Klinik und Therapie der vegetativen Funktionsstörungen

Birkmayer, W; Winkler, W

doi:10.1007/978-3-7091-7774-7

Cited by 76 publications

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“…Hamilton [5] considers fatigabil ity, a persistent ill-defined headache, a vague discomfort in the musculature and loss of appetite as very typical of depressions. Birkmayer [6] underlines the fact that headache, dizziness and cervical pains are so intense in some cases of depression that the true nature of the patient's illness is masked and missed by the caring physician.…”

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confidence: 99%

Somatic Manifestations of Depressive Patients in Different Psychiatric Settings

Ierodiakonou

Iacovides²

1987

Psychopathology

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The diagnostic and prognostic significance of somatic manifestations in various depressive conditions is discussed with special reference to the somatic complaints in masked depression. The experience presented is based on 788 depressive patients studied in three different psychiatric services of a Greek rural district – an inpatient, an outpatient and a mobile unit service. Headache was found to be on top of the symptom checklist in both outpatient and mobile unit population. Musculoskeletal complaints and dizziness had also a high incidence and to a lesser degree gastrointestinal, cardiovascular and genitourinary symptoms. Though the incidence of all other somatic complaints increased with age and was higher in inpatients, headache was a prominent symptom in younger patients, too, and in outpatients, proving to be also an early diagnostic phenomenon for an underlying depression. The mental health mobile unit saw the greatest percentage of neurotic depressives, who also presented the highest incidence of headache (62.63%). The efficacy of that service for tracing such cases and the need for cooperation with the primary health care for better preventive measures are stressed.

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confidence: 99%

Somatic Manifestations of Depressive Patients in Different Psychiatric Settings

Ierodiakonou

Iacovides²

1987

Psychopathology

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“…So sprachen Ep-pinger und Hess vom "Vagotoniker" und "Sympatikotoniker" und verstanden darunter eine konstitutionelle Veranlagung auf äußere oder innere Belastungen unterschiedlich zu reagieren [13]. Diese Behauptung musste jedoch später revidiert und durch Birkmayer und Winkler ergänzt werden, da man diese beiden Typen in ihrer Reinform klinisch so nicht auffinde [14]. Birkmayer bevorzugte 1957 die Hypothese, dass es bei "emotional traumatischen Erlebnissen der Kindheit" oder "seelischer Alltagsbelastung" zu einer "Überreizung" des gesamten vegetativen Systems komme [15].…”

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