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The relationship between alexithymia, depression and quality of life in patients with functional dyspepsia
Abstracts / Journal of Psychosomatic Research 78 (2015) 588–634
0.99, p b 0.001) directly post-treatment. At follow-up equal effect sizes were found for both outcomes. A high risk of bias was established in the majority of included studies. However, sensitivity analyses suggested that this did not significantly influence study Results. Funnel plot asymmetry indicated potential publication bias, yet accounting for this using the ‘trim and fill’ Method did not alter our Results. Conclusion: Self-help is a promising form of treatment for MUS. Compared to conventional psychological treatment, self-help has the potential of being widely available at much lower costs. Furthermore, self-help might offer an alternative to psychological treatment for patients who are unwilling or unable to visit a mental health care facility. doi:10.1016/j.jpsychores.2015.03.133
The relationship between alexithymia, depression and quality of life in patients with functional dyspepsia I. Venghera, D.L. Dumitrascub a State Univ N Testemitanu, Dept. of Gastroenterology, Kishinew, Republic of Moldova, b 2nd Medical Dept., Cluj-Napoca, Romania Background: Pathogenesis of functional dyspepsia (FD) involves various psychosomatic interactions. Alexithymia as a personality construct is responsive for somatic aspect of emotional reactions. Aim: To study the relationship between alexithymia, depression and quality of life in FD. Methods: 28 patients with symptoms corresponding to Rome III criteria for FD have been examined. We determined the alexithymia scores (TAS-20), quality of life (SF-36) and depression (HDRS-21). The control group (CG) was 29 healthy individuals. Student's t test and correlation test were used to statistic analysis. Results: The positive depressive and alexithymic scores have been reported in 75.00% and 64.29% of patients with FD compared to CG (13.79% and 20.69%). Quality of life (QL) in FD was lower than that in the CG (p b 0.001). A weak negative correlation between depression degree and QL in FD (r = − 0.33) and a low correlation between QL and the TAS scores (r = 0.3) were identified. There is a strong correlation between depressive scores and 2nd TAS factor (difficulty describing feelings) (r = 0.56). We found no correlation between the depression degree and QL pain factor but there is a relationship between pain and total TAS score (r = 0.42), in particular with the 1st (difficulty indentifying feelings) and 2nd factors (r = 0.5 and r = 0.5). The 3rd factor (externally oriented thinking) found no correlations with the studied parameters. Conclusion: Patients with FD are characterized by elevated depressive and alexithymic scores. Depressive symptoms coexist with somatic complaints, which determine the decline in the quality of life. We found a strong correlation between pain symptoms in functional dyspepsia and difficulty identifying and describing feelings.
doi:10.1016/j.jpsychores.2015.03.134
Psychological factors and 5-year cancer survival: Prospective longitudinal analyses of epidemiological data from British Columbia A. Vodermaiera,b, W. Lindena, S. Lucasc, R. Olsond a University of British Columbia, Dept. of Psychology, Vancouver, Canada, b Ludwig-Maximilians-Universitaet Muenchen, Klinik und Poliklinik fuer Frauenheilkunde und Geburtshilfe, Campus Grosshadern, Munich, Germany, c BC Cancer Agency, Radiation Therapy Program, Vancouver, Canada, d BC Cancer Agency, Centre for the North, Radiation Therapy Program, Prince George, Canada
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Background: The role of psychological factors for cancer survival has been studied for decades, but many of these studies have methodological limitations and results are inconclusive. Based on epidemiological data of the Province of British Columbia, we examined the role of depression and social support for survival in breast, prostate, and lung cancer patients. Method: A routine screening program for psychosocial distress was initiated in two major cancer centres in the Province of British Columbia in 2002. The study uses data collected between 2004 and 2010. Patients were screened with the PsychoSocial Screen for Cancer (Linden et al., 2003) at the time of cancer diagnosis. Three major cancer types, i.e., breast (N = 1,646), prostate (N = 685), and lung cancers (N = 642) were chosen and their data were merged with survival data of the Provincial Vital Statistics Agency, which provides complete death lists on a monthly basis for all deceased British Columbians in the province. These data were requested in 2012. Cox proportional hazards' regression analyses were conducted to predict survival as a function of psychological variables. Results: A relationship between depression and survival was demonstrated for patients with breast cancer only. Depressed patients with breast cancer stages I–III had a 54% greater hazard of mortality (HR = 1.54 (95% CI 1.06–2.25); p = 0.024) compared to their nondepressed counter parts. This effect was even larger in patients with breast cancer stages I and II and also in younger as opposed to older patients with early stage breast cancer. Breast cancer data also indicate the loss of a live partner at the time of cancer diagnosis to unfavorably impact survival in patients with curable breast cancer. In lung cancer patients, gender effects for social support and survival have been shown. Men who were married or lived in a common law relationship had a 28% lower hazard of mortality than un-partnered men (HR = 0.72 (95% CI 0.54–0.97), p = 0.032). As well, men who expressed greater need for emotional support had a lower hazard of mortality (HR = 0.96 (95% CI 0.93–0.99), p = 0.013) than men with low need for support. In contrast, in prostate cancer patients' greater support needs were associated with a greater hazard of cancer-specific (HR = 1.98 (95% CI 1.19–3.31), p = 0.008) and allcause mortality (HR = 2.70 (95% CI 1.38–5.29), p = 0.004). Age moderated these effects such that older age and high support needs conferred the greatest mortality risk. Men with otherwise favorable prognoses but who lived alone demonstrated a twofold increase in hazard of mortality (HR = 2.12 (95% CI 1.18–3.82), p = 0.012) and among these, older men were again carrying the greatest mortality risk. Conclusion: Results are discussed with regard to the role of disease type, prognosis and the moderating effects of sex and age. doi:10.1016/j.jpsychores.2015.03.135
Does anxiety mean the same in English and German language? Evaluation of the psychometric equivalence of the PROMIS® anxiety item bank and its German translation I. Wahla, J. Rutsohnb, D. Cellab, B. Löwea, M. Rosec, E. Brählerd, P. Pilkonise, B. Schaletb a University Medical Center Hamburg-Eppendorf & Schön Klinik Hamburg Eilbek, Dept. of Psychosomatic Medicine & Psychotherapy, Hamburg, Germany, b Northwestern University Feinberg School of Medicine, Dept. of Medical Social Sciences, Chicago, USA, c Charite-Universitätsmedizin Berlin, Medizinische Klinik mit Schwerpunkt Psychosomatik, Berlin, Germany, d Universität Leipzig, Abteilung für Medizinische Psychologie & Medizinische Soziologie, Leipzig, Germany, e University of Pittsburgh, Dept. of Psychiatry, Pittsburgh, USA
0.99, p b 0.001) directly post-treatment. At follow-up equal effect sizes were found for both outcomes. A high risk of bias was established in the majority of included studies. However, sensitivity analyses suggested that this did not significantly influence study Results. Funnel plot asymmetry indicated potential publication bias, yet accounting for this using the ‘trim and fill’ Method did not alter our Results. Conclusion: Self-help is a promising form of treatment for MUS. Compared to conventional psychological treatment, self-help has the potential of being widely available at much lower costs. Furthermore, self-help might offer an alternative to psychological treatment for patients who are unwilling or unable to visit a mental health care facility. doi:10.1016/j.jpsychores.2015.03.133
The relationship between alexithymia, depression and quality of life in patients with functional dyspepsia I. Venghera, D.L. Dumitrascub a State Univ N Testemitanu, Dept. of Gastroenterology, Kishinew, Republic of Moldova, b 2nd Medical Dept., Cluj-Napoca, Romania Background: Pathogenesis of functional dyspepsia (FD) involves various psychosomatic interactions. Alexithymia as a personality construct is responsive for somatic aspect of emotional reactions. Aim: To study the relationship between alexithymia, depression and quality of life in FD. Methods: 28 patients with symptoms corresponding to Rome III criteria for FD have been examined. We determined the alexithymia scores (TAS-20), quality of life (SF-36) and depression (HDRS-21). The control group (CG) was 29 healthy individuals. Student's t test and correlation test were used to statistic analysis. Results: The positive depressive and alexithymic scores have been reported in 75.00% and 64.29% of patients with FD compared to CG (13.79% and 20.69%). Quality of life (QL) in FD was lower than that in the CG (p b 0.001). A weak negative correlation between depression degree and QL in FD (r = − 0.33) and a low correlation between QL and the TAS scores (r = 0.3) were identified. There is a strong correlation between depressive scores and 2nd TAS factor (difficulty describing feelings) (r = 0.56). We found no correlation between the depression degree and QL pain factor but there is a relationship between pain and total TAS score (r = 0.42), in particular with the 1st (difficulty indentifying feelings) and 2nd factors (r = 0.5 and r = 0.5). The 3rd factor (externally oriented thinking) found no correlations with the studied parameters. Conclusion: Patients with FD are characterized by elevated depressive and alexithymic scores. Depressive symptoms coexist with somatic complaints, which determine the decline in the quality of life. We found a strong correlation between pain symptoms in functional dyspepsia and difficulty identifying and describing feelings.
doi:10.1016/j.jpsychores.2015.03.134
Psychological factors and 5-year cancer survival: Prospective longitudinal analyses of epidemiological data from British Columbia A. Vodermaiera,b, W. Lindena, S. Lucasc, R. Olsond a University of British Columbia, Dept. of Psychology, Vancouver, Canada, b Ludwig-Maximilians-Universitaet Muenchen, Klinik und Poliklinik fuer Frauenheilkunde und Geburtshilfe, Campus Grosshadern, Munich, Germany, c BC Cancer Agency, Radiation Therapy Program, Vancouver, Canada, d BC Cancer Agency, Centre for the North, Radiation Therapy Program, Prince George, Canada
629
Background: The role of psychological factors for cancer survival has been studied for decades, but many of these studies have methodological limitations and results are inconclusive. Based on epidemiological data of the Province of British Columbia, we examined the role of depression and social support for survival in breast, prostate, and lung cancer patients. Method: A routine screening program for psychosocial distress was initiated in two major cancer centres in the Province of British Columbia in 2002. The study uses data collected between 2004 and 2010. Patients were screened with the PsychoSocial Screen for Cancer (Linden et al., 2003) at the time of cancer diagnosis. Three major cancer types, i.e., breast (N = 1,646), prostate (N = 685), and lung cancers (N = 642) were chosen and their data were merged with survival data of the Provincial Vital Statistics Agency, which provides complete death lists on a monthly basis for all deceased British Columbians in the province. These data were requested in 2012. Cox proportional hazards' regression analyses were conducted to predict survival as a function of psychological variables. Results: A relationship between depression and survival was demonstrated for patients with breast cancer only. Depressed patients with breast cancer stages I–III had a 54% greater hazard of mortality (HR = 1.54 (95% CI 1.06–2.25); p = 0.024) compared to their nondepressed counter parts. This effect was even larger in patients with breast cancer stages I and II and also in younger as opposed to older patients with early stage breast cancer. Breast cancer data also indicate the loss of a live partner at the time of cancer diagnosis to unfavorably impact survival in patients with curable breast cancer. In lung cancer patients, gender effects for social support and survival have been shown. Men who were married or lived in a common law relationship had a 28% lower hazard of mortality than un-partnered men (HR = 0.72 (95% CI 0.54–0.97), p = 0.032). As well, men who expressed greater need for emotional support had a lower hazard of mortality (HR = 0.96 (95% CI 0.93–0.99), p = 0.013) than men with low need for support. In contrast, in prostate cancer patients' greater support needs were associated with a greater hazard of cancer-specific (HR = 1.98 (95% CI 1.19–3.31), p = 0.008) and allcause mortality (HR = 2.70 (95% CI 1.38–5.29), p = 0.004). Age moderated these effects such that older age and high support needs conferred the greatest mortality risk. Men with otherwise favorable prognoses but who lived alone demonstrated a twofold increase in hazard of mortality (HR = 2.12 (95% CI 1.18–3.82), p = 0.012) and among these, older men were again carrying the greatest mortality risk. Conclusion: Results are discussed with regard to the role of disease type, prognosis and the moderating effects of sex and age. doi:10.1016/j.jpsychores.2015.03.135
Does anxiety mean the same in English and German language? Evaluation of the psychometric equivalence of the PROMIS® anxiety item bank and its German translation I. Wahla, J. Rutsohnb, D. Cellab, B. Löwea, M. Rosec, E. Brählerd, P. Pilkonise, B. Schaletb a University Medical Center Hamburg-Eppendorf & Schön Klinik Hamburg Eilbek, Dept. of Psychosomatic Medicine & Psychotherapy, Hamburg, Germany, b Northwestern University Feinberg School of Medicine, Dept. of Medical Social Sciences, Chicago, USA, c Charite-Universitätsmedizin Berlin, Medizinische Klinik mit Schwerpunkt Psychosomatik, Berlin, Germany, d Universität Leipzig, Abteilung für Medizinische Psychologie & Medizinische Soziologie, Leipzig, Germany, e University of Pittsburgh, Dept. of Psychiatry, Pittsburgh, USA