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Biomedical subjects

S Shipko

Publications and source records attributed to S Shipko.

9 recordsLinked to original sources
PubMed2001

Panic disorder in otolaryngologic practice: a brief review.

Panic disorder is typically characterized by a sudden, inexplicable feeling of terror and a fear that one is losing control, "going crazy," or on the verge of death. Because these anxiety attacks can appear spontaneously and unpredictably, they often create a companion state in which the patient continually worries about when the next attack will occur. Left untreated, panic disorder can be seriously debilitating and can progress to the development of phobias and impose severe limitations on quality of life. Otolaryngologists are likely to see patients with panic disorder, particularly those who have complaints of dizziness, tinnitus, or extraesophageal manifestations of gastroesophageal reflux. This article briefly reviews the diagnosis and treatment of panic disorder.

Diagnosis, Differential↗
PubMed1994

The dichotomy of alexithymia and panic disorder.

This manuscript presents a novel model of psychophysiologic markers for the stress response. The hypothesis describes what we believe is a human analogue of the physiologic changes described in animal models of inescapable shock. This is bolstered by laboratory and clinical data derived from patients with stress-related functional gastrointestinal disorders. The idea explains the clinical findings of simultaneous analgesia and somatization in alexithymics. The implications for understanding the physiologic relationship between panic disorder and functional bowel disorders in the context of the stress response is discussed along with novel treatment strategies for these disabling conditions.

Affective Symptoms↗
PubMed1984

Psychometric properties of self-report scales of alexithymia.

The purpose of this paper is to provide further insight into the quantification and measurement of alexithymia. A series of statistical surveys has been made concerning self-report scales of alexithymia. The data (1) provide information concerning the psychometric properties of the Schalling-Sifneos Personality Scale (SSPS); (2) present a Minnesota Multiphasic Personality Inventory (MMPI) subscale for alexithymia based on the SSPS, and (3) provide insight into the relationship between the SSPS and the Beth Israel Questionnaire (BIQ) through a comparison of the MMPI scales derived from the BIQ and the SSPS. Based on these data, suggestions for the quantification of alexithymia are made, as are suggestions for further research on the measurement of alexithymia.

Adolescent↗
PubMed1982

Further reflections on psychosomatic theory. Alexithymia and interhemispheric specialization.

Clinical and laboratory observations of alexithymia suggest that a neurophysiologic hypothesis may be more useful than the traditional psychodynamic explanations for understanding psychosomatic processes. Current data support the concept of a functional disconnection between the two cerebral hemispheres. A mechanism for this disconnection, based on Kaplan and Wogan's experimental analogue of alexithymia, is presented. This mechanism implicates an inability to process painful stimuli through right hemispheric processes as a causitive factor in psychosomatic illness. Discussion of how this mechanism explains clinical observations of psychosomatic illness, and suggestions for further studies to elucidate and test this hypothetical mechanism are presented.

Cerebral Cortex↗
PubMed1982

Alexithymia and somatization.

Although alexithymia was originally described in patients with classical psychosomatic illnesses, attempts to specifically correlate these illnesses with alexithymia have not been successful. Despite the prominent role of somatization in the clinical description of alexithymia, a specific correlation between alexithymia and somatization has not been established. Data are presented which suggest that alexithymia is significantly more prevalent in somatizers than in healthy subjects, or subjects with classical psychosomatic illness in the absence of somatization. Other findings suggest that alexithymia may be a widespread phenomenon not necessarily associated with somatization or other illness. In the absence of debilitating somatization alexithymia may be useful in facilitating task-oriented behavior over prolonged periods of time without distraction.

Awareness↗