Defensive coping styles in chronic fatigue syndrome.

Abstract

OBJECTIVE:

The cognitive-behavioral model of chronic fatigue syndrome (CFS) proposes that rigidly held beliefs act to defend individuals against low self-esteem. This study is the first to investigate the prevalence of a potential mechanism, the Defensive High Anxious coping style, among individuals with CFS.

METHODS:

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Relationship between depression and other medical illnesses.

Depression occurring in the setting of a nonpsychiatric medical illness is often considered to be a psychological reaction. Clinicians attribute the patient's feelings of vulnerability, fear, and diminished self-esteem to the onset of a severe illness. However, recent data have forced reconsideration of this belief and new models of the relationship between depression and other medical illnesses have emerged. Compelling evidence suggests that depression is an independent risk factor that contributes to the development of ischemic heart disease (IHD) and increases cardiac mortality.

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How general practice patients with emotional problems presenting with somatic or psychological symptoms explain their improvement.

Abstract

BACKGROUND:

The emotional problems of patients presenting only somatic symptoms are frequently not detected by general practitioners (GPs), yet clinical outcomes have often been found to be no different from emotional problems directly presented.

AIM:

To compare clinical outcomes and attributions for improvement of patients with emotional problems presenting only somatic symptoms to GPs, with patients directly presenting emotional problems.

DESIGN OF STUDY:

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Trauma-related sleep disturbance and self-reported physical health symptoms in treatment-seeking female rape victims.

Abstract

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Relationship between dissociative symptomatology and declarative and procedural memory in adolescent psychiatric patients.

Abstract

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Improving the psychiatric knowledge, skills, and attitudes of primary care physicians, 1950-2000: a review.

Abstract

OBJECTIVE:

The authors reviewed the literature on mental health education for primary care physicians and made recommendations for the design of educational programs and research.

METHOD:

They searched the MEDLINE and PsycLIT databases from 1950 to 2000 by using a variety of key words and subjects.

RESULTS:

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Posttraumatic stress symptomatology is associated with unexplained illness attributed to Persian Gulf War military service.

Abstract

OBJECTIVE:

Controversy exists concerning unexplained illness in Persian Gulf War veterans, especially regarding the contribution of psychological trauma. We sought to determine if war zone trauma or posttraumatic stress symptomatology (PTSS) are associated with illnesses reported by Gulf War veterans that were documented by medical examination but not attributable to a medical diagnosis.

METHODS:

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Posttraumatic stress disorder and the use of health services.

Abstract

OBJECTIVE:

Prior research has demonstrated increased use of medical services among persons with anxiety and depression. This investigation examined the possible association of posttraumatic stress disorder (PTSD) with the use of nonmental health services.

METHOD:

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Chronic fatigue syndrome--trials and tribulations.

Comment on

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Interventions for the treatment and management of chronic fatigue syndrome: a systematic review.

Erratum in

  • JAMA 2002 Mar 20;287(11):1401.

Abstract

CONTEXT:

A variety of interventions have been used in the treatment and management of chronic fatigue syndrome (CFS). Currently, debate exists among health care professionals and patients about appropriate strategies for management.

OBJECTIVE:

To assess the effectiveness of all interventions that have been evaluated for use in the treatment or management of CFS in adults or children.

DATA SOURCES:

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