Skip Navigation LinksHome > July 2012 - Volume 200 - Issue 7 > Anniversary Reactions in Medical Patients
Journal of Nervous & Mental Disease:
doi: 10.1097/NMD.0b013e31825bfb2e
Original Articles

Anniversary Reactions in Medical Patients

Porcelli, Piero PhD*; Fava, Giovanni Andrea MD†‡; Rafanelli, Chiara MD, PhD; Bellomo, Antonello MD§; Grandi, Silvana MD; Grassi, Luigi MD; Pasquini, Paolo MD; Picardi, Angelo MD#; Quartesan, Roberto MD**; Rigatelli, Marco MD††; Sonino, Nicoletta MD‡‡‡

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Abstract

Abstract: The aim of this study was to explore the prevalence and characteristics of anniversary reactions (somatic symptoms occurring at the anniversary of specific events) in a large sample of 1498 medical patients from different medical settings who underwent the Structured Clinical Interview for DSM-IV (SCID) and the Structured Interview for Diagnostic Criteria for Psychosomatic Research (DCPR), which provide definition of anniversary reactions. In 54 (3.6%) of the 1498 patients for whom anniversary reaction was identified, 61.1% had a concurrent DSM-IV diagnosis. Other syndromes related to somatization, abnormal illness behavior, irritable mood, demoralization, and alexithymia were present in 9 of 10 cases. Symptoms of the conversion syndrome were found in 6 (0.4%) patients with the SCID and in 67 (4.5%) patients with the DCPR, 20% of whom also had anniversary reaction. The results should alert physicians to enquire about the timing of symptoms in relation to meaningful personal events.

© 2012 Lippincott Williams & Wilkins, Inc.

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