[Psychosomatic significance of emotion, fear and pain with relation to disease and to surgical intervention].
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Fifty patients (36 women and 14 men) aged 16-51 with valvular heart diseases qualified from surgical treatment were studied. For determination of personality traits the Self Knowledge Card by R. B. Cattell, The Minnesota Multiphasic Personality Inventory MMPI-WISKAD by Hathaway and McKinley and The Adjectives Test ACL by Gough and Heilbrun. Using these methods it was shown that patients with acquired valvular heart diseases had a much lower tolerance threshold for frustration and stressful situations and had a tendency for autoaggressive behaviour. Somatic symptoms in these patients cause a constant feeling of danger and anxiety and difficulties in adaptation to everyday life conditions with a tendency for self-effacement. Predominating needs were demonstrated in three sets: a) defense attitudes and strong self-control, b) needs connected with goal achievement and strivings, c) needs connected with normal relations with other people. A statistical comparison of the results obtained in patients with valvular heart diseases and in healthy controls showed very significant differences between them.
Correlations were investigated between psychic characteristics, bronchoscopic and external respiration findings in 44 chronic sufferers with nonspecific pulmonary diseases (29 with bronchial asthma, 15 with obstructive bronchitis). Bronchial permeability was assessed by bronchial constriction at breathing out. This parameter was found to vary significantly among patient groups different by anxiety status which seemed to relate to endobronchitis activity. Development of ++broncho-obstructive syndrome is thought to be due to both somatic and psychic factors.
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