Definition of Psychosomatic Medicine and the Applicability of DSM-IV-TR to Outpatients Visiting a Japanese Psychosomatic Clinic

Nakao, Mutsuhiro; Takeuchi, Toshio; Fricchione, Gregory L.

doi:10.1159/000354182

Cited by 13 publications

(9 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Psychosomatic inpatient units are available mainly in Germany [205,206], Japan [207,208], and China [209]. The characteristics of the units vary according to the type of health system.…”

Section: Multidisciplinary Carementioning

confidence: 99%

Current Psychosomatic Practice

Fava

Cosci²,

Sonino³

2016

Psychother Psychosom

254

317

View full text Add to dashboard Cite

Psychosomatic research has advanced over the past decades in dealing with complex biopsychosocial phenomena and may provide new effective modalities of patient care. Among psychosocial variables affecting individual vulnerability, course, and outcome of any medical disease, the role of chronic stress (allostatic load/overload) has emerged as a crucial factor. Assessment strategies include the Diagnostic Criteria for Psychosomatic Research. They are presented here in an updated version based on insights derived from studies carried out so far and encompass allostatic overload, type A behavior, alexithymia, the spectrum of maladaptive illness behavior, demoralization, irritable mood, and somatic symptoms secondary to a psychiatric disorder. Macroanalysis is a helpful tool for identifying the relationships between biological and psychosocial variables and the individual targets for medical intervention. The personalized and holistic approach to the patient includes integration of medical and psychological therapies in all phases of illness. In this respect, the development of a new psychotherapeutic modality, Well-Being Therapy, seems to be promising. The growth of subspecialties, such as psychooncology and psychodermatology, drives towards the multidisciplinary organization of health care to overcome artificial boundaries. There have been major transformations in health care needs in the past decades. From psychosomatic medicine, a land of innovative hypotheses and trends, many indications for changes in the current practice of medicine are now at hand. The aim of this critical review is to outline current and potential clinical applications of psychosomatic methods.

show abstract

“…Psychosomatic inpatient units are available mainly in Germany [205,206], Japan [207,208], and China [209]. The characteristics of the units vary according to the type of health system.…”

Section: Multidisciplinary Carementioning

confidence: 99%

Current Psychosomatic Practice

Fava

Cosci²,

Sonino³

2016

Psychother Psychosom

254

317

View full text Add to dashboard Cite

show abstract

“…Thus, inter-rater reliability may be a concern. To address the issue, as described in our previous study, we prepared a detailed diagnostic manual to minimize inconsistencies [ 12 ]. The second potential limitation was the generalizability of the results.…”

Section: Discussionmentioning

confidence: 99%

“…A person preoccupied with perfect adaptation may subordinate his or her own needs to those of others and behave in a way prioritizing the needs of others [ 11 ]; appropriate adaptation to the environment is crucial in terms of stress management. Turning to mood states, persons with higher levels of depression and anxiety often visit psychosomatic clinics to report a variety of somatic symptoms [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

Alexithymia and Somatosensory Amplification Link Perceived Psychosocial Stress and Somatic Symptoms in Outpatients with Psychosomatic Illness

Nakao

Takeuchi

2018

JCM

Self Cite

View full text Add to dashboard Cite

Background: Psychosomatic patients often complain of a variety of somatic symptoms. We sought to clarify the role of clinical predictors of complaints of somatic symptoms. Methods: We enrolled 604 patients visiting a psychosomatic outpatient clinic. The outcome was the total number of somatic symptoms, and the candidate clinical predictors were perceived psychosocial stress, alexithymia, somatosensory amplification, adaptation, anxiety, and depression. All participants completed questionnaires assessing the outcome and the predictors. Results: The average number of reported somatic symptoms was 4.8; the most frequent was fatigue (75.3%), followed by insomnia (56.1%), low-back pain (49.5%), headache (44.7%), and palpitations (43.1%). Multiple regression analysis showed that the total number of somatic symptoms was significantly associated with the degree of perceived psychosocial stress, alexithymia, somatosensory amplification, and depression. Also, structural equation models indicated links between excessive adaptation (via perceived psychosocial stress, alexithymia, and somatosensory amplification) and the total number of somatic symptoms. Conclusion: The results suggested that the association between psychosocial stress and reported somatic symptoms is mediated by alexithymia and somatosensory amplification in psychosomatic patients.

show abstract

“…The term “psychosomatic illness” is defined as any physical condition which involves organic or functional damage affected by psychological factors in the process of its inception or development [ 3 ]. This definition is in accordance with 'psychological factors affecting medical conditions' (code 316), which appears in the Diagnostics and Statistical Manual of Mental disorders, ed.…”

Section: Introductionmentioning

confidence: 99%

“…This definition is in accordance with 'psychological factors affecting medical conditions' (code 316), which appears in the Diagnostics and Statistical Manual of Mental disorders, ed. 4, text revision (DSM-IV-TR) published by the American Psychiatric Association [ 3 ]. Likewise, behavioral medicine can be defined as an interdisciplinary field concerned with the development and assimilation of biomedical and behavioral knowledge related to health and disease.…”

Section: Introductionmentioning

confidence: 99%

The Psycho-cardiac Coupling, Myocardial Remodeling, and Neuroendocrine Factor Levels: The Psychosomatics of Major Depressive Disorder

Syeda

Rutkofsky

Muhammad

et al. 2018

Cureus

View full text Add to dashboard Cite

The association of major depressive disorder (MDD) with myocardial infarction (MI) and vice versa is not unknown. Depression, along with many other systemic factors like atherosclerosis, obesity, diabetes and vascular dysfunction, contributes to the development of adverse cardiac events in the future and, has always been a topic of interest in the fields of cardiology and psychosomatics. We wrote this review article to elaborate this relationship in detail. This article suggests that the individuals with type D personality who already had cardiovascular disease had undergone more serious myocardial damage. In addition, we elucidated the effects of depression on sympathetic activity and remodeling of myocardium after MI. The alterations in the neuroendocrine factors, which included the changes in levels of Serotonin (5-HT), Norepinephrine and Corticosterone, also geared towards the changes associated with depression-induced myocardial injury. However, we need more studies in the near future to further dig into this association process. Therefore, we recommend more research to explore the relationship of psychological factors and adverse cardiac outcomes.

show abstract

Definition of Psychosomatic Medicine and the Applicability of DSM-IV-TR to Outpatients Visiting a Japanese Psychosomatic Clinic

Cited by 13 publications

References 14 publications

Current Psychosomatic Practice

Current Psychosomatic Practice

Alexithymia and Somatosensory Amplification Link Perceived Psychosocial Stress and Somatic Symptoms in Outpatients with Psychosomatic Illness

The Psycho-cardiac Coupling, Myocardial Remodeling, and Neuroendocrine Factor Levels: The Psychosomatics of Major Depressive Disorder

Contact Info

Product

Resources

About