Zeitschrift Fur Psychosomatische Medizin Und Psychotherapie最新文献

{"title":"[Mental illness in elderly patients - Empirical results on the theory of secondary structural deficits].","authors":"Meinolf Peters","doi":"10.13109/zptm.2021.67.4.451","DOIUrl":"https://doi.org/10.13109/zptm.2021.67.4.451","url":null,"abstract":"<p><p><i>Mental illness in elderly patients - Empirical results on the theory of secondary structural deficits</i> <b>Objectives:</b> The theory of secondary structural deficits, which attributes structural deficits to age-related changes, is introduced. The following study aims at testing some elements of the theory (changes of theory of mind, ability to mentalize). <b>Methods:</b> Patients (N = 150, age 40-80 years) of a psychosomatic hospital participated in the study. Structural deficits were measured using the Reading-Mind-in-the-Eyes-Test (Baron-Cohen et al. 2001) and the Mentalization Questionnaire (MZQ, Hausberg et al. 2012). Influences of age as well as physical disease, trauma related stress and anxiety/depression on those structural deficits were examined. <b>Results:</b> Trauma related stress and physical disease (especially vascular disease) were shown to have the most associations to the structural dimensions. This influence increases with increasing age. <b>Conclusions:</b> The results confirm the assumptions of the presented theory in selected variables. Conclusions for modifications in geriatric psychotherapy can be derived.</p>","PeriodicalId":51217,"journal":{"name":"Zeitschrift Fur Psychosomatische Medizin Und Psychotherapie","volume":"67 4","pages":"451-467"},"PeriodicalIF":0.9,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39724382","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Impact of dissociative phenomena on treatment outcome of inpatient psychotherapy of patients with borderline personality disorder].","authors":"Tobias Wilfer,&nbsp;Michael Armbrust,&nbsp;Tim Aalderink,&nbsp;Carsten Spitzer","doi":"10.13109/zptm.2021.67.4.435","DOIUrl":"https://doi.org/10.13109/zptm.2021.67.4.435","url":null,"abstract":"<p><p><i>Impact of dissociative phenomena on treatment outcome of inpatient psychotherapy of patients with borderline personality disorder</i> <b>Objectives:</b> Although dissociative phenomena belong to the diagnostic criteria of borderline personality disorder (BPD) and are of high clinical relevance, their predictive significance with regard to the treatment outcome has hardly been investigated. Because some therapeutic and experimental studies suggest that dissociation can impede emotional learning and thus adversely affect the response to psychotherapy, we examined this issue in patients with BPD. <b>Methods:</b> In this naturalistic psychotherapy study we assessed 342 patients with BPD at the beginning and end of inpatient dialectical behavioural therapy (DBT) with self-report measures for dissociation (Questionnaire on dissociative symptoms, FDS, as German version of the Dissociative Experiences Scale, DES) as well as general and borderline specific pathology (Brief Symptom Inventory, BSI; Borderline Symptom List, BSL) and quality of life (SF-12). <b>Results:</b> Both the general mental distress (BSI) and the borderline-specific pathology (BSL) as well as the psychosocial quality of life improved less in patients with initially severe dissociative symptoms than in those with less pronounced symptoms; this effect was mainly driven by the subscale derealisation of the Dissociative Experience Scale (DES), and was found particularly in women. <b>Conclusion:</b> Consistent with earlier findings, dissociative phenomena proved to be negative predictors of the therapeutic outcome in BPD women completing inpatient DBT. Whether this also applies to outpatient and other evidence-based treatment approaches for BPD remains to be clarified. Our results indicate the necessity to identify and treat dissociative symptoms as early as possible for a successful psychotherapy.</p>","PeriodicalId":51217,"journal":{"name":"Zeitschrift Fur Psychosomatische Medizin Und Psychotherapie","volume":"67 4","pages":"435-450"},"PeriodicalIF":0.9,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39724821","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[News].","authors":"","doi":"10.13109/zptm.2021.67.4.492","DOIUrl":"https://doi.org/10.13109/zptm.2021.67.4.492","url":null,"abstract":"","PeriodicalId":51217,"journal":{"name":"Zeitschrift Fur Psychosomatische Medizin Und Psychotherapie","volume":"67 4","pages":"492"},"PeriodicalIF":0.9,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39724825","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Studies on the psychodynamics of Chronic Orofacial Pain Disorder].","authors":"Otmar Seidl,&nbsp;Eckhard Frick","doi":"10.13109/zptm.2021.67.4.416","DOIUrl":"https://doi.org/10.13109/zptm.2021.67.4.416","url":null,"abstract":"<p><p><i>Studies on the psychodynamics of Chronic Orofacial Pain Disorder</i> <b>Objectives:</b> Psychodynamic factors play an important role in its emergence and development of Chronic Orofacial Pain Disorder (COP), which is also known as Chronic Primary Orofacial Pain. This factors form the basis for differentiated psychotherapy. <b>Methods:</b> Seven female and two male patients with COP who had visited the Dental School, University Hospital, Ludwig Maximilian University of Munich, and the dental surgery of a practising dentist over the year were included in the study. Following a detailed dental examination, a psychodynamic interview was videotaped, reconstructing the connections between the life history and the development of the illness. Psychosomatic data were assessed by 3 psychotherapists based on a consensus model with regard to symptom trigger mechanisms such as conflicts and pressure, the development of symptoms, and the personality structure. Pathogenetically, we differentiated among conversion, somatization and projection. <b>Results:</b> The patients had a mean age of 57 years (range: 44-67) and an average illness duration of three (1-5) years. The average age where the illness had manifested was 54 (43-64). All patients showed clear psychodynamic factors in the development and course of the illness. The symptoms developed mainly during transitional situations during the life history, predominately in midlife. During this phase, dental treatment undertaken for whatever reason could trigger the chronic symptoms, which could then be further exacerbated by further dental interventions. The mode of symptom development by equal number of patients related to a somatoform disorder, such as a somatization of affect, a conversion with conflict symbolism and a projective-hypochondriac disorder. In the remaining patients, COP was an accompanying symptom of depressive disorder or the consequence of a posttraumatic stress disorder with self-mutilating tendencies. <b>Conclusion:</b> The consideration of psychosomatic connections and pathogenetic differentiation is helpful for the understanding and management of COP. This diagnostic differentiation could serve as a basis for prognosis and for specific therapeutic indications. Despite numerous general researches about chronic pain syndromes, there is a lack of intervention studies which take into account the specific conditions of COP on a larger sample.</p>","PeriodicalId":51217,"journal":{"name":"Zeitschrift Fur Psychosomatische Medizin Und Psychotherapie","volume":"67 4","pages":"416-434"},"PeriodicalIF":0.9,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39724824","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Looking into international journals].","authors":"Stephan Doering","doi":"10.13109/zptm.2021.67.4.486","DOIUrl":"https://doi.org/10.13109/zptm.2021.67.4.486","url":null,"abstract":"","PeriodicalId":51217,"journal":{"name":"Zeitschrift Fur Psychosomatische Medizin Und Psychotherapie","volume":"67 4","pages":"486-488"},"PeriodicalIF":0.9,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39724819","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[\"And she turns around and sees it fully …\" Psychological consequences in children of survivors of the \"Hamburg Firestorm\" (1943) in a systematic evaluation].","authors":"Ulrich Lamparter,&nbsp;Christa Holstein,&nbsp;Stefan Nickel,&nbsp;Astrid Wendell","doi":"10.13109/zptm.2021.67.4.468","DOIUrl":"https://doi.org/10.13109/zptm.2021.67.4.468","url":null,"abstract":"<p><p><i>\"And she turns around and sees it fully …\" Psychological consequences in children of survivors of the \"Hamburg Firestorm\" (1943) in a systematic evaluation</i> <b>Objectives:</b> Is there a transmission of traumatic war experiences through the generations? In an interdisciplinary research project at Hamburg University psychoanalysts and historians investigated the long-term psychological effects of World War II bombing attacks in the \"Hamburg Firestorm\" (Operation Gomorrha) in 1943. In the frame of this work the paper asks for the psychological consequences in the following generation <b>Methods:</b> Evaluation of 45 completely transcribed life-historical interviews (28 female and 17 male of an average age of 50.2 years) with descendants of contemporary witnesses (at the time of the firestorm between 3 and 27 years old) by systematic diagnostic assessment. <b>Results:</b> There are no certain consequences for everyone. Most of the consequences occurred, when the mother was the contemporary witness and the child the daughter. <b>Conclusion:</b> Different assessments on the intergenerational consequences of experiences of violence in World War II can be explained by the heterogeneity of the findings.</p>","PeriodicalId":51217,"journal":{"name":"Zeitschrift Fur Psychosomatische Medizin Und Psychotherapie","volume":"67 4","pages":"468-485"},"PeriodicalIF":0.9,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39724822","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Looking into international journals].","authors":"Martin Teising,&nbsp;Reinhard Lindner,&nbsp;Meinolf Peters,&nbsp;Gereon Heuft","doi":"10.13109/zptm.2021.67.4.489","DOIUrl":"https://doi.org/10.13109/zptm.2021.67.4.489","url":null,"abstract":"","PeriodicalId":51217,"journal":{"name":"Zeitschrift Fur Psychosomatische Medizin Und Psychotherapie","volume":"67 4","pages":"489-491"},"PeriodicalIF":0.9,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39724820","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[The authors in this issue].","authors":"","doi":"10.13109/zptm.2021.67.4.495","DOIUrl":"https://doi.org/10.13109/zptm.2021.67.4.495","url":null,"abstract":"","PeriodicalId":51217,"journal":{"name":"Zeitschrift Fur Psychosomatische Medizin Und Psychotherapie","volume":"67 4","pages":"495-496"},"PeriodicalIF":0.9,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39724380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial.","authors":"Stephan Doering","doi":"10.13109/zptm.2021.67.4.359","DOIUrl":"https://doi.org/10.13109/zptm.2021.67.4.359","url":null,"abstract":"","PeriodicalId":51217,"journal":{"name":"Zeitschrift Fur Psychosomatische Medizin Und Psychotherapie","volume":"67 4","pages":"359-360"},"PeriodicalIF":0.9,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39724823","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[The importance of health-related quality of life at baseline in predicting event-free survival in patients with a cardiovascular risk profile].","authors":"Christoph Beismann,&nbsp;Kathleen Nolte,&nbsp;Rolf Wachter,&nbsp;Djawid Hashemi,&nbsp;Tobias Trippel,&nbsp;Frank Edelmann,&nbsp;Thomas Meyer","doi":"10.13109/zptm.2021.67.4.361","DOIUrl":"https://doi.org/10.13109/zptm.2021.67.4.361","url":null,"abstract":"<p><p><i>The importance of health-related quality of life at baseline in predicting event-free survival in patients with a cardiovascular risk profile</i> <b>Background:</b> Manifest heart failure impairs all dimensions of health-related quality of life (HRQOL). However, the role of HRQOL in patients with risk factors for the development of heart failure with preserved ejection fraction (HFpEF) is only poorly understood. <b>Objective:</b> In this post-hoc analysis of the DIAST-CHF observational study, we tested the hypothesis whether a lower HRQOL at baseline is prognostically associated with an increase in cardiovascular events during follow-up in elderly patients with a cardiovascular risk profile. <b>Methods:</b> The DIAST-CHF observational study enrolled 1.937 patients aged 50 to 85 years with at least one risk factor for the development of HFpEF. HRQOL was assessed using the German version of the Short-Form-36 (SF-36) Health Survey. <b>Results:</b> Patients with comorbid chronic diseases, including manifest heart failure, coronary artery disease, atrial fibrillation, diabetes mellitus and depression, rated their health status (Self-rated health, SRH) significantly worse than those without comorbidities. Older age, higher body-mass index and elevated serum amino-terminal pro-brain natriuretic peptide (NTproBNP) concentration as well as lower left ventricular ejection fraction (LVEF) and impaired 6-minute walk test showed significant relationships to SRH. Kaplan-Meier analyses and Cox regression models using quartiles of either SF-36 subscales \"Physical Component Summary\" (PCS) or SRH groups demonstrated significant differences in event-free survival (all-cause death or cardiovascular hospitalization), whereas no difference in event-free survival was observed among the quartiles of the SF-36 subscale \"Mental Component Summary\" (MCS). <b>Conclusion:</b> In patients with risk factors for the development of HFpEF, HRQOL questionnaires are suitable instruments for risk stratification if they capture physical impairments, rather than psychological limitations of quality of life.</p>","PeriodicalId":51217,"journal":{"name":"Zeitschrift Fur Psychosomatische Medizin Und Psychotherapie","volume":"67 4","pages":"361-380"},"PeriodicalIF":0.9,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39724826","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}