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Results for “Psychosomatic Aspects”

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At least 235 records · Page 13Linked to original sources
PubMed1999

[Psychosomatic aspects of failed back syndrome: why low back pain becomes a chronic disorder].

Low back pain (LBP) is a widespread disorder. The socioeconomic costs caused by LBP have been increasing dramatically over the past years. These high costs are mainly due to the relatively small percentage of chronic cases. Although the multitude of empirical findings available thus far offer an impressive body of knowledge about the mechanisms and factors responsible for chronification, most LBP-patients are still being treated without their psychosocial situation being taken into account. In addition to providing a discussion of the reasons underlying this imbalance along with a review of our present understanding of Failed Back Syndrome, this article also serves as an argument in favor of an interdisciplinary approach to the treatment of pain.

Chronic Disease↗
PubMed2003

[Psychosomatic aspects in the diagnosis and treatment of fibromyalgia].

The fibromyalgia syndrome (FMS) is a chronic pain condition of the musculoskeletal system defined by criteria of the American College of Rheumatology in 1990. Despite this definition, etiology and pathogenesis of FMS are still unknown, and consequently the therapy aims mainly at relieving symptoms. The favourite hypothesis is a multietiological concept including genetic, central nervous, muscular, and psychological issues. This article focuses on current psychological aspects as to etiology, process of chronification, and therapy of FMS. Regarding etiology there are diverging hypotheses rather than a general agreement, e.g. specific personality traits, traumatic events, psychodynamic explanations on the basis of a depressive conflict, or the subsumption under somatoform disorders. However, psychological aspects are evident to influence the course and treatment of FMS. In the chronification process behavioural aspects like avoidance behaviour with subsequent physical impairment, attitudes towards subjective theories of illness and therapeutic options, social factors like effects on work, interpersonal conditioning, and coping strategies play an important role. Therapeutic options of FMS comprise exercise, drugs, and psychotherapy. An integrated approach combining these options, a sustainable doctor-patient relationship, and a continuous support of the patient seem to be beneficial.

Depression↗
PubMed1983

Psychosomatic aspects in idiopathic infertility: effects of treatment with autogenic training.

It has long been recognised that there is a relationship between emotional stress and some forms of infertility. We have endeavoured to estimate "stress' levels before and after Autogenic Training in 15 couples with infertility of at least two years' duration. Potential stress markers were: plasma prolactin, total urinary free cortisol and catecholamines, and four psychological tests: Spielberger State-Trait anxiety scale, Taylor Manifest Anxiety Scale, the Cattell 16 personality factor questionnaire, and the Eysenck Personality Questionnaire. A control group of ten normal couples was included for comparison. The biochemical finding of higher mean prolactin levels in the female patients vs their controls was of particular interest. The significant reduction of the prolactin level, in parallel with decreased anxiety scores following treatment, supports the hypothesis that the elevated prolactin levels in these patients are indeed linked with emotional stress.

Adult↗