title: Anxiety is a good indicator for somatic symptom reduction through behavioral medicine intervention in a mind/body medicine clinic.
abstract: BACKGROUND
  This study examined the effect of anxiety on symptom reduction through a behavioral medicine intervention in a Mind/Body Medicine Clinic.
  
  
  METHODS
  Participants were 1,312 outpatients attending a 10-week behavioral medicine intervention which included training in the relaxation response, cognitive restructuring, exercise and nutrition. All of the patients had physical symptoms and were referred to the clinic by their physician. The Medical Symptom Checklist (12 major symptoms), Symptom Checklist 90 Revised (SCL-90R), Stress Perception Scale and the Health-Promoting Lifestyle Profile were administered before and after the program.
  
  
  RESULTS
  Of the sample, 1,012 patients completed the program, and 911 completed the posttreatment assessment. Self-reported frequency of medical symptoms, degree of discomfort and interference with daily activities were significantly reduced as a result of the program. Anxiety and other psychological distress as measured by the SCL-90R and stress perception scales also showed significant reductions. Furthermore, health-promoting lifestyle functioning significantly improved. High levels of pretreatment anxiety predicted a decrease in the total number of medical symptoms endorsed.
  
  
  CONCLUSIONS
  Behavioral medicine interventions are effective in reducing medical symptoms coinciding with improvement in anxiety. High anxiety at program entry may predict better outcome.
authors.affiliation: Mind/Body Medical Institute, Division of Behavioral Medicine, Department of Medicine, Beth Israel Deaconess, Medical Center, Harvard Medical School, Boston, MA 02215, USA. mnakao@bidmc.harvard.edu
authors.forename: M
authors.initials: M
authors.lastname: Nakao
authors.forename: G
authors.initials: G
authors.lastname: Fricchione
authors.forename: P
authors.initials: P
authors.lastname: Myers
authors.forename: P C
authors.initials: PC
authors.lastname: Zuttermeister
authors.forename: M
authors.initials: M
authors.lastname: Baim
authors.forename: C L
authors.initials: CL
authors.lastname: Mandle
authors.forename: C
authors.initials: C
authors.lastname: Medich
authors.forename: C L
authors.initials: CL
authors.lastname: Wells-Federman
authors.forename: P
authors.initials: P
authors.lastname: Martin Arcari
authors.forename: M
authors.initials: M
authors.lastname: Ennis
authors.forename: A J
authors.initials: AJ
authors.lastname: Barsky
authors.forename: H
authors.initials: H
authors.lastname: Benson
mesh_terms: D000328:Adult; D000368:Aged; D001007:Anxiety / Q000523:psychology*; D001521:Behavior Therapy; D005260:Female; D006801:Humans; D008019:Life Style; D008297:Male; D008875:Middle Aged; D011602:Psychophysiologic Disorders / Q000503:physiopathology / Q000523:psychology / Q000628:therapy*; D011603:Psychophysiology; D013315:Stress, Psychological / Q000150:complications; D011795:Surveys and Questionnaires