Psychosomatic Disorders in General Practice

Luban-Plozza, Boris; Pöldinger, W; Kröger, Friedebert; Blythe, G.

doi:10.1007/978-3-642-76940-5

Cited by 9 publications

(9 citation statements)

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“…Studies on the psychological aspects of IBD conducted in the 1950s and 1960s indicate that 60% of new cases or relapses of UC were preceded by “depressive life situations” and/or “the onset and later exacerbation of this disease had followed a catastrophic experience” [ 9 ]. It was believed that “these patients came from the family of symbiotic structure mainly”, and that they were characterised by low self-esteem and a tendency to profoundly experience any failure.…”

Section: Introductionmentioning

confidence: 99%

Assessment of selected psychological factors in patients with inflammatory bowel disease

Moryś

Kaczówka

Jeżewska

2016

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IntroductionIn the majority of patients with inflammatory bowel diseases (IBD) mental health problems are demonstrated in the form of excessive anxiety and unstable emotional reactions. Emotional instability affects the wellbeing of these patients, and also their attitude towards the disease and the course of treatment.AimThe objective of the study is to evaluate psychological factors in patients with IBD, and to compare patients with ulcerative colitis (UC) and patients suffering from Crohn's disease (CD) with respect to intensity of these factors.Material and methodsThe study included 108 patients with IBD. NEO-FFI and type-D Scale were used to evaluate personality traits. Anxiety level was measured with STAI. CECS was used to measure the patients’ tendency to suppress negative emotions.ResultsIn the patients with CD 45% of subjects presented type D personality. In the group of patients with UC, type D personality was found in 38%. The higher levels of neuroticism and extraversion were observed in patients with UC, whereas the patients with CD exhibited a higher level of openness to experience and agreeableness. In patients with CD the levels of state anxiety were elevated, whereas in patients with UC higher scores were both for state and trait anxiety.ConclusionsThere were no statistically significant differences in terms of personality factors in a group of patients with CD and UC. It was found that the majority of patients with IBD suffer elevated or high sense of anxiety.

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Section: Introductionmentioning

confidence: 99%

Assessment of selected psychological factors in patients with inflammatory bowel disease

Moryś

Kaczówka

Jeżewska

2016

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“…Согласно определению, приведенному в Большом толковом психологическом словаре [3], под стрессом понимается состояние организма, возникающее при воздей-ОБЗОРЫ ствии необычных раздражителей и приводящее к напряжению его неспецифических адаптационных механизмов. Определенную роль в разработке концепции стресса Г. Селье, по мнению B. Luban-Plozza и W. Poldinger [4], сыграли работы W. Cannon, который установил, что экстремальные ситуации готовят организм к борьбе или бегству («fight or flight»), и описал эти реакции. Н. Wolff [5], опираясь на связь социальных изменений с изменениями паттернов психосоматических заболеваний, разработал теоретическую модель «стресса и болезни».…”

Section: стресс психическая травма и психосоматические нарушенияunclassified

The effect of childhood stress on the development of mental disorders in adults

Grishkina

Akzhigitov

et al. 2015

Z. nevrol. psikhiatr. im. S.S. Korsakova

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There is evidence that not only severe stressful events, but also common low-threat events, in particular chronic ones, may cause or provoke some mental disorders. The literature data on the degree of pathogenicity of stress factors are insufficient. Authors attempted to summarize the established facts in the following aspects: current conceptions on the physiology and pathology of stress in the frames of the problem of psychosomatic disorders, deprivation in childhood, neurobiological consequences of childhood stress, psychiatric consequences of stress in childhood. Authors believe that this problem demands further investigation to find possible predictors of mental disorders in patients who had experienced stressful life events in childhood.

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“…Although the value of the whole-person perspective is generally understood by doctors now, in their daily contact with patients the doctor must repeatedly confront a recurring dilemma (identi ed by Luban-Plozza et al 1992). On the one hand, for many doctors the central clinical task is seen as making a satisfactory diagnosis by interpreting objective evidence based on clinical observations and test results.…”

Section: Functional Somatic Symptomsmentioning

confidence: 99%

“…In a similar way medical conditions may be associated with negative emotional components which complicate treatment if left unaddressed. For example, Luban-Plozza et al (1992) describe five phases through which cancer patients may progress after being informed of an unfavourable diagnosis:…”

Section: The Offset-cost Rationalementioning

confidence: 99%

Personal responsibility, empowerment and medical utilization: a theoretical framework for considering counselling and offset costs

Spurgeon

Barwell

2000

European Journal of Psychotherapy & Counselling

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The problem of effectively managing patients with functional somatic symptoms remains huge in both primary and hospital care, although the potential bene ts of mental health interventions such as counselling or psychotherapy are still not widely accepted. Unfortunately, the cost-effective evaluation of counselling has been beset by methodological problems, which stem from attempting to make comparisons between counsellors with different types of training, therapeutic approach and case mix. Since these real-world variations in counselling practice are likely to remain, it is proposed that a different approach to the evaluation of cost-effectiveness should be adopted in the hope of accelerating acceptance of the value of psychological interventions for the army of patients who are currently labelled as 'dif cult' or 'heartsink' and who do not receive the treatment they deserve from the health-care services. It is proposed that, since the common aim of almost all mental health interventions is to engender or enhance a sense of 'personal responsibility' in patients/clients, this core objective should form an agreed 'yardstick' against which to evaluate the impact of various mental health interventions. Furthermore, since personal responsibility and future health-care utilization (and associated costs) can be assumed to be directly causally related, it is proposed that offset costs should form the basis for future cost-effectiveness evaluations.

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Psychosomatic Disorders in General Practice

Cited by 9 publications

References 0 publications

Assessment of selected psychological factors in patients with inflammatory bowel disease

Assessment of selected psychological factors in patients with inflammatory bowel disease

The effect of childhood stress on the development of mental disorders in adults

Personal responsibility, empowerment and medical utilization: a theoretical framework for considering counselling and offset costs

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