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Biomedical subjects

U Rüger

Publications and source records attributed to U Rüger.

At least 37 records · Page 2Linked to original sources
PubMed1990

[Multi-axial diagnosis in psychosomatic medicine and psychotherapy--a report of experiences].

A certain number of attempts to establish a multi-axial classification system in psychiatry go back to before the introduction of the DSM-III. Such diagnostic and classificatory attempts are almost totally lacking, however, in the fields of psychotherapy and psychosomatic medicine. This discussion presents and evaluates a multi-axial diagnostic and documentary system that has been under development and testing in the Department of Psychotherapy and Psychosomatic Medicine at the University of Göttingen since 1986 as well as first empirical results from the year 1987. Results show that multi-axial diagnostics represent a useful and promising approach, particularly for psychosomatic medicine and psychotherapy.

Adult↗
PubMed1988

[Coping with illness in rheumatoid arthritis].

Rheumatoid arthritis, a lifelong chronic disease, creates serious psychosocial as well as medical problems. We investigated coping with rheumatoid arthritis in 50 patient. The examination of coping-strategies used by R. A.-patients seems to show no fundamental difference to the coping behavior of patients with other chronic diseases. Biomedical conditions of the disease (Rheumafactor sero-positiv, sero-negativ) are related to different coping-strategies. Patient without psychiatric problems have a better medical health condition and, compared to depressive R. A.-patient prefer more active and optimistic coping. However, the context between psychological well-being and health (before the onset of R. A.), coping, adjustment to illness, and course of the illness is unclear.

Adaptation, Psychological↗
PubMed1985

[Influence of personality factors on the success of psychopharmacotherapy].

The influence exercised by personality factors on the course and success of drug therapy aimed at the treatment of mental diseases, as well as the therapeutic consequences resulting therefrom, are discussed in the case of patients with schizophrenic psychoses and endogenous depressions. Over and above this, special attention is paid to the importance of changes in the patient's life balance in the course of long-term treatment, and to the influence of such changes on the treatment course.

Adult↗
PubMed1982

[Institutional-ambulatory group psychotherapy--results with regard to changes in the area of symptoms and personality structure].

In the case of the combined inpatient-outpatient group psychotherapy, patients first undergo an intensive three-month clinical group psychotherapy, this is then followed by a further outpatient treatment lasting approximately two years, as a member of the same group and with the same therapist. The following article describes the results of such a treatment. First of all, the method of carrying out the treatment is described, then the patients are described and the results of a follow-up study are given. These results are based on psychometric investigations and a psychoanalytical final interview. The therapeutic possibilities of a treatment based on this concept are illustrated with reference to a case study. As a result of the investigation, it was found that the inpatient-outpatient group psychotherapy method can be considered as optimal in the case of a certain group of deeply disturbed neurotic patients, and patients with a borderline structure.

Adult↗
PubMed1981

[The combination of analytic psychotherapy with directive and social measures--a contradiction? The dialectics of inner and external reality (author's transl)].

With reference to a case study, the author describes the possibility of combined analytic psychotherapy and directive and social measures. At the same time, it is shown that in the case of serious neuroses with various secondary social-impediments, the lasting success of a treatment can only be guaranteed if there is an approximately simultaneous change in the inner psychic state and the external social reality. This is achieved by a treatment setting which combines elements of a psychoanalytic psychotherapy with supportive and directive treatment techniques. The course of the treatment if discussed from both psychoanalytic and sociopsychiatric viewpoints; particular attention is paid to the interdependent conditions of inner and external reality.

Adult↗
PubMed1976

[Study on the role of personality factors for successful lithium long-term therapy (author's transl)].

20 female manic-depressive out-patients who had been treated with lithium over a long period (average time = 4.3 years), were submitted to a psychoanalytic interview and a personality test (FPI). The interview focussed to changes in personality with special regard to the rise of novel impulses and conflicts. The severity of neurotic conflicts as well as the frequency of specific events preceding a relapse were investigated. The results suggest that a subgroup of out-patients should be given psychotherapy in addition to long-term lithium-treatment. This hypothesis will be tested in a further investigation.

Bipolar Disorder↗
PubMedDate not supplied

Effects of anxiety and depression on 5-year mortality in 5,057 patients referred for exercise testing.

OBJECTIVE: Beyond acute myocardial infarction, little is known about the effect of depression, and especially anxiety, on prognosis in cardiology patients. The present study aims to examine the effect of anxiety and depression on 5-year mortality in patients referred for exercise testing. METHODS: A total of 5,057 patients referred for routine exercise testing completed the Hospital Anxiety and Depression Scale (HADS) before undergoing the exercise test. Survival data were obtained from 5,017 (99.2%) of those patients after 5.7 +/- 0.8 years. HADS scores and cardiological baseline data were used to predict mortality. RESULTS: In univariate analyses, HADS depression was not a significant predictor; high anxiety was associated with improved survival. Logistic regression revealed nine independent objective predictors from which we computed a composite somatic risk index. When controlling for this physical risk index, anxiety and depression had independent, opposite effects; that is, anxiety was associated with a lower mortality and depression with a higher mortality. CONCLUSION: Anxiety and depression scores have different predictive effects on mortality in patients referred for exercise testing. These effects are independent of a highly effective physical risk index, suggesting that psychological screening of cardiology patients might improve risk stratification.

Aged↗
PubMedDate not supplied

Diagnostic groups and depressed mood as predictors of 22-month mortality in medical inpatients.

OBJECTIVE: While depression has been found to predict mortality in acute myocardial infarction, results from many other groups of medical patients are inconclusive. It is, therefore, unclear whether depression also predicts mortality in the typical mixed patient populations treated on medical hospital wards and whether an increased risk can be identified by means of patients' self ratings of depression. METHOD: The Hospital Anxiety and Depression scale was used as a routine screening tool in consecutive admissions to the general medical wards of a university hospital. The official survival data were obtained 22 months later. For all 454 patients who completed the screening questionnaire, complete survival data were available. RESULTS: High depression scores significantly predicted mortality in univariate comparisons (odds ratio 3.2; 95% CI 1.9-5.5) and in multivariate Cox regression analyses controlling for demographic and medical baseline variables (multivariate odds ratio 1.9; 95% CI 1.2-3.1; p < .01). Other significant predictors in the multivariate model were having a principal diagnosis of hematological disease or cancer, and older age. Disability, as assessed by nurses' ratings, and gender were not related to mortality. Subgroup analyses showed that the effect of depression scores was greatest in cardiopulmonary patients, but there was also a uniform trend toward higher mortality in depressed patients with other diagnoses. CONCLUSION: Depressed mood is an independent risk factor for all-cause mortality in medical inpatients. Identifying patients at risk does not require formal psychiatric diagnoses, but can be achieved by means of a short, routinely administered self-rating questionnaire.

Adult↗