Prognosis of Cardiac Phobia

Nutzinger, Detlev O.; Cayiroglu, S; Grünberger, J; Kieffer, William F.; Zapotoczky, H. G.

doi:10.1159/000284641

Cited by 8 publications

(5 citation statements)

References 14 publications

(25 reference statements)

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“…Restrictingly, it must be considered that the age at onset was, in both groups, on average some years earlier. Considering outcome, the car diac phobic patients with a good prognosis showed an age at admission of 34.3 (±9.8) and patients with a poor prognosis an age of 37.3 (±9.9) years [21]. A better treatment outcome was highly correlated with a shorter duration between age at onset and first treat ment.…”

Section: Anxiety Disordersmentioning

confidence: 91%

“…Angst [40] pointed out that patients with the first manifestation of bipolar disorder are 10 years younger (20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30) than those with a unipolar depressive illness (30)(31)(32)(33)(34)(35)(36)(37)(38)(39)(40). The life time prevalence of affective disorders (DSM-III-R criteria [6] and Zurich criteria [38]) until age 30 is 42.4% [38].…”

Section: Depressive Disordersmentioning

confidence: 99%

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Genetic and Learning Factors as Major Substrata for Age-Related Psychopathological Symptoms: Concerning the Question of a Psychology of Age

Zapotoczky

Hofmann²

1995

Psychopathology

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The various episodes of life significant for outbursts of different psychic disorders may give some facilitations of a better understanding of the underlying basic processes. Two of them are considered in several appearances: genetic predisposition and conditioning processes. A psychology of age may be interpreted in a stronger sense as a collision of these two conditions. Surprisingly, the age at onset of some psychic disorders is relatively early in life. This means that we should make every effort to comprehend vulnerability in terms of biological as well as psychological compounds earlier; it could carry on to surrender the dichotomy of biological and psychological factors and to combine different standpoints in a general view which inaugurates therapeutic and prophylactic consequences, too.

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Section: Anxiety Disordersmentioning

confidence: 91%

Section: Depressive Disordersmentioning

confidence: 99%

Genetic and Learning Factors as Major Substrata for Age-Related Psychopathological Symptoms: Concerning the Question of a Psychology of Age

Zapotoczky

Hofmann²

1995

Psychopathology

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“…Early behavioural techniques, deploying variants of stress management, showed demonstrable reduction in functional symptoms (Levenkron, Goldstein, & Adamides, 1985;Nutzinger, Cayiroski, Gruneberger, & Kieffer, 1990;Schwartz, Large, & De Good, 1984). However, in none of these studies could efficacy be definitively established in the absence of a control group, and they have been superseded by intervention studies examining efficacy of cognitivebehavioural approaches.…”

Section: Psychological Interventions and Their Efficacymentioning

confidence: 99%

Unexplained chest pain: A review of psychological conceptualizations and treatment efficacy

Robertson

2006

Psychology, Health & Medicine

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This review critically considers psychological theories and models used to understand unexplained chest pain, and efficacy of treatment strategies. It discusses the strengths and limitations of current perspectives, and highlights implications for future research and interventions. A comprehensive range of literature examining unexplained chest pain, and published over the last three decades, was thus reviewed finding that, although unexplained chest pain has been examined as a psychological phenomenon for over 100 years, explanatory models have emerged only in the last two decades. Neither psychophysiological nor psychodynamic models have been significantly advanced. Only cognitive-behavioural models have been explicitly derived to explain and manage the condition, and require further refinement to address conceptual and methodological limitations. Studies assessing treatment efficacy suggest cognitive-behavioural therapy as a first-line therapy, but have failed to establish whether the approach is acceptable and effective in routine care. Comprehensive psychological understanding of unexplained chest pain, and its management, is therefore developing but is far from complete. Cognitive-behavioural interventions show promise but are likely to be enhanced by greater theoretical clarity and understanding of resistance to their implementation.

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“…Nutzinger et al [55] were also successful in treating patients with cardiac phobia by means of a behaviour therapy program. How ever, a lower educational level, being single, and interpersonal difficulties and conflicts were factors associated with a poor progno sis.…”

Section: Treatmentmentioning

confidence: 99%

Psychological Aspects of Non-Cardiac Chest Pain

Serlie

Erdman

Passchier

et al. 1995

Psychother Psychosom

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Approximately 30% of patients visiting a cardiologist for the first time with complaints of chest pain appear to have normal coronary arteries. These patients generally have a higher prevalence of atypical chest pain, are relatively young, often female, in most cases suffer from panic disorder and have high scores on depression and anxiety scales. In this article some of the recent studies conducted in this particular line of research are reviewed and some possible explanations for the relationship between complaints and non-cardiac findings are presented. Furthermore, the ability of predicting non-cardiac chest pain from psychological factors and a range of follow-up studies are discussed. Finally the possibilities of treating cardiac phobia are mentioned.

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Prognosis of Cardiac Phobia

Cited by 8 publications

References 14 publications

Genetic and Learning Factors as Major Substrata for Age-Related Psychopathological Symptoms: Concerning the Question of a Psychology of Age

Genetic and Learning Factors as Major Substrata for Age-Related Psychopathological Symptoms: Concerning the Question of a Psychology of Age

Unexplained chest pain: A review of psychological conceptualizations and treatment efficacy

Psychological Aspects of Non-Cardiac Chest Pain

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