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Biomedical subjects

C Buddeberg

Publications and source records attributed to C Buddeberg.

At least 73 records · Page 4Linked to original sources
PubMed1994

[Physician-patient relations in gynecology: expectations and experiences of patients].

A survey of the studies (1979-1993) investigating patients' experiences and expectations concerning the pelvic examination will give some information on physician-patient relations in gynaecology. The pelvic examination evokes in many women negative feelings like fear of finding some illness, fear of pain, embarrassment or shame. Quite importantly, women expected physicians to be willing to engage in discussion. Patients prefer female rather than male physicians if asked, yet many women have no preference at all. The quite different results of the surveys lead to the conclusion that there are sociocultural influences on women's experiences and expectations, and that each patient has individual needs and should accordingly be treated as an individual.

Adolescent↗
PubMed1994

[Promoting research in Swiss psychiatry].

There is a lack of junior scientists in the psychiatry of Switzerland since several years. The paper reports about an investigation of 135 residents and fellows of psychiatric university hospitals of the German speaking part of Switzerland. Results indicate that there is no continuous exchange of informations about projected, ongoing and finished research projects between researchers and clinicians. Residents and fellows are interested in being trained in research methodology and in discussions of actual studies carried out by experienced scientists. They appreciate participating in research projects. Finally some recommendations for the improvement of research promotion in the swiss psychiatry are discussed.

Adult↗
PubMed1994

[Sex anamnesis, sex counseling, sex therapy].

About each forth patient consulting a general practitioner because of any health problem suffers from a sexual dysfunction since longer time. The criterion for the necessity of treatment of sexual dysfunctions are caused by psychosocial factors. A good and exact exploration of the sexual symptoms provides informations both for psychological and organic causes of the dysfunction. One part of sexual dysfunctions can be improved by sexual counselling, if possible including the spouse/partner of the patient. If there are more severe conflicts, the indication for sexual, couple or individual psychotherapy has to be clarified. In addition to the medical treatment, there exist several suitable books of sexual information which can be recommended to the patients.

Female↗
PubMed1993

[Effect of inpatient treatment on pulmonary findings and subjective well-being of patients with chronic bronchitis].

In a prospective study, inpatient therapy results (mean duration of hospitalization 27.3 days) has been assessed in 70 patients with COPD (mean age 62.4 years). Therapeutic success was observed in the objective pulmonary parameters (an increase of FEV1 from 50.5% to 57.6%, p < 0.001) and an increase in PaO2 from 7.7 kPa to 8.5 kPa (p < 0.001) as well as an improvement in life quality established by questionnaire. The best pulmonary results were achieved by patients with least pulmonary obstruction and by those with subjective well-being on entry. Women and younger patients experienced the biggest improvement in life quality. Furthermore, there was a correlation between coping with chronic bronchitis and subjective well-being. Importantly, no correlation between changes in the objective pulmonary parameters and changes in well-being was observed; a finding which puts in question the previous rating of inpatient therapy success in COPD.

Adaptation, Psychological↗
PubMed1993

Light therapy in seasonal affective disorder is independent of time of day or circadian phase.

OBJECTIVE: We tested the hypothesis that phase-delayed circadian rhythms underlie seasonal affective disorder (SAD) by measuring phase position of 6-sulfatoxymelatonin excretion and comparing antidepressant response to morning or evening light given as a first treatment. DESIGN: Randomized controlled trial. SETTING: Ambulatory. PATIENTS: Thirty-two women and seven men with SAD. INTERVENTION: Light therapy (2500 lux for 1 hour for 1 week) was administered either at 7 AM or 10 PM, preceded by a baseline week and followed by a withdrawal week. RESULTS: Our SAD patient sample was moderately depressed (Hamilton Depression Scale [HAM-D] score 18); a HAM-D reduction of 50% or more was found in 12 of 18 patients given morning and in 15 of 21 patients given evening light (70% response rate). Response was not dependent on age, gender, stage of the menstrual cycle, time of year, or on the timing or duration of sleep. Urinary 6-sulfatoxymelatonin was measured in 30 patients; 22 had phase-delayed circadian rhythms. However, phase position was correlated neither with depth of depression nor with a preferential response to morning or evening light. COMMENT: Both morning and evening light therapy improved depressive symptoms in patients with SAD independent of their circadian phase or sleep timing. These findings argue against a circadian phase-delay hypothesis of the pathophysiology of SAD, or the necessity of a phase-advance by morning light for clinical efficacy. They additionally suggest more practicable and flexible schedules for light therapy in SAD, since time of day is not crucial.

Age Factors↗
PubMed1993

[Planning and implementation of research projects in psychosomatic medicine].

Based on experiences of the author in planning and realization of scientific studies the different phases and steps of research process are discussed. Especially in the phases of reflecting and planning of a study, a lot of essential preliminary tasks are quite often missed. Failures in these initial phases of a scientific study lead to difficulties in collecting and evaluating of data. Important steps in the different phases of a project are reported in an overview. Finally some typical failures and faults in psychosomatic research made by physicians and social scientists are mentioned.

Humans↗
PubMed1992

Comparison of casual, ambulatory and self-measured blood pressure in a study of nitrendipine vs bisoprolol.

In a double-blind, placebo-controlled study the antihypertensive efficacy and tolerability of a single morning dose of either 10 mg bisoprolol (n = 26) or 20 mg nitrendipine (n = 27) were investigated. Blood pressure was measured by three techniques: (1) Casual blood pressure 24 h after the dose; (2) ambulatory 24-h whole-day monitoring; and (3) self-recorded blood pressure in the morning 24 h after the dose (6-8 a.m.) and in the evening (6-8 p.m.). After 4 weeks of therapy bisoprolol had produced a highly significant reduction in blood pressure as assessed by causal, ambulatory day- and night-time monitoring, and self-measured morning and evening readings. Bisoprolol was significantly more effective than nitrendipine, which did not induce a significant reduction in the ambulatory night-time recordings. Whole-day ambulatory blood pressure profiles showed an antihypertensive effect of bisoprolol throughout the entire 24-h period. 24-h blood pressure curves after nitrendipine demonstrated a markedly shorter duration of action, with no reduction in early morning blood pressure. Adverse effects and tolerability of the two drugs were comparable. The average changes in systolic and diastolic blood pressure after bisoprolol and nitrendipine in 2-h periods of ambulatory monitoring (6-8 a.m. and 6-8 p.m.) and self-measured blood pressure (6-8 a.m. and 6-8 p.m.) showed a good agreement between ambulatory and self-measured blood pressure determinations with no significant difference between the methods. The results show that 24 h antihypertensive efficacy was more pronounced for bisoprolol than for nitrendipine at the doses studied.(ABSTRACT TRUNCATED AT 250 WORDS)

Adrenergic beta-Antagonists↗
PubMed1991

Coping strategies and course of disease of breast cancer patients. Results of a 3-year longitudinal study.

In a prospective 3-year longitudinal study investigating correlations between coping strategies and course of breast cancer a consecutive series of 107 patients were assessed for biological and psychosocial data. Data analysis indicated no significant correlations between coping strategies and course of cancer. On the other hand, biological parameters such as size of tumor and lymph node stage at time of surgery correlated significantly with the course of disease. It was concluded that the assessed indicators of coping are of little importance in regard to the course of the disease and less predictive compared with somatical parameters of breast cancer.

Adaptation, Psychological↗
PubMed1991

[Reliability and validity of the Zurich Questionnaire of Coping with Illness].

The coping behavior of three groups of patients (N = 585) was assessed by a 45-item-questionnaire, a revised version of the Zurich Coping Questionnaire (ZKV) published earlier. The following three coping patterns resulted, established by factor analysis: ZKV-1: Depressive coping (Cronbach-alpha = .86), ZKV-2: Self-encouragement/distraction (.81) and ZKV-3: Problem tackling (.60). Retest-stability for the two scales 1 and 3 was high (r greater than .74, 12-month-interval). Concurrent and prognostic validity was assessed. The results indicate that the ZKV is a useful instrument for coping research, especially for the prognostic rating of the subsequent coping behavior.

Adaptation, Psychological↗
PubMed1991

[How do breast cancer patients experience participation in a psycho-oncologic follow-up study?].

62 breast cancer patients participating in a prospective psychooncological research project were asked about their attitude toward the study after a one year follow-up period. 40 percent of the women had an indifferent opinion about the study. They felt neither burdened nor unburdened by their collaboration on the study. 32 percent had a positive and 28 percent a negative attitude toward the study. Patients with a positive attitude were more often singles and were more often in unfavourable stages of their cancer when entering the study. However they felt the interviews and rating scales rather helpful for coping with their disease. The women with a negative attitude were more often burdened by psychological problems already before the diagnosis of cancer was made and showed more signs of depression, distrust and cognitive withdrawal in their coping strategies. The results indicate that in psychooncological prospective studies the development of patients' attitude toward the study should be considered more carefully.

Adaptation, Psychological↗
PubMed1990

[The significance of psychosocial factors for the course of breast cancer--results of a prospective follow-up study].

The meaning of psychosocial factors for the course of breast cancer--First results of a prospective research project. Studies investigating the meaning of psychosocial factors for the course of cancerous diseases have so far been contradictious. In this paper the basic datas and first results of a prospective research project on this topic covering 107 breast cancer patients are reported. Somatic datas such as stage of lymph-nodes, type of surgery and additional treatments (radiation therapy or chemotherapy), are less important for the coping process 6 months after primary treatment than the cognitive attitudes of the patients toward their disease. About 56 percent of the patients coped quite well with their disease, 44 percent showed difficulties. The group of patients whose somatic and psychosocial prognosis was judged rather unfavorably at the time of the first examination, showed the highest rate of recidivation and progredience in the follow-up of the first 12 months.

Adaptation, Psychological↗
PubMed1989

[The significance of somatic and psychosocial factors for coping with illness by patients with multiple sclerosis].

The coping behavior of 298 multiple sclerosis patients was assessed by means of a questionnaire. Despite more pronounced somatic complaints, women view their psychological situation more positively than men; they are more optimistic, less anxious, less depressed, and less preoccupied with their illness and its consequences. In the event of reduced working capacity due to the disease, men are more frequently disabled than housewives. However, there is evidence that early disability compensation may have a negative effect on the psychological well-being and the coping behavior. Careful thought should therefore be given to the timing when the question of a pension is discussed.

Adaptation, Psychological↗
PubMed1989

[Causal attributions and coping with illness in patients with breast cancer].

The aim of the present study was to investigate whether breast cancer patients who attribute their disease to different causes differ in their ability to cope with the disease. A semistructured interview technique was used to question a total of 107 patients, six months after the operation, about the psychological stress involved in their disease and how they coped with it. In addition, two further questionnaires were used: the Freiburg questionnaire concerning adjustment to the disease (FKV) and another questionnaire to register the causes to which the patients attributed their disease (PUK). The results revealed that environmental pollution was the most frequent and important cause of disease mentioned by the patients. This mainly correlated with depressive adjustment to the disease. The same type of adjustment was also frequently seen in patients who attributed their disease to individual psychic problems. Daily stress mentioned as the cause of disease was additionally closely connected with the desire for social support. In accordance with the poor adjustment in connection with internal causes reported in the literature, it was further shown that attribution to psychic causes made psychic adjustment to the disease more difficult, at least within the first six months after the operation.

Adaptation, Psychological↗