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PubMed1991

[Psychosomatic treatment of patients with Crohn disease].

Only few clinical reports must suffice at present to assume that in patients with Crohn's disease like in those with ulcerative colitis psychotherapy--regardless how intensive it might be--has not been proven to cure the underlying biologic disturbance. Therefore the hope of complete cure by psychotherapy is not warranted. While improvement and even freedom of all symptoms may take place, psychotherapy cannot prevent stress-related relapse.

Behavior Therapy↗
PubMed1995

[Alexithymic verbal behavior in patients with Crohn disease].

This study investigates the language of Morbus Crohn patients using a quantitative, objective linguistic method which was developed by M. v. Rad (1983). Significant results were: The language of Morbus Crohn patients is more generalized and includes not only fewer emotional terms but also fewer differential emotional terms than the language of neurotic patients. This result supports the hypotheses that the language of Morbus Crohn patients is alexithyme and that the Morbus Crohn disease belongs to psychosomatic disorders.

Adult↗
PubMed2002

[Psychophysiology of visceral pain syndromes].

Psychosomatics of visceral pain syndromes. From a psychosomatic point of view visceral pain syndromes can be classified into nociceptive (somatic and visceral) pain syndromes without and with maladaptive pain coping resp.psychic comorbidity, functional pain syndromes (typical symptom clusters without biochemical or structural abnormalities in clinical routine diagnostics) and psychic disorders with pain as main symptom. With regard to the etiology and the course of chronic inflammatory bowel diseases (IBD) as representatives of somatic pain syndromes and of irritable bowel syndrome/chronic pelvic pain as representatives of functional pain syndromes empirically validated psychosocial aspects are summarized: Personality traits, illness behavior, daily hassles, life events and psychic comorbidity and effects of psychotherapy. Psychosocial factors are decisive in the etiology and the course of functional pain syndromes as determinants of their severity (psychosomatic disease in a narrow sense). Psychosocial factors are not decisive for the etiology, but for the course of IBD (psychosomatic disease in a broader sense). Within general pain therapy of visceral pain syndromes a biopsychosocial approach should be applied right from the beginning (psychosomatic basic care). Within special pain therapy of visceral pain syndromes a qualified psychiatric - psychotherapeutic diagnostics and co-therapy should be mandatory.

Female↗