Psychotherapy and Psychosomatics
Regular Article
Psychosocial Functioning in Consultation-Liaison Psychiatry Patients: Influence of Psychosomatic Syndromes, Psychopathology and SomatizationPorcelli P.a · Bellomo A.b · Quartesan R.c · Altamura M.b · Iuso S.b · Ciannameo I.b · Piselli M.c · Elisei S.caPsychosomatic Unit, IRCCS De Bellis Hospital, Castellana Grotte, bSection of Psychiatry and Clinical Psychology, Department of Medical Sciences, University of Foggia, Foggia, cSection of Psychiatry, Clinical Psychology and Psychiatric Rehabilitation, Department of Clinical and Experimental Medicine, University of Perugia, Perugia, Italy
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Article / Publication Details
Received: November 02, 2008
Accepted: December 16, 2008
Published online: August 27, 2009
Issue release date: September 2009
Number of Print Pages: 7
Number of Figures: 0
Number of Tables: 4
ISSN: 0033-3190 (Print)
eISSN: 1423-0348 (Online)
For additional information: https://www.karger.com/PPS
Abstract
Background:This study investigated whether the Diagnostic Criteria for Psychosomatic Research (DCPR) were able to predict psychosocial functioning in addition to psychiatric diagnoses and somatization in consultation-liaison psychiatry (CLP) patients. Method: A consecutive sample of 208 CLP patients were recruited and assessed for sociodemographic and medical data, psychopathology (SCID), psychosomatic syndromes (DCPR structured interview) and somatization (SCL-90-R SOM scale and multisomatoform disorder, MSD). The main endpoints were the mental and physical components of psychosocial functioning (SF-36). Results: A total of 185 (89%) patients had any psychiatric diagnosis, 51 (25%) had MSD positive criteria, 176 (85%) had any DCPR syndrome, and 105 (51%) had multiple DCPR syndromes. Although psychiatric and psychosomatic syndromes were variously associated with psychosocial functioning, hierarchical regression and effect size analyses showed that only DCPR syndromes, particularly demoralization and health anxiety, with somatization but not DSM-IV psychopathology independently predicted poor psychosocial functioning. Conclusions:The presence of psychosomatic syndromes, assessed with DCPR criteria, and high levels of somatization had larger effect size and were independent predictors of the mental and physical components of psychosocial dysfunction, over and above psychopathology. The DCPR classification can provide CLP professionals with a set of sensitive diagnostic criteria for a comprehensive clinical evaluation of psychosomatic syndromes that might play a significant mediating role in the course and the outcome of medical patients referred for psychiatric consultation.
© 2009 S. Karger AG, Basel
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Article / Publication Details
Received: November 02, 2008
Accepted: December 16, 2008
Published online: August 27, 2009
Issue release date: September 2009
Number of Print Pages: 7
Number of Figures: 0
Number of Tables: 4
ISSN: 0033-3190 (Print)
eISSN: 1423-0348 (Online)
For additional information: https://www.karger.com/PPS
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