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[Psychosomatic aspects of stomatology in the aged].

Elderly people form a very large portion (43.2%) of the out-patients of the research institute for dental psychosomatics and psychopathology. Abnormal personality developments could be observed in the group of 40-60-year-old patients as often as in the over-60 group, whereas there was a noticeable rise in the number of depressions and abnormal reactions in the older age group. As one case demonstrates, the situation and life-history of an elderly patient, too, are important factors influencing his psychosomatic disturbance, in some cases however, an organic psychosyndrome may supervene, thus further complicating psychotherapy and psychagogical measures. These therapeutical methods have to be made suitable to the personality of a patient of advanced age, while medicamentous therapy and prosthetic care have to be modified in the same way.

Aged↗
PubMedDate not supplied

[Psychosomatic aspects of psoriasis].

Clinical, pathophysiological and etiopathogenetic aspects of the psoriasis vulgaris are reported. The role of the skin as a sensoric organ and its psychosomatic condition and significance in the sensoric (intentional) phase are described. Also it is discussed the proable role of the blood-vessels in initial psoriasic lesions. We tried to develop a psychodynamic model for Psoriasis vulgaris following a case-report of a psychoanalytic treatment of a patient with a first manifestation of Psoriasis Vulgaris. So the symptom is manifested in the main sensoric organ. In this process the probable significance of schizoid aggressive impulses is discussed.

Adult↗
PubMed1994

[Psychosomatic aspects of chronic respiratory failure managed with home oxygen therapy (HOT)].

Thirty-eight patients with chronic respiratory failure, including 28 patients receiving HOT, were studied from the psychosomatic viewpoint. Assessment of psychological state was based on the following 5 psychometrical tests; Cornell Medical Index (CMI), Self Rating Questionnaire for Depression (SRQ-D), State Trait Anxiety Inventory (STAI), Minnesota Multiphasic Personality Inventory Alexithymia Scale (MMPI-Alexithmia scale) and egogram Check List (ECL). Tweleve HOT patients were also interviewed individually over a three-year period. The ECL showed overadaptation of non-HOT female patients, as compared with their HOT counterparts. There was an inverse correlation between PaO2 (room air) and the SRQ-D score. A significant correlation was also found between age and the SRQ-D score in both HOT and non-HOT patients. HOT patients were observed for 3 years (1-4 years after HOT introduction). Depressive state was observed in 16.6-36.4% of the patients throughout this observation period. Alexithymia was noted in 25.0% only 1 year after the initiation of HOT. However, the average scores for SRQ-D, STA-I and the MMPI-Alexithymia scale remained unchanged for 3 years. PaCO2 (room air, O2, inhalation) was significantly related to the STAI-1 score up to 2 years after starting HOT. Furthermore, a significant correlation was seen between HOT duration and MMPI-Alexithymia scales in HOT patients. Blood gas analysis parameters (delta PaO2, PaCO2 and pH) correlated significantly with respiratory scores on CMI somatic profiles. These results suggest that blood gas status (PaO2, PaCO2) may have an effect on the psychological states of patients early in the course of HOT. However, social factors, such as familial or economical problems, seem to have a greater influence in later stages. Thus, more attention must be given to psychosomatic treatment in the care of HOT patients.

Adult↗