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[Psychosomatic aspects of sarcoidosis].

Sarcoidosis is a multisystemic granulomatous disorder of unknown etiology. Several times pneumonologists described a remarkable personality of patients suffering from sarcoidosis. 44 patients with sarcoidosis were examined physically and psychosomatically. There are subgroups of patients, an important risk group shows long-lasting depressive features.

Activities of Daily Living↗

[Psychogenic neurotic depression in women (psychopathological and psychosomatic aspects)].

Examination of 85 female inpatients with psychogenic neurotic mood disorders aged from 18 to 48 years has found the following depression syndrome variants: asthenic (42 patients), anxiety (14), asthenoanxiety (15), anxiety-melancholic (14). Hypothymia both mildly or moderately expressed and psychosomatic disorders as functional disturbances of reproductive, nervous and cardiovascular systems, were found. These disturbances were qualified as somatoform disorders. The most typical was autonomic dystonia syndrome. During the course of depression, somatization of psychic disorders was increasing, being most distinct in asthenic variants.

Adolescent↗

[Psychosomatic aspects of pain perception by the elderly--results of the ELDERMEN Study].

115 geriatric in-patients are included in the current study examining relationships between regions of experienced pain, subjective pain intensity, and psychological variables. An investigation of the connection between psychosomatic limitations (BSS) and pain indicated, that pain patients do not necessarily require psychosomatic-psychotherapeutic treatment (in our study only 21.6%). 61.7% of the study sample reported intense pain at least one body region. These patients differed significantly from those with less pain in terms of their level of functional capacity and need for assistance in daily activities (ADL/IADL). They also displayed a significantly more negative attitude towards aging (PGC) than patients with minimal pain. Hierarchical cluster analyses for applied coping strategies produced five groups within the subgroup of patients suffering from extreme pain. Only within one group "depression" was a significant reaction to health-problems. These results make clear that most of the patients with extreme pain are able to cope effectively with pain.

Activities of Daily Living↗

The psychosomatic aspects of children with vocal nodules.

Psychological and emotional aspects of voice disorders have long received attention from otolaryngologits and speech clinicians. The literature contains frequent reports of such problems, but there are few studies on the full importance of these aspects. The cause of vocal nodules in children has been attributed to vocal abuse, and therapy has consisted of the elimination of this abuse. Reports of long-term follow-up are few, lending suspicion to both the proposed causes and the therapeutic approaches. Seventy-seven prepuberal children with vocal nodules are studies from the social, medical, and physical aspects. The incidence of vocal nodules approaches 1% of all children. Boys predominate this amount by ratios greater than 3:1, with incidence peaks between ages 5 and 10. Conventional modes of therapy have been unsuccessful because of the lack of recognition of psychosomatic factors. New approaches for therapy are suggested including parental involvement, counseling, group therapy, and drug therapy. Though emotional problems may persist, the somatic aspect of this disease disappears at puberty.

Child↗