How to reduce stress and anxiety in patients undergoing cardiac catheterization?
Explore the source record for details and available documents.
Adaptation, Psychological↗
Biomedical subjects
K Bernardy
Publications and source records attributed to K Bernardy.
[Fibromyalgia -- a somatoform (pain) disorder?].
The hypothesis that fibromyalgia (FM) should be classified as a somatoform disorder was assessed by reviewing current clinical studies. According to the ICD-10, somatic illness beliefs of the patient, high health care utilization, and frustrating patient-doctor relationships are diagnostic criteria of somatoform disorders. For the diagnosis of a somatoform pain disorder, a temporal association between the manifestation of pain and emotional or psychosocial conflicts and the exclusion of a depressive disorder are additionally required. Empirical studies demonstrate a higher lifetime and current prevalence of psychiatric disorders, childhood adversities, life events, and daily hassles and a higher health care utilization of FM patients. Studies also reveal that most patients believe that both somatic and psychosocial factors have caused their disorder. The patient-doctor relationship is characterized to be disappointing for both. Yet in all studies there were patients who did not fulfill the ICD-10 criteria of a somatoform (pain) disorder. A biopsychosocial model of FM differentiating between biological as well as psychosocial predisposing, triggering, and perpetuating factors in the pathogenesis of FM is presented as an alternative model. Hopefully the biopsychosocial model and the distinction of subgroups will enable more differentiated and tailored psychotherapeutic and pharmacological treatment strategies.
Fibromyalgia↗
[Fibromyalgia and facial expression].
QUESTION: Do female inpatients with fibromyalgia (FM) differ from healthy women in their nonverbal affective behavior? METHODS: The data culled from 15 interviews with female FM inpatients and 15 interviews with healthy women were analyzed and the analyses of facial expression were subsequently correlated with gaze behavior. RESULTS: FM patients exhibited neither a reduction of total activity of facial expression nor of absolute frequency of primary affects in comparison to healthy subjects who did (also in eye contact) however exhibit a significantly higher proportion of "genuine joy" and lower proportion of "contempt." CONCLUSION: The absence of reduced total activity of facial expression is in contrast to the elaborate descriptions of symptoms provided by the patients, but detailed analyses show that elements which stabilize relationships are lacking and that dissociative elements are implanted in the interactions.
Emotions↗
[Early pensioning: reasons and sequelae. A retrospective study of prognosis in early pensioning and course of illness subsequent to premature retirement].
The aim of the present study was to identify factors at the beginning of inpatient rehabilitation for musculoskeletal diseases, predicting the employment state as early retiree or employed person 5 years after discharge. Of the cases, 88.7% could be correctly classified by logistic regression through "results of radiological imaging procedures," "duration of sick leave," and "wish for social compensation." Another objective was investigation of the influence of retirement on development of complaints. Early retirees were compared retrospectively to working persons 5 years after discharge with regard to development of main symptoms and well-being, considering the initial reason for social compensation. Early retirees with clinical reason for early retirement showed no marked changes, whereas patients who continued to work improved significantly in the long run. Results are discussed in relation to their socioeconomic implications.
Chronic Disease↗
[Predictors of therapeutic success in inpatient psychosomatic rehabilitation of musculo-skeletal diseases].
The aim of the present study was to identify pre-program factors and treatment-related changes predicting short-term (end of treatment) and long-term (three years after therapy) treatment success in inpatient psychosomatic rehabilitation of musculo-skeletal diseases. Discriminant function analysis of pre-program factors above all revealed a positive influence of a non-existing wish for social compensation, a smaller amount of medical treatment and lower sick leave for short- and long-term therapeutic outcome. Analysis of treatment related changes showed, that an improved mobility, well-being and an ameliovated self-esteem had prognostic value for short-term success. Long-term success was predicted by improved well-being, an improvement of understanding between physician and patient and by decreased depressive symptoms in the course of treatment.
Female↗