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1.
Z Psychosom Med Psychother ; 67(1): 70-77, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33565372

RESUMO

Objectives: This study aimed to investigate the effect of waiting for inpatient psychosomatic psychotherapy and the prediction of treatment outcome from the effect of waiting in depressed patients. Methods: A total of N = 519 patients were assessed for depressive symptoms before their initial intake interview, at the time of their hospital admission (on average 6 weeks after the intake), and at discharge (after eight weeks of inpatient psychotherapy). Results: There was a small to moderate reduction in depressive symptoms from intake interview to hospital admission. This effect was independent from the waiting duration. Latent change from intake interview to hospital admission was a significant moderate predictor of treatment outcome at discharge. Conclusions: Findings imply that the prospect of inpatient psychotherapy may affect patients' depression severity. Furthermore, patients who benefit more from the prospect of treatment may also achieve higher therapeutic effects.


Assuntos
Depressão/psicologia , Depressão/terapia , Pacientes Internados , Psicoterapia , Humanos , Pacientes Internados/psicologia , Transtornos Psicofisiológicos/psicologia , Transtornos Psicofisiológicos/terapia , Resultado do Tratamento
2.
Z Psychosom Med Psychother ; 67(1): 88-103, 2021.
Artigo em Alemão | MEDLINE | ID: mdl-33565381

RESUMO

Treatment clusters and personnel assessment in psychosomatic medicine and psychotherapy - results of a feasibility study of the platform model Objectives: In accordance with the legal requirements of the PsychVVG, it is necessary to develop criteria for inpatient and day-care psychosomatic psychotherapeutic care, which can be used to determine the appropriate staffing for different treatment areas and different care structures. For psychosomatic medicine and psychotherapy a model with four treatment clusters was developed, which is oriented on the one hand to the psychotherapeutic intensity and on the other hand to the medical expenditure. Method: In three consecutive rounds with up to 30 experts, representative selected from the three institution types university hospital, departmental psychosomatic medicine and specialized clinic, the minute values per patient required for a treatment according to the guidelines were determined using the Delphi method. Newly developed activity profiles for the six occupational groups were used, which allow the recording of all patient- and setting-related activities. Results: With the results of the feasibility study, an instrument has been developed for the first time to determine the requirements of staffing in psychosomatic medicine. Convergent minute values could be formulated for three of the four treatment clusters. Conclusions: The provision of care in psychosomatic medicine and psychotherapy is complex, so that a limitation to four treatment areas is only possible if significantly more generous equivalence rules are applied between the professional groups than those laid down in the PPP Directive.


Assuntos
Transtornos Psicofisiológicos/terapia , Medicina Psicossomática , Psicoterapia , Estudos de Viabilidade , Alemanha , Humanos , Recursos Humanos
3.
Orv Hetil ; 162(7): 252-261, 2021 02 14.
Artigo em Húngaro | MEDLINE | ID: mdl-33582648

RESUMO

Összefoglaló. Bevezetés: A pszichoszomatikus medicina területéhez tartozó betegek ellátása rossz hatásfokú. Ez egyaránt jelentos terhet jelent a betegek és az egészségügy számára. Célkituzés: A pszichoszomatikus tünetek és betegségek megjelenésének és ellátási ajánlásainak vizsgálata az irányadó hivatalos szakmai anyagban. Módszer: Az adatgyujtés idopontjában elérheto 531 Szakmai irányelvbol annak a 134 dokumentumnak a részletesebb elemzése, amelynek témájában pszichoszomatikus tünetek/betegségek gyakoribbak. Ebbol 39 egyértelmuen pszichoszomatikus vonatkozású anyag tartalmi vizsgálata, továbbá a Szakmai Kollégiumok listáján szereplo három pszichiátriai szakterület összes (26) szakmai irányelvének hasonló szempontú értékelése. Eredmények: A megvizsgált irányelvek töredéke tartalmaz csupán a pszichoszomatikus tünetképzésre, illetve kezelésre, megelozésre vonatkozó megállapítást. A releváns témájú irányelvekben szereplo diagnosztikai utalások aránya: direkt 10,25, indirekt forma 23,7, a terápiás ajánlások között direkt 25,64, indirekt forma 15,38%. A megelozésre vonatkozóan alig (5,12%-ban) szerepel említés, a pszichés betegségek egyideju fennállásának esélyére is mindössze 10,25%-ban történik megállapítás. A szorongásos zavarok befolyásáról kevesebb, mint minden harmadik irányelv számol be (30,76%). A pszichiátriai irányelvek között pszichoszomatikus betegségekre vonatkozóan nincs célzott szakmai irányelv. Következtetés: A pszichoszomatikus medicina a hatékony betegellátás követelményeit meghatározó szakmai irányelvekben elégtelen arányban jelenik meg. Okait szemléleti zavarokban, a pszichiátriai szakmai konszenzus és a szakmaközi együttmuködés hiányosságaiban kell keresni. Mind a vonatkozó kutatásokban, mind az irányelvek fejlesztése során erofeszítéseket kell tenni a fentiek miatt kallódó nagy betegpopuláció hatékonyabb ellátása érdekében. A szerzo javaslatot tesz a szükséges konkrét lépésekre. Orv Hetil. 2021; 162(7): 252-261. INTRODUCTION: The care of patients with psychosomatic disorders has bad efficacy. It beards hard both for the patients and the health care providers. OBJECTIVE: Review of presentrecommendations for psychosomatic symptoms and illnesses in the recent Hungarian medical protocols. METHOD: A detailed evaluation of 134 medical protocols from altogether 531 protocols with closer connection with psychosomatic disorders were carried out, their diagnostic and therapeutic recommendations were analyzed. Further review of 39 (of the 134)directly related to psychosomatics was done. Investigation of psychiatric protocols for the same aspects was carried out, as well. RESULTS: Only a small part of the protocols contain recommendations for psychosomatic disorders. Ratios of their presence: diagnostic - direct 10.25, indirect 23.7, therapeutic - direct 25.64, indirect 15.38%. Efforts for prevention are only in 5.12% of the materials and 10.25% of the protocols mention a possible dual nature of the given clinical manifestation. Anxiety disorders occur only in 30.76%. Psychiatric protocol directly aiming psychosomatic problems is lacking. CONCLUSION: Presence of psychosomatic medicine in clinical guidelines defining the conditions of successful care of patients is practically minimal. Possible explanations: confusion in approaches, lack of consensus among the psychiatric institutions, and deficiency of interdisciplinary cooperation. Both in relevant clinical research and in development of medical protocols common additive efforts are necessary for achieving a more successful care of high numbers of patients presently neglected because of the mentioned causes. Author advises some concrete steps for the solution. Orv Hetil. 2021; 162(7): 252-261.


Assuntos
Medicina , Transtornos Psicofisiológicos , Humanos , Hungria
4.
Klin Monbl Augenheilkd ; 238(2): 146-152, 2021 Feb.
Artigo em Inglês, Alemão | MEDLINE | ID: mdl-33543764

RESUMO

Glaucoma patients often bear a long-lasting burden of disease. This can result in anxiety and stress. Causes and effects of anxiety are identified and case studies illustrate how to deal with them. Some knowledge of psychosomatic management is helpful for doctors in dealing with their patients to provide necessary treatment in a less fearful and stressful format.


Assuntos
Glaucoma , Médicos , Seguimentos , Glaucoma/cirurgia , Humanos , Transtornos Psicofisiológicos/diagnóstico
5.
Artigo em Inglês | MEDLINE | ID: mdl-33322399

RESUMO

BACKGROUND AND OBJECTIVE: The WHO has included burnout as an occupational phenomenon in the ICD-11. According to the WHO, burnout is a syndrome conceptualized as resulting from chronic workplace stress that has not been successfully managed. The study aimed to evaluate the influence of feelings of guilt and burnout on health in Polish anesthesiologists. Alcohol and tobacco intake, psychosomatic disorders, and depression were assessed. METHODS: The study had a non-randomized cross-sectional character. The sample consisted of 372 Polish anesthesiologists. Burnout was measured by the Spanish burnout inventory. RESULTS: Post hoc analysis for burnout consequences: depression (F(5,366) = 17.51, p < 0.001, ηp2 = 0.193), psychosomatic disorders (F(5,366) = 13.11, p < 0.001, ηp2 = 0.152), and tobacco intake (F(5,366) = 6.23, p < 0.001, ηp2 = 0.078), showed significant differences between burnout with and without the highest levels of feelings of guilt. All the instruments applied were reliable. CONCLUSIONS: Depression, psychosomatic disorders, and alcohol and tobacco intake are suspected to be consequences of the highest guilt levels related to burnout, i.e., Profile 2 according to the burnout model of Gil-Monte. Participation in prevention programs is recommended for these cases.


Assuntos
Anestesiologistas , Esgotamento Profissional/epidemiologia , Depressão/epidemiologia , Culpa , Consumo de Bebidas Alcoólicas , Estudos Transversais , Humanos , Polônia/epidemiologia , Transtornos Psicofisiológicos/epidemiologia , Uso de Tabaco
6.
Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med ; 28(Special Issue): 1131-1136, 2020 Oct.
Artigo em Russo | MEDLINE | ID: mdl-33219770

RESUMO

The aim of the study is to develop a predictive model of the probable contraction of psychosomatic disorders among specialists in the utilization of radioactive substances. The predictive model was developed in order to prevent occupational diseases and preserve the mental health of specialists. The development of the model was carried out on the basis of the results of empirical research focused on identifying biopsychosocial factors that determine or, on the contrary, block the development of vitality in specialists. The vitality is here understood by us as the ability to manage the internal personal resources in the professional situations of personal stress, thereby ensuring one`s professional health. 179 specialists in the utilization of radioactive substances were examined. The study was carried out using a set of specially selected techniques: Scale «Psychosomatic disorders¼ by V. V. Boyko, methods for studying psychophysiological status (data on the brain wave activity (EEG); assessment of the functional state of the nervous system based on a simple and complex visual motor reaction; the color test by M. Luscher), individual psychological characteristics (the method of colour metaphors by I. L. Solomin, diagnostics of latent motivation, the Mini-Mult questionnaire, «The dominant type of interpersonal relations¼ methodology) and social situation of life (the questionnaire by the authors). As a result of the study, there were identified 32 features that have a statistically significant relationship with indicators of psychosomatic disorders (p < 0.001). The identified features were included in multiple logistic regression analysis as independent variables. As a result of further processing of the empirical data, carried out with the help of the method of step-by-step exclusion of variables, a predictive model of the likelihood of psychosomatic disorders in radioactive waste utolozation specialists was constructed, which was based on a subjective assessment of the living standards, the presence of a distrustful-skeptical type in interpersonal relationships and manifestations of paranoia.


Assuntos
Doenças Profissionais , Transtornos Psicofisiológicos , Humanos , Saúde Mental , Transtornos Psicofisiológicos/diagnóstico , Transtornos Psicofisiológicos/epidemiologia , Especialização , Inquéritos e Questionários
8.
PLoS One ; 15(10): e0239969, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33017408

RESUMO

BACKGROUND: Traumatized refugees often suffer from diverse psychosomatic symptoms. Female Yazidi refugees from Northern Iraq who survived attacks of the so-called "Islamic State" were brought to Germany to receive special medical and psychotherapeutic treatment in a unique worldwide humanitarian admission program (HAP). Here, we report on their psychosomatic symptoms and helpful strategies from the perspective of care providers. METHODS: Care providers (N = 84) in this HAP were interviewed in an individual setting as well as in focus groups to gather information about the HAP beneficiaries' psychosomatic symptoms. Data analysis followed Qualitative Content Analysis by Mayring. RESULTS: The care providers reported five main psychological burdens of the Yazidis: 1) insecurity regarding loss, 2) worries about family members, 3) ambivalence about staying in Germany or returning to Iraq, 4) life between two worlds and 5) re-actualization of the traumatic experiences. The predominant psychological symptoms the care providers noticed were fear, depressive symptoms, feelings of guilt, and sleep and eating disorders. Regarding somatic symptoms, the care providers mainly received complaints about pain in the head, back, chest and stomach. Helpful strategies for providing adequate health care were care providers' cooperating with physicians, precise documentation of beneficiaries' symptoms, and additional support in directing the beneficiaries through the health care system. Regarding psychotherapy, interpreters help to overcome language barriers, onsite psychotherapy, flexible therapy appointments, psychoeducational methods, time for stabilization, and support in coping with daily life aspects. In the care providers' experience, psychotherapists have to build a relationship of trust. After grief therapy, a trauma-specific therapy in a culturally adapted way is possible. CONCLUSION: The HAP is a unique model health care program to offer highly traumatized refugees medical and psychological help. Care providers reported on several (psycho-)somatic symptoms of the traumatized women. The strategies the HAP care providers perceived as helpful can be recommended for similar projects in the future.


Assuntos
Pessoal de Saúde , Trauma Psicológico/fisiopatologia , Transtornos Psicofisiológicos/fisiopatologia , Refugiados/psicologia , Transtornos de Estresse Pós-Traumáticos/fisiopatologia , Adulto , Idoso , Feminino , Alemanha , Humanos , Iraque/etnologia , Islamismo , Masculino , Pessoa de Meia-Idade , Trauma Psicológico/etnologia , Transtornos Psicofisiológicos/etnologia , Pesquisa Qualitativa , Transtornos de Estresse Pós-Traumáticos/etnologia , Inquéritos e Questionários , Adulto Jovem
9.
Medisan ; 24(5)
Artigo em Espanhol | LILACS, CUMED | ID: biblio-1135214

RESUMO

Los trastornos psicosomáticos se caracterizan por manifestaciones somáticas de origen no patológico y poseen una significativa prevalencia en niños y adolescentes; sin embargo, resulta difícil identificarlos, pues no existe un consenso adecuado para su diagnóstico y las investigaciones acerca del tema son insuficientes. Lo anterior condujo a efectuar el presente artículo, en el que se abordan aspectos etiopatogénicos y clinicoepidemiológicos que proporcionan los principales elementos para identificar dichos trastornos y establecer un diagnóstico acertado; asimismo se destaca que estas afecciones son frecuentes en poblaciones infantojuveniles con rasgos de introversión y/o antecedentes personales y familiares de enfermedades físicas y mentales, y que su causa es multifactorial, aunque entre los muchos factores sobresalen la vulnerabilidad al estrés, la disfunción familiar, la sobreprotección parental, así como también las situaciones precipitantes (acoso escolar, separación de los padres, abuso sexual) y las perpetuadoras; estas últimas están condicionadas por los beneficios primario y secundario que los menores obtienen de estos padecimientos.


The psychosomatic disorders are characterized by somatic signs of non-pathological origin which possess a significant prevalence in children and adolescents; however, it is difficult to identify them, because there is no appropriate consent for its diagnosis and the investigations about the topic are insufficient. That is the reason why we decided to carry out the present work, in which some etiopathogenic, clinical and epidemiological aspects are approached that provide the main elements to identify these disorders and to establish a good diagnosis; it is also relevant that these disorders are frequent in juvenile populations with introversion features and/or personal and family history of physical and mental diseases, with multifactorial cause, although among the many relevant factors we can mention vulnerability to stress, family dysfunction, parental overprotection, as well as the precipitant situations (school harassment, parents' separation, sexual abuse) and the permanent situations; the latter are conditioned by the primary and secondary benefits that minors obtain with these sufferings.


Assuntos
Transtornos Psicofisiológicos/diagnóstico , Transtornos Psicofisiológicos/epidemiologia , Criança , Adolescente
10.
Rinsho Shinkeigaku ; 60(10): 663-667, 2020 Oct 24.
Artigo em Japonês | MEDLINE | ID: mdl-32893245

RESUMO

In elderly patients with so-called psychogenic physical symptoms, changes with age of the symptoms were discussed from the standpoint of geriatric psychiatry. In recent years, the diagnostic criteria for psychogenic physical symptoms have been revised and are closer to the definition of psychosomatic disorders. In aging, the aging phenomenon of each body organ progresses, and the brain is no exception. Clinical findings suggest that conventional physical and mental symptoms are alleviated as brain function declines in general. If dementia is added, the speed of relief will increase. In Japan, where super-aging is advancing, the need to focus on the positive aspects of aging is discussed.


Assuntos
Envelhecimento/fisiologia , Encéfalo/fisiopatologia , Psiquiatria Geriátrica , Transtornos Psicofisiológicos/fisiopatologia , Transtornos Psicofisiológicos/psicologia , Idoso , Idoso de 80 Anos ou mais , Ansiedade , Transtornos de Ansiedade/fisiopatologia , Transtornos de Ansiedade/psicologia , Feminino , Humanos , Masculino , Transtornos Psicofisiológicos/diagnóstico
11.
Artigo em Russo | MEDLINE | ID: mdl-32929942

RESUMO

The authors consider current views on and approaches to trauma and posttraumatic stress disorder (PTSD). There are doubts about the correctness and validity of allocation of PTSD entirely according to psychogenesis of the disease. The authors consider the «post-traumatic¼ as a type of response to extreme stress. PTSD is characterized as a nonspecific pathological form of disease, which can occur in the structure of different mental disorders. Based on considering two approaches (cerebrotraumatic and psychosomatic) in solving the current issue, the authors suggest that PTSD is a psychogenic-organic disorder.


Assuntos
Intolerância Ortostática , Transtornos de Estresse Pós-Traumáticos , Veteranos , Humanos , Transtornos Psicofisiológicos , Transtornos Somatoformes
12.
Agora (Rio J.) ; 23(3): 81-89, set.-dez. 2020. graf
Artigo em Português | LILACS, Index Psicologia - Periódicos técnico-científicos | ID: biblio-1130832

RESUMO

RESUMO: Este artigo tem como objetivo apresentar os impasses em relação à função do recurso à substância na psicose. As contribuições da clínica nodal e da clínica das psicoses ordinárias permitem ressituar a investigação da função do recurso à substância na psicose na economia de gozo de cada sujeito em função dos enlaces, desenlaces e reenlaces em relação ao Outro. Para além da função estabilizadora do recurso à substância, via identificação imaginária ao significante "sou toxicômano", fragmentos de casos clínicos evidenciam que o recurso à substância na psicose pode promover um desenlace em relação ao Outro, reforçar a foraclusão, promover efeitos devastadores no corpo ou, ainda, funcionar como um dos nomes do pior.


Abstract: This article aims to present the impasses regarding the function of the recourse to the substance in the psychosis. The contributions of the nodal clinic and the clinic of ordinary psychoses allow us to resituate the investigation of the function of the recourse to the substance in the psychosis in the economy of enjoyment of each subject in function of the links, disconnections and re-links in relation to the Other. In addition to the stabilizing function of substance use, via the imaginary identification of the signifier "I am a drug addict", fragments of clinical cases show that recourse to the substance in psychosis can promote a disconnection in relation to the Other, promotes devastating effects on the body or even function as one of the worst names.


Assuntos
Psicanálise , Transtornos Psicofisiológicos , Transtornos Psicóticos
13.
Rehabilitation (Stuttg) ; 59(4): 237-250, 2020 Aug.
Artigo em Alemão | MEDLINE | ID: mdl-32851609

RESUMO

Due to significant changes in the new ICD-11 classification, stress-related disorders have advanced further into clinical and scientific focus. In contrast to the ICD-10 classification, complex posttraumatic stress disorder as well as prolonged grief have been established as independent diagnoses. Additionally, the diagnostic criteria for adjustment disorder were newly conceptualized and refined. Stress-related disorders have a high relevance for out- and inpatient rehabilitation centers. Posttraumatic stress disorder (PTSD) has a 1-year-prevalence in Germany of 1-2%. Comorbidities such as depression or anxiety disorders are common. PTSD may also result from physical illness and can in turn complicate the course of the disease or even lead to chronification of symptoms. The most effective treatment is a trauma-focused psychotherapy, which usually takes place in an outpatient setting. Psychosomatic inpatient rehabilitation is a valuable resource in the treatment plan of PTSD. The optimal point is mostly following the acute therapy when reintegration to work and social life is the aim. As rehabilitation centers can provide a safe therapeutic setting for patients, allowing them to open up about their trauma, it can pave the way to a trauma focused treatment. Additionally, socio-medical aspects of trauma-related disorders will be touched upon in this overview.


Assuntos
Transtornos de Ansiedade/psicologia , Transtornos Psicofisiológicos/psicologia , Transtornos de Estresse Pós-Traumáticos/reabilitação , Alemanha , Humanos , Classificação Internacional de Doenças , Transtornos de Estresse Pós-Traumáticos/psicologia
14.
Wiad Lek ; 73(7): 1365-1369, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32759421

RESUMO

OBJECTIVE: The aim: The work is aimed to study the formation mechanisms of sleep disturbances with GERD based on the determination of melatonin and serotonin indicators in the blood, psychosomatic status and quality of sleep, motor-secretory function of the esophagus and stomach in young people. PATIENTS AND METHODS: Materials and methods: All 63 patients were with non-erosive GERD and insomnia. Among them, 32 with inhibitory personality type and 31 with excitable personality type. The control group is 25 people. Questionnaires were used to determine the quality of sleep, quality of life, state of the nervous system, ultrasound, stomach acidity, level of melatonin and serotonin. RESULTS: Results: In patients with inhibitory personality type, depressive disorders, lower sleep quality and quality of life were more pronounced, and in patients with excitable type, increased levels of reactive and personal anxiety and pronounced motor-secretory disorders. CONCLUSION: Conclusions:Psychosomatic disorders in GERD have a significant impact not only on the quality of sleep, quality of life, the level of melatonin and serotonin, the regulation of the secretory and motor functions of the stomach, but they are one of the links in the pathogenetic mechanism of the formation of both GERD and insomnia with it.


Assuntos
Refluxo Gastroesofágico , Distúrbios do Início e da Manutenção do Sono , Ansiedade , Humanos , Transtornos Psicofisiológicos , Qualidade de Vida
15.
Rev. neurol. (Ed. impr.) ; 71(3): 119-122, 1 ago., 2020. graf
Artigo em Espanhol | IBECS | ID: ibc-195457

RESUMO

INTRODUCCIÓN: Es frecuente el empleo de manifestaciones culturales como origen de descriptores en el campo de las ciencias de la salud. La historia de Odiseo (Ulises) es una de las obras más antiguas e influyentes de la literatura universal y ha dado lugar a múltiples creaciones posteriores, con un fuerte arraigo en la cultura popular. OBJETIVO: Ponderar el uso del relato de Odiseo en la literatura médica, describir los términos en los que se emplea y discutir la pertinencia de estos. DESARROLLO: Tras una revisión en PubMed, se hallaron 112 publicaciones de carácter médico con referencias al mito de Odiseo, de un total de 343 resultados. Se recogen hasta cinco entidades diferentes directamente nombradas a partir de Ulises (tres síndromes de Ulises, el contrato de Ulises y el conflicto de Ulises), y dos más sobre otros personajes que forman parte de su ciclo (síndrome de Elpenor y síndrome de Penélope), las cuales analizamos de forma crítica respecto al material original del que se parte. CONCLUSIONES: La historia de Odiseo constituye una de las fuentes de inspiración más frecuentes en la medicina, tanto para la elaboración de descriptores como para el empleo de símiles, metáforas u otras figuras retóricas, particularmente en el área de las neurociencias


INTRODUCTION: Cultural manifestations are frequently used as a source of descriptors in the field of the health sciences. The story of Odysseus (Ulysses) is one of the oldest and most influential works of world literature and has given rise to many subsequent creations, with strong roots in popular culture. AIMS: To consider the use of the story of Odysseus in the medical literature, to describe the terms in which it is used, and to discuss its relevance. DEVELOPMENT: From a review performed in PubMed, 112 medical publications with references to the myth of Odysseus were found, out of a total of 343 results. Five different conditions named directly after Ulysses were found (three Ulysses syndromes, the Ulysses contract and the Ulysses conflict), together with two others that have been given the names of other characters who are part of the same cycle (Elpenor syndrome and Penelope syndrome), which we analyse in a critical manner referring to the original material from which they have been taken. CONCLUSIONS: The story of Odysseus constitutes one of the most frequent sources of inspiration in medicine, both for the creation of descriptors and for the use of similes, metaphors or other rhetorical figures, particularly in the area of neuroscience


Assuntos
Humanos , Estado Epiléptico/história , Parassonias/história , Medicina na Literatura , Erros de Diagnóstico , Estresse Psicológico , Transtornos Psicofisiológicos
16.
Soins Psychiatr ; 41(327): 27-30, 2020.
Artigo em Francês | MEDLINE | ID: mdl-32718458

RESUMO

Nature and humans are inseparable creators. Since time immemorial, humans have created in nature to express themselves, unburden themselves, heal themselves and transform themselves. By providing the conditions for rediscovering this form of authentic creative expression, land art therapy enables anyone whatever their problem (psychosomatic disorders, psychological pathologies, addictive behaviour, etc.) to liberate their stifled body, to rediscover their vital force, to reconstruct a real link between the body and the mind and to become a subject again.


Assuntos
Terapia pela Arte/métodos , Terapia de Relaxamento , Criatividade , Humanos , Transtornos Psicofisiológicos/psicologia , Transtornos Psicofisiológicos/terapia
17.
Artigo em Russo | MEDLINE | ID: mdl-32621469

RESUMO

OBJECTIVE: To conduct a cross-correlation analysis of the frequency of breathing and heart rhythm variability (HRV) in the diagnosis of autonomic disorders in patients with hypotonic type of functional dysphonia. MATERIAL AND METHODS: Twenty-eight women, aged between 21 and 63 years, with hypotonic type of functional dysphonia were examined. The examination of patients included an analysis of anamnesis, an objective ENT study by common methods, videostroboscopy of the larynx, and determination of the functional state of the autonomic nervous system (ANS). RESULTS: It was shown that in such patients, HRV contains alternating RR-intervals, which reduce the correlation coefficient between breathing fluctuations and sinus respiratory arrhythmia. In the majority of patients, ANS dysfunction is detected in the form of insufficient autonomic activity support, while the correlation coefficients (Rc) provide additional information about the autonomic tone. At high values of the correlation coefficient, the autonomic tone is optimal or reduced, at low values (below 0,5) it is optimal or elevated. At the same time, the correlation coefficient, which tends to zero at normal indicators of the total HRV power, indicates the state of ANS tension, which is associated with increased autonomic tone and can be one of the causes of sinus respiratory arrhythmia. CONCLUSION: The crosscorrelation analysis of HRV and breathing in patients with hypotonic type of functional dysphonia is one of the quantitative methods of the diagnosis of vegetative dystonia.


Assuntos
Doenças do Sistema Nervoso Autônomo , Disfonia , Adulto , Sistema Nervoso Autônomo , Feminino , Frequência Cardíaca , Humanos , Pessoa de Meia-Idade , Transtornos Psicofisiológicos , Adulto Jovem
18.
Medicine (Baltimore) ; 99(29): e21230, 2020 Jul 17.
Artigo em Inglês | MEDLINE | ID: mdl-32702896

RESUMO

The aim of this study is to investigate the relation between parenting style and chronic pain and the patients' need for psychosomatic treatment in adulthood.We compared 4 combinations of 2 parenting style subscales, high and low care and overprotection, among the following 4 age- and sex-matched groups: community-dwelling subjects without chronic pain (n = 100), community-dwelling subjects with chronic pain (n = 100), outpatients with chronic pain (n = 50), and inpatients with chronic pain (n = 50). Parenting style was assessed for both the mother and father by use of the Parental Bonding Instrument questionnaire. The parenting style associated with the worst outcome was defined as both low care and high overprotection, as reported in previous studies.The frequency of reported adverse parenting style was significantly higher among chronic pain patients than community-dwelling subjects without chronic pain (all P < .05). The odds ratios for an adverse parenting style significantly increased through the categories after adjusting for demographic factors and the pain visual analog scale (P for trend <.01).These findings suggest that parental low care and high overprotection during childhood contribute to the future risk of chronic pain and the patients' need for psychosomatic treatment in adulthood.


Assuntos
Dor Crônica/psicologia , Poder Familiar/psicologia , Transtornos Psicofisiológicos/psicologia , Estudos de Casos e Controles , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Medição da Dor , Fatores de Risco , Inquéritos e Questionários
20.
Zhonghua Nei Ke Za Zhi ; 59(6): 427-432, 2020 Jun 01.
Artigo em Chinês | MEDLINE | ID: mdl-32486582

RESUMO

Psychosomatic related disorders are diseases closely related to psychosocial factors. Patients are often treated in the non-psychiatric department of general hospitals due to somatic symptoms, and physicians often fail to recognize psychological symptoms, and could not make a proper diagnosis. Therefore, the status of diagnosis and treatment of psychosomatic disorders needs to be improved urgently. Wuling Capsule is a kind of national first class new traditional Chinese medicine with a single ingredient. It is widely used in the field of psychosomatic disorders. As an effective therapeutic drug for patients with depressive, anxious and insomnic symptoms in various departments of general hospitals, Wuling Capsule can be used alone or combined with other medications. It has fewer side effects and with higher safety. It can reduce patients' stigma and, thus, increase compliance. All these make Wuling Capsule a valuable drug in clinical application. The aim of the consensus was to summarize the clinical application situation of Wuling Capsule in psychosomatic related disorders, standardize its application in clinical practice, and provide evidence-based expert consensus recommendations for the clinical diagnosis and treatment of psychosomatic related disorders for physicians in both general and primary hospitals.


Assuntos
Medicamentos de Ervas Chinesas/uso terapêutico , Guias de Prática Clínica como Assunto , Transtornos Psicofisiológicos/terapia , Distúrbios do Início e da Manutenção do Sono/terapia , Ansiedade/terapia , Consenso , Depressão/terapia , Medicamentos de Ervas Chinesas/administração & dosagem , Humanos
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