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Cephalalgia 2021 Jun 23:3331024211021792. Epub 2021 Jun 23.

LMU University Hospital Munich, Dr. von Hauner Children's Hospital, Department for Pediatric Neurology & Developmental Medicine, LMU Center for Munich, Germany Development and Children with Medical Complexity - iSPZ Hauner.

Introduction: The transition from childhood to adolescence and from adolescence to adulthood are vulnerable phases in life. In these phases, late or insufficient treatment of diseases may lead to chronification and favor development of additional disorders. In adolescents, migraine often has a highly negative impact on school performance and everyday life. Read More

Wiad Lek 2021 ;74(6):1401-1404

POLTAVA STATE MEDICAL UNIVERSITY, POLTAVA, UKRAINE.

Objective: The aim: To perform a comprehensive evaluation of the effect of paroxetine on the degree of somatoform disorders in exacerbation of severe COPD in women.

Patients And Methods: Materials and methods: The study involved 53 female patients with severe COPD (Group D), confirmed by instrumental methods of study. At hospitalization, patients were divided into 2 groups. Read More

Behav Ther 2021 07 24;52(4):821-829. Epub 2020 Oct 24.

Centre for Psychiatry Research, Karolinska Institutet and CAP Research Centre, Stockholm Health Care Services.

Determining response or remission status in body dysmorphic disorder (BDD) usually requires a lengthy interview with a trained clinician. This study sought to establish empirically derived cutoffs to define treatment response and remission in BDD using a brief self-report instrument, the Appearance Anxiety Inventory (AAI). Results from three clinical trials of BDD were pooled to create a sample of 123 individuals who had received cognitive-behavioral therapy for BDD, delivered via the Internet. Read More

Ideggyogy Sz 2021 May;74(5-6):183-190

Institute of Health Promotion and Sport Sciences, Eötvös Loránd University, Hungary.

Background And Purpose: Somatic symptoms without a clear-cut organic or biomedical background, also called "medically unexplained" or "somatoform" symptoms, are frequent in primary and secondary health care. They are often accompanied by depression and/or anxiety, and cause functional impairment. The Patient Health Question-naire Somatic Symptom Scale (PHQ-15) was developed to measure somatic symptom distress based on the frequency and bothersomeness of non-specific somatic symptoms. Read More

Assessment 2021 Jun 9:10731911211020825. Epub 2021 Jun 9.

University of Mainz, Mainz, Germany.

We report on Phase 1 efforts of the Hierarchical Taxonomy of Psychopathology (HiTOP) measurement subgroup tasked with developing provisional scales for the somatoform spectrum and eating disorders. In Study 1, items were written to assess five somatoform spectrum constructs (bodily distress symptoms, conversion symptoms, health anxiety, disease conviction, and somatic preoccupation). Scale development analyses were conducted on 550 university students. Read More

J Pak Med Assoc 2021 May;71(5):1350-1352

Institute of Clinical Psychology, University of Management and Technology, Lahore, Pakistan.

Objective: To assess the relationship between drive for muscularity and muscle dysmorphic tendencies in Pakistani bodybuilders.

Methods: The cross-sectional study was conducted in Lahore, Pakistan, from June to September 2017, and comprised male bodybuilders in their early and middle adulthood. Data was collected using an indigenous Drive for Muscularity Inventory and the Body Dysmorphic Disorder factors of the Yale-Brown Obsessive Compulsive Scale. Read More

Medicine (Baltimore) 2021 Jun;100(22):e26191

Laboratory of Statistics, Graduate School of Medicine, Osaka City University, Osaka, Japan.

Abstract: Case-control studies by examining the lumbar spine computed tomography (CT) findings focusing on the spinous processes."Passing spine" was defined as a lumbar degenerative change observed on CT images. In contrast, kissing spine, which is also an image finding, has been acknowledged as an established clinical condition. Read More

Medicina (Kaunas) 2021 May 11;57(5). Epub 2021 May 11.

Department of Otorhinolaryngology and Cervicofacial Surgery, University Medical Centre Ljubljana, Zaloška Cesta 2, SI-1000 Ljubljana, Slovenia.

: Numerous authors have reported that the commonest type of vertigo in children is migraine-associated vertigo (vestibular migraine and benign paroxysmal vertigo of childhood-BPV). We aimed to provide the possible etiological background of vertigo and dizziness in Slovenian children. : A retrospective case series of pediatric vertigo and dizziness children referred to the tertiary pediatric otorhinolaryngology center from 2015 to 2020. Read More

Neurogastroenterol Motil 2021 Jun 1:e14187. Epub 2021 Jun 1.

Gastroenterology and Endoscopy Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.

Background: Gastrointestinal infections represent a risk factor for functional gastrointestinal and somatoform extraintestinal disorders. We investigated the prevalence and relative risk (RR) of gastrointestinal and somatoform symptoms 5 months after SARS-CoV-2 infection compared with a control cohort.

Methods: One hundred and sixty-four SARS-CoV-2 infected patients and 183 controls responded to an online questionnaire about symptoms and signs during the acute phase of the infection and after 4. Read More

J Acad Consult Liaison Psychiatry 2021 Mar 30. Epub 2021 Mar 30.

Emergency and Critical Care Center, Kurashiki Central Hospital, Okayama, Japan. Electronic address:

Tijdschr Psychiatr 2021 ;63(5):379-383

Factitious disorder (FD) is defined as the intentional production or feigning of disease in oneself to relieve emotional distress by assuming the role of a sick person. We describe a case of a 46-year-old woman with unexplained prolongation of the prothrombin time and hematomas. A careful evaluation, history taking and multidisciplinary discussion led to a suspected diagnosis of factitious disorder. Read More

J Family Med Prim Care 2021 Feb 27;10(2):1021-1027. Epub 2021 Feb 27.

Department of Education and Support for Regional Medicine, Tohoku University Hospital, Japan.

Introduction: The characteristics of somatic symptoms seen at the first hospital visit in patients with psychogenic backgrounds remain poorly elucidated till date.

Methodology: A total of 277 patients who visited the Department of General Medicine at a single university hospital with somatic symptoms were prospectively enrolled in this study. The eventual definite diagnoses were classified into the following three groups: non-psychogenic disease ( = 128), psychogenic symptoms ( = 131), and mental illness ( = 18). Read More

Environ Res 2021 May 21;200:111326. Epub 2021 May 21.

Institute of Environmental Science and Technology (ICTA), Univesitat Autònoma de Barcelona (UAB), Barcelona, Spain; IMIM (Hospital del Mar Medical Research Institute), Barcelona, Spain; Mariana Arcaya's Research Lab, Department of Urban Studies and Planning, Massachusetts Institute of Technology, Cambridge, MA, USA.

Urban outdoor play spaces are reported to improve children's health. However, there is little empirical evidence on the impact of outdoor play spaces on childhood mental and behavioral health. To fill this gap, we investigated the associations between residential proximity to outdoor play spaces and the prevalence of diagnosed mental and behavioral disorders. Read More

Burns 2020 Jun 21. Epub 2020 Jun 21.

Faculty of Medicine, University of Versailles Saint-Quentin-en-Yvelines, Montigny-le-Bretonneux, France; Research and Development Unit, Parc Sanitari Sant Joan de Déu, CIBERSAM, Dr. Antoni Pujadas, 42, Sant Boi de Llobregat, Barcelona 08830, Spain.

Aims: The goal of this study was to investigate the association between burn injury and the incidence of psychiatric disorders in patients followed for up to five years in general practices in Germany.

Methods: This study included patients receiving an initial diagnosis of burn injury in one of 1178 general practices in Germany between 2015 and 2018 (index date). Individuals without burn injury were matched (1:1) to those with burn injury by sex, age, index year, and general practice. Read More

Prim Care Companion CNS Disord 2021 May 20;23(3). Epub 2021 May 20.

Waltham Forest Older Adults Mental Health Team, North East London NHS Foundation Trust, Red Oak Lodge, London, United Kingdom.

Objective: To review the published literature over the last 10 years for the efficacy of electroconvulsive therapy (ECT) in refractory somatization disorder.

Data Sources: A comprehensive evidence search of the published literature in the last 10 years (2010-2020) was conducted using the search terms ECT, electroconvulsive therapy, efficacy, effectiveness, use of ECT, chronic pain, somatoform disorders, somatoform pain, somatic symptom disorder, and somatization disorder. The review was limited to articles written in the English language. Read More

J Med Internet Res 2021 06 9;23(6):e26285. Epub 2021 Jun 9.

International Gaming Research Unit, Psychology Division, Nottingham Trent University, Nottingham, United Kingdom.

Background: Studies have highlighted that fear and anxiety generated by COVID-19 are important psychological factors that affect all populations. There currently remains a lack of research on specific amplification factors regarding fear and anxiety in the context of the COVID-19 pandemic. Despite established associations between anxiety sensitivity, intolerance of uncertainty, and cyberchondria, empirical data investigating the associations between these three variables, particularly in the context of the COVID-19 pandemic, are currently lacking. Read More

Ned Tijdschr Tandheelkd 2021 May;128(5):263-268

Oral healthcare professionals are frequently consulted by patients who are dissatisfied with their teeth and/or facial looks. Sometimes, this dissatisfaction takes a pathological form. When someone is preoccupied with a (supposed) abnormality barely or not visible to others, performs certain actions in response to the concerns about their appearance and experiences significant suffering, this may be a case of body dysmorphic disorder. Read More

Dis Esophagus 2021 May 18. Epub 2021 May 18.

Laboratory for Interventional and Experimental Endoscopy, University of Würzburg, Würzburg, Germany.

Background: Despite proton pump inhibitors being a powerful therapeutic tool, laparoscopic fundoplication (LF) has proven successful in the treatment of gastroesophageal reflux disease (GERD), through mechanical augmentation of a weak antireflux barrier and the advantages of minimally invasive access. A critical patient selection for LF, based on thorough preoperative assessment, is important for the management of GERD-patients. The purpose of this study is to provide an overview on the management of GERD-patients treated by primary LF in a specialized center and to illustrate the possible outcome after several years. Read More

Front Med (Lausanne) 2021 27;8:585495. Epub 2021 Apr 27.

Department of Internal Medicine, Jean-Monnet University, Saint-Etienne, France.

This paper argues that "functional," "medically unexplained," or "somatoform" symptoms and disorders necessarily require a patient-centered approach from the clinicians. In the first part, I address the multiple causes of the patients' suffering and I analyze the unease of the doctors faced with these disorders. I emphasize the iatrogenic role of medical investigations and the frequent failure in attempting to reassure the patients. Read More

J Psychosom Res 2021 Jul 10;146:110509. Epub 2021 May 10.

Department of Psychosomatic Medicine, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, China. Electronic address:

Objective: Somatoform disorders are frequently accompanied by panic attack and causes many clinical symptoms. This study aimed to compare clinical features between patients with and without panic attack in somatoform disorder.

Methods: In this cross-sectional study, 341 patients with somatoform disorder according to the MINI-International Neuropsychiatric Interview (M. Read More

Georgian Med News 2021 Mar(312):57-61

2Communal Еnterprise «Regional Institution for Providing Psychiatric Care of Poltava Regional Council», Ukraine.

The spread of depressive disorders is extra high nowadays. Depressive disorders are widespread mental disorders in the structure of mental pathology, both causes of psychiatrists' visit, and causes of medical aid. The presence of depressive syndrome in patients with cardiovascular system leads to deterioration patient's condition and adaptive abilities and aggravates somatic abnormality. Read More

J Psychosom Res 2021 Jul 16;146:110491. Epub 2021 Apr 16.

The Research Clinic for Functional Disorders and Psychosomatics, Aarhus University Hospital, Aarhus C, Denmark.

Objective: Self-reported symptom questionnaires are often used for identifying individuals with functional somatic disorders (FSD) in epidemiological research. Studies on their validity in establishing clinically valid cases are, however, lacking. We aimed to compare and dissect the processes of identifying participants with FSD with symptom questionnaires and FSD diagnoses established by diagnostic interviews. Read More

Ann Clin Psychiatry 2021 05;33(2):e8-e12

Clinical Professor of Psychiatry and Behavioral Medicine, University of Alabama, Tuscaloosa, Alabama, USA.

Background: In representative cases of Munchausen by internet (MBI), an individual (or "poser") goes online to falsely report or exaggerate illnesses or life crises. The principal goal, as in factitious disorder imposed on self or another, is to garner emotional satisfaction. We provide the first evidence that MBI can target a specific type of health care provider-in this case, birthing doulas. Read More

Psychiatr Hung 2021 ;36(2):143-161

Debreceni Egyetem, Human Tudomanyok Doktori Iskola, Pszichologiai Program, Debrecen, Hungary, E-mail:

Body dysmorphic disorder is a common psychiatric disease; its respective prevalence is 2% in the general population, 3.3% in tertiary students, 7.4% among adolescent and adult psychiatric in-patients, and above 10% in patients of cosmetic surgery or dermatology. Read More

Psychiatr Hung 2021 ;36(2):113-123

Debreceni Egyetem Nepegeszsegugyi Kar Magatartastudomanyi Intezet Debrecen, Hungary, E-mail:

Introduction: the purpose of our study was to investigate the link between specific traits that determine muscle dysmorphia in bodybuilders and the parental behaviours which play a role in developing these schemata, as well as the eating-disorder-specific traits which differentiate bodybuilders from the normal population.

Aim: conceptualising the similarities of personality traits in case of muscle dysmorphia and eating disorders, as well as their etiology based on the schema theory.

Method: to measure muscle dysmorphia was used the Muscle Appearance Satisfaction Scale. Read More

Front Med (Lausanne) 2021 30;8:598810. Epub 2021 Mar 30.

Department of General Practice and Primary Care, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

General practitioners (GPs) are reluctant to use codes that correspond to somatization syndromes. To quantify GPs' views on coding of medically unexplained physical symptoms (MUPS), somatoform disorders, and associated factors. Survey with German GPs. Read More

Front Psychiatry 2021 29;12:602981. Epub 2021 Mar 29.

Department of Psychosomatic Medicine and Psychotherapy, University Hospital of Erlangen, Friedrich-Alexander University Erlangen-Nürnberg (FAU), Erlangen, Germany.

Rejection sensitivity (RS) is often associated with mental disorders but as yet has not been investigated in patients with somatoform pain disorder (SPD). The aim of the study was to explore the degree of RS in patients with SPD compared to healthy controls. In addition, we examined factors associated with RS and the moderator effect of SPD. Read More

BMJ Case Rep 2021 Apr 12;14(4). Epub 2021 Apr 12.

Otorhinolaryngology, AZ Damiaan Oostende, Oostende, Belgium.