| Body image and self-esteem in somatizing patients. | |
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MedLine Citation:
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PMID: 19531108 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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AIM: The aim of the present study was to determine dissatisfaction with body appearance and bodily functions and to assess self-esteem in somatizing patients. METHODS: Body image and self-esteem were investigated in 128 women; 34 of those had diagnosed somatoform disorders, 50 were breast cancer patients with total mastectomy surgery alone, and 44 were healthy subjects. Body image and self-esteem were assessed using the Body Cathexis Scale and Rosenberg Self-Esteem Scale. RESULTS: The two clinical groups did not differ from one another (z = -1.832, P = 0.067), but differed from healthy controls in terms of body image (somatizing patients vs healthy controls, z = -3.628, P < 0.001; total mastectomy patients vs healthy controls, z = -3.172, P = 0.002). They also did not differ significantly in terms of self-esteem (z = -0.936, P = 0.349) when depressive symptoms were controlled. No statistically significant difference was observed between total mastectomy patients and healthy controls in terms of self-esteem (z = -1.727, P = 0.084). The lower levels of self-esteem in somatizing patients were largely mediated by depressive symptoms. Depressed and non-depressed somatizing patients differed significantly from healthy controls with respect to their self-esteem and body image. CONCLUSIONS: Somatizing patients who were dissatisfied with their bodily functions and appearance had lower levels of self-esteem and high comorbidity of depression. In clinical practice it is suggested that clinicians should take into account psychiatric comorbidity, self-esteem, and body image in somatizing patients when planning treatment approaches. |
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Authors:
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Ozen O Sertoz; Ozge Doganavsargil; Hayriye Elbi |
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Publication Detail:
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Type: Comparative Study; Journal Article Date: 2009-06-15 |
Journal Detail:
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Title: Psychiatry and clinical neurosciences Volume: 63 ISSN: 1440-1819 ISO Abbreviation: Psychiatry Clin. Neurosci. Publication Date: 2009 Aug |
Date Detail:
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Created Date: 2009-08-07 Completed Date: 2009-10-13 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9513551 Medline TA: Psychiatry Clin Neurosci Country: Australia |
Other Details:
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Languages: eng Pagination: 508-15 Citation Subset: IM |
Affiliation:
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Department of Psychiatry, School of Medicine, Division of Consultation Liaison Psychiatry, Ege University, Izmir, Turkey. onensertoz@gmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Body Image* Case-Control Studies Comorbidity Cross-Sectional Studies Depressive Disorder, Major / diagnosis, epidemiology Female Health Status Humans Mastectomy, Simple / psychology Personal Satisfaction Personality Inventory Psychiatric Status Rating Scales Psychometrics Questionnaires Self Concept* Somatoform Disorders / diagnosis*, epidemiology, psychology Turkey / epidemiology |
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