confidence: 99%

“…Our group for the first time applied DCPR‐R in the elderly of the general population finding a prevalence of 57.9% for psychosomatic syndromes and low psychological well‐being among those with at least one DCPR‐R diagnosis (Mansueto et al, 2022). DCPR‐R also confirmed to increase the amount of clinical information over and above the DSM‐5 among the elderly (Mansueto et al, 2022). Considering that, DCPR‐R showed to be a useful tool for the assessment of old adults.…”

Section: Introductionmentioning

confidence: 99%

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Clinimetric properties of the diagnostic criteria for psychosomatic research among the elderly

Romaniello

Romanazzo

Cosci

2023

Clin Psychology and Psychoth

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Introduction Among the elderly, the availability of tool assessing psychosomatic syndromes is limited. The present study aims at testing inter‐rater reliability and concurrent validity of the semi‐structured interview for the Diagnostic Criteria for Psychosomatic Research (DCPR‐R‐SSI) in the elderly of the general population. Method One hundred eight subjects were recruited. Participants received a clinical assessment which included the DCPR‐R‐SSI, the Illness Attitude Scale (IAS), the Geriatric Depression Scale (GDS), the Psychosocial Index (PSI), the Toronto Alexithymia Scale‐20 (TAS‐20). Analyses of inter‐rater reliability of DCPR‐R‐SSI and concurrent validity between DCPR‐R‐SSI and self‐administered questionnaires were conducted. Results DCPR‐R‐SSI showed excellent inter‐rater reliability with a percent of agreement of 90.7% (K Cohen: 0.856 [SE = 0.043], 95% CI: 0.77–0.94). DCPR‐R demoralization showed fair concurrent validity with GDS; concurrent validity was also fair between DCPR‐R Alexithymia and TAS‐20, and between DCPR‐R allostatic overload and PSI allostatic load, while the concurrent validity between DCPR‐R Disease Phobia and IAS was moderate. Conclusion DCPR‐R‐SSI represents a reliable and valid tool to assess psychosomatic syndromes in the elderly. DCPR‐R is in need of being implemented in the elderly clinical evaluation.

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“…DCPR-R also confirmed to increase the amount of clinical information over and above the DSM-5 among the elderly (Mansueto et al, 2022).…”

Section: Introductionmentioning

confidence: 67%

“…Around 60% of subjects reported at least one DCPR‐R diagnosis. For more details on descriptive variables, please see Mansueto et al (2022).…”

Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Clinimetric properties of the diagnostic criteria for psychosomatic research among the elderly

Romaniello

Romanazzo

Cosci

2023

Clin Psychology and Psychoth

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Key psychosocial issues in medical care

Fava,

Patierno,

Sonino

et al. 2024

Acta Psychiatr Scand

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ObjectiveThe aim of this review is to illustrate an innovative framework for assessing the psychosocial aspects of medical disorders within the biopsychosocial model. It is based on clinimetrics, the science of clinical measurements. It may overcome the limitations of DSM‐5 in identifying highly individualized responses at the experiential, behavioral, and interpersonal levels.MethodA critical review of the clinimetric formulations of the biopsychosocial model in the setting of medical disease was performed. References were identified through searches from PubMed for English articles on human subjects published from January 1982 to October 2023.ResultsClinimetric methods of classification have been found to deserve special attention in four major areas: allostatic load (the cumulative cost of fluctuating and heightened neural or neuroendocrine responses to environmental stressors); health attitudes and behavior; persistent somatization; demoralization and irritable mood. This type of assessment, integrated with traditional psychiatric nosography, may disclose pathophysiological links and provide clinical characterizations that demarcate major prognostic and therapeutic differences among patients who otherwise seem deceptively similar because they have the same medical diagnosis. It may be of value in a number of medical situations, such as: high level of disability or compromised quality of life in relation to what is expected by disease status; delayed or partial recovery; insufficient participation in self‐management and/or rehabilitation; failure to resume healthy role after convalescence; unhealthy lifestyle; high attendance of medical facilities disproportionate to detectable disease; lack of treatment adherence; illness denial.ConclusionsThe clinimetric approach to the assessment of key psychosocial variables may lead to unique individual profiles, that take into account both biology and biography. It may offer new opportunities for integrating psychosocial and medical perspectives.

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The relationship between stigma and quality of life in hospitalized middle-aged and elderly patients with chronic diseases: the mediating role of depression and the moderating role of psychological resilience

Ji,

Zhang,

et al. 2024

Front. Psychiatry

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ObjectivePatients with chronic diseases may have some psychological problems due to their own or surrounding environmental factors, which can adversely affect the patient’s illness and life. Given that the number of chronically ill patients in China is currently increasing every year, more research is needed to determine the best ways to manage changes in psychological status and psychological stress responses in chronically ill patients. The researchers constructed a mediated moderation model to explore the impact of stigma on the quality of life of chronically ill patients, as well as the mediating role of depression and the moderating role of psychological resilience.MethodsA stratified sampling method was used to select 363 middle-aged and old-aged patients with chronic diseases aged 45 years and older from the Affiliated Hospital of Zhejiang University for the study. Data were collected from patients with chronic diseases such as cardiac, respiratory, renal, and other chronic diseases using the Cumulative Illness Rating Scale for Geriatrics (CIRS-G), the Stigma Scale for Patients with Chronic Diseases (SSCI), the Patient Health Questionaire-9 (PHQ-9), the Quality of Life Inventory (SF-12), and the Conner-Davidson Resilience Scale (CD-RISC) were collected from patients with cardiac, respiratory, renal, and other chronic diseases. A descriptive analysis was used to describe the sample. Linear regression was used to evaluate the relationship between the variables. Mediation and moderation analyses were used to explore the mediating role of depression and the moderating role of psychological resilience.ResultsThere was a moderate negative correlation between stigma and quality of life (r = -0.378, P < 0.01). There was a moderate negative correlation between depression and quality of life (r = -0.497, P < 0.01). There was a moderately positive correlation between psychological resilience and quality of life (r = 0.382, P < 0.01). There was a moderate negative correlation between psychological resilience and depression (r = -0.348, P < 0.01). There was a weak negative correlation between psychological resilience and stigma (r = -0.166, P < 0.01). There was a strong positive correlation between stigma and depression (r = 0.607, P < 0.01) The mediation study showed that stigma was a significant predictor of quality of life and that stigma and quality of life were mediated to some extent by depression, with the mediating effect accounting for 67.55% of the total effect. The direct path from stigma to depression is moderated by psychological resilience (β = -0.0018, P < 0.01).ConclusionsDepression mediates the relationship between stigma and quality of life, while psychological elasticity plays a moderating role between stigma and depression, and when the level of psychological elasticity increases, the more significant the role of stigma on depression. As a physiologically and psychologically vulnerable group, patients with chronic diseases’ overall quality of life and mental health should be taken more seriously, and clinical workers should pay timely attention to the psychological and mental conditions of patients with chronic diseases and provide timely and appropriate interventions and therapeutic measures. The relevant results of this study also provide a new perspective for clinical work on psychological intervention for patients with chronic diseases.

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Clinical utility of the Diagnostic Criteria for Psychosomatic Research for a comprehensive assessment of the elderly

Cited by 5 publications

References 48 publications

Clinimetric properties of the diagnostic criteria for psychosomatic research among the elderly

Clinimetric properties of the diagnostic criteria for psychosomatic research among the elderly

Key psychosocial issues in medical care

The relationship between stigma and quality of life in hospitalized middle-aged and elderly patients with chronic diseases: the mediating role of depression and the moderating role of psychological resilience

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