[Psychosomatic aspects of lung tumors. Psychosomatic paraneoplastic syndromes (PPNS)].
Explore the source record for details and available documents.
Aged↗
SEARCH · PubMed Health
Results for “Psychosomatic Aspects”
Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.
Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.
Psychosomatic aspects of urinary incontinence.
Psychosomatic aspects of urogynecological disorders may play an important role in their clinical presentation. 72 patients presenting to the urogynecological clinics and a control group of 34 healthy women were included in this study. After informed consent had been obtained, all patients were subjected to (1) a detailed enquiry about personal- and medical history (2) psychological tests (Freiburg's personality inventory, a questionnaire focused on anxiety and anger, and Beck's depression inventory) and (3) routine urodynamic measurement. Patients with stress incontinence had a mean duration of symptoms of 59 months. In 67% there was a combination with clinical urge symptoms. 53% of the patients did not have regular sexual intercourse. Of those who had regular intercourse 23% had incontinence during intercourse and 25% were anorgasmic. 59% of the patients had dysmenorrhea and a negative attitude to their menarche. Urodynamic evaluation showed stress, urge or no incontinence in 39%, 12% and 39%, respectively. Analysis of the psychosomatic tests did not show a specific psychosomatic influence. Negative sexual life correlated with depressive mood, which was not based on the urogynecological problem. There was no causal relationship between personality traits and urogynecological problems. The individual perception of incontinence, however, may depend on or influence personality structure.
Adult↗
[Gestosis and psychosomatic aspects].
Concerning the pathogenesis of toxemia there is little psychosomatically oriented research. 1. Etiology of toxemia. There is an elevated reactability of arterioles and consequently of the blood pressure on vasomotoric stimulation, which makes one think of a stress hypothesis. Excessive psychosocial distress is very hard to be grasped and quantified, even for scientific purposes. Therefore there are no greater sociological studies including extreme groups, for instance unmarried juvenile pregnant women. Their elevated risk of toxemia should be predictable by means of psychosocial factors. These expectations were raised by research dealing with psychology of personality and some endocrinological studies.--2. Therapy of toxemia. Some psychosomatical aspects can be considered in practice. a) Employing the manifold drug therapies, for instance of high blood pressure in late pregnancy, it is necessary to enlighten on possible side effects, to avoid unnecessary fears, favoring hypertension. b) Hospitalization without drug therapy, which for instance aims at tranquilization, should not go along with social isolation.--One-sided dietary rules as well as exaggerated invitations to reduce weight often by failing cause feelings of insufficiency and guilt. This kind of distress causes vegetative reactions and is of disadvantage for all kinds of toxemia. This is pointed out by animal experiments and successes of psychotherapy in cases of light hypertension during late pregnancy.
Blood Pressure↗
[Psychosomatic aspects of extra-articular rheumatism].
The author discusses the psychosomatic aspects of certain extra-articular rheumatic pains. He distinguishes between cervical, dorsal, lumbar, and brachial psychosomatic pain on the basis of an understanding of the phenomena. Neurophysiological and anatomo-pathological correlations are discussed. On the basis of this knowledge of psychosomatic disease therapeutic ideas are put forward that are important both for the generalist and for the rheumatologist.
Adult↗
Psychosomatic aspects of skin diseases from the standpoint of immunology.
The psychosomatic aspects of skin disease were studied both clinically and experimentally, from the standpoint of immunology. We found that emotional stress has a great influence on the immune system, as was manifested in skin disease. Skin test in allergic patients significantly improved with autogenic training and relaxation. For clarification of the effects of autogenic training and relaxation, various parameters were simultaneously assessed during the treatment. The serum levels of histamine and dopamine-beta-hydroxylase fluctuated, as determined by the microvibration test. The levels of IgE and findings on the PK test varied only slightly. Before the onset of urticaria, there were changes in the life-style and considerable stress in daily life as well as exposure to an allergen. Using mice subjected to stress, the functions of T cells and macrophages were evaluated. Stress appeared to have a definite influence on the functions of these cells, as related to the important role of the immune system and skin. Thus, the role of stress in clinical disease must always be given consideration.
Adult↗
Antidiuretic hormone and psychosomatic aspects in Menière's disease.
We studied the relation between psychosomatic profiles of patients with Menière's disease and antidiuretic hormone (ADH). For investigation of the psychosomatic aspects, we used the Cornell Medical Index (CMI), Yatabe-Guilford personality (Y-G) test and the originally produced stress questionnaire. In Y-G test, patients with Menière's disease are classified in normal group. In the CMI test, on the other hand, types III and IV were significantly more often observed in Menière's disease than normal control (chi 2 test, p < 0.05). However, the CMI test results have no correlation to plasma ADH (p-ADH) levels. The survey of our original questionnaire revealed that stress has a close relationship to vertiginous attacks. Further, high p-ADH levels were significantly frequently observed in cases with stress compared with cases without stress (t-test, p < 0.05).
Adult↗
Psychosomatic aspects of cancer: an overview.
An overview of research on the psychosomatic aspects of cancer indicated that earlier psychoanalytic interpretations which focused on intrapsychic elements have given way to considerations of rehabilitation of victims of cancer and assistance with the complex emotional reactions of patients to terminal disease and of patients' families both to the disease and to death.
Adult↗
Psychosomatic aspects of hyperprolactinemia.
A review of some recent studies on the psychosomatic aspects of hyperprolactinemia is presented. Women seem to be more prone to suffer from the behavioral effects of prolactin than males. Women with hyperprolactinemic amenorrhea rated themselves significantly more hostile, more depressed and more anxious than women with amenorrhea only and other control groups. Hyperprolactinemic males did not rate themselves more hostile and depressed than matched controls. Psychological distress and hostility appear to remit upon treatment with bromocriptine. Postpartum patients matched for prolactin levels with hyperprolactinemic women showed significantly less depression and anxiety but about the same levels of hostility. Hostility, depression and loss of libido may coexist in the same hyperprolactinemic patient but they may be also present independently.
Adaptation, Psychological↗
[Psychosomatic aspects of inflammatory bowel diseases].
The article reviews the most important psychosomatic aspects of inflammatory bowel diseases. It discusses aspects of etiology, coping with the disease and problems of psychotherapeutic treatment. At last the authors' special family therapy oriented consultation/liaison cooperation model with the gastroenterologists is described.
Colitis, Ulcerative↗
[Psychosomatic aspects of multiple sclerosis].
Multiple sclerosis is one of the most frequent neurological diseases. Till today too little attention has been laid upon its psychosomatic aspects. In the psychosomatic-somatopsychic-global sense of a therapy a differentiated enlightenment performed step by step, is recommended in the first part of this article. This includes a differentiation of the melting-pot-like unspecific diagnoses into subdiagnoses with different prognoses. This is important for the coping-mechanisms to be performed by the patient, in which necessarily he must be supported by his doctor. The second part shows a psychodynamic factor to the onset of this disease which is caused by several different factors. This psychodynamic factor is characterized by the shift of an intraindividual struggle of power into the soma and it performs a dispute between two parts of the self, Introjects asking for performance on one side, the unfulfilled wish of love and bestowal on the other side. This wish is fulfilled directly by the symptoms of multiple scleroses--at a high price. As a conclusion of this article a giving up of the artificial distinction between psychosomatic and somatic diseases is suggested by taking MS as an example.
Adaptation, Psychological↗
Psychosomatic aspects of patients on hemodialysis. 1. With special reference to aged patients.
Psychosomatic aspects of aged dialysis patients, who had been on long-term dialysis and started on dialysis at over 65 years old, were examined using various psychological tests such as MMPI Alexithymia Scale and Beth Israel Questionnaire. Alexithymic trait was observed most frequently in aged long-term dialysis patients. This trait has a correlation with physical complications, patients having bone or joint disturbance. From these results, two different alexithymic patterns are inferred: (1) Because of poor awareness concerning control of their own body, physical complications develop in patients with a predisposition for alexithymia, and (2) physical complications inevitably occur during long-term dialysis and patients exhibit secondary alexithymia.
Adaptation, Psychological↗
Review of psychosomatic aspects of cardiovascular disease.
This review deals with the clinically most relevant psychosomatic aspects of cardiovascular disease. Smoking cessation, the role of physical activity in the prevention and rehabilitation of cardiac disease, the relationship of cholesterol to behavior, depression and heart disease, the pharmacotherapy of depression in this specific patient population, the psychiatric risk factors for coronary artery disease, and the treatment of hostility, stress and type A behavior are discussed.
Anxiety Disorders↗
[Psychosomatic aspects of expert judgement in gastro-intestinal disease (author's transl)].
Psychosomatic aspects in expert judgement about gastro-intestinal disease are important in regard to 3 particular problems: (1) establishing physical fitness for prison confinement, (2) establishing causal relationships between disease and military service, (3) judging the fitness for work, when annuities are demanded from the state insurance agencies. The point last mentioned is most important nowadays and is discussed therefore in more detail.
Disability Evaluation↗
[Psychosomatic aspects of sterility and assisted reproduction].
The authors survey the literature of psychosomatic aspects of infertility, in-vitro-fertilization and embryo transfer. They emphasize the most important thesises of psychosocial and psychodynamical approaches. The changing of sexual and marital relationship of infertile couples are analysed as well. They call readers' attention to some critical points of doctor-patient and psychotherapeutical relationship.
Adult↗
Psychosomatic aspects of vulvodynia. Comparison with the chronic pelvic pain syndrome.
OBJECTIVE: To examine psychosomatic aspects of vulvodynia (VD) in comparison with the chronic pelvic pain syndrome (CPPS). STUDY DESIGN: Sixty-seven VD patients and 97 CPPS patients were examined with psychological tests (Freiburg Personality Inventory, Giessen Test) and compared with a control group of 34 healthy women. Sociodemographic data and psychoanalytic diagnoses were collected for 36 VD patients and 106 CPPS patients (inpatients). Descriptive statistics, chi 2 test and multivariant analyses were used. RESULTS: CPPS patients had significantly higher somatization than VD patients (P < .004). Both CPPS and VD patients, as inpatients, were significantly more depressive than the control group. In milder forms of VD, the patients (outpatients) exhibited no depression. The incidences of sexual abuse and severe psychological disturbances were significantly higher in the CPPS group (P < .01). CONCLUSION: VD and CPPS are two, distinct psychosomatic gynecologic syndromes and indicate psychosomatically oriented therapy.
Adult↗
Psychosomatic aspects of patients on hemodialysis. 2. Alexithymic trait of hemodialysis patients with diabetic nephropathy.
Psychosomatic aspects of dialysis patients with diabetic nephropathy were examined using various psychological tests such as the MMPI Alexithymia Scale. Alexithymic traits were observed in 83% of dialysis patients with diabetic nephropathy. Moreover, positive correlations between alexithymia and self-control were found suggesting that alexithymic trait, the lack of awareness of one's own body, results in sluggish self-control, and affects prognosis of dialysis patients seriously. Especially, visual disturbance complications such as severe retinopathy are likely to further accelerate this condition. Therefore, it is essential for dialysis patients with alexithymic trait to acquire body awareness.
Adult↗
[The psychosomatic aspects and results of rheumatoid arthritis and fibromyalgia].
The results of an empirical study on psychosomatic aspects of rheumatoid arthritis (RA) and fibromyalgia syndrome (FMS) are presented and discussed in the setting of previous concepts about rheumatoid arthritis. The patients investigated in the two disease groups represent an unselected population with regard to psychological abnormalities (from two internistic rheumatism outpatient clinics); the results can thus be considered to be representative and permit the following conclusions to be drawn: RA is not a psychosomatic disease in the strict sense; however, psychological factors must be adjudged to have a disease-modifying influence. FMS may be classified within the group of psychosomatic diseases, although it should be regarded as the final stage of a wide variety of different processes within the biological, psychological and social sphere.
Activities of Daily Living↗
[Are mothers of children with neurodermatitis psychologically conspicuous? Critique and replication of a study of the "psychosomatic aspects of the parent-child relationship in pediatric atopic eczema"].
A study concerning some "psychosomatic aspects of the parent-child relationship and atopic eczema in childhood" was published in this journal in 1986 [8]. The authors concluded that mothers of children suffering from atopic eczema "were shown to be less 'spontaneous', more 'under control' and less 'emotional' than the normal population." They showed "characteristic features indicating difficulties in emotional relationships with their children." These conclusions were based on the answers of 14 mothers to a popular German personality questionnaire (Freiburger Persönlichkeitsinventar, FPI). We analyzed the investigation cited, judged it to be unsatisfactory and attempted to duplicate the study. Two parallel samples of mothers with healthy and ill children (n = 50 and n = 47) were tested with the same questionnaire. The previous results could not be verified. Therefore, we reject the interpretation that mothers of children suffering from atopic eczema have unique psychological characteristics.
Adult↗