Francis Creed

..This study aimed to assess the relationship between somatisation and outcome in patients with severe irritable bowel syndrome (IBS)...

..This paper reviews current knowledge regarding the prevalence and associated features of somatisation disorder and hypochondriasis in population-based and primary care samples...

..Psychotherapy and antidepressants are effective in patients with severe irritable bowel syndrome (IBS), but the cost-effectiveness of either treatment in routine practice has not been established...

..This impairment persisted at follow-up, as did anxiety and depression, indicating the need for future intervention studies...

..Irritable bowel syndrome often leads to impaired functioning...

..In this paper, we examine whether this improvement was associated with improvement in psychological symptoms and was confined to those patients who had concurrent psychiatric disorder...

..We report on a study investigating whether the timing of the onset of depression, with regard to the MI, affected its impact on subsequent cardiac mortality...

..CONCLUSION: The number of bodily symptoms and degree of health anxiety have different patterns of association with outcome, and these need to be considered in revising the diagnoses of somatization and hypochondriasis...

..Psychological treatments should be targeted at these patients with a view to reducing their frequent doctor visits...

..These results suggest that in some patients with severe IBS psychological rather than biological processes are primarily responsible for reduced tolerance to rectal distension...

..To test the hypothesis that negative perceptions about heart disease at the time of the myocardial infarction (MI) were associated with the onset of new episodes of depression following MI...

..British Pakistani women have a high prevalence of depression. There are no reported psychosocial interventions for depression in ethnic minorities in the UK...

..We assessed the effect of reported sexual abuse on symptom severity and health-related quality of life in patients with severe irritable bowel syndrome (IBS) undergoing psychological treatments...

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..This study sought to investigate the long-term impact of depression on cardiac mortality after myocardial infarction (MI) and to assess whether the timing of depression influences the findings...

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..The multidimensional nature of satisfaction and its relationships with emotional distress and illness perception were also assessed within the two groups...

..This study aimed to determine if genetic variation in two neuroendocrine systems, the serotoninergic system and the hypothalamic-pituitary-adrenal (HPA) axis, was associated with the number of reported somatic symptoms...

..Detection and treatment of psychological disorder in inflammatory bowel disease carries the potential to improve health-related quality of life for these patients...

..The impact of depression on postinfarction outcome may result from the influence of preinfarction depression on the degree of cardiac failure...

..Interventions targeting these psychosocial variables in clinic patients may lead to improved quality of life and healthcare costs...

..Women visit their doctors more than men, but comparatively few studies have explored gender differences in consultation in detail...

..Recognition by clinicians of the importance of social stresses, independent of disease state, should lead to more appropriate and specific psychological and social treatment of depression in rheumatoid arthritis...

..We compared depression, social stress and treatment in people of Pakistani origin and white Europeans living in an UK city...

..We have examined the association between depression and vital exhaustion and investigated the extent to which any association is the result of comorbid illnesses...

..Depressive disorder is more common in low to middle than high-income countries, but the reasons for this have not been explicitly defined...

..To assess whether, among new out-patients at secondary care medical clinics, people of South Asian origin have a higher proportion of medically unexplained symptoms, and receive different care compared to white Europeans...

..The aim of this study was to explore GPs' and practice nurses' understanding and perspectives on the management of chronic pelvic pain...

..This study aimed to establish whether reported childhood and/or recent adversity are independent predictors of health care use when all other relevant factors are also included in the model...

..Few studies have considered the role of childhood experiences in adult health care use...

..Most previous studies have examined suicide risk in relation to a single physical disease...

..in-patient care with patients treated several years later in the home treatment service which developed from the original acute day hospital...

..The barriers to developing a successful alcohol screening and counselling service in medical wards can be overcome provided there is also adequate support and training of the ward nursing staff...

..The aim of the study was to compare the hospital management and direct costs of self-poisoning in six United Kingdom hospitals and to investigate whether hospital management influences outcome...

..The aim of this study was to explore the processes which lead to disengagement and to understand the psychosocial processes that affect this group of women...

..34). Depressive disorder is probably very common in medical outpatients in Pakistan, especially in men with medically unexplained symptoms. Systematic attempts to initiate antidepressant treatment in this setting should be attempted...

..Pain behaviors may influence other physical measures. Further studies are required to investigate the relation between depression and pain behavior while controlling for gender differences...

..In addition, we investigated the extent to which sociodemographic characteristics, level of pain, and method of assessing depression might affect the degree of depression...

..Future research to identify additional variables which explain the major part of the variance in consultation rate may pave the way for novel treatment approaches to the phenomenon of frequent attendance...

..Poverty may moderate the effect of treatment of depression in low-income countries...

..CONCLUSIONS: Depressive disorder appears to be very common in orthopaedic outpatients in Pakistan; both social circumstances and nature of bone pathology are associated with such depression...

..Identifying the optimal clinical profile for patients likely to benefit from intensive case management remains a pressing need for further studies...

..Suggestions that ethnic minority patients are much more likely to have engaged in serious violence and need high-security placement were not borne out...

..We integrated a cognitive behaviour therapy-based intervention into the routine work of community-based primary health workers in rural Pakistan and assessed the effect of this intervention on maternal depression and infant outcomes...

..Since de-institutionalisation, much has been written about the risk posed to the community by those with severe mental illness. However, violent victimisation of people with mental illnesses has received little attention...

..People with little or no education answer both somatic and psychological items with equal ease. Inconclusion, the PHQ does not appear to have any advantage over the SRQ...

..59 SD 1.09) but this difference was not significant on univariate (Student's t-test: P = 0.097) or multivariate analysis. The study demonstrates an association between maternal CMD and infant growth impairment in rural sub-Saharan Africa...

..The other vulnerability factors found in the West (such as lack of a confidant, the presence of three or more young children at home, or loss of mother during childhood) may be of lesser importance in this population...

..To compare the impact of oestrogen, gynaecological history, social support, life events and family history of CHD on psychosocial morbidity in syndrome X, CHD patients and healthy controls...

..Finally, there is a need for greater involvement of psychiatrists in both the evaluation and treatment of patients with FGID as well as the education and training of practitioners caring for these patients...

..To investigate the contribution of processing speed in the prediction of various domains of outcome in psychosis...

..To describe factors influencing chest pain expression in patients with cardiac or noncardiac disease...

..More extensive physician training is needed if these aspects of treatment are to be used effectively and widely in clinical practice...

..Further research is required to compare such models in large prospective epidemiologic studies of other psychiatric populations...

..To highlight key research issues relevant to the diagnostic classification of somatoform disorders and assess whether DSM-V can facilitate research...

..People with schizophrenia are more violent than the general population, but this increased risk is attributable to the actions of a small subgroup. Identifying those at risk has become an essential part of clinical practice...

..Prolonged depression during the postnatal period is associated with impaired infant growth and development. Little is known about the factors predicting the persistence of prenatal depression beyond the first few postnatal months...

..Patient concerns, needs and preferences need to be elicited and the impact of concerns identified, so that the HCP can appropriately tailor their information giving, advice, treatment and plan of care...