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[Psychologic factor in Menière's disease].

Although a number of authors have evoked a psychosomatic etiology for Ménière's disease, few works have dealt specifically with this subject. Forty-eight patients with authentic Ménière's disease underwent a series of psychometric self-evaluation determinations, in addition to a complete, repeated ENT examination. The first questionnaire, the SCL 90, explored the psychological profile. The second questionnaire, the QD 2 A, explored the depressive tendency. This study clearly showed that patients with Ménière's disease present a psychopathological profile which significantly differs to that of a reference population, particularly in terms of level of anxiety, depressive tendency and phobia. The latter points are of real practical importance, since they imply that improvements in Ménière's disease call for treatment of the phobic component in addition to the anxious-depressive component. Finally, there is an obvious correlation between the extent of hearing loss, in turn related to the frequency of vertigo attacks, and the severity of psychopathological disorders.

Adult↗

[Psychosocial factors in Crohn disease--an overview].

In more than 50 years of psychosomatic research on Crohn's disease, several research hypotheses have been generated, which are critically reviewed here: A disease-specific personality could never be identified, and an important role of psychiatric and psychopathologic personality traits in disease onset was never substantiated. Moreover, most abnormalities found in psychological tests have to be regarded as secondary to chronic illness. Effects of psychologic and social stress on symptoms have not been validated, but it may be that Crohn's patients may have developed less coping abilities with daily hassles. Psychotherapy may improve this, but does not affect the clinical course of the disease.

Adaptation, Psychological↗

[Psychosomatic interrelations in patients with ischemic heart disease and exercise-induced stable stenocardia].

A comparative analysis of the mean profiles of the clinical scale and MMPI in patients with associated coronary heart disease and stable angina pectoris of effort with and without MI revealed an augmentation of the intensity of mental disorders and changes in the personality psychological traits that deteriorate the coping with the social environment because of MI and aggravation of the function of the cardiovascular system.

Adult↗