Injustice and Embitterment: Crucial Stressors in Psychosomatic Patients.

IF 1.9 3区医学 Q3 PSYCHIATRY

Psychopathology Pub Date : 2024-01-01 Epub Date: 2023-06-28 DOI:10.1159/000531254

Michael Linden, Barbara Lieberei

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引用次数: 0

Abstract

Objective: "Disorders specifically associated with stress" are receiving increasing attention in clinical practice, research, and modern classification systems of mental disorders. This includes not only reactions to "extremely threatening or horrific events" as it is characteristic for "post-traumatic stress disorders" but also a variety of day-to-day experiences. Examples are experiences of injustice, humiliation, or breach of trust which can have dire psychological consequences such as feelings of embitterment, a strong and crippling emotion. This study investigated the frequency of feelings of injustice and concomitant embitterment across different areas of daily life of psychosomatic patients.

Methods: In an observational archival study, 200 inpatients of a department of behavioral medicine filled in the "Differential Life Burden Scale, DLB-Scale" and the "Post-Traumatic Embitterment Scale, PTED-Scale" which asks for experiences of injustice and embitterment.

Results: More than half of all patients (58.5%) reported about very or extremely unjust and unfair life events and 51.5% additionally about feelings of embitterment. This was primarily associated with complaints about problems in the family and the workplace and was accompanied by an impairment of well-being.

Conclusions: The findings indicate that experiences of injustice and embitterment are frequently seen in psychosomatic inpatients and should get special attention.

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不公正和痛苦：心身疾病患者的关键压力源。

目的：在临床实践、研究和现代精神障碍分类系统中，"与压力特别相关的障碍 "越来越受到关注。这不仅包括 "创伤后应激障碍 "所特有的对 "极度威胁或恐怖事件 "的反应，还包括各种日常经历。例如，不公正、羞辱或失信的经历会产生可怕的心理后果，如痛苦感，这是一种强烈而残缺的情绪。本研究调查了心身疾病患者在日常生活不同领域中遭受不公正待遇以及伴随而来的痛苦情绪的频率：在一项观察性档案研究中，行为医学科的 200 名住院病人填写了 "生活负担差异量表（DLB-Scale）"和 "创伤后痛苦量表（PTED-Scale）"，其中询问了不公正和痛苦的经历：超过半数的患者（58.5%）报告了非常或极其不公正和不公平的生活事件，51.5%的患者额外报告了痛苦的感觉。这主要与对家庭和工作场所问题的抱怨有关，并伴随着幸福感受损：研究结果表明，心身疾病住院患者中经常会出现不公正和痛苦的经历，应引起特别关注。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Psychopathology 医学-精神病学

CiteScore

5.10

自引率

5.60%

发文量

审稿时长

>12 weeks

期刊介绍： ''Psychopathology'' is a record of research centered on findings, concepts, and diagnostic categories of phenomenological, experimental and clinical psychopathology. Studies published are designed to improve and deepen the knowledge and understanding of the pathogenesis and nature of psychopathological symptoms and psychological dysfunctions. Furthermore, the validity of concepts applied in the neurosciences of mental functions are evaluated in order to closely bring together the mind and the brain. Major topics of the journal are trajectories between biological processes and psychological dysfunction that can help us better understand a subject’s inner experiences and interpersonal behavior. Descriptive psychopathology, experimental psychopathology and neuropsychology, developmental psychopathology, transcultural psychiatry as well as philosophy-based phenomenology contribute to this field.