Psychosomatic medicine
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Psychosomatic medicine · Nov 2004
Review Case ReportsChest pain in patients with cardiac and noncardiac disease.
To describe factors influencing chest pain expression in patients with cardiac or noncardiac disease. ⋯ Physicians and other therapists must be aware of psychologic influences on chest pain expression to provide optimal treatment to their patients.
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Psychosomatic medicine · Nov 2004
Randomized Controlled Trial Comparative Study Clinical TrialSleep deprivation affects thermal pain thresholds but not somatosensory thresholds in healthy volunteers.
Sleep disturbances have been thought to augment pain. Sleep deprivation has been proven to produce hyperalgesic effects. It is still unclear whether these changes are truly specific to pain and not related to general changes in somatosensory functions. The aim of the present study was to evaluate the effect of total sleep deprivation on thermal pain thresholds (heat, cold) and pain complaints. Thermal detection thresholds (warmth, cold) were included as covariates to determine the contribution of somatosensory functions to changes in pain processing. ⋯ The present findings suggest that sleep deprivation produces hyperalgesic changes that cannot be explained by nonspecific alterations in somatosensory functions.
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To assess whether the fatigue commonly reported by patients following surgery is partly a result of somatization and/or cognitive-behavioral factors. ⋯ The results indicate that psychological processes may well be relevant in the etiology of postoperative fatigue. In particular, the results relating to mood and expectations suggest that somatization may be particularly important in the first few weeks following surgery, whereas cognitive-behavioral factors and cardiovascular deconditioning may be more important in determining later-stage recovery.
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Psychosomatic medicine · Nov 2004
Comparative StudyThe relationship of somatization and depression to experimental pain response in women with temporomandibular disorders.
Patients with temporomandibular pain disorders (TMD) have greater experimental pain perception when compared with pain-free controls. Common psychological features of TMD include somatization and depression. The impact of depression on experimental pain perception has received considerable attention. However, the role of somatization on experimental pain in a chronic pain population has not been explored. ⋯ These findings suggest that depression and somatization are associated with different measures of experimental pain. Somatization may be related to more attentional and perceptual measures of clinically relevant pain while depression may be related to more behavioral measures of pain.
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Psychosomatic medicine · Nov 2004
The association between anxiety, depression, and somatic symptoms in a large population: the HUNT-II study.
Somatic symptoms are prevalent in the community, but at least one third of the symptoms lack organic explanation. Patients with such symptoms have a tendency to overuse the health care system with frequent consultations and have a high degree of disability and sickness compensation. Studies from clinical samples have shown that anxiety and depression are prevalent in such functional conditions. The aim of this study is to examine the connection between anxiety, depression, and functional somatic symptoms in a large community sample. ⋯ There was a statistically significant relationship between anxiety, depression, and functional somatic symptoms, independent of age and gender.