Dimensions of psychopathology in the medically ill: A latent trait analysis
The authors examined the latent structure of psychiatric symptoms occurring in patients with medical illness. Symptom data were collected from 312 hospitalized medically ill patients using the Monash Interview for Liaison Psychiatry and subjected to latent trait analysis. A model with 5 dimensions p...
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| Veröffentlicht in: | Psychosomatics (Washington, D.C.) D.C.), 2000-09, Vol.41 (5), p.418-425 |
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| container_title | Psychosomatics (Washington, D.C.) |
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| creator | CLARKE, D. M MACKINNON, A. J SMITH, G. C MCKENZIE, D. P HERRMAN, H. E |
| description | The authors examined the latent structure of psychiatric symptoms occurring in patients with medical illness. Symptom data were collected from 312 hospitalized medically ill patients using the Monash Interview for Liaison Psychiatry and subjected to latent trait analysis. A model with 5 dimensions provided an acceptable fit to the data. Dimensions were characterized as demoralization, anhedonia, autonomic anxiety, somatic symptoms, and grief. The demoralization dimension was similar to the concept of demoralization described by Frank and to the "giving up-given up complex" described by Engel. The concepts of demoralization, grief, and anhedonia may be useful in increasing understanding of the minor depressions in people with medical illness and in increasing the specificity of psychological and pharmacological treatments for these disorders. |
| doi_str_mv | 10.1176/appi.psy.41.5.418 |
| format | Article |
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M ; MACKINNON, A. J ; SMITH, G. C ; MCKENZIE, D. P ; HERRMAN, H. E</creator><creatorcontrib>CLARKE, D. M ; MACKINNON, A. J ; SMITH, G. C ; MCKENZIE, D. P ; HERRMAN, H. E</creatorcontrib><description>The authors examined the latent structure of psychiatric symptoms occurring in patients with medical illness. Symptom data were collected from 312 hospitalized medically ill patients using the Monash Interview for Liaison Psychiatry and subjected to latent trait analysis. A model with 5 dimensions provided an acceptable fit to the data. Dimensions were characterized as demoralization, anhedonia, autonomic anxiety, somatic symptoms, and grief. The demoralization dimension was similar to the concept of demoralization described by Frank and to the "giving up-given up complex" described by Engel. The concepts of demoralization, grief, and anhedonia may be useful in increasing understanding of the minor depressions in people with medical illness and in increasing the specificity of psychological and pharmacological treatments for these disorders.</description><identifier>ISSN: 0033-3182</identifier><identifier>EISSN: 1545-7206</identifier><identifier>DOI: 10.1176/appi.psy.41.5.418</identifier><identifier>PMID: 11015628</identifier><language>eng</language><publisher>Washington, DC: American Psychiatric Press</publisher><subject>Adaptation, Psychological ; Adolescent ; Adult ; Affective Symptoms - diagnosis ; Affective Symptoms - psychology ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Female ; Humans ; Male ; Medical sciences ; Middle Aged ; Motivation ; Nosology. Terminology. Diagnostic criteria ; Personality Inventory ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology ; Psychopathology. 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E</creatorcontrib><title>Dimensions of psychopathology in the medically ill: A latent trait analysis</title><title>Psychosomatics (Washington, D.C.)</title><addtitle>Psychosomatics</addtitle><description>The authors examined the latent structure of psychiatric symptoms occurring in patients with medical illness. Symptom data were collected from 312 hospitalized medically ill patients using the Monash Interview for Liaison Psychiatry and subjected to latent trait analysis. A model with 5 dimensions provided an acceptable fit to the data. Dimensions were characterized as demoralization, anhedonia, autonomic anxiety, somatic symptoms, and grief. The demoralization dimension was similar to the concept of demoralization described by Frank and to the "giving up-given up complex" described by Engel. 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| subjects | Adaptation, Psychological Adolescent Adult Affective Symptoms - diagnosis Affective Symptoms - psychology Aged Aged, 80 and over Biological and medical sciences Female Humans Male Medical sciences Middle Aged Motivation Nosology. Terminology. Diagnostic criteria Personality Inventory Psychology. Psychoanalysis. Psychiatry Psychopathology Psychopathology. Psychiatry Sick Role Somatoform Disorders - diagnosis Somatoform Disorders - psychology Techniques and methods |
| title | Dimensions of psychopathology in the medically ill: A latent trait analysis |
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