Plasma dopamine-beta-hydroxylase (DBH) activity during the menstrual cycle.
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Adolescent↗
Biomedical subjects
F Lamprecht
Publications and source records attributed to F Lamprecht.
Changes in serum dopamine-beta-hydroxylase activity during group psychotherapy.
This psychobiological study investigates married-coupled group psychotherapy from pre- and postsession serum dopamine dopamine-beta-hydroxylase (DBH) determinations, the Free Association Test (FAT), and a Postsession Questionnaire (PSQ). Experimental manipulations permit controls for the assessment of DBH variations. Group, gender, and individual linear regression analyses are interpreted by a stressor-destrssor typology. DBH levels significantly increase during psychotherapy. Increments are comparable with those from physical work. Most variability in DBH is predicted from a small set of psychological variables. Psychological stressors and destressors show psychobiochemical individuality. Implications of psychological stressors for psychosomatic vulnerability are discussed.
Adult↗
Body dissatisfaction and its interrelations with other risk factors for bulimia nervosa in 12 countries.
BACKGROUND: It is widely accepted that risk factors for bulimia nervosa, mainly body dissatisfaction, are dependent on cultural factors. However, to date few studies have compared data from different cultures with an appropriate methodology. Therefore we aimed to gather reliable information on body dissatisfaction and other risk factors for bulimia from different nations and to reveal their functional interrelations. METHODS: A series of 10 silhouettes, designed to be as far as possible free from cultural and other detailed aspects, was shown to 1,751 medical and nursing students in 12 nations. A functional model was applied to each sample and tested by structural equation methodology. RESULTS: The most extreme body dissatisfaction was found in northern Mediterranean countries, followed by northern European countries. Countries currently undergoing a process of westernization show an intermediate amount of body dissatisfaction, and non-western countries demonstrate rather low values. Body dissatisfaction is the most important influence on dieting behaviour in most countries. CONCLUSIONS: Despite ongoing adoption of western values worldwide, we observe remarkable differences in body dissatisfaction between different cultures. That body dissatisfaction seems disturbingly partly detached from the actual BMI, i.e. possible overweight, as well as from feelings of low self-esteem in some western countries, raises new questions about the possible origin of the pressure to be thin.
Adolescent↗
[Results of a 1-year follow-up study of neighborhood ambulatory aftercare after inpatient psychosomatic rehabilitation].
Attention has been repeatedly drawn to the necessity to support patients after psychosomatic rehabilitation with their transfer of skills acquired during their stay at the interface between their inpatient treatment and their reintegration into everyday life. The authors' concept of the outpatient aftercare was already introduced in an earlier paper. This article presents the results of the one-year follow-up. A comparison with a control group revealed a further reduction of patients' depression. In contrast to the control group, the reduction in fear and discomfort already achieved during inpatient rehabilitation remained stable. At the same time the ability to cope with everyday life was expanded. Compared with the control group the participants of the aftercare could reduce the absence from work, days spent in hospital and visits to the doctor more than twice as much. Methodological problems of the design of the study are critically discussed.
Absenteeism↗
[Immobilization stress and its significance for psychosomatic medicine].
Results from a variety of different experiments with immoblization stress, an operationally well defined stressor, are discussed with particular emphasis on gastric ulcers and hypertension. Finally an integrative model of hypertension is presented using dopamine-beta-hydroxylase as a marker of sympathetic nervous system activity and discussing the results in the context of giving up as the final common pathway to changes in health according to the concept developed by Schmale.
Animals↗
[Study of the practicability of qualitative and quantitative documentation of outcome in inpatient psychotherapy].
The results of a study evaluating the practicability of two newly-developed documentation forms are presented (n = 336 inpatient psychosomatic-psychotherapeutic treatment episodes in 8 clinics). Parallel versions of the forms were completed by patients and therapists. The "ErgeDoku-A-Form" allows for the naming of up to five therapy goals determined at the beginning of therapy and evaluated in relation to their achieved quality at the end of therapy. The "ErgeDoku-B-Form" describes a variety of problem areas as well as questions related to medication and changes in data structure are presented. Results reveal high levels of acceptance in daily clinical practice (indicating clear and appropriate semantics) as well as highly significant relationships between patient and therapist evaluations.
Documentation↗
[Evaluation of change by patients and staff and specialist physicians in psychosomatic rehabilitation--a catamnestic comparison].
Considering three single outcome criteria reflecting the change of a) physical state, b) general condition and c) ability to work catamnestic ratings of patients and of external doctors are compared. The ratings were assessed by questionnaires 12 months after the end of inpatient psychosomatic treatments ("direct measurement of change"). Mayor findings are: a) the judgements of both data sources indicated positive change or improvement for a majority of patients, b) the ratings of the external doctors were more favourable than the patients' self-ratings, c) moderate but statistically significant correlations between the ratings of the two groups of judges were to be observed. From a more methodological point of view it will be attempted to analyze the meaning of these correlations somewhat more in detail.
Adult↗
[Patient-medical staff-consultant triad: conditions for satisfaction in psychosomatic consultation service].
In a large 1000 bed University Medical Center the psychosomatic consultation service (PCS) was evaluated by a two step investigation. 1. Housemen (interns) and senior staff members were asked by questionnaires about their previous experiences with psychological medicine and particularly about their satisfaction with the PCS and how they would estimate the need for additional psychosomatic treatment for the patients on their ward. A striking disproportion was found between actual requests (1.8%) for PCS and the estimated need (18%) for additional psychosomatic advice or treatment. 2. Questionnaires dealing with satisfaction were given to the consultant, the patient and the consultee. The satisfaction of the consulte was mainly determined by the promptness in answering his request and formal aspects of the exchange, the patient satisfaction was mainly determined by the way they viewed the help, the sense of importance of the consultation and by the feeling of being understood by the consultant. This seems to influence the future compliance. Surprisingly, a correlation between the patient satisfaction with the consultation and the quantitative and qualitative aspects of exchange between consultant and consultee was less clearly demonstrated. This could be seen as a hint of communication problems between the consultee and his patient, the improvement of which is one of the main concerns of psychosomatic consultation.
Adult↗