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Biomedical subjects

E Wilke

Publications and source records attributed to E Wilke.

9 recordsLinked to original sources
PubMed1991

[Social integration of patients with anorexia nervosa and bulimia].

The current study investigated the psychological and social problems of 46 patients with anorexia nervosa and 34 patients with bulimia who met the DSM III-criteria. Data were compared with 50 normal controls, using the "Fragebogen zur Sozialen Integration" (FSI, a German translation of the social adjustment scale-self report) and the Freiburger Persönlichkeitsinventar (FPI, a German personality questionnaire). Women with anorexia nervosa as well as patients with bulimia demonstrated a significant impairment in all areas of social relationships, while there were no differences between these patient groups. On the FPI, both groups reported significantly more depressed, feelings of being nervous, neuroticism and femininity, less sociable and calm than the controls.

Adult↗
PubMed1990

[Social integration of Crohn disease and ulcerative colitis patients. Study of the relations of somatic, psychological and social factors].

63 patients with Crohn's disease and 58 patients with ulcerative colitis were tested with the "Fragebogen zur sozialen Integration" (FSI, questionnaire of social adjustment), the "Freiburger Persönlichkeitsinventar" (FPI) and a semistandardized interview and were compared with surgical controls. Activity, course and symptoms of the disease were registered. We found significant restrictions in working and lesiure activities, partnership and sexual life in patients with inflammatory bowel disease. Social adjustment of patients with Crohn's disease was more dependent on disease activity than in patients with ulcerative colitis. Social impairment in patients with Crohn's disease correlated with higher stool frequency and abdominal pain, in patients with ulcerative colitis with reduced general state of health, tiredness and limpness. In the "Freiburger Persönlichkeitsinventar" (FPI) the patients with chronic inflammatory bowel disease described themselves significantly more nervous, inhibited, reserved and less aggressive, sociable and composed. The FPI scores in patients with Crohn's disease depended more on disease activity and on somatic symptoms than in patients with ulcerative colitis.

Adolescent↗
PubMed1989

[Effect of compliance on treatment with autogenic training].

Autogenic therapy courses for patient with psychosomatic psychoneurotic disorders show a high dropout rate. A study among 38 ambulant patients analysed factors of the patients have influence on their compliance. Generally the dropout group, independent of the diagnosis, shows less striking deviations. Under autogenic therapy the compliance-positive group achieves a constructive change towards normality. Realisation of autogenic therapy is achieved by patients with more intensive psychoneurotic disorders. They experience a more distinct physical answer by the basic training. It is shown that it is easier for the compliant patient to learn the autogenic therapy, which is understood as conditional response. With reference to the experience in drug compliance the results recommend that autogenic therapy should be accompanied by a compliance therapy.

Arousal↗
PubMed1988

[Comparative psychodiagnostic test study in acute and chronic asthma patients].

The psychic characteristics of patients suffering from asthma bronchiale have mostly been investigated without considering the duration of the illness. So the question was if and in which way the duration of the disease influences the patient's psychic state. 61 asthmatics were examined by the FPI and by a structured interview. Two parallel groups with a duration of illness of less than two years respectively more than five years were compared with each other. Obviously frankness and self-criticism were to be found more frequently in the chronic group than among the patients of the short continuance of the disease. The lower frankness and willingness to self-criticism of this group of patients is also symptomatic of the first reaction to the sudden onset of the illness. The patients' first reactions are denial and repression, especially concerning the psychic parts in the multifactorial pathogenesis of the disease and its social consequences. In the course of the illness self-criticism and the capability of perceiving psychosocial factors increase. These results lead to the conclusion that the chronification of asthma bronchiale is a stimulus for confrontation with conflicts in the own biography and thus with the illness itself. It seems important to use different forms of psychotherapy depending on the duration of the illness.

Acute Disease↗
PubMed1985

[Personality structure of patients with ulcerative colitis and Crohn disease, a psychological test study in disease remission].

30 patients with ulcerative colitis and 30 patients with Crohn's disease during remission were tested with the Freiburger Persönlichkeitsinventar (FPI) and standardized interview. There was no difference between both groups in the FPI, both were significantly less aggressive than controls. The patients with ulcerative colitis were more reserved and introverted, patients with Crohn's disease more self-confident, obliging and emotionally stable. Apart from two exceptions the answers in the standardized interview were similar in both groups. The patients with ulcerative colitis had a significantly better relationship with their mothers, the patients with Crohn's disease often called themselves "peacemaker". We couldn't confirm the clinical impression that there are important differences between patients with ulcerative colitis and Crohn's disease. A remarkable result, however, is that our study of patients during the remission didn't show any characteristics as nervousness, depression, emotional restraint and instability as it is described to be for the acute phase.

Adolescent↗