Abnormal Illness Behavior, Alexithymia, Demoralization, and Other Clinically Relevant Psychosocial Syndromes in Kidney Transplant Recipients: A Comparative Study of the Diagnostic Criteria for Psychosomatic Research System versus ICD-10 Psychiatric Nosology

2018 ◽  
Vol 87 (6) ◽  
pp. 375-376 ◽  
Author(s):  
Yuri Battaglia ◽  
Elena Martino ◽  
Giulia Piazza ◽  
Elena Cojocaru ◽  
Sara Massarenti ◽  
...  
Keyword(s):  
Comparative Study ◽  
Diagnostic Criteria ◽  
Illness Behavior ◽  
Research System ◽  
Transplant Recipients ◽  
Kidney Transplant Recipients ◽  
Abnormal Illness Behavior ◽  
Psychosomatic Research ◽  
System Versus ◽  
Icd 10

Ramadan fast in kidney transplant recipients: a prospective comparative study

2003 ◽  
Vol 35 (7) ◽  
pp. 2614-2616 ◽  
Author(s):  
T Said ◽  
M.R.N Nampoory ◽  
M.A Haleem ◽  
M.P Nair ◽  
K.V Johny ◽  
...  
Keyword(s):  
Comparative Study ◽  
Kidney Transplant ◽  
Transplant Recipients ◽  
Kidney Transplant Recipients ◽  
Prospective Comparative Study

scholarly journals Screening Performance of Edmonton Symptom Assessment System in Kidney Transplant Recipients

2020 ◽  
Vol 9 (4) ◽  
pp. 995 ◽  
Author(s):  
Yuri Battaglia ◽  
Luigi Zerbinati ◽  
Giulia Piazza ◽  
Elena Martino ◽  
Michele Provenzano ◽  
...  
Keyword(s):  
Kidney Transplant ◽  
Psychological Symptoms ◽  
Symptom Assessment ◽  
Assessment System ◽  
Psychiatric Diagnoses ◽  
Transplant Recipients ◽  
Kidney Transplant Recipients ◽  
Edmonton Symptom Assessment System ◽  
Screening Performance ◽  
Icd 10

An average prevalence of 35% for psychiatric comorbidity has been reported in kidney transplant recipients (KTRs) and an even higher prevalence of other psychosocial syndromes, as defined by the Diagnostic Criteria for Psychosomatic Research (DCPR), has also been found in this population. Consequently, an easy, simple, rapid psychiatric tool is needed to measure physical and psychological symptoms of distress in KTRs. Recently, the Edmonton Symptom Assessment System (ESAS), a pragmatic patient-centred symptom assessment tool, was validated in a single cohort of KTRs. The aims of this study were: to test the screening performances of ESAS for the International Classification of Diseases-10th Revision (ICD-10) psychiatric diagnoses in KTRs; to investigate the optimal cut-off points for ESAS physical, psychological and global subscales in detecting ICD-10 psychiatric diagnoses; and to compare ESAS scores among KTR with ICD-10 diagnosis and DCPR diagnosis. 134 KTRs were evaluated and administered the MINI International Neuropsychiatric Interview 6.0 and the DCPR Interview. The ESAS and Canadian Problem Checklist (CPC) were given as self-report instruments to be filled in and were used to examine the severity of physical and psychological symptoms and daily-life problems. The physical distress sub-score (ESAS-PHYS), psychological distress sub-score (ESAS-PSY) and global distress score (ESAS-TOT) were obtained by summing up scores of six physical symptoms, four psychological symptoms and all single ESAS symptoms, respectively. Routine biochemistry, immunosuppressive agents, socio-demographic and clinical data were collected. Receiving Operating Characteristic (ROC) analysis was used to examine the ability of the ESAS emotional distress (DT) item, ESAS-TOT, ESAS-PSY and ESAS-PHYS, to detect psychiatric cases defined by using MINI6.0. The area under the ROC curve for ESAS-TOT, ESAS-PHYS, ESAS-PSY and DT item were 0.85, 0.73, 0.89, and 0.77, respectively. The DT item, ESAS-TOT and ESAS-PSY optimal cut-off points were ≥4 (sensitivity 0.74, specificity 0.73), ≥20 (sensitivity 0.85, specificity 0.74) and ≥12 (sensitivity 0.85, specificity 0.80), respectively. No valid ESAS-PHYS cut-off was found (sensitivity <0.7, specificity <0.7). Thirty-nine (84.8%) KTRs with ICD-10 diagnosis did exceed both ESAS-TOT and ESAS-PSY cut-offs. Higher scores on the ESAS symptoms (except shortness of breath and lack of appetite) and on the CPC problems were found for ICD-10 cases and DCRP cases than for ICD-10 no-cases and DCPR no-cases. This study shows that ESAS had an optimal screening performance (84.8%) to identify ICD-10 psychiatric diagnosis, evaluated with MINI; furthermore, ESAS-TOT and ESAS-PSY cut-off points could provide a guide for clinical symptom management in KTRs.

scholarly journals Gender incongruence: a comparative study using ICD-10 and DSM-5 diagnostic criteria

2017 ◽  
Vol 40 (2) ◽  
pp. 174-180 ◽  
Author(s):  
Bianca M. Soll ◽  
Rebeca Robles-García ◽  
Angelo Brandelli-Costa ◽  
Daniel Mori ◽  
Andressa Mueller ◽  
...  
Keyword(s):  
Comparative Study ◽  
Diagnostic Criteria ◽  
Dsm 5 ◽  
Icd 10

scholarly journals Comparative study of prophylactic oral ganciclovir and valacyclovir in high-risk kidney transplant recipients

2003 ◽  
Vol 18 (4) ◽  
pp. 809-813 ◽  
Author(s):  
A. Yango ◽  
P. Morrissey ◽  
A. Zanabli ◽  
J. Beaulieu ◽  
D. Shemin ◽  
...  
Keyword(s):  
High Risk ◽  
Comparative Study ◽  
Kidney Transplant ◽  
Oral Ganciclovir ◽  
Transplant Recipients ◽  
Kidney Transplant Recipients

The clinical inadequacy of the DSM-5 classification of somatic symptom and related disorders: an alternative trans-diagnostic model

CNS Spectrums ◽  
2015 ◽  
Vol 21 (4) ◽  
pp. 310-317 ◽  
Author(s):  
Fiammetta Cosci ◽  
Giovanni A. Fava
Keyword(s):  
Clinical Utility ◽  
Somatic Symptom ◽  
Illness Behavior ◽  
Diagnostic Model ◽  
Review Of The Literature ◽  
Clinical Issue ◽  
Abnormal Illness Behavior ◽  
Psychosomatic Research ◽  
Dsm 5

The Diagnostic and Statistical of Mental Disorders, Fifth Edition (DSM-5) somatic symptom and related disorders chapter has a limited clinical utility. In addition to the problems that the single diagnostic rubrics and the deletion of the diagnosis of hypochondriasis entail, there are 2 major ambiguities: (1) the use of the term “somatic symptoms” reflects an ill-defined concept of somatization and (2) abnormal illness behavior is included in all diagnostic rubrics, but it is never conceptually defined. In the present review of the literature, we will attempt to approach the clinical issue from a different angle, by introducing the trans-diagnostic viewpoint of illness behavior and propose an alternative clinimetric classification system, based on the Diagnostic Criteria for Psychosomatic Research.

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