Search results for "Psychosomatic medicine"

Blunted Electrodermal and Psychological Response to Acute Stress in Family Caregivers of People with Eating Disorders.

2016

AbstractCaring for an offspring with an eating disorder (ED) is associated with high levels of distress, and health problems. Indeed, ED caregivers have to cope with a range of challenges related to their caring role, which represents a chronic stress situation. This tends to alter body homeostasis and caregivers’ health status. This study aimed to analyse the electrodermal reactivity and psychological response to acute stress in ED caregivers compared to non-caregivers. As expected, caregivers showed lower electrodermal (p < .001, η2partial = .269 for SCL and p < .01, η2partial = .214 for NSCRs) and psychological response (p < .05, η2partial = .198) to acute stress than non-caregi…

Online Self-Help as an Add-On to Inpatient Psychotherapy: Efficacy of a New Blended Treatment Approach.

2017

<b><i>Background:</i></b> Depression is one of the most frequent and costly mental disorders. While there is increasing evidence for the efficacy of online self-help to improve depression or prevent relapse, there is little evidence in blended care settings, especially combined with inpatient face-to-face psychotherapy. Therefore, we evaluated whether an evidence-based online self-help program improves the efficacy of inpatient psychotherapy. <b><i>Methods:</i></b> A total of 229 depressed patients were randomly allocated either to an online self-help program (intervention group [IG]; Deprexis) or an active control group (CG; weekly online inf…

Long-term outcomes of short-term and long-term psychosomatic inpatient treatment and their predictors

2007

Abstract Objectives The Clinic for Psychosomatic Medicine and Psychotherapy at the University Giessen, Germany, offers short-term (STT) and long-term inpatient therapy (LTT). Methods In a prospective, 3-year follow-up study, we examined therapeutic indication, short- and long-term results, outcome predictors, and the utilization of aftercare for both settings. Results STT patients were more frequently acutely ill, suffered from stronger symptomatic manifestations, and were more frequently employed. LTT patients had a greater rate of chronic psychosomatic disorders, personality disorders and somatic comorbidity. In both settings, distress strongly declined during inpatient therapy and remain…

Psychological Conflicts Between Relatives During the Long-Term Course After Successful Living Organ Donation

2008

The German transplantation law prefers living organ donation between close relatives and spouses, which is assumed to guarantee unequivocal altruistic motivation. Since 2001, 68 recipient-donor-pairs, who aspired to have a renal or liver transplantation, underwent a systematic psychosomatic evaluation. Meanwhile, 43 transplantations were performed including 34 renal and 9 liver cases. Seventeen recipient-donor-pairs were readministered evaluations by the department of psychosomatic medicine after 1 to 6 years after transplantation for long-term follow-up. In 10 cases of medically successful transplantation, we identified severe conflicts between donor, recipient, and next-of-kin. Major conf…

Why DSM-III was right to introduce the concept of somatoform disorders.

2005

From the Psychological Institute, University of Mainz; and the Psychological Institute, University of Marburg, Marburg, Germany. Address correspondence and reprint requests to Dr. Hiller, Psychological Institute, University of Mainz, Staudingerweg 9, D-55099 Mainz, Germany; hiller@mail.uni-mainz.de (e-mail). Copyright 2005 The Academy of Psychosomatic Medicine. An interesting debate about the adequacy of the somatoform disorders as a diagnostic and clinical concept has begun. The debate is stimulated by the announcement of APA’s preparation of DSM-V, which is likely to follow DSM-IV as the world’s most influential classification system for defining the terminology and diagnostic definitions…

Inanspruchnahme von Selbsthilfegruppen und Psychotherapie im Anschluss an eine stationäre psychosomatisch-psychotherapeutische Behandlung

2007

Until now little is known about the role of participation in self-help groups alone or combined with psychotherapy in post-in-patient care. In the present study 2933 patients were questioned about their experience of self-help groups and psychotherapy after discharge from a clinic for psychosomatic medicine and psychotherapy. Nearly 8 % of them utilized self-help groups (mostly combined with out-patient psychotherapy), and altogether 68 % out-patient psychotherapy following in-patient treatment. Patients without out-patient treatment were psychologically less burdened and had better resources than participants of self-help groups or psychotherapy. Self-help group members differed from patie…

Challenges in the Transition from In-Patient to Out-Patient Treatment in Depression

2020

Background Few data are available on the characteristics of inpatient treatment and subsequent outpatient treatment for depression in Germany. In this study, we aimed to characterize the inpatient and outpatient treatment phases, to determine the rates of readmission and mortality, and to identify risk factors. Methods We carried out a descriptive statistical analysis of routine administrative data from a large health-insurance carrier (BARMER). All insurees aged 18 to 65 who were treated in 2015 as inpatients on a psychiatry and psychotherapy service or on a psychosomatic medicine and psychotherapy service with a main diagnosis of depression were included in the analysis. Risk factors for …

Akute Schmerzbehandlung in operativer und konservativer Medizin

1993

P-110 - Gaming addiction - disturbed impulse control in internet addicts and pathological gamblers

2012

Internet Addiction (IA) is proposed to be added as a research diagnosis to the upcoming DSM-V while Pathological Gambling (PG) is proposed to be subsumed under the new section “Addiction and related disorders” as first behavioral addiction. The outpatient clinic for behavioral addiction of the clinic for psychosomatic medicine in Mainz offers counseling and treatment to patients suffering from IA and PG. Deficits in impulse control are suggested to be a key factor to addiction. Studies in PG have shown deficits in the ability to control impulses, for example in decision making, resisting temptation or behavioral inhibition. For Internet addiction previous research on impulse control is spar…

Development of Learning Needs - Grounded Pedagogical Intervention Program for Adults with Social Anxiety Disorders

2015

The cognitive behavior therapy is one of the most widely used and is considered as the most effective method of treating social anxiety. However there are some researches drawing attention to the necessity to create new, effective methods of intervention for solving of problems caused by social anxiety. For the present moment there are made various researches concerning the different aspects of the disorders caused by the social anxiety within the fields of psychology and psychosomatic medicine, but there are almost no researches within the context of social anxiety in the field of pedagogy. Therefore there is lack of pedagogical solutions for the support of people having the disorders caus…