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Psychosomatics
The Journal of Consultation and Liaison Psychiatry

Official Journal of the
Academy of Psychosomatic Medicine

Editor: Theodore A. Stern, M.D.

See full table of contents for current issue *

In This Issue
*Dysthymia Before Myocardial Infarction as a Cardiac Risk Factor at 2.5-Year Follow-Up
The authors investigated the potential role of previous depression on the medical course of coronary heart disease to determine whether major or minor depression, dysthymia, or demoralization affected outcome after first MI or angina episode. Clinical measures of depression were used to assess occurrence or recurrence of psychiatric symptoms just preceding the cardiac event and relating cardiac outcome 2.5 years after the first interview. Only dysthymia attained statistical significance as a variable relating earlier symptomatology and cardiac outcome. READ MORE *
 
*The Distressed (Type D) Personality Is Independently Associated With Tinnitus: A Case-Control Study
Tinnitus affects 10%-20% of the general population at some time. The authors studied 265 chronic tinnitus patients versus other ear-nose-throat patients without tinnitus. Patients were evaluated for distressed personality, neuroticism, extraversion, and emotional stability. Tinnitus patients showed higher levels of neuroticism, negative affectivity, social inhibition, and "distressed" personality traits. Although neuroticism, reduced extraversion, and lower emotional stability contributed to the profile of the tinnitus patient, the addition of the distressed, or Type D, profile significantly improved the prediction model. READ MORE *
 
*Association of Anxiety With Asthma: Subjective and Objective Outcome Measures
The authors examined anxiety levels that both influence and are influenced by asthma episodes. Authors conducted a cross-sectional study of adult, non-psychiatric asthma patients in an outpatient department. A sample of 195 patients with moderate-to-severe asthma underwent pulmonary-function and airway-inflammation exams and were given anxiety rating questionnaires. Anxiety was associated with worse subjective asthma symptom outcomes, but with less airway inflammation. Anxiety seems to influence patients' perception and awareness of their asthma symptoms. READ MORE *

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