Z Psychosom Med Psyc
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Z Psychosom Med Psyc · Jan 2005
[Utilization of the health care system due to somatoform complaints -- results of a representative survey].
Utilization of the health care system is not determined by the presence of an organic illness, but by a multitude of interacting factors. This applies particularly to somatoform complaints and disorders, in the context of which the health care system is used very intensively and inadequately in relation to the disorder. The present paper summarizes the frequency of somatoform complaints in the general population and health care utilization due to these complaints. ⋯ The considerable utilization of health care services is an essential element of somatoform pathology and has immense medico-political relevance. The most important prerequisite for handling the 'commitment to health care system' symptom is thorough training of all physicians in the basics of somato-psycho-social medicine. This will be an important measure for cost reduction in the health care system.
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Z Psychosom Med Psyc · Jan 2003
[The influence of anxiety, depression and post traumatic stress disorder on quality of life after thoracic organ transplantation].
This study examines stress factors, resources of coping, psychopathological symptoms and their influence on health-related quality of life (QoL) in patients after heart or lung transplantation. ⋯ There was a lower influence of depression on the medical score of QoL. Psychological symptoms such as anxiety, depression and PTSD significantly influence QoL after heart or lung transplantation. Patients with a PTSD diagnose had poor QoL. Screening for PTSD should be part of routine evaluation after organ transplantation.
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Z Psychosom Med Psyc · Jan 2003
[Predictors of quality of life after orthopedic treatment of lower back pain due to lumbar intervertebral disc disorders].
To investigate the relevance of somatic, psychic and psychosocial factors on the health-related quality of life at the one year follow-up of patients with lower back pain. ⋯ The study shows the high impact of psychic and psychosocial factors on health-related quality of life in patients with chronic lower back pain.
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Z Psychosom Med Psyc · Jan 2002
[The current conception of the unconscious - empirical results of neurobiology, cognitive sciences, social psychology and emotion research].
The influence of the unconscious on psychosomatic medicine and psychotherapy: a comprehensive concept of unconscious processes based on empirical evidence. The theory of the Unconscious constitutes the basis of psychoanalysis and of psychodynamic therapy. The traditional description of the Unconscious as given by Freud is of historical significance and not only gained widespread acceptance but also attracted much criticism. ⋯ Parts of the symbolic-declarative and emotional-procedural processing by the brain are permanently unconscious. Other parts of these processing procedures are conscious or can be brought to the conscious or alternatively, can also be excluded from the conscious. Unconscious processes exert decisive influence on experience and behaviour; for this reason, every form of psychotherapy should take into account such unconscious processes.