Psychosomatic medicine
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Psychosomatic medicine · Jan 2004
Randomized Controlled Trial Multicenter Study Comparative Study Clinical TrialImpact of pain on depression treatment response in primary care.
Pain commonly coexists with depression, but its impact on treatment outcomes has not been well studied. Therefore, we prospectively evaluated the impact of comorbid pain on depression treatment response and health-related quality of life. ⋯ Pain is present in two thirds of depressed primary care patients begun on antidepressant therapy, and the severity of pain is a strong predictor of poor depression and health-related quality of life outcomes at 3 months. Better recognition, assessment, and treatment of comorbid pain may enhance outcomes of depression therapy.
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Psychosomatic medicine · Jan 2004
Multicenter StudyCognitive processing among mothers of children undergoing bone marrow/stem cell transplantation.
This study investigated the role of cognitive processing in maternal adjustment to a life-threatening pediatric medical procedure (bone marrow/stem cell transplantation: BMT/SCT). ⋯ The results of this study indicate the critical role of mothers' fears, intrusions, avoidance, and the child's transplant risk in maternal distress and have treatment implications for reducing maternal distress during pediatric transplantation.
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Psychosomatic medicine · Nov 2003
ReviewAnxiety and chronic obstructive pulmonary disease: prevalence, impact, and treatment.
This article reviews the prevalence of anxiety disorders in patients with chronic obstructive pulmonary disease (COPD) as well as the impact of comorbid anxiety on quality of life in patients with COPD. Published studies on three types of treatments for anxiety are then reviewed: psychopharmacology, psychotherapy, and pulmonary rehabilitation programs. ⋯ Studies examining the treatment of anxiety disorders in patients with COPD are promising, yet their efficacy needs to be established. The long-term effects of treatment of anxiety disorders on quality of life of COPD patients have yet to be explored.
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Psychosomatic medicine · Nov 2003
Comparative StudyFemale gender is associated with impaired quality of life 1 year after coronary artery bypass surgery.
To evaluate gender-related differences in quality of life (QOL) and cognitive function 1 year after coronary artery bypass surgery (CABG) after adjusting for known baseline differences. ⋯ Even after adjusting for known risk factors for compromised QOL and cognitive functioning, women do not show the same long-term quality benefits of CABG surgery that men do.