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Biomedical subjects

U Lamparter

Publications and source records attributed to U Lamparter.

14 recordsLinked to original sources
PubMed2002

[The assessment of subjective distress related to hyperacusis with a self-rating questionnaire on hypersensitivity to sound].

BACKGROUND: So far there has been no adequate measure to assess or illustrate, in terms of different levels, subjective distress related to hypersensitivity to sound. METHOD AND PATIENTS: The here presented work describes and discusses the construction of a questionnaire to assess subjective distress related to hypersensitivity to sound (GUF). Between May and September 2000 226 patients that experienced suffering from hypersensitivity to sound as well as from chronic tinnitus, completed a first version of the questionnaire on admittance to the hospital. Of these patients 27.9 % were out-patients and 72.1 % were in-patients. In addition, the in-patients completed the questionnaire again during their last week of treatment. The 27 items of the GUF were interpreted by factor analysis to explore and determine the structure of the questionnaire; the number of items was reduced under the aspects of consistency and reliability. Finally, the revised version of the GUF underwent a first validation. RESULTS: The factor analysis shows three factors explaining 50.65 % variance (factor 1 [KRH], cognitive reactions to hyperacusis; factor 2 [ASV], actional/somatic behaviour; factor 3 [ERG], emotional reaction to external noises). First attempts to validate the questionnaire are promising; it appears that the GUF is also sensitive to therapy effects. CONCLUSIONS: The here presented questionnaire is suitable for identifying distinct levels of subjective distress related to hypersensitivity to sound. Thus, for the first time, there is an adequate measure for assessment available. Furthermore, results of part of the sample show that the GUF is also suitable for therapy evaluation.

Adaptation, Psychological↗
PubMed1998

[Psychosomatic aspects of sudden deafness].

In a psychosomatic point of view in an overwhelming number of cases sudden deafness is a "response" to strain, which consciously or unconsciously is not assessed as tolerable. Special personal or situational circumstances seem to occur frequently, besides of psychomental strain above all high pressure of responsibility in situations of care, high sensibility and inhibition to show overt aggressive behaviour, which is suppressed by guilt feelings. These findings are used to develop a first idealtypic psychopathogenetic model of sudden deafness. Detecting and talking about the individual psychosocial strain of the patient is very important in the management of the disease and the social-medicine assessments, especially in determining duration of disablement and estimating grade of disability (GdB) in the case of persistent decrease of hearing and tinnitus.

Adult↗
PubMed1996

Impairment of visuospatial function in idiopathic spasmodic torticollis.

We studied visuospatial function in 15 patients with idiopathic spasmodic torticollis (ST) and 15 age- and sex-matched controls. All subjects underwent a battery of visuospatial tests, assessing different functional components of spatial ability. The performance of ST patients on tasks of spatial perception did not significantly differ from that of normal subjects, but patients performed significantly worse on spatial tasks requiring mental manipulation of personal space. This distinct pattern of visuospatial impairment may result from basal ganglia dysfunction.

Adult↗
PubMed1996

[An empirical study of the factor structure of needs].

First steps are made to describe the dimensional order of such wishes, needs and motives which might be of clinical importance. A currently developed inventory was administered to a sample of 241 patients suffering from neurotic and/or psychosomatic complaints. Different scoring procedures were tried, starting with 25 scales. Finally 19 scales were used and factor analysis was applied to the data obtained. Varimax rotation of the first two factors explaining 41% of total variance revealed only the most basic aspects of some of these 19 scales, while varimax rotation of the first eight factors explains 77% of total variance. This solution identified four factors defined by more than one scale and four specific factors defined by one scale each. These two factors solutions are presented and compared and some theoretical considerations are added. A modified version of this "clinical motive inventory" with 21 scales is now ready for further investigation.

Defense Mechanisms↗
PubMed1996

[Dichotomy and duplicity--revisited].

The paper discusses the scientific work of two great--although at first sight very different -Psychological investigators: Ernst August dölle and Afolf-Ernst Meyer. First amazing preliminary results from the Hamburg idealtypic Psychoanalytic Experiment (HIPE) of Meyer and his co-workers are presented. The interpretation of these results is undertaken within the scientific framework of Ernst August Dölle.

Adult↗
PubMed1994

Psychosomatic medicine and otorhinolaryngology.

The article gives a clinically oriented survey of psychosomatic aspects in otorhinolaryngology. After a 50-year history of psychosomatic research in this field, the psychosomatic point of view gives a sufficient approach to a lot of diseases in otorhinolaryngology, especially to numerous and frequent diseases of functional origin, but also to problems of coping and psychosocial support. Different indications to psychoanalytic or behavioral psychotherapeutic treatment are discussed.

Humans↗
PubMed1990

[Central nervous system risk factors in heart surgery].

Serious complications involving the central nervous system in the course of cardiac surgical procedures have become rare. Nevertheless, CNS dysfunctions still are observed in a considerable number of patients, exceeding by far the number of those at risk from preoperative neurological hazards. The influence of extracorporeal circulation performance and hypothermia on the physiology of cerebral autoregulation, as well as microembolization events seem to be crucial factors in this context. The resulting regional or global posthypoxic changes in brain metabolism may lead to the manifestation of various neurologic and psychiatric disorders in the postoperative course. These often minor disturbances of CNS function can only be detected regularly and diagnosed correctly in a prospective way by consulting specialists in neurology, psychiatry and psychology, as performed at the Department of Thoracic- and Cardiovascular Surgery of the University Hospital in Hamburg since 1974, and currently in use an international multicenter study. We found postoperative neurological abnormalities in more than 50% of our patients. While irreversible brain damage occurred in only 0.5% of cases, about twothird exhibited transient symptoms that were no longer apparent after 8-10 days postoperatively. Obvious psychopathological symptoms were noted in 10% of cases after surgery, and minor, likewise transient, psychiatric disturbances were seen in up to 50% of patients; 20% suffered from long-lasting psychic problems. The subjective complaints in these cases exceeded the results of objective assessments to a remarkable amount. The discussion focuses on a critical valuation of clinical and supplementary examination techniques and on the potential pathophysiologic mechanisms induced by extracorporal circulation.

Brain Damage, Chronic↗
PubMed1990

[Post-herpetic neuralgia: clinical predictors and psychopathologic findings].

48 patients, who had had acute Herpes zoster were screened for a retrospective investigation concerning the development of post-herpetic neuralgia. Subjects with and without neuralgia were compared with respect to medical, demographic and psychological variables. Nine patients were excluded from the investigation because of reported pain, which was not due to Herpes zoster. From the 39 subjects who remained in the analysis, 59% had postherpetic neuralgia for at least three months, and 28% for more than a year. No medical or demographic risk factor was sufficient for a prediction of the pain group. By applying objective criteria to psychometric test protocols, an index was constructed which differed between the groups. The pain-group showed a higher frequency of psychopathological impairment than those without post-herpetic neuralgia. However, the psychopathology was not consistently related to the length of neuralgia or the intensity of persistent pain.

Adult↗
PubMed1989

[Object related function of pain and depression].

The paper describes possible psycho-dynamic connections between the complex relations of depression and pain with regard to the classical conversion theory of Freud as well as modern narcissistic approaches. According to our clinical experience the inner organisation of pain which most regularly appears during long-term illness is formed in compliance with the pattern of an "inner object choice". The pain thus is functioning as a personalized, imaginary internal object. Such an "internal structuring" has a depression reducing quality. An empiric pilot study on 37 patients with chronical though only partly proved body pain reveals that the psychic organisation of pain as an inner object is joined with significantly lower depression scored according to Beck-Depression-Inventory (BDI). Simultaneously the infirmity period is prolonged considerably. The consequences of these findings for the practical psychotherapeutic work will have to be discussed.

Adult↗
PubMed1988

'Head and heart'--neurological and psychological reactions to open heart surgery.

Neurological and psychological reactions to open-heart surgery are widely underestimated phenomena and occur in a much higher incidence than one might expect. When analyzed retrospectively, up to 3.8% of patients who underwent cardiac surgery at the Hamburg University Hospital exhibited these reactions, whereas 35%-50% presented with symptoms and signs of perioperative CNS dysfunctions in prospective studies at our department. About the same percentages are detected in prospective studies of the patients' perioperative psychopathology, stating that a great number of cardiac patients exceed the normal range of anxious, tense, and depressive moods in this setting. The consequences of these findings for the patients' quality of life and the impact for the perioperative management of patients undergoing open-heart surgery are discussed. The current prospective studies, preliminary results of which are presented here, are part of an international interdisciplinary study, initiated to bring more light into the complicated relations between ECC-assisted cardiac surgery, anaesthesiology, neurology and psychology.

Adaptation, Psychological↗
PubMedDate not supplied

[Sudden deafness and stress. A retrospective analysis].

A questionnaire was sent to 132 patients suffering from sudden deafness selected out of 445 patients treated during 1985-1987 by well defined criteria. This questionnaire asked for conditions of health, noise and individual attributions to sudden deafness on one hand. On the other hand, the second part was related to so-called "life-events" as parameters for psycho-social stress, 44% of the patients worked as civil servants or as employees. 52% of the collective acquired the same hearing level they had before the sudden hearing loss. Nevertheless, 83% still complained about ear related and psychosomatic symptoms. The subjective attribution of sudden hearing loss was more somatic in 25% and more psychic in 31% of the cases. 90% of the group expressed so-called "life-events" immediately before or during sudden hearing loss. These life-events have been felt "sensible" in two third of the patients and attributed mostly to the field of their work. The results seem to demonstrate that in patients suffering from sudden hearing loss there is a risen susceptibility to life-events which is specific for the individual. Since the mechanics of coping have central defects, these life-events become a "stressor". This means, that the sudden hearing loss has to be interpreted as a case of emergency of the individual organism burden with non expressed affects.

Adolescent↗