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Psychosomatic Medicine - Science topic

The purpose of this group is to share cases, experiences and all things related to psychosomatic medicine
Questions related to Psychosomatic Medicine
Vijay Thakur
Vijay Thakur
  • asked a question related to Psychosomatic Medicine
Does anyone have a reference, research, or personal experience of psychosomatic research and bronchial asthma?
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7 answers
  • 1 Dec 2013
Have some clinical experience where adolescent onset Bronchial asthma is associated with "issues around identity."
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  • 26 Sept 2019
Answer
Please take a look at the following PDF attachments.
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Jasmine Abraham
Jasmine Abraham
  • asked a question related to Psychosomatic Medicine
How can i measure urinary bladder pressure non-invasively?
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4 answers
  • 10 Feb 2017
Actually, I am doing a project in non-invasive urinary bladder pressure measurement. I was searching for journal paper related to this topic. Can anyone suggest me some journal papers regarding this topic??
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  • 11 Feb 2017
Answer
Hello again, Jasmine,
This might also be of interest; I was trying to stick to the non-invasive strategy:
D'Ancona, C. A. L., Bassani, J., & Almeida, J. C. (2012). Noninvasive urodynamic evaluation. International Neurourology Journal, 16(3), 116.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3469829/
This is the ResearchGate link but not full text:
https://www.researchgate.net/publication/232650015_Noninvasive_Urodynamic_Evaluation
Although there are many none-invasive ways to gather an understanding about what is happening within a female bladder, I still haven't found any non-invasive ways to record bladder pressure in women.
Very best wishes,
Mary
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Mehak Nagpal
Mehak Nagpal
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Review articles on psychotropic drugs that cause acute urinary retention?
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4 answers
  • 5 Aug 2016
antipsychotics and antidepressants 
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  • 19 Sept 2016
Answer
Greetings .These items may be helpful.
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Josep Maria Aragonès
Josep Maria Aragonès
  • asked a question related to Psychosomatic Medicine
We have observed that a freqüent myasthenia onset in Parkinson disease is a head dropped syndrome. Do you think that it is due to cervical rigidity ?
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15 answers
  • 8 Feb 2016
More than expected head dropped myasthenia onset are patient with Parkinson disease (25%) and majority of myasthenia onset in patient with Parkinson disease is head dropped (more tan 60%). We think that it may be due to fatigability associated to cervical rigidity. What do you think?
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  • 14 Feb 2016
Answer
I agree with comments above.  You need to look for a paraspinous myopathy.  The etiology of which is not known but may be related to hyperextension injury of neck muscles, which could occur with increased weakness from MG or altered posture from PD.  From a therapy perspective you need to assess if this is MG or not.
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Wacław M. Adamczyk
Wacław M. Adamczyk
  • asked a question related to Psychosomatic Medicine
How to interpret Bland-Altman plots? I know only basic concepts like width of LOA and (bias). There are other important issues?
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3 answers
  • 7 Jan 2016
For example, I am seriously confused as far as heteroscedasticity is concerned. How objectively recognize this phenomenon? 
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  • 8 Jan 2016
Answer
Bland-Altman plot can be used for seeing the width of LOA and bias. Before calculating LOA/bias, we should check if the data points are scattered uniformly  along horizontal axis. Often in using chemical measurement as methodology, variability can be proportional to the magnitude of the observation (for example see the link). In such a case data should be log-transformed.
https://www.medcalc.org/manual/blandaltman.php
To the best of my knowledge, I think Bland-Altman plot is not so effective in proactively nor objectively analyzing heteroscedasticity.  Among many cases of heteroscedasticity, only magnitude-dependent variability can be detected clearly. I feel important role of Bland-Altman plot is visualization.
https://www.medcalc.org/manual/blandaltman.php
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Alireza Talebian
Alireza Talebian
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Does anybody have experience in reporting psychological profiles of patients visiting dental general practitioner?
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3 answers
  • 2 Jun 2015
Please send a full text about the subject.
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  • 13 Jul 2015
Answer
I think the essential question to be asking yourself is: What are you going to use these psychological profiles for? In a recent publication (Garner & al. J Prosthet Dent 2003;89:297-302) on the subject of House's Classification that previous responders have suggested, it is stated: "The value of this new classification (in which the dentist's reaction is included) is its effectiveness when applied in a clinical environment. If clinicians find the system instructive and helpful in understanding relationships with patients, then it is worthwhile even if it remains scientifically unproven".
With other words the importance of the revised House Classification is limited to being a help for the dentist to obtain self-knowledge regarding his relationship with his patient. It does not really help the dentist in dealing with difficult patients. Also, so far it has never been scientifically validated.
Even if it were validated, like so many of the psychological indices and scales that have been used in a dental context, the best that can be achieved is a trend (if indeed the index works) that is meaningful at a group level. For general practice, in the context of the individual patient, it would most probably be without clinical interest.
If you still intend to pursue this matter scientifically, in full awareness that it will have a possible importance only at a group level, you will be faced with a plethora of problems - like testing a possible index for reliability and validity, measuring errors etc. just to mention a few. If so, good luck!
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Debbie Stringer
Debbie Stringer
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How does health professionals knowledge and attitudes affect the care of patients with dementia?
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11 answers
  • 30 Mar 2015
Especially when working on busy medical wards
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  • 31 Mar 2015
Answer
I agree with Katherine. Also communication skill training has been identified as one of the main priorities for improving the quality of dementia care (All-Party Parliamentary Group on Dementia, 2009). The use of simple communication techniques may enhance engagement by giving the person with dementia an invitation to respond if they want to. The communication may be verbal, non verbal or a communication through a presence that feels safe and secure and signals the emotional availability to listen and understand.
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Marcus Schiltenwolf
Marcus Schiltenwolf
  • asked a question related to Psychosomatic Medicine
Can psychological disorders influence the results of surgery of spondylolisthesis grade I and II of lumbar spine?
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5 answers
  • 20 Nov 2013
We are preparing guidelines on how to manage specific back pain (spinal claudication, spondylolisthesis, disc prolapse) What do we have to take into account?
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  • 30 Dec 2014
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dear dr. Schiltenwolf, 
As low grade listhesis is just one of the many manifestations of growth disturbances based on postural misdevelopment ( neuro-osseous growth relations) there will be no spondylolisthesis dependant or conjoined psychosocial factors. 
The even more variated psychosocial status of people in western societies has its etiologic factors in the complete uniqueness of the development of the locomotor system in individual children ( time for play, gymnastics, Maxi Cosy hours, sitting hours, slumping hours, TV hours, walking , biking etc. etc. ) and the individusl or time-area changing habits in guidance by adults of these processes. 
In all cases I saw, the tight contactzones betweenn the roots and the pedicles, Foraminae, but also the tilted lamina of L5 or S1 give rise to neurological complaints. 
Conservatieve means, like postural excersises , improvement muscular condition of the upperbody and change to only actve sitting can do a lot, so surgery can be prevented or postponed to older ages. 
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Mostafa Khodadoost
Mostafa Khodadoost
  • asked a question related to Psychosomatic Medicine
Can anyone assist with the measurement of pain threshold and tolerance?
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5 answers
  • 20 Jul 2014
The effect of all types of physical activity on pain threshold and tolerance. Which instrument is more suitable to measure pain threshold and tolerance?
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  • 22 Jul 2014
Answer
Differences in pain treshold and tolerance exist between women and men:
Fear of severe pain mediates sex differences in pain sensitivity responses to thermal stimuli. Horn ME, Alappattu MJ, Gay CW, Bishop M.
Pain Res Treat. 2014;2014:897953. doi: 10.1155/2014/897953.
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Ahmad Mahmoudian
Ahmad Mahmoudian
  • asked a question related to Psychosomatic Medicine
What are causes of idiopathic chronic fatigue in fields of cell metabolism and organ function?
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4 answers
  • 25 Mar 2014
Mitochondrial disorders not mitochondropathy.
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  • 1 Jun 2014
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Look at valproic acid and carnitine as an example. I've seen two inpatients on the psychiatry consult service with persistent delirium after recently starting divalproex. After all other causes of delirium were treated or ruled out, we tried oral L-carnitine at 1000mg daily. Both patients showed a return to baseline mental status within a week.
Valproic acid affects carnitine metabolism. We think these two patients were at risk for carnitine depletion from low dietary intake (e.g. severe alcohol use disorder coupled with malnutrition) and/or greater susceptibility to valproate's effect on their biochemistry.
We're writing up these two cases for publication.
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Thomas Karl Hillecke
Thomas Karl Hillecke
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What is the best possible short definition of psychotherapy?
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12 answers
  • 14 Feb 2014
There are a lot of attempts to define psychotherapy. But a short version would be of advantage for the field. In our paper "Der Psychotherapeut als Scientist-Practitioner - Vom Bachelor und Master über das 1. und 2. Staatsexamen zur Approbation und sozialrechtlichen Zulassung) we tried to define it either as "psychological treatment of any disorder / disease" or alternatively as "treatment of mental disorders". Both ways contain advantages and problems. The first one for example has the problem of overlapping with some fields of medicine, especially psychosomatic medicine. And the second would include the whole discipline of psychiatry.
What do you think is best? Is it possible to combine our two definitions? Do you have alternative or better (short) definitions?
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  • 15 Feb 2014
Answer
Psychotherapy is the process of identifying self-deception and its motivation.
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Fares Zine El Abiddine
Fares Zine El Abiddine
  • asked a question related to Psychosomatic Medicine
Who calculates the psychometric properties of the Diagnostic Criteria for Psychosomatic Research (DCPR)?
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3 answers
  • 29 Jan 2014
What is the validity and reliability of these scales?
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  • 10 Feb 2014
Answer
Opssss no idea, sorry... no info of the authors available?
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Frederik Feys
Frederik Feys
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Effectiveness of psychotherapy versus no treatment in depression?
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41 answers
  • 14 Aug 2013
Can anyone point me to the best available evidence that compares psychotherapy with no treatment in adult depression?
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  • 15 Aug 2013
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One thing that might help would be to stop considering depressive patients as a homogeneous group. Perhaps a minority would profit most from a SSRI or another drug, but most of them would profit from psychotherapy, adjusted to the ins and outs of their problems in living. And do not measure the effectiveness of it by mere symptom reduction. There is more to recovery than that.
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Andri Andri
Andri Andri
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What do you know about Psychosomatic Medicine ?
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11 answers
  • 11 Aug 2011
Psychosomatic Medicine is subspecialty in psychiatry according to American board of medical specialties
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  • 11 Nov 2011
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According to medical science, our soma (body) is controlled, regulated and influenced by the activity of Brain and its organized nervous system. But who control, regulate and influence our Psycho (mind)?
According to Indian Medical paradigm it the life forces which are basically made by our hopes, thoughts, desires, decisions and experiences. Thus Psycho-somatic medicine should be interpreted in terms of not only chemistry but also level of consciousness (life forces). This approach can give better answer to several uncontrolled psychosomatic ailments of modern time.
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