Anxiety Is a Good Indicator for Somatic Symptom Reduction through Behavioral Medicine Intervention in a Mind/Body Medicine Clinic
Background: This study examined the effect of anxiety on symptom reduction through a behavioral medicine intervention in a Mind/Body Medicine Clinic. Method: Participants were 1,312 outpatients attending a 10-week behavioral medicine intervention which included training in the relaxation response, c...
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Veröffentlicht in: | Psychotherapy and psychosomatics 2001-01, Vol.70 (1), p.50-57 |
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creator | Nakao, Mutsuhiro Fricchione, Gregory Myers, Patricia Zuttermeister, Patricia C. Baim, Margaret Mandle, Carol Lynn Medich, Cynthia Wells-Federman, Carol L. Arcari, Patricia Martin Ennis, Margaret Barsky, Arthur J. Benson, Herbert |
description | Background: This study examined the effect of anxiety on symptom reduction through a behavioral medicine intervention in a Mind/Body Medicine Clinic. Method: Participants were 1,312 outpatients attending a 10-week behavioral medicine intervention which included training in the relaxation response, cognitive restructuring, exercise and nutrition. All of the patients had physical symptoms and were referred to the clinic by their physician. The Medical Symptom Checklist (12 major symptoms), Symptom Checklist 90 Revised (SCL-90R), Stress Perception Scale and the Health-Promoting Lifestyle Profile were administered before and after the program. Results: Of the sample, 1,012 patients completed the program, and 911 completed the posttreatment assessment. Self-reported frequency of medical symptoms, degree of discomfort and interference with daily activities were significantly reduced as a result of the program. Anxiety and other psychological distress as measured by the SCL-90R and stress perception scales also showed significant reductions. Furthermore, health-promoting lifestyle functioning significantly improved. High levels of pretreatment anxiety predicted a decrease in the total number of medical symptoms endorsed. Conclusions: Behavioral medicine interventions are effective in reducing medical symptoms coinciding with improvement in anxiety. High anxiety at program entry may predict better outcome. |
doi_str_mv | 10.1159/000056225 |
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Method: Participants were 1,312 outpatients attending a 10-week behavioral medicine intervention which included training in the relaxation response, cognitive restructuring, exercise and nutrition. All of the patients had physical symptoms and were referred to the clinic by their physician. The Medical Symptom Checklist (12 major symptoms), Symptom Checklist 90 Revised (SCL-90R), Stress Perception Scale and the Health-Promoting Lifestyle Profile were administered before and after the program. Results: Of the sample, 1,012 patients completed the program, and 911 completed the posttreatment assessment. Self-reported frequency of medical symptoms, degree of discomfort and interference with daily activities were significantly reduced as a result of the program. Anxiety and other psychological distress as measured by the SCL-90R and stress perception scales also showed significant reductions. Furthermore, health-promoting lifestyle functioning significantly improved. High levels of pretreatment anxiety predicted a decrease in the total number of medical symptoms endorsed. Conclusions: Behavioral medicine interventions are effective in reducing medical symptoms coinciding with improvement in anxiety. High anxiety at program entry may predict better outcome.</description><identifier>ISSN: 0033-3190</identifier><identifier>EISSN: 1423-0348</identifier><identifier>DOI: 10.1159/000056225</identifier><identifier>PMID: 11150939</identifier><identifier>CODEN: PSPSBF</identifier><language>eng</language><publisher>Basel, Switzerland: S. Karger AG</publisher><subject>Adult ; Aged ; Anxiety - psychology ; Associated treatments ; Behavior Therapy ; Biological and medical sciences ; Female ; Humans ; Life Style ; Male ; Medical sciences ; Middle Aged ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Psychophysiologic Disorders - physiopathology ; Psychophysiologic Disorders - psychology ; Psychophysiologic Disorders - therapy ; Psychophysiology ; Regular Article ; Stress, Psychological - complications ; Surveys and Questionnaires ; Treatments</subject><ispartof>Psychotherapy and psychosomatics, 2001-01, Vol.70 (1), p.50-57</ispartof><rights>2001 S. Karger AG</rights><rights>2001 S. Karger AG, Basel</rights><rights>2001 INIST-CNRS</rights><rights>Copyright 2001 S. Karger AG, Basel</rights><rights>Copyright S. Karger AG Jan/Feb 2001</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c504t-18cf977089417e72123b772bbee9368575b95fec677f0fe4916974d960c8cf8f3</citedby><cites>FETCH-LOGICAL-c504t-18cf977089417e72123b772bbee9368575b95fec677f0fe4916974d960c8cf8f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/48511193$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/48511193$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>314,776,780,799,2423,4010,27900,27901,27902,57992,58225</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=875025$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11150939$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nakao, Mutsuhiro</creatorcontrib><creatorcontrib>Fricchione, Gregory</creatorcontrib><creatorcontrib>Myers, Patricia</creatorcontrib><creatorcontrib>Zuttermeister, Patricia C.</creatorcontrib><creatorcontrib>Baim, Margaret</creatorcontrib><creatorcontrib>Mandle, Carol Lynn</creatorcontrib><creatorcontrib>Medich, Cynthia</creatorcontrib><creatorcontrib>Wells-Federman, Carol L.</creatorcontrib><creatorcontrib>Arcari, Patricia Martin</creatorcontrib><creatorcontrib>Ennis, Margaret</creatorcontrib><creatorcontrib>Barsky, Arthur J.</creatorcontrib><creatorcontrib>Benson, Herbert</creatorcontrib><title>Anxiety Is a Good Indicator for Somatic Symptom Reduction through Behavioral Medicine Intervention in a Mind/Body Medicine Clinic</title><title>Psychotherapy and psychosomatics</title><addtitle>Psychother Psychosom</addtitle><description>Background: This study examined the effect of anxiety on symptom reduction through a behavioral medicine intervention in a Mind/Body Medicine Clinic. Method: Participants were 1,312 outpatients attending a 10-week behavioral medicine intervention which included training in the relaxation response, cognitive restructuring, exercise and nutrition. All of the patients had physical symptoms and were referred to the clinic by their physician. The Medical Symptom Checklist (12 major symptoms), Symptom Checklist 90 Revised (SCL-90R), Stress Perception Scale and the Health-Promoting Lifestyle Profile were administered before and after the program. Results: Of the sample, 1,012 patients completed the program, and 911 completed the posttreatment assessment. Self-reported frequency of medical symptoms, degree of discomfort and interference with daily activities were significantly reduced as a result of the program. Anxiety and other psychological distress as measured by the SCL-90R and stress perception scales also showed significant reductions. Furthermore, health-promoting lifestyle functioning significantly improved. High levels of pretreatment anxiety predicted a decrease in the total number of medical symptoms endorsed. Conclusions: Behavioral medicine interventions are effective in reducing medical symptoms coinciding with improvement in anxiety. High anxiety at program entry may predict better outcome.</description><subject>Adult</subject><subject>Aged</subject><subject>Anxiety - psychology</subject><subject>Associated treatments</subject><subject>Behavior Therapy</subject><subject>Biological and medical sciences</subject><subject>Female</subject><subject>Humans</subject><subject>Life Style</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Psychophysiologic Disorders - physiopathology</subject><subject>Psychophysiologic Disorders - psychology</subject><subject>Psychophysiologic Disorders - therapy</subject><subject>Psychophysiology</subject><subject>Regular Article</subject><subject>Stress, Psychological - complications</subject><subject>Surveys and Questionnaires</subject><subject>Treatments</subject><issn>0033-3190</issn><issn>1423-0348</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqF0s9v0zAUB3ALgVgZHDgjkDUkJA5h_hnHx62CUWkTE4Vz5Dovq0tid3Yy0SP_OV5bOgkhYSny4X3e105eEHpJyQdKpT4lecmSMfkITahgvCBcVI_RhBDOC041OULPUlplpYQiT9ERzW1Ecz1Bv878TwfDBs8SNvgihAbPfOOsGULEbX7moTeDs3i-6ddD6PFXaEY7uODxsIxhvFnic1iaOxei6fAV5FbnIWcMEO_Ab6HzOfrK-eb0PDSbBzTtnHf2OXrSmi7Bi_1-jL5_-vht-rm4_HIxm55dFlYSMRS0sq1WilRaUAWKUcYXSrHFAkDzspJKLrRswZZKtaQFoWmplWh0SWzurFp-jN7tctcx3I6Qhrp3yULXGQ9hTLUisuKsJP-FjGiWb1JmePIXXIUx-vwSNeNSCC2pyOj9DtkYUorQ1uvoehM3NSX1_fTqw_SyfbMPHBc9NA9yP64M3u6BSdZ0bTTeunRwlZJkG_Nqp36YeAPxUP5zyMk_q9fX8y2o1839x3q9Q6uUf4SDEZXMd9Gc_wZON73S</recordid><startdate>20010101</startdate><enddate>20010101</enddate><creator>Nakao, Mutsuhiro</creator><creator>Fricchione, Gregory</creator><creator>Myers, Patricia</creator><creator>Zuttermeister, Patricia C.</creator><creator>Baim, Margaret</creator><creator>Mandle, Carol Lynn</creator><creator>Medich, Cynthia</creator><creator>Wells-Federman, Carol L.</creator><creator>Arcari, Patricia Martin</creator><creator>Ennis, Margaret</creator><creator>Barsky, Arthur J.</creator><creator>Benson, Herbert</creator><general>S. 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Psychoanalysis. Psychiatry</topic><topic>Psychopathology. 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Academic</collection><jtitle>Psychotherapy and psychosomatics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nakao, Mutsuhiro</au><au>Fricchione, Gregory</au><au>Myers, Patricia</au><au>Zuttermeister, Patricia C.</au><au>Baim, Margaret</au><au>Mandle, Carol Lynn</au><au>Medich, Cynthia</au><au>Wells-Federman, Carol L.</au><au>Arcari, Patricia Martin</au><au>Ennis, Margaret</au><au>Barsky, Arthur J.</au><au>Benson, Herbert</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Anxiety Is a Good Indicator for Somatic Symptom Reduction through Behavioral Medicine Intervention in a Mind/Body Medicine Clinic</atitle><jtitle>Psychotherapy and psychosomatics</jtitle><addtitle>Psychother Psychosom</addtitle><date>2001-01-01</date><risdate>2001</risdate><volume>70</volume><issue>1</issue><spage>50</spage><epage>57</epage><pages>50-57</pages><issn>0033-3190</issn><eissn>1423-0348</eissn><coden>PSPSBF</coden><abstract>Background: This study examined the effect of anxiety on symptom reduction through a behavioral medicine intervention in a Mind/Body Medicine Clinic. Method: Participants were 1,312 outpatients attending a 10-week behavioral medicine intervention which included training in the relaxation response, cognitive restructuring, exercise and nutrition. All of the patients had physical symptoms and were referred to the clinic by their physician. The Medical Symptom Checklist (12 major symptoms), Symptom Checklist 90 Revised (SCL-90R), Stress Perception Scale and the Health-Promoting Lifestyle Profile were administered before and after the program. Results: Of the sample, 1,012 patients completed the program, and 911 completed the posttreatment assessment. Self-reported frequency of medical symptoms, degree of discomfort and interference with daily activities were significantly reduced as a result of the program. Anxiety and other psychological distress as measured by the SCL-90R and stress perception scales also showed significant reductions. Furthermore, health-promoting lifestyle functioning significantly improved. High levels of pretreatment anxiety predicted a decrease in the total number of medical symptoms endorsed. Conclusions: Behavioral medicine interventions are effective in reducing medical symptoms coinciding with improvement in anxiety. High anxiety at program entry may predict better outcome.</abstract><cop>Basel, Switzerland</cop><pub>S. Karger AG</pub><pmid>11150939</pmid><doi>10.1159/000056225</doi><tpages>8</tpages></addata></record> |
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subjects | Adult Aged Anxiety - psychology Associated treatments Behavior Therapy Biological and medical sciences Female Humans Life Style Male Medical sciences Middle Aged Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Psychophysiologic Disorders - physiopathology Psychophysiologic Disorders - psychology Psychophysiologic Disorders - therapy Psychophysiology Regular Article Stress, Psychological - complications Surveys and Questionnaires Treatments |
title | Anxiety Is a Good Indicator for Somatic Symptom Reduction through Behavioral Medicine Intervention in a Mind/Body Medicine Clinic |
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