Suizidrisiko bei somatoformen Störungen

Giupponi, Giancarlo; Maniscalco, Ignazio; Mathà, Sandra; Ficco, Carlotta; Pernther, Georg; Sanna, Livia; Pompili, Maurizio; Kapfhammer, Hans-Peter; Conca, Andreas

doi:10.1007/s40211-017-0248-8

Cited by 3 publications

(2 citation statements)

References 94 publications

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“…Studies in the literature have emphasized how depressive symptoms and anxiety coincide with NSSI (30-32), as well as with suicide (33). This gives the impression that the presence of NSSI in individuals with somatic symptoms might be mediated by comorbidity with internalizing disorders (34).…”

Section: Introductionmentioning

confidence: 99%

Using the Body When There Are No Words for Feelings: Alexithymia and Somatization in Self-Harming Adolescents

et al. 2020

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The present case-control study aimed to investigate the relationship between alexithymia and somatic complaints in the psychopathological setting of non-suicidal self-injury (NSSI). A clinical sample of 134 adolescents (115 females; 85.5%) from 12 to 18 years old engaging in NSSI was compared with a control group of 243 high-school students (157 females; 64.6%) from 13 to 18 years old. Data were collected using two questionnaires: The Youth Self-Report 11-18 and the 20 Toronto Alexithymia Scale. In both cases and controls, the presence of somatization and alexithymia was associated with more severe psychopathological problems. Analyses were conducted to explore the association between somatic disorders and alexithymia. In the clinical group, somatic complaints were reported by 95.9% of alexithymic individuals, whereas only 44.3% of alexithymic adolescents reported somatic complaints. A one-way relationship emerged between somatization and alexithymia: while alexithymia would seem to be a factor associated with self-injury, somatic disorders were strongly associated with alexithymia, but not necessarily with self-injury. Among the self-harming adolescents, those with both alexithymia and somatization had a more severe psychopathological picture than the individuals with alexithymia but no somatization. This would suggest that, in the setting of NSSI, greater difficulty with identifying feelings is associated with somatization, and alexithymia would be an attribute common to self-harming behavior and somatization, both of which are characterized by the body being used to express psychological and emotional problems. Future research could further investigate alexithymia in self-harming individuals, in relation to any presence or absence of somatic disorders, with longitudinal assessments on any differences in their manifestation of self-injury and its psychopathological correlates.

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Section: Introductionmentioning

confidence: 99%

Using the Body When There Are No Words for Feelings: Alexithymia and Somatization in Self-Harming Adolescents

et al. 2020

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“…Nevertheless, to our knowledge, no other information has been published on somatic symptom disorder. Patients with somatic symptoms often suffer from anxiety and depression as well (Giupponi et al, 2018;Kroenke & Price, 1993;Löwe et al, 2008) and have a higher incidence of suicide attempts (Giupponi et al, 2018). As a result, they need access to frequent visits to multiple clinics (Barsky, Ettner, Horsky, & Bates, 2001;Creed & Barsky, 2004) that address their concerns.…”

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confidence: 99%

Interprofessional care improves health-related well-being and reduces medical costs for chronic pain patients

Seitz

Stastka²,

Schiffinger

et al. 2019

Bulletin of the Menninger Clinic

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This study evaluated whether patients with somatic symptom disorder, expressing chronic pain that could not be attributed to a medical condition, would benefit from an 8-week inpatient residence at a psychiatric ward. In the 1-year follow-up after termination the authors examined the extent to which the integrated treatment decreased patient costs. A total of 106 patients participated in the follow-up and reported a significant improvement in their general health (Cohen's d = 1.5-2.21), a decrease in impairment due to pain (d = 2.24), and a decrease in symptom severity (d = 1.29). They took fewer medications and sick days, reported fewer hospital stays and medical examinations, and consulted and changed physicians and outpatient clinics less often (d = 0.55-1.1). The average cost per patient was cut in half, down to €80.000/$96.000 per year. From a clinical standpoint, group analysis that focused on aggression was the most effective intervention.(Bulletin of the Menninger Clinic, 83[2],

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Antidepressant and anti-suicidal effects of ketamine in treatment-resistant depression associated with psychiatric and personality comorbidities: A double-blind randomized trial

Ahmed

Elserogy

Elfadl

et al. 2023

Journal of Affective Disorders

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Suizidrisiko bei somatoformen Störungen

Cited by 3 publications

References 94 publications

Using the Body When There Are No Words for Feelings: Alexithymia and Somatization in Self-Harming Adolescents

Using the Body When There Are No Words for Feelings: Alexithymia and Somatization in Self-Harming Adolescents

Interprofessional care improves health-related well-being and reduces medical costs for chronic pain patients

Antidepressant and anti-suicidal effects of ketamine in treatment-resistant depression associated with psychiatric and personality comorbidities: A double-blind randomized trial

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