Gastrointestinale somatoforme Störungen

Hetterich, Larissa; Zipfel, Stephan; Stengel, Andreas

doi:10.1055/a-0996-0384

Cited by 3 publications

(1 citation statement)

References 15 publications

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“…результатам которого перенесенные психические травмы с большей вероятностью способствуют последующему развитию СФР в том случае, если они сопровождаются нарушениями у пациента автобиографической памяти, препятствующими отчетливому припоминанию всех аспектов перенесенной травмы.В некоторых работах, посвященных роли социально-психологических факторов при СФР, основная значимость придается не текущим социальным проблемам, а неблагоприятным социальным условиям, действовавшим на пациента в прошлом, особенно в детстве. Так, L. Hetterich, S. Zipfel и A. Stengel[59], рассматривая факторы риска формирования соматоформной вегетативной дисфункции пищеварительной системы (являющейся одной из форм СФР), указывают на значимость таких факторов, как предыдущий жизненный опыт человека, стиль его воспитания в детстве, перенесенные им в прошлом негативные жизненные события и уровень социальной поддержки, которую человек получил в своей жизни. При этом особое значение в качестве фактора риска указанного расстройства авторы придают перенесенному жестокому обращению в детстве.…”

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Modern researches of personality-psychological features in patients with somatoform disorders

Vasilyev,

Mukhametova

2024

V.M. BEKHTEREV REVIEW OF PSYCHIATRY AND MEDICAL PSYCHOLOGY

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The scientific review is devoted to the actual problem of personality-psychological features of patients with somatoform disorders (SFD). It is based on the analysis of 91 publications on this topic (42 in Russian and 49 in English) that have been published over the past 10 years. The search for publications was carried out in the RSCI and Medline bibliographic data-bases. The purpose of the review was to consider the main directions of the studies of personality-psychological factors for the SFD formation which has been developing over the past decade, and to highlight those of these factors that are currently the most generally recognized. The review considers the following directions of research in this area: studies of alexithymia, studies of somatosensory amplification, studies of the patients’ character features, studies of cognitive processes in SFD, studies of psychological defenses and coping strategies, studies in the framework of attachment theory, studies of socio-psychological factors of SFD development, integrative concepts of personality predisposition to SFD. As a result, a high level of alexithymia and personality anxiety, rigidity of cognitive processes, general inferiority of psychological defenses and coping strategies, and a high socio-stress load was highlighted as the most generally recognized personality-psychological factors of the SFD formation. Factors that are sufficiently recognized, but still need further study, are also the somatosensory amplification, the frequent use of reactive formation as a psychological defense and avoidant behavior as a coping strategy, the pattern of insecure attachment. The conclusion notes the need to continue research in this area and proposes possible further directions, in particular, the identification of causal relationships between already established personality-psychological predictors of SFD, as well as the study of their interactions with factors of a different nature (genetic, morphological, psychopathological).

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Modern researches of personality-psychological features in patients with somatoform disorders

Vasilyev,

Mukhametova

2024

V.M. BEKHTEREV REVIEW OF PSYCHIATRY AND MEDICAL PSYCHOLOGY

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Das Reizdarmsyndrom

Goebel-Stengel

Stengel

2023

DGIM Innere Medizin

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Modern approaches to psychoterapy of somatoform disorders

Mukhametova,

Vasilyev

2024

V.M. BEKHTEREV REVIEW OF PSYCHIATRY AND MEDICAL PSYCHOLOGY

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The scientific review focuses on the relevant for modern medicine problem of psychotherapy of somatoform disorders (SFD). It is based on the analysis of 106 publications on this topic (46 of them in Russian and 60 in English). The search for publications was carried out in the RSCI and Medline bibliographic databases. The purpose of the review was to form ideas about the current state of the psychotherapy of SFD with the highlighting and comparison of the main current approaches in this area. The review analyzes the overall effectiveness of psychotherapy of SFD and considers the following modern its directions: cognitive behavioral therapy, mindfulness-based psychotherapy, dynamic psychotherapy, group psychotherapy, other (rarely mentioned) psychotherapeutic methods, as well as polymodal and remote approaches to psychotherapy of SFD.The summary of the literary information presented in the review allows to conclude that psychotherapy today is considered by most authors as an important, possibly even leading component of the treatment of the considered mental pathology type. At the same time, data on its clinical effectiveness, especially in isolated use, remains ambiguous, in addition, among researchers there is still no unity of views on the main targets of psychotherapeutic impacts in SFD, as well as on the most suitable forms and methods of psychotherapy for the treatment of this pathology. Information on the clinical effectiveness of specific psychotherapeutic methods currently used for the treatment of SFD is either ambiguous or incomplete, and the polymodal approaches to psychotherapy of SFD proposed by some authors have insufficient scientific justification for the methodological combinations used in them. The future of psychotherapy of SFD is seen by the authors of this review in the development of integrative psychotherapeutic programs that combine elements of several multidirectional methods of psychotherapy, but that are based on knowledge of the general personal and psychological characteristics of patients suffering from SFD.

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Gastrointestinale somatoforme Störungen

Cited by 3 publications

References 15 publications

Modern researches of personality-psychological features in patients with somatoform disorders

Modern researches of personality-psychological features in patients with somatoform disorders

Das Reizdarmsyndrom

Modern approaches to psychoterapy of somatoform disorders

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