Emotional Disorder in Chronic Illness: Psychotherapeutic Interventions

Guthrie, Elspeth

doi:10.1192/bjp.168.3.265

Cited by 37 publications

(28 citation statements)

References 30 publications

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“…Although we believed that the patient probably abused alcohol in the past, we did not deem the answers provided by her to the CAGE test as reliable. 5 This woman presented a borderline personality, as defined by the psychiatrist, with a disattachment illness-affectivity; and we know that the somatic presentation of a psychological disorder is becoming more widespread [9]. Probably, because of this, she showed a reduced capacity to cope and to accept the pain and the diagnosis.…”

Section: Discussionmentioning

confidence: 98%

Lessons from an Ukrainian woman with clubbing and back pain

Molto

Marini

Neuenschwander

2004

Support Care Cancer

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We present this case that we consider of particular interest in palliative care because of the difficulty we encountered in palliating the patient's symptoms. The difficulties derived, at least in part, from particular personality traits and complex social circumstances. We think this case is an excellent example to demonstrate the complexity of the process of pain and the different resources and techniques that can be used to manage it. We also wish to underline the importance of clinical signs in diagnosis. In fact, this patient showed signs compatible with Pierre-Marie disease (or pulmonary hypertrophic osteoarthropathy, HOA). Finally, we would like to restate a possible link between neoplastic syndromes and the Chernobyl radiation disaster.

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Section: Discussionmentioning

confidence: 98%

Lessons from an Ukrainian woman with clubbing and back pain

Molto

Marini

Neuenschwander

2004

Support Care Cancer

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“…Auch Guthrie [35], die eine Übersicht über Studien zur Behandlung emotionaler Störungen im Kontext chronischer somatischer Erkrankungen gibt, kommt zu dem Schluss, dass die empirische Evidenz für positive Effekte psychotherapeutischer Interventionen gering ist, wenn diese "unspezifisch" angewandt werden. Insgesamt zeigt die neuere Forschung aber eine positivere Einschät-zung, die sich gut am Beispiel der psychoonkologischen Ergebnisforschung verdeutlichen lässt.…”

Section: Effekteunclassified

Psychologische Interventionen bei chronisch körperlich kranken Patienten mit psychischer Komorbidität

Koch

Mehnert

Strauß

2010

Bundesgesundheitsbl.

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The term chronic physical disease summarizes various diseases characterized by a multifactorial genesis, long-term and often progressive course, as well as frequent restricting physical and psychosocial sequelae. Over the last 2 decades, research in medical psychology has demonstrated high prevalence rates of psychological comorbidity among patients with chronic medical conditions, indicating an urgent need for psychosocial treatment. The goal of psychosocial interventions is to reduce adverse disease consequences and improve quality of life. The intervention programs can be differentiated according to target populations, healthcare models, indications, treatment models, and treatment settings. They range from rather general approaches based on broad psychosocial support, health promotion, and patient education programs to problem-specific interventions. Concerning theoretical approaches, cognitive-behavioral interventions currently dominate; however, psychodynamic oriented and mixed approaches are being increasingly implemented. Reviews and meta-analyses of evaluation studies demonstrate the efficacy of these programs. However, there is still a discrepancy between psychotherapeutic options for patients with chronic physical diseases and their practical implementation.

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“…There are recent evidence-based demon strations of the efficacy of a cognitivebehavioural approach in a number of conditions, including pain, irritable bowel syndrome and dyspepsia, reviewed by Guthrie (1996), and for chronic fatigue syndrome (Sharpe et ai, 1996). Psychodynamic therapy appears to be effective in the treatment of irritable bowel syndrome (Guthrie et al, 1991).…”

Section: Psychotherapeutic Interventionsmentioning

confidence: 99%

The management of somatisation

Smith¹

1996

Adv. psychiatr. treat

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Somatisation remains a matter of bewilderment in medicine. Medical students have trouble defining it, psychiatry trainees wilt in its presence, and all doctors are prone to become entangled in it. The current spate of reviews on the topic is appropriate (Mayou et al, 1995a; Barsky, 1996; Gill & Bass, 1996). There is a great need for those required to manage patients with ‘medically unexplained symptoms’ to be informed sufficiently to take a stance on the theoretical issues involved and develop appropriate management plans.

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Emotional Disorder in Chronic Illness: Psychotherapeutic Interventions

Cited by 37 publications

References 30 publications

Lessons from an Ukrainian woman with clubbing and back pain

Lessons from an Ukrainian woman with clubbing and back pain

Psychologische Interventionen bei chronisch körperlich kranken Patienten mit psychischer Komorbidität

The management of somatisation

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