Psychosomatic medicine: an approach needed now more than ever

Wise, Thomas N.

doi:10.1111/j.1742-1241.2009.02268.x

Cited by 7 publications

(7 citation statements)

References 29 publications

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“…It is becoming increasingly clear that we can improve medical care by paying more attention to psychological aspects of medical assessment [13], with particular reference to the role of stress [5][6][7][15][16][17]. A number of factors have been implicated to modulate individual vulnerability to disease, e.g.…”

Section: Assessment Of Psychosocial Factors Affecting Individual Vulnmentioning

confidence: 99%

“…Stemming from Lipowski's original definition [3] and subsequent developments [5][6][7], psychosomatic medicine may be defined as a comprehensive, interdisciplinary framework for: (a) assessment of psychosocial factors affecting individual vulnerability, course and outcome of any type of disease; (b) holistic consideration of patient care in clinical practice; (c) integration of psychological therapies in the prevention, treatment and rehabilitation of medical disease (psychological medicine).…”

mentioning

confidence: 99%

“…Consultation liaison psychiatry is clearly within the field of psychiatry; its setting is the medical or surgical clinic or ward, and its focus is the comorbid state of patients with medical disorders [10]. Psychosomatic medicine is, by definition [1,[5][6][7], multidisciplinary. It is not confined to psychiatry, but may concern any other field of medicine.…”

mentioning

confidence: 99%

“…Interestingly, the general psychosomatic approach has resulted in a number of subdisciplines within their own areas of application: psychooncology, psychonephrology, psychoneuroendocrinology, psychoimmunology, psychodermatology and others. Such sub-disciplines have developed clinical services, scientific societies and medical journals [5][6][7]. The psychosomatic approach has resulted in important developments also in the psychiatric field, subsumed under the rubric of psychological medicine [13,14].…”

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confidence: 99%

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Principles of Psychosomatic Assessment

Fava

Sonino

Wise

2011

The Psychosomatic Assessment

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There is increasing awareness of the limitations of disease as the primary focus of medical care. It is not that certain disorders lack an organic explanation, but that our assessment is inadequate in most clinical encounters. The primary goal of psychosomatic medicine is to correct this inadequacy by incorporation of its operational strategies into clinical practice. At present, the research evidence which has accumulated in psychosomatic medicine offers unprecedented opportunities for the identification and treatment of medical problems. Taking full advantage of clinimetric methods (such as with the use of Emmelkamp's two levels of functional analysis and the Diagnostic Criteria for Psychosomatic Research) may greatly improve the clinical process, including shared-decision making and self-management. Endorsement of the psychosomatic perspective may better clarify the pathophysiological links and mechanisms underlying symptom presentation. Pointing to individually targeted methods may improve final outcomes and quality of life.

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Section: Assessment Of Psychosocial Factors Affecting Individual Vulnmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Principles of Psychosomatic Assessment

Fava

Sonino

Wise

2011

The Psychosomatic Assessment

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“…We thus believe that the 'biopsychosocial factor' (and not the static concept of 'model') may provide a stimulus for a psychosomatic renewal of health care [12,13] . This is the drive behind this journal and its sister publication, Advances in Psychosomatic Medicine .…”

mentioning

confidence: 99%

The Biopsychosocial Factor

Fava

Ruini

Tomba

et al. 2012

Psychother Psychosom

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The Assessment of Allostatic Overload in Patients with Congestive Heart Failure by Clinimetric Criteria

et al. 2014

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The precipitating role of emotional stress in the development of congestive heart failure (CHF) is a long-standing clinical observation. We employed new clinimetric criteria for the assessment of allostatic overload (AO) in a sample of CHF patients, with regard to its associations with psychological distress and health status. Allostatic overload was assessed by a semi-structured interview based on clinimetric criteria in 70 consecutive outpatients with CHF. One observer-rated scale and two self-rating questionnaires for psychological distress were administered. Cardiac variables were also collected at intake. Twenty-three patients (32.9%) were classified as having AO according to clinimetric criteria. Significant differences were found with regard to gender, with women being more likely to report AO than men (23.5% versus 57.9%). Patients with AO presented significantly higher levels of psychological distress (based on scales administered) compared with those who did not. Among cardiac risk factors, hyperglycaemia was found to be significantly associated with the presence of AO. The use of the clinimetric criteria provides a global index for identifying distress that might adversely influence the course and progression of CHF. It may be of use in clinical practice, leading to therapeutic suggestions such as lifestyle modifications and psychotherapy to help patients deal with their difficulties.

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Psychosomatic medicine: an approach needed now more than ever

Cited by 7 publications

References 29 publications

Principles of Psychosomatic Assessment

Principles of Psychosomatic Assessment

The Biopsychosocial Factor

The Assessment of Allostatic Overload in Patients with Congestive Heart Failure by Clinimetric Criteria

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