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At least 829 records · Page 46Linked to original sources
PubMed1983

A psychosomatic investigation of Behçet's disease.

The psychiatric investigation of 55 Behçet patients through a psychoanalytically oriented interview and the application of the Rorschach test revealed that psychosocial stress factors were predominant prior to the onset of the disease. The personality structures, according to the Rorschach findings, were generally pathological with a weak ego, regressive tendencies, disturbed body image, high anxiety, difficulties in social adaptation and evaluation of realities as well as incapacity of an adequate expression and handling of affects and emotions. The stressful life events, as well as disturbed personality structures seen in these patients are common to most psychosomatic manifestations. Considering the recent research emphasizing the effects of immune mechanisms in the etiology of this disease, together with the relationship of autonomic system functions with immune reactions as also with psychological stress situations, it is discussed whether psychosocial stress and weak personality structures can be assumed to be one of the possible effective factors in the etiopathogenesis of this disease, at least as precipitating agents.

Adaptation, Psychological↗
PubMed1991

[Physical symptoms of Parkinson's disease and the score on Beck's Depression Inventory].

In patients with Parkinson's disease high prevalence of depression has been estimated. This prevalence may be overestimated since the commonly used assessment of depressive complaints neglects the correspondence with physical symptoms of Parkinson's disease and psychosomatic symptoms in depression. To evaluate the effect of this contamination, we presented a frequently used questionnaire for assessing depressive complaints, Beck's Depression Inventory (BDI), to eight neurologists specialized in Parkinson's disease. We asked them to select those items on which Parkinson patients might receive high scores merely because of the physical symptoms of their disease. Based on their consistent judgments, a BDI-version corrected for somatic items was constructed. Next, the scores of the original and the corrected version were computed for 27 outpatients with Parkinson's disease (from mild to very severe) and 52 psychiatric inpatients who were being treated for depression. Prevalence of depression were 74% (original BDI) and 48% (corrected BDI) for the Parkinson group and 75% and 81% respectively for the psychiatric group. Results indicate that great care should be taken in interpreting scores on depression inventories in patients with Parkinson's disease. In general, the results raise doubts on the validity of somatic complaints as indicators of depression in patients with Parkinson's disease.

Adult↗
PubMedDate not supplied

[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↗
PubMed2001

[Cardiologic-psychosomatic primary prevention of coronary heart disease].

Although there exist many relevant data about the significant influence of psychosocial risk factors for coronary artery disease, there is no reliable concept for an integrated psycho-somato-social primary prevention for CAD. So this article is to be a first attempt on such a psycho-somatic primary prevention, based on the well known psycho-social risk factors. Referring to the pathological and psycho-physiological effects of these risk factors the need of equal assessment of all risk factors will be discussed. There will also be introduced a comprehensive risk evaluation and the possibility of a psychcardiological consultation.

Coronary Disease↗
PubMed2005

[The dynamics of clinical and functional condition of patients with different variants of coronary heart disease course during the period of long-term outpatient follow-up].

With the purpose to study clinical and functional parameters of coronary heart disease (CHD) course, the authors carried out a complex examination of 376 patients (308 men and 68 women). The evolution of their psychophysiological condition was evaluated after 1, 3, 5, and 7 years. 3 variants of disease course were distinguished: 1--clinical remission--was observed in 27 (7.1%) patients; 2--stable CHD course--in 263 (69.9%) patients; 3--complicated CHD course--in 86 (23%) patients. The complicated disease course was characterized by increasing clinical manifestations of angina with myocardial contractility impairment, shorter remission periods, low activity tolerance, and persistent hypercholesterinemia. These patients had persistent hypochondric and depressive manifestations of psychoemotional disadaptation, which confirms the interrelation between the disease and psychosomatic disturbances. Regression analysis proved high informative value of a range of clinical parameters, which allow verification of diagnostical process during long-term follow-up, and improvement of treatment quality.

Adaptation, Psychological↗
PubMed1989

[Self-image of asthmatic children expressed in their drawings].

Chronic asthma has an obligatory influence on the emotional state of children with this disease. The disease has psychosomatic components and stress can be the principal cause of the attacks of dyspnea. 50 asthmatic children, 8-14 years of age, were examined and their drawings were compared with those of 20 control children. The drawings of 60% of the asthmatic children were interpreted as showing that they regarded themselves as ill and that they underestimate their self-image. Half of the group use the disease for secondary gain from their peers, and especially from their parents. The rest feel themselves to be healthy without restriction in their daily lives. The prognosis for asthmatic attacks in this group is good.

Adolescent↗
PubMedDate not supplied

Gender and psychosomatic aspects of ischemic heart disease.

While women and their doctors have traditionally worried about mortality from breast and gynecological malignancies, over the past 5 years they have come to realize that ischemic cardiac disease (IHD) is the number one killer of women in most Western countries. This has led to public and professional education campaigns and a new emphasis on gender and gender-specific research in IHD. Unfortunately, this literature remains poorly developed and much work remains to be done. Even in samples in which there may be sufficient numbers to allow for the evaluation of gender and gender differences, these important analyses have often been overlooked. This article provides a review of what is known about gender and gender differences in psychosocial and behavioral issues in IHD.

Adult↗
PubMed1983

[Considerations on the use of special diets in association with hypnosis therapy of psychosomatic disorders].

The use of special diets appropriate for individual nervous diseases is felt to be a valuable adjunct to psychotherapy in general and hypnosis therapy in particular. Several of the main diets used are described, including the preliminary detoxification or liver-protective diet, the general balanced diet used in nervous diseases and specific diets for depression, anxiety and psychosomatic diseases of the digestive system. It is concluded that an association of diet and hypnosis therapy makes it easier to achieve satisfactory therapeutic results.

Diet↗
PubMed1980

Activation of latent Graves' disease in children. Review of possible psychosomatic mechanisms.

In some children, psychological events have appeared to be important in the triggering of Graves' disease. This report examines the case histories of three children in whom the appearance of symptomatology of Graves' disease was associated with depression following the death of a loved one. An analysis of neuroendocrine and immunologie pathways suggests that depression, set off by bereavement, causes low levels of norepinephrine in the brain. The latter in turn may mediate an increase in ACTH and cortisol, leading to reductions in immune surveillance and resultant production of thyroid-stimulating immunoglobulins, hence the development of Graves' disease.

Adolescent↗