Psychological Measurements in Somatization and Abnormal Illness Behavior

2015 ◽  
pp. 101-118 ◽  
Author(s):  
Robert Kellner
Keyword(s):  
Illness Behavior ◽  
Abnormal Illness Behavior

Quick Reference: Chapter 1: The Musculoskeletal System: The Hand and Upper Extremity

2000 ◽  
Vol 5 (5) ◽  
pp. 4-5
Keyword(s):  
Dorsal Column ◽  
Persistent Pain ◽  
Illness Behavior ◽  
Abnormal Illness Behavior ◽  
Organ Systems ◽  
Spinal Cord Dorsal ◽  
Objective Basis ◽  
Dorsal Column Stimulation ◽  
Underlying Pathology

Abstract Spinal cord (dorsal column) stimulation (SCS) and intraspinal opioids (ISO) are treatments for patients in whom abnormal illness behavior is absent but who have an objective basis for severe, persistent pain that has not been adequately relieved by other interventions. Usually, physicians prescribe these treatments in cancer pain or noncancer-related neuropathic pain settings. A survey of academic centers showed that 87% of responding centers use SCS and 84% use ISO. These treatments are performed frequently in nonacademic settings, so evaluators likely will encounter patients who were treated with SCS and ISO. Does SCS or ISO change the impairment associated with the underlying conditions for which these treatments are performed? Although the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides) does not specifically address this question, the answer follows directly from the principles on which the AMA Guides impairment rating methodology is based. Specifically, “the impairment percents shown in the chapters that consider the various organ systems make allowance for the pain that may accompany the impairing condition.” Thus, impairment is neither increased due to persistent pain nor is it decreased in the absence of pain. In summary, in the absence of complications, the evaluator should rate the underlying pathology or injury without making an adjustment in the impairment for SCS or ISO.

Depressive symptoms and abnormal illness behavior in general hospital patients

1982 ◽  
Vol 4 (3) ◽  
pp. 171-178 ◽  
Author(s):  
Giovanni A. Fava ◽  
Issy Pilowsky ◽  
Alessandra Pierfederici ◽  
Manuela Bernardi ◽  
Dorothy Pathak
Keyword(s):  
Depressive Symptoms ◽  
General Hospital ◽  
Illness Behavior ◽  
Abnormal Illness Behavior ◽  
Hospital Patients

A cluster analysis-derived classification of psychological distress and illness behavior in the medically ill

2011 ◽  
Vol 42 (2) ◽  
pp. 401-407 ◽  
Author(s):  
G. A. Fava ◽  
J. Guidi ◽  
P. Porcelli ◽  
C. Rafanelli ◽  
A. Bellomo ◽  
...  
Keyword(s):  
Cluster Analysis ◽  
Psychological Distress ◽  
Type A Behavior ◽  
Illness Behavior ◽  
Eligibility Criteria ◽  
Cross Sectional ◽  
Medically Ill ◽  
Abnormal Illness Behavior ◽  
Dsm Iv

BackgroundThe classification of psychological distress and illness behavior in the setting of medical disease is still controversial. Current psychiatric nosology does not seem to cover the spectrum of disturbances. The aim of this investigation was to assess whether the joint use of DSM-IV categories and the Diagnostic Criteria for Psychosomatic Research (DCPR), that provide identification of syndromes related to somatization, abnormal illness behavior, irritable mood, type A behavior, demoralization and alexithymia, could yield subtyping of psychosocial variables in the medically ill.MethodA cross-sectional assessment using both DSM-IV and the DCPR was conducted in eight medical centers in the Italian Health System. Data were submitted to cluster analysis. Participants were consecutive medical out-patients and in-patients for whom a psychiatric consultation was requested. A total of 1700 subjects met eligibility criteria and 1560 agreed to participate.ResultsThree clusters were identified: non-specific psychological distress, irritability and affective disturbances with somatization.ConclusionsTwo-step cluster analysis revealed clusters that were found to occur across clinical settings. The findings indicate the need of expanding clinical assessment in the medically ill to include the various manifestations of somatization, illness behavior and subclinical distress encompassed by the DCPR.

Cervical nonorganic signs: A new clinical tool to assess abnormal illness behavior in neck pain patients: A pilot study

2000 ◽  
Vol 81 (2) ◽  
pp. 170-175
Author(s):  
Jerry B. Sobel ◽  
Patti Sollenberger ◽  
Richard Robinson ◽  
Peter B. Polatin ◽  
Robert J. Gatchel
Keyword(s):  
Pilot Study ◽  
Neck Pain ◽  
Illness Behavior ◽  
Clinical Tool ◽  
Abnormal Illness Behavior ◽  
Pain Patients

scholarly journals Abnormal illness behavior and psychiatric disorders: A study in an outpatient clinic in Japan

2000 ◽  
Vol 54 (4) ◽  
pp. 447-453 ◽  
Author(s):  
Yingqiu Guo ◽  
Toshihide Kuroki ◽  
Seiji Yamashiro ◽  
Takeshi Sato ◽  
Masashi Takeichi ◽  
...  
Keyword(s):  
Psychiatric Disorders ◽  
Outpatient Clinic ◽  
Illness Behavior ◽  
Abnormal Illness Behavior
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