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Biomedical subjects

H Csef

Publications and source records attributed to H Csef.

At least 19 recordsLinked to original sources
PubMed2001

[Depression in cancer patients. Early recognition--adequate treatment].

During or following chemotherapy, cancer patients frequently suffer from depression, asthenia and lassitude, which may have an unfavorable effect on the course of the disease. Psychotherapeutic interventions and psychopharmaceuticals can significantly ameliorate these symptoms and thus improve the patient's quality of life. Over the long term, the general practitioner has a key diagnostic and therapeutic function. While monitoring the further course of the patient, he can recognize the signs of depression and call in specialist help.

Ambulatory Care↗
PubMed1999

[Psychotherapy: the earlier, the better. Postponing therapy harms the patient and health insurance].

Psychotherapeutic measures produce good results providing they are initiated in good time, and the treatment is appropriate to the problem and given by a competent therapist. There are, however, numerous difficulties that can result in the psychogenic disorders becoming chronic. The poor public acceptance of psychotherapy is based on fear and the negative perception of this form of treatment. It would appear to be of great importance to improve the image of psychotherapy to avoid chronicity.

Cost Savings↗
PubMed1998

[Attitude towards physician-assisted suicide among German doctors. A representative survey of the medical district association of Würzburg].

BACKGROUND AND OBJECTIVE: The widespread legalization of "physician assisted suicide" (PAS) in The Netherlands and comparable tendencies in other European countries have given rise to discussions of this topic in Germany. This questionnaire was undertaken because of the dearth of previous informative studies in Germany. SUBJECTS AND METHODS: Among all registered practicing doctors in the medical district of Würzburg (n = 1821) a randomly selected group of 150 (males and females) was asked to participate in a personal interview-enquiry about active and passive euthanasia. 93 (62%, 32% women, 61% men) agreed: 44.1% were doctors working in a hospital, 45.2% worked in their own practice, the others worked elsewhere or (3) were retired. All specialties and medical activities were represented. About 40% were general practitioners or worked in internal medicine. RESULTS: 81.7% of the group were against active PAS. All rejected it for non-moribund patients. CONCLUSIONS: The results of this study differ from similar enquiries in other countries in demonstrating a relatively strong rejection of active assistance in patient-suicide. Those German specialists who would most likely be confronted with this problem (e.g. neurologists, intensivists, anaesthetists, oncologists) tended towards a greater readiness to agree to physician-assisted suicide. A dialogue between doctors in different specialties is an urgent requirement and should be intensively pursued.

Attitude of Health Personnel↗
PubMed1998

[The non-specific environmental syndromes MCS (Multiple Chemical Sensitivity), IEI (Idiopathic Environmental Intolerance) and SBS (Sick Building Syndrome)].

This review starts with a clinical description of the most common unspecific environmental diseases, such as Multiple Chemical Sensitivities (MCS), Idiopathic Environmental Intolerances (IEI) and Sick Building Syndrome (SBS). These syndromes are very controversial discussed between scientific medicine and "clinical ecology". In addition, they have fundamental similarities to Chronic Fatigue Syndrome (CFS) and Fibromyalgia. Finally the spectrum of therapeutic approaches is discussed.

Desensitization, Immunologic↗
PubMed1996

[Recent psychosomatic contributions to the pathogenesis and therapy of irritable colon (irritable bowel syndrome)].

Epidemiological studies indicate that irritable bowel syndrome represents the most frequent somatoforme disorder. Current pathogenetic concepts as well as newer results in pathophysiology, neurobiology and psychoendocrinology are described. As an example of the "brain-gut-link", the role of cholecystokinin (CCK) is discussed. The positive results of psychotherapeutic intervention studies are described in more detail. An intensified cooperation between the gastroenterologist and the psychotherapist is recommended.

Cholecystokinin↗
PubMed1996

[Neurobiological and psychodynamic correlations in obsessive-compulsive disorders and bulimia nervosa].

Neurobiology seems to be a great challenge for recent psychosomatic medicine. The rise of neurobiology through fascinating findings characterizes our "decade of the brain". Psychosomatic medicine tries to integrate biological, psychological and social factors of disease and health. Therefore brain research is essential for psychosomatic medicine. This paper gives a review of two psychiatric disorders which show close neurobiologic connections: bulimia nervosa (BN) and obsessive-compulsive disorder (OCD). Both disease are characterized by an increase in prevalence and have been interpreted as modern epidemic diseases. Neurobiological and psychodynamic connections will be discussed.

Brain↗
PubMed1995

[From "functional syndrome to "somatoform disorder". The new ICD-10 classification].

Somatization disorders are particularly common in internal and general medicine. They affect in particular the gastrointestinal tract (irritable colon, non-ulcerous dyspepsia), the cardiovascular system (cardiac phobia), the respiratory system (hyperventilation syndrome) and include chronic pain syndromes. The earlier term "functional syndrome" has been discarded in favor of the category "somatization disorders". The new ICD10 classification created the basis for this internationally accepted revision. The classification into subtypes and the diagnostic criteria for somatization disorders in accordance with ICD10 are presented, as also are relevant differential diagnoses and co-morbidity.

Humans↗
PubMed1995

[Irritable colon and non-ulcer dyspepsia. Functional (somatoform) disorders of the gastrointestinal tract].

Among the functional (somatization) disorders seen in internal and general medicine, irritable colon and non-ulcerous dyspepsia are the most prevalent, forming the largest group of patients with gastroenterological problems. Psychosomatic aspects and the efficacy of psychotherapeutic measures are discussed, and common concurrent forms of morbidity presented. Functional disturbances of the gastrointestinal tract frequently prove to be the "chronicized" leading symptoms of a so-called somatization disorder (ICD-10 classification).

Cohort Studies↗
PubMed1995

[Perspectives and time as relevant phenomena in the psychopathology of obsessive-compulsive neuroses].

Perspectivity and time are central terms of the process of cognition in the phänomenological philosophy and anthropology. In this context, "perspective"' means the terms of freedom, act, orientation and sense. The "world of obessional neurotic" however is characterized by the lack of intersubjective relations, by loss of orientation and senselessness. The time, which the obessional neurotic experienced not as continual protention, but by compulsive rituals and compulsions of control, did deprive him of each liberal relation to future. From this context implications for a psychotherapeutic relation can be derived.

Communication↗
PubMed1994

[Psychoanalytic treatment of anxiety disorders. Therapy concepts and results of evaluation research].

Since the beginning of the eighties, a change of paradigm concerning anxiety disorders has taken place. It has its roots in new international classifications such as DSM-III-R or ICD-10 and in the biological concept of Panic disorder. Psychoanalytic treatment of anxiety disorders has the longest tradition among all other psychotherapeutic methods. In the main part of this paper the following aspects are discussed: the psychoanalytic theory about etiology of anxiety disorders, the main characteristics of psychoanalytic intervention techniques, findings of evaluation studies, and new psychoanalytic aspects of Panic disorder. In the concluding part the great chance of personal growth through psychotherapeutic coping with anxiety is emphasized.

Anxiety Disorders↗
PubMed1993

[Dying in the hospital. Medical and psychological aspects].

For a variety of reasons, the process of dying is taking place ever more frequently in the institution hospital. Apart from the fact that the problem of death continues to be a taboo subject, this is leading to medico-somatic and psychological problems for both the dying person and the so-called "helper". To enable the latter to deal with this existential challenge, he or she must undergo adequate preparation.

Adaptation, Psychological↗