The Experts below are selected from a list of 210 Experts worldwide ranked by ideXlab platform
Niklaus Egloff - One of the best experts on this subject based on the ideXlab platform.
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Nondermatomal somatosensory deficits in Chronic Pain patients: Are they really hysterical?
Pain, 2012Co-Authors: Niklaus Egloff, Folkert Maecker, Stefanie Stauber, Marzio E. Sabbioni, Libuse Tunklova, Roland Von KänelAbstract:Abstract Patients with Chronic Pain Disorders frequently show nondermatomal somatosensory deficits (NDSDs) that are considered to be functional. Typically, NDSDs show quadratomal or hemibody distribution ipsilateral to the areas of Chronic Pain. According to the Diagnostic and Statistical Manual of Mental Disorders, 4th edition and the International Classification of Diseases, 10th revision, such functional somatosensory deficits are classified in the chapter “conversion Disorder.” Many publications also used the term “hysterical sensory loss.” However, doubts are increasing about this one-sided psychiatric view. We aimed to better characterize the biopsychosocial factors associated with NDSDs. Therefore, we compared 2 groups of inpatients with Chronic Pain Disorder, of whom 90 suffered from NDSDs and 90 did not. The patients with NDSDs all showed widespread somatosensory deficits with hemibody distribution. On logistic regression analysis, history of a prior physical trauma was positively predictive for patients with NDSDs. Personality Disorder and adverse childhood experiences were positively predictive for the control group with Chronic Pain Disorders without NDSDs. The frequencies of comorbid depression and anxiety Disorder did not differ statistically between groups. In conclusion, Pain patients with NDSDs are, psychopathologically, by no means more noticeable personalities than patients with Chronic Pain Disorder without NDSDs. Similar to complex regional Pain syndromes, we assume a multifactorial etiology of NDSDs, including stress. Based on our observations, terms like “hysteric” should not be applied any longer to patients with NDSDs who suffer from Chronic Pain.
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Nondermatomal somatosensory deficits in Chronic Pain patients: Are they really hysterical?
Pain, 2012Co-Authors: Niklaus Egloff, Folkert Maecker, Stefanie Stauber, Marzio E. Sabbioni, Libuse Tunklova, Roland Von KänelAbstract:Patients with Chronic Pain Disorders frequently show nondermatomal somatosensory deficits (NDSDs) that are considered to be functional. Typically, NDSDs show quadratomal or hemibody distribution ipsilateral to the areas of Chronic Pain. According to the Diagnostic and Statistical Manual of Mental Disorders, 4th edition and the International Classification of Diseases, 10th revision, such functional somatosensory deficits are classified in the chapter "conversion Disorder." Many publications also used the term "hysterical sensory loss." However, doubts are increasing about this one-sided psychiatric view. We aimed to better characterize the biopsychosocial factors associated with NDSDs. Therefore, we compared 2 groups of inpatients with Chronic Pain Disorder, of whom 90 suffered from NDSDs and 90 did not. The patients with NDSDs all showed widespread somatosensory deficits with hemibody distribution. On logistic regression analysis, history of a prior physical trauma was positively predictive for patients with NDSDs. Personality Disorder and adverse childhood experiences were positively predictive for the control group with Chronic Pain Disorders without NDSDs. The frequencies of comorbid depression and anxiety Disorder did not differ statistically between groups. In conclusion, Pain patients with NDSDs are, psychopathologically, by no means more noticeable personalities than patients with Chronic Pain Disorder without NDSDs. Similar to complex regional Pain syndromes, we assume a multifactorial etiology of NDSDs, including stress. Based on our observations, terms like "hysteric" should not be applied any longer to patients with NDSDs who suffer from Chronic Pain. © 2012 International Association for the Study of Pain. Published by Elsevier B.V. All rights reserved.
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nondermatomal somatosensory deficits in patients with Chronic Pain Disorder clinical findings and hypometabolic pattern in fdg pet
Pain, 2009Co-Authors: Niklaus Egloff, Marzio E. Sabbioni, Christoph Salathe, Roland Wiest, Freimut D JuenglingAbstract:Patients with Chronic Pain Disorders often show somatosensory disturbances that are considered to be functional. This paper aims at a more precise clinical description and at a documentation of functional neuroimaging correlates of this phenomenon. We examined 30 consecutive patients with unilaterally accentuated Chronic Pain not explained by persistent peripheral tissue damage and ipsilateral somatosensory disturbances including upper and lower extremities and trunk. The patients were assessed clinically and with conventional brain CT or MRI scan. In the last 11 patients functional neuroimaging was carried out (18-fluordeoxyglucose positron emission tomography=FDG-PET). Depressive symptoms were assessed with the Hamilton depression scale (HAMD-17) and Pain intensity was rated with a visual analogue scale for Pain (VAS). All patients suffered from mild to moderate depressive symptoms. All patients had experienced a prolonged antecedent phase of severe emotional distress; most of them remembered a "trigger episode of somatic Pain" on the affected side. Somatosensory deficits were a replicable hyposensitivity to touch and heat perception of nondermatomal distribution. Conventional imaging procedures (brain CT or MRI scans) showed no structural changes. However, in 11 patients functional imaging with FDG-PET showed a significant hypometabolic pattern of changes in cortical and subcortical areas, mainly in the post-central gyrus, posterior insula, putamen, and anterior cingulate cortex. In summary, Pain-related nondermatomal somatosensory deficits (NDSDs) are a phenomenon involving biological as well as psychosocial factors with replicable neuroperceptive clinical findings and a complex neurodysfunctional pattern in the FDG-PET.
Almut Zeeck - One of the best experts on this subject based on the ideXlab platform.
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a comparison of schemas schema modes and childhood traumas in obsessive compulsive Disorder Chronic Pain Disorder and eating Disorders
Psychopathology, 2014Co-Authors: Ulrich Voderholzer, Caroline Schwartz, Nicola Thiel, Anne Katrin Kuelz, Armin Hartmann, Carl Eduard Scheidt, Sandra Schlegl, Almut ZeeckAbstract:BACKGROUND: In this study, we investigated early maladaptive schemas (EMS), schema modes and childhood traumas in patients suffering from obsessive-compulsive Disorder (OCD) in contrast to patients with other Axis I Disorders. Based on cognitive theories on OCD, our main research question was whether schemas belonging to the domain of 'impaired autonomy and performance' are more prevalent in OCD than in both eating Disorders (ED) and Chronic Pain Disorder (CPD). SAMPLING AND METHODS: EMS, schema modes and traumatic childhood experiences were measured in 60 patients with OCD, 41 with ED, 40 with CPD and 142 healthy controls. To analyze differences between the groups, MANCOVAs were conducted followed by deviation contrasts. Depression level, age and gender were considered as possible covariates. RESULTS: OCD patients scored higher on 4 EMS, 2 of which belong to the domain 'impaired autonomy and performance'. ED patients had higher scores in the EMS 'emotional inhibition' and CPD patients on the Childhood Trauma Questionnaire subscale 'physical neglect'. CONCLUSIONS: These results suggest that there might be typical schema patterns associated with OCD and ED. We can also conclude that a higher prevalence of traumatic experiences does not necessarily coincide with more EMS and schema modes.
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A comparison of schemas, schema modes and childhood traumas in obsessive-compulsive Disorder, Chronic Pain Disorder and eating Disorders
Psychopathology, 2013Co-Authors: Ulrich Voderholzer, Caroline Schwartz, Nicola Thiel, Anne Katrin Kuelz, Armin Hartmann, Carl Eduard Scheidt, Sandra Schlegl, Almut ZeeckAbstract:Background: In this study, we investigated early maladaptive schemas (EMS), schema modes and childhood traumas in patients suffering from obsessive-compulsive Disorder (OCD) in contrast to patients with other Axis I Disorders. Based on cognitive theories on OCD, our main research question was whether schemas belonging to the domain of ‘impaired autonomy and performance' are more prevalent in OCD than in both eating Disorders (ED) and Chronic Pain Disorder (CPD). Sampling and Methods: EMS, schema modes and traumatic childhood experiences were measured in 60 patients with OCD, 41 with ED, 40 with CPD and 142 healthy controls. To analyze differences between the groups, MANCOVAs were conducted followed by deviation contrasts. Depression level, age and gender were considered as possible covariates. Results: OCD patients scored higher on 4 EMS, 2 of which belong to the domain ‘impaired autonomy and performance'. ED patients had higher scores in the EMS ‘emotional inhibition' and CPD patients on the Childhood Trauma Questionnaire subscale ‘physical neglect'. Conclusions: These results suggest that there might be typical schema patterns associated with OCD and ED. We can also conclude that a higher prevalence of traumatic experiences does not necessarily coincide with more EMS and schema modes.
Marzio E. Sabbioni - One of the best experts on this subject based on the ideXlab platform.
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Nondermatomal somatosensory deficits in Chronic Pain patients: Are they really hysterical?
Pain, 2012Co-Authors: Niklaus Egloff, Folkert Maecker, Stefanie Stauber, Marzio E. Sabbioni, Libuse Tunklova, Roland Von KänelAbstract:Abstract Patients with Chronic Pain Disorders frequently show nondermatomal somatosensory deficits (NDSDs) that are considered to be functional. Typically, NDSDs show quadratomal or hemibody distribution ipsilateral to the areas of Chronic Pain. According to the Diagnostic and Statistical Manual of Mental Disorders, 4th edition and the International Classification of Diseases, 10th revision, such functional somatosensory deficits are classified in the chapter “conversion Disorder.” Many publications also used the term “hysterical sensory loss.” However, doubts are increasing about this one-sided psychiatric view. We aimed to better characterize the biopsychosocial factors associated with NDSDs. Therefore, we compared 2 groups of inpatients with Chronic Pain Disorder, of whom 90 suffered from NDSDs and 90 did not. The patients with NDSDs all showed widespread somatosensory deficits with hemibody distribution. On logistic regression analysis, history of a prior physical trauma was positively predictive for patients with NDSDs. Personality Disorder and adverse childhood experiences were positively predictive for the control group with Chronic Pain Disorders without NDSDs. The frequencies of comorbid depression and anxiety Disorder did not differ statistically between groups. In conclusion, Pain patients with NDSDs are, psychopathologically, by no means more noticeable personalities than patients with Chronic Pain Disorder without NDSDs. Similar to complex regional Pain syndromes, we assume a multifactorial etiology of NDSDs, including stress. Based on our observations, terms like “hysteric” should not be applied any longer to patients with NDSDs who suffer from Chronic Pain.
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Nondermatomal somatosensory deficits in Chronic Pain patients: Are they really hysterical?
Pain, 2012Co-Authors: Niklaus Egloff, Folkert Maecker, Stefanie Stauber, Marzio E. Sabbioni, Libuse Tunklova, Roland Von KänelAbstract:Patients with Chronic Pain Disorders frequently show nondermatomal somatosensory deficits (NDSDs) that are considered to be functional. Typically, NDSDs show quadratomal or hemibody distribution ipsilateral to the areas of Chronic Pain. According to the Diagnostic and Statistical Manual of Mental Disorders, 4th edition and the International Classification of Diseases, 10th revision, such functional somatosensory deficits are classified in the chapter "conversion Disorder." Many publications also used the term "hysterical sensory loss." However, doubts are increasing about this one-sided psychiatric view. We aimed to better characterize the biopsychosocial factors associated with NDSDs. Therefore, we compared 2 groups of inpatients with Chronic Pain Disorder, of whom 90 suffered from NDSDs and 90 did not. The patients with NDSDs all showed widespread somatosensory deficits with hemibody distribution. On logistic regression analysis, history of a prior physical trauma was positively predictive for patients with NDSDs. Personality Disorder and adverse childhood experiences were positively predictive for the control group with Chronic Pain Disorders without NDSDs. The frequencies of comorbid depression and anxiety Disorder did not differ statistically between groups. In conclusion, Pain patients with NDSDs are, psychopathologically, by no means more noticeable personalities than patients with Chronic Pain Disorder without NDSDs. Similar to complex regional Pain syndromes, we assume a multifactorial etiology of NDSDs, including stress. Based on our observations, terms like "hysteric" should not be applied any longer to patients with NDSDs who suffer from Chronic Pain. © 2012 International Association for the Study of Pain. Published by Elsevier B.V. All rights reserved.
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nondermatomal somatosensory deficits in patients with Chronic Pain Disorder clinical findings and hypometabolic pattern in fdg pet
Pain, 2009Co-Authors: Niklaus Egloff, Marzio E. Sabbioni, Christoph Salathe, Roland Wiest, Freimut D JuenglingAbstract:Patients with Chronic Pain Disorders often show somatosensory disturbances that are considered to be functional. This paper aims at a more precise clinical description and at a documentation of functional neuroimaging correlates of this phenomenon. We examined 30 consecutive patients with unilaterally accentuated Chronic Pain not explained by persistent peripheral tissue damage and ipsilateral somatosensory disturbances including upper and lower extremities and trunk. The patients were assessed clinically and with conventional brain CT or MRI scan. In the last 11 patients functional neuroimaging was carried out (18-fluordeoxyglucose positron emission tomography=FDG-PET). Depressive symptoms were assessed with the Hamilton depression scale (HAMD-17) and Pain intensity was rated with a visual analogue scale for Pain (VAS). All patients suffered from mild to moderate depressive symptoms. All patients had experienced a prolonged antecedent phase of severe emotional distress; most of them remembered a "trigger episode of somatic Pain" on the affected side. Somatosensory deficits were a replicable hyposensitivity to touch and heat perception of nondermatomal distribution. Conventional imaging procedures (brain CT or MRI scans) showed no structural changes. However, in 11 patients functional imaging with FDG-PET showed a significant hypometabolic pattern of changes in cortical and subcortical areas, mainly in the post-central gyrus, posterior insula, putamen, and anterior cingulate cortex. In summary, Pain-related nondermatomal somatosensory deficits (NDSDs) are a phenomenon involving biological as well as psychosocial factors with replicable neuroperceptive clinical findings and a complex neurodysfunctional pattern in the FDG-PET.
Ulrich Voderholzer - One of the best experts on this subject based on the ideXlab platform.
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a comparison of schemas schema modes and childhood traumas in obsessive compulsive Disorder Chronic Pain Disorder and eating Disorders
Psychopathology, 2014Co-Authors: Ulrich Voderholzer, Caroline Schwartz, Nicola Thiel, Anne Katrin Kuelz, Armin Hartmann, Carl Eduard Scheidt, Sandra Schlegl, Almut ZeeckAbstract:BACKGROUND: In this study, we investigated early maladaptive schemas (EMS), schema modes and childhood traumas in patients suffering from obsessive-compulsive Disorder (OCD) in contrast to patients with other Axis I Disorders. Based on cognitive theories on OCD, our main research question was whether schemas belonging to the domain of 'impaired autonomy and performance' are more prevalent in OCD than in both eating Disorders (ED) and Chronic Pain Disorder (CPD). SAMPLING AND METHODS: EMS, schema modes and traumatic childhood experiences were measured in 60 patients with OCD, 41 with ED, 40 with CPD and 142 healthy controls. To analyze differences between the groups, MANCOVAs were conducted followed by deviation contrasts. Depression level, age and gender were considered as possible covariates. RESULTS: OCD patients scored higher on 4 EMS, 2 of which belong to the domain 'impaired autonomy and performance'. ED patients had higher scores in the EMS 'emotional inhibition' and CPD patients on the Childhood Trauma Questionnaire subscale 'physical neglect'. CONCLUSIONS: These results suggest that there might be typical schema patterns associated with OCD and ED. We can also conclude that a higher prevalence of traumatic experiences does not necessarily coincide with more EMS and schema modes.
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A comparison of schemas, schema modes and childhood traumas in obsessive-compulsive Disorder, Chronic Pain Disorder and eating Disorders
Psychopathology, 2013Co-Authors: Ulrich Voderholzer, Caroline Schwartz, Nicola Thiel, Anne Katrin Kuelz, Armin Hartmann, Carl Eduard Scheidt, Sandra Schlegl, Almut ZeeckAbstract:Background: In this study, we investigated early maladaptive schemas (EMS), schema modes and childhood traumas in patients suffering from obsessive-compulsive Disorder (OCD) in contrast to patients with other Axis I Disorders. Based on cognitive theories on OCD, our main research question was whether schemas belonging to the domain of ‘impaired autonomy and performance' are more prevalent in OCD than in both eating Disorders (ED) and Chronic Pain Disorder (CPD). Sampling and Methods: EMS, schema modes and traumatic childhood experiences were measured in 60 patients with OCD, 41 with ED, 40 with CPD and 142 healthy controls. To analyze differences between the groups, MANCOVAs were conducted followed by deviation contrasts. Depression level, age and gender were considered as possible covariates. Results: OCD patients scored higher on 4 EMS, 2 of which belong to the domain ‘impaired autonomy and performance'. ED patients had higher scores in the EMS ‘emotional inhibition' and CPD patients on the Childhood Trauma Questionnaire subscale ‘physical neglect'. Conclusions: These results suggest that there might be typical schema patterns associated with OCD and ED. We can also conclude that a higher prevalence of traumatic experiences does not necessarily coincide with more EMS and schema modes.
Roland Von Känel - One of the best experts on this subject based on the ideXlab platform.
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Nondermatomal somatosensory deficits in Chronic Pain patients: Are they really hysterical?
Pain, 2012Co-Authors: Niklaus Egloff, Folkert Maecker, Stefanie Stauber, Marzio E. Sabbioni, Libuse Tunklova, Roland Von KänelAbstract:Patients with Chronic Pain Disorders frequently show nondermatomal somatosensory deficits (NDSDs) that are considered to be functional. Typically, NDSDs show quadratomal or hemibody distribution ipsilateral to the areas of Chronic Pain. According to the Diagnostic and Statistical Manual of Mental Disorders, 4th edition and the International Classification of Diseases, 10th revision, such functional somatosensory deficits are classified in the chapter "conversion Disorder." Many publications also used the term "hysterical sensory loss." However, doubts are increasing about this one-sided psychiatric view. We aimed to better characterize the biopsychosocial factors associated with NDSDs. Therefore, we compared 2 groups of inpatients with Chronic Pain Disorder, of whom 90 suffered from NDSDs and 90 did not. The patients with NDSDs all showed widespread somatosensory deficits with hemibody distribution. On logistic regression analysis, history of a prior physical trauma was positively predictive for patients with NDSDs. Personality Disorder and adverse childhood experiences were positively predictive for the control group with Chronic Pain Disorders without NDSDs. The frequencies of comorbid depression and anxiety Disorder did not differ statistically between groups. In conclusion, Pain patients with NDSDs are, psychopathologically, by no means more noticeable personalities than patients with Chronic Pain Disorder without NDSDs. Similar to complex regional Pain syndromes, we assume a multifactorial etiology of NDSDs, including stress. Based on our observations, terms like "hysteric" should not be applied any longer to patients with NDSDs who suffer from Chronic Pain. © 2012 International Association for the Study of Pain. Published by Elsevier B.V. All rights reserved.