Psychiatrische Praxis
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Psychiatrische Praxis · Aug 2012
Comparative Study[Gender differences in response to CBT-orientated multimodal treatment in depressed patients with chronic pain].
Although gender differences are increasingly the focus of current research, gender aspects in the response to pharmacological and non-pharmacological treatment of depression still remain unclear. The aim of this study was to analyze the impact of gender on the outcome of a CBT-orientated multimodal treatment in depressed outpatients with chronic pain. ⋯ Women with a depressive disorder and chronic pain benefit significantly more from a CBT-orientated multimodal treatment and exhibit a considerably greater reduction of depressive symptoms than do men. These distinctions are not due to differences in received antidepressant medication, psychiatric comorbidities or educational background.
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Psychiatrische Praxis · Aug 2012
[Association between fear of stigma, depressive and anxiety symptoms in patients with somatoform pain disorder].
There is still poor acceptance for pain without somatic causes, and patients with somatoform pain disorder carry a stigma per se. The aim of this study was to identify predictors of fear of stigma including depression, anxiety and somatisation among patients with somatoform pain disorder. ⋯ This is one of the first studies investigating this question among patients with somatoform pain disorder. Findings might indicate the importance of depressive symptoms for developing fear of stigma.
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Psychiatrische Praxis · Apr 2012
[Dialectical Behavior Therapy (DBT) in a patient with factitious disorder: therapist's and patient's perspective].
Presentation of the disorder model and inpatient psychotherapy of a patient with factitious disorder as seen from the therapist's and patient's perspective. ⋯ The factitious disorder is based on learning experiences and is maintained, among other things, by the care of the medical personnel. Principles and interventions of DBT could successfully be employed.