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Biomedical subjects

Ulrich Rüger

Publications and source records attributed to Ulrich Rüger.

5 recordsLinked to original sources

[Coping and appraisal in rheumatoid arthritis and fibromyalgia patients].

OBJECTIVES AND METHODS: In a cognitive framework appraisal and coping are seen as major factors in the adaptation of chronic pain patients. This study evaluates the differences between rheumatoid arthritis (N = 70) and fibromyalgia (N = 74) outpatients in regard to coping and appraisal, and the relationship between appraisal, coping and adaptation in general. RESULTS: In rheumatoid arthritis patients acceptance of illness and cognitive-reappraising coping prevails. In fibromyalgia patients, however, passive, emotion-focused coping and the judgement of illness as a "threat" or "punishment" (Lipowsky) was pronounced. A connection between individual appraisal of the illness and means of coping was observed. There was also a strong relationship between coping and adaptation, with one third of the variance of the mood variables explained by appraisal and coping. The presence of a psychic disorders played only a minor role. CONCLUSIONS: A detailed understanding of the relationship between appraisal, coping, and adaptation may contribute to improved treatment concepts in pain patients. One aim of psychotherapy in chronic pain patients should be to reduce passive, emotion-focused coping and to change maladaptative concepts of illness.

Adaptation, Psychological↗

[EDITORIAL].

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Editorial↗

[Depth psychologically founded psychotherapy].

Depth psychologically founded psychotherapy is a treatment based on psychoanalysis. This article describes the treatment method. The following aspects are emphasized: Terminology definitions, historical development, specific differences between depth psychologically founded and analytic psychotherapy as well as the treatment practice with the focus on current psychosocial conflicts and their implications. Indication, counter-indication and differential indication are also discussed, and the status of empirical evaluation is described. Finally, the therapist's qualifications for this treatment method are elucidated.

Conflict, Psychological↗

[Psychoanalytically based psychotherapy].

Depth psychologically founded psychotherapy is a treatment based an psychoanalysis. This article describes the treatment method. The following aspects are especially emphasized: Terminology definitions, historical development, specific differences between depth psychologically founded and analytic psychotherapy, and the treatment practice with the focus an current psychosocial conflicts and the implications connected with these. Then indication, counter-indications and differential indication are discussed, and the status of empirical evaluation is described. Finally the therapist's qualification requirements necessary for this treatment method are explained.

Adolescent↗

[Biographic risk factors and mental disorders in fibromyalgia]

Patients with fibromyalgia are compared with rheumatoid arthritis and coxarthrosis patients respecting biographic risk factors and comorbidity (mental disorders). As expected, in fibromyalgia there are higher biographic risk factors and more mental disorders than in the other groups. Moreover, there is a positive relation between mental disorders and biographic risk factors in fibromyalgia. Therefore patients with fibromyalgia are no uniform group, but can be divided in at least two subgroups: One subgroup with high biographic risk factors and mental disorders and another subgroup without increased biographic risk factors and without comorbidity (mental disorders). Consequences for psychosomatic theories are discussed.

Journal Article↗