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Biomedical subjects

H Freyberger

Publications and source records attributed to H Freyberger.

At least 37 records · Page 2Linked to original sources
PubMed1984

[Frequency of psychiatric disorders in nonpsychiatric hospital patients].

A total of 322 hospitalized patients in the departments of internal medicine, abdominal and transplant surgery, accident surgery, neurology, ear-nose-throat, and orthopaedic surgery of the Medical Academy of Hannover, were screened with self-assessment tests. The tested patients represented about 78% of all inpatients during the test period. Very ill patients and those over 65 years were excluded. The prevalence of depression (95% confidence limit) was 16.1-24.9%, of severe social anxiety 20.7-30.3% of all patients. Both depression and anxiety were severe in 9.4% of all patients. Thus, taking both disorders together, 31.4-42% of all in-patients are likely to require more detailed psychological-medical diagnosis, and if indicated, psychotherapy. The prevalence of disorders varied greatly between the six departments, highest at 49.2% in internal medicine, lowest at 27.3% in the accident department.

Adult↗
PubMed1984

Identification of psychosomatic and psychic disorders in non-psychiatric in-patients.

In 322 in-patients from 5 different departments of the hospital of the Hannover Medical School the occurrence and characteristics of psychic disorders were studied. Patients were surveyed on 11 separate wards (medicine: 3; surgery: 2; neurology: 2; ear, nose and throat: 2; orthopaedics: 2). These patients represented about 78% of the actual population of the wards during a 3-week period. There was a selection bias because severely ill and patients older than 65 years were not surveyed. The screening was done by means of 6 self-report scales which were answered on 2 consecutive days. On the basis of conservative cut-off scores the amount of depressive disorders was estimated, within 5% confidential limits, between 16.1 and 24.9% of the patients of the total sample. Regarding the factor of social anxiety we found 20.7-30.3% of patients with this kind of disturbance. 9.3% of the patients scored high on both kinds of symptoms. So we had a total of 31.4-42.0% of patients with depressive or/and social anxiety disorders which should be treated by psychological means. In addition, all these measures varied for the patients in the 5 departments with the maximum of 49.2% in medicine and the minimum of about 32% in surgery and ear, nose and throat. These results offer a meaningful empirical basis for establishing different concepts of cooperation in the field of consultation-liaison activities. They are discussed with regard to the consequences for psychotherapeutic patient care in non-psychiatric hospital wards.

Adolescent↗
PubMed1982

Factors influencing the evaluation of psychological and psychosomatic reactions in survivors of the Nazi persecution.

Since the termination of World War II, Psychiatry has been challenged with the difficult task of the evaluation of the survivors of the Nazi persecution. The psychiatric sequelae of this era reflect direct connection between the different clinical manifestations and syndromes and the conglomeration of manifold physical and psychological traumas to which the survivors have been exposed, often during a prolonged period of time lasting through several years. The present paper examines the important but somehow neglected, and often intentionally avoided, issue: namely, the review of the problems and reactions which psychiatrists, dealing with the medical examination of survivors for the purpose of reparations' evaluation, may encounter. The confrontation of the different views of psychiatric experts may frequently be complicated by deep-seated emotional issues, related to their identity. The evaluation becomes even more complex when Israeli and German experts review each others' findings. The study summarizes the different psychological mechanisms involved in the process of evaluation. Pitfalls related to inadequate use of mechanisms of defence are pointed out and suggestions for the proper ways of co-operation in the establishment of proper psychiatric and psychosomatic diagnosis are presented.

Attitude of Health Personnel↗
PubMed1981

[Combination of Crohn's disease and anorexia nervosa signs and symptoms (author's transl)].

In two female patients whose disease had been diagnosed as anorexia nervosa, later examination revealed Crohn's disease. Hence, the frequency of anorexia nervosa signs and symptoms seen in patients with Crohn's disease who had been hospitalised for internistic-psychosomatic treatment, was scrutinised by the authors. Eight out of 25 consecutively treated patients showed these symptoms. Particularly frequent signs were refusal of adequate food intake to regain normal weight, as well as acute conflict situations due to disturbed neurotic development. On account of the frequency of anorectic signs and symptoms in Crohn's disease, therefore, this disease should be diagnostically excluded before accepting anorexia nervosa as final diagnosis.

Adolescent↗
PubMed1980

[Psychosomatic aspects of expert judgement in gastro-intestinal disease (author's transl)].

Psychosomatic aspects in expert judgement about gastro-intestinal disease are important in regard to 3 particular problems: (1) establishing physical fitness for prison confinement, (2) establishing causal relationships between disease and military service, (3) judging the fitness for work, when annuities are demanded from the state insurance agencies. The point last mentioned is most important nowadays and is discussed therefore in more detail.

Disability Evaluation↗
PubMed1979

Psychosomatic aspects in self-help groups made up of medical patients. Presented on the example of the ostomy group.

We present the psychosomatic aspects in self-help groups containing medical patients on the examples of the ostomy group. Following the demonstration of the psychodynamic group processes, the patients' psychological characteristics are described as well as the aims of this type of self-help group. The specific ostomy group activities concern the visitors' service and the group work. Finally, we describe the psychotherapeutic interventions of the psychosomaticist.

Adult↗
PubMed1979

Consultation--liaison psychiatry activities in a renal transplant unit.

We describe the consultation--liaison psychiatry activites in the renal transplant unit at Hannover Medical School. The activities with regard to patients' care include: the group session, with particular regard to dealing with the patients' denial; the indirect and direct psychotherapeutic interventions, the latter concerning psychotherapeutic consultation and counselling ('supportive psychotherapy'); and dealing with live donors and potential renal transplant patients. The second consultation--liaison psychiatry activity includes the teaching procedures: firstly, Balint-group-work with the nurses, secondly, the nurses' presence in the group sessions, and finally, Balint-group-work with students working as auxiliary therapists. In the authors' view, the field of surgery can represent a very promising one with regard to consultation--liaison psychiatry.

Counseling↗