Psychosomatics

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Eva M.j. Peters - One of the best experts on this subject based on the ideXlab platform.

  • skin and Psychosomatics psychodermatology today
    Journal Der Deutschen Dermatologischen Gesellschaft, 2020
    Co-Authors: Uwe Gieler, Eva M.j. Peters, Tanja Gieler, Dennis Linder
    Abstract:

    Modern psychodermatology relies on the bio-psycho-social disease model in Psychosomatics, according to which biological, psychological and social factors (on various levels, from molecules to the biosphere) play a major role in the disease pathogenesis through complex, non-linear interactions over the entire disease course. It is nowadays experimentally proven that "emotions get into the skin". Recent research shows close anatomical, physiological and functional connections between skin and nervous system, already known to be ontogenetically related. These connections are reflected in many skin diseases where psychological and somatic etiological factors are closely intertwined. A holistic approach by the physician should do justice to this interdependence; biological, psychological and social factors should be adequately taken into account when taking anamnesis, making a diagnosis and choosing a therapy. The "visibility" of the skin organ bestows dermatology a special position among the various other clinical subjects, and renders a holistic, psychosomatic approach to the patient that is particularly important. The life course belongs also to modern psychodermatological approaches. Based on the modern psychodermatology concept, other corresponding sub-areas such as psychogastroenterology, psychocardiology etc. have emerged. After the theoretical part of this article, some selected skin diseases are discussed in more detail from the psychosomatic point of view.

  • Stressed skin? – a molecular psychosomatic update on stress-causes and effects in dermatologic diseases
    Journal Der Deutschen Dermatologischen Gesellschaft, 2016
    Co-Authors: Eva M.j. Peters
    Abstract:

    Summary A pathogenetically relevant link between stress, in terms of psychosocial stress, and disease was first described in the 1970s, when it was proven that viral diseases of mucous membranes (such as rhinovirus and Coxsackie virus infections) develop faster and more severe after stress exposure. Since then, there has been an annual increase in the number of publications which investigate this relationship and break it down to the molecular level. Nevertheless, the evidences for the impact of psychosocial stress on chronic inflammatory skin diseases and skin tumors are hardly known. In the present review, we outline current insights into epidemiology, psychoneuroimmunology, and molecular Psychosomatics which demonstrate the manifold disease-relevant interactions between the endocrine, nervous, and immune systems. The focus is on stress-induced shifts in immune balance in exemplary disorders such as atopic dermatitis, psoriasis, and malignant melanoma. The objective of this article is to convey basic psychosomatic knowledge with respect to etiology, symptomatology, and therapeutic options for chronic skin diseases. Particular attention is directed towards the underlying molecular relationships, both from a somatic to mental as well as a mental to somatic perspective.

Dennis Linder - One of the best experts on this subject based on the ideXlab platform.

  • skin and Psychosomatics psychodermatology today
    Journal Der Deutschen Dermatologischen Gesellschaft, 2020
    Co-Authors: Uwe Gieler, Eva M.j. Peters, Tanja Gieler, Dennis Linder
    Abstract:

    Modern psychodermatology relies on the bio-psycho-social disease model in Psychosomatics, according to which biological, psychological and social factors (on various levels, from molecules to the biosphere) play a major role in the disease pathogenesis through complex, non-linear interactions over the entire disease course. It is nowadays experimentally proven that "emotions get into the skin". Recent research shows close anatomical, physiological and functional connections between skin and nervous system, already known to be ontogenetically related. These connections are reflected in many skin diseases where psychological and somatic etiological factors are closely intertwined. A holistic approach by the physician should do justice to this interdependence; biological, psychological and social factors should be adequately taken into account when taking anamnesis, making a diagnosis and choosing a therapy. The "visibility" of the skin organ bestows dermatology a special position among the various other clinical subjects, and renders a holistic, psychosomatic approach to the patient that is particularly important. The life course belongs also to modern psychodermatological approaches. Based on the modern psychodermatology concept, other corresponding sub-areas such as psychogastroenterology, psychocardiology etc. have emerged. After the theoretical part of this article, some selected skin diseases are discussed in more detail from the psychosomatic point of view.

Rénee Spencer - One of the best experts on this subject based on the ideXlab platform.

  • Associations between Stress, Psychosomatic Complaints, and Parental Criticism among Affluent Adolescent Girls
    Journal of Child and Family Studies, 2018
    Co-Authors: Kimberly Williams, Terese Jean Lund, Belle Liang, Angela Desilva Mousseau, Rénee Spencer
    Abstract:

    A growing body of research has shown that adolescent girls in the context of affluence face a series of unique pressures that may increase social-emotional problems. Little research, however, has examined associations between perceived stress and psychosomatic complaints among privileged youth. In the present study, we investigated the relationships between stress, psychosomatic complaints, and parental criticism in a sample of preadolescent and adolescent girls ( n  = 218) from selective, private schools. Using OLS regression analyses, cross-sectional and longitudinal associations were evident between perceived stress and psychosomatic complaints, with increases in stress associated with increases in psychosomatic problems. Parental criticism was also examined as a predictor of girls’ psychosomatic complaints and stress levels. Results indicated that parental criticism was significantly and positively associated with psychosomatic problems in cross-sectional models and that perceived stress levels mediated this association. Additional analyses demonstrated that the relationship between psychosomatic complaints and stress may be bidirectional. Taken together, results from this exploratory study suggest that girls in the context of affluence may also experience psychosomatic complaints, in addition to social-emotional problems.

Francis Creed - One of the best experts on this subject based on the ideXlab platform.

  • european guidelines for training in consultation liaison psychiatry and Psychosomatics report of the eaclpp workgroup on training in consultation liaison psychiatry and Psychosomatics
    Journal of Psychosomatic Research, 2007
    Co-Authors: Wolfgang Sollner, Francis Creed
    Abstract:

    OBJECTIVE: The European Association of Consultation-Liaison Psychiatry and Psychosomatics (EACLPP) has organized a workgroup to establish consensus on the contents and organization of training in consultation-liaison (C-L) for psychiatric and psychosomatic residents. METHODS: Initially, a survey among experts has been conducted to assess the status quo of training in C-L in different European countries. In several consensus meetings, the workgroup discussed aims, core contents, and organizational issues of standards of training in C-L. Twenty C-L specialists in 14 European countries participated in a Delphi procedure answering a detailed consensus checklist, which included different topics under discussion. RESULTS: Consensus on the following issues has been obtained: (1) all residents in psychiatry or Psychosomatics should be exposed to C-L work as part of their clinical experience; (2) a minimum of 6 months of full-time (or equivalent part-time) rotation to a C-L department should take place on the second part of residency; (3) advanced training should last for at least 12 months; (4) supervision of trainees should be clearly defined and organized; and (5) trainees should acquire knowledge and skills on the following: (a) assessment and management of psychiatric and psychosomatic disorders or situations (e.g., suicide/self-harm, somatization, chronic pain and psychiatric disorders, and abnormal illness behavior in somatically ill patients); (b) crisis intervention and psychotherapy methods appropriate for medically ill patients; (c) psychopharmacology in physically ill patients; (d) communication with severely ill patients and dying patients, as well as with medical staff; (e) promotion of coordination of care for complex patients across several disciplines; and (f) organization of C-L service in relation to general hospital and/or primary care. In addition, the workgroup elaborated recommendations on the form of training and on assessment of competency. CONCLUSION: This document is a first step towards establishing recognized training in C-L psychiatry and Psychosomatics across the European Union.

  • european guidelines for training in consultation liaison psychiatry and Psychosomatics report of the eaclpp workgroup on training in consultation liaison psychiatry and Psychosomatics
    Journal of Psychosomatic Research, 2007
    Co-Authors: Wolfgang Sollner, Francis Creed
    Abstract:

    Objective: The European Association of Consultation–Liaison Psychiatry and Psychosomatics (EACLPP) has organized a workgroup to establish consensus on the contents and organization of training in consultation–liaison (C–L) for psychiatric and psychosomatic residents. Methods: Initially, a survey among experts has been conducted to assess the status quo of training in C–L in different European countries. In several consensus meetings, the workgroup discussed aims, core contents, and organizational issues of standards of training in C–L. Twenty C– L specialists in 14 European countries participated in a Delphi procedure answering a detailed consensus checklist, which

Uwe Gieler - One of the best experts on this subject based on the ideXlab platform.

  • skin and Psychosomatics psychodermatology today
    Journal Der Deutschen Dermatologischen Gesellschaft, 2020
    Co-Authors: Uwe Gieler, Eva M.j. Peters, Tanja Gieler, Dennis Linder
    Abstract:

    Modern psychodermatology relies on the bio-psycho-social disease model in Psychosomatics, according to which biological, psychological and social factors (on various levels, from molecules to the biosphere) play a major role in the disease pathogenesis through complex, non-linear interactions over the entire disease course. It is nowadays experimentally proven that "emotions get into the skin". Recent research shows close anatomical, physiological and functional connections between skin and nervous system, already known to be ontogenetically related. These connections are reflected in many skin diseases where psychological and somatic etiological factors are closely intertwined. A holistic approach by the physician should do justice to this interdependence; biological, psychological and social factors should be adequately taken into account when taking anamnesis, making a diagnosis and choosing a therapy. The "visibility" of the skin organ bestows dermatology a special position among the various other clinical subjects, and renders a holistic, psychosomatic approach to the patient that is particularly important. The life course belongs also to modern psychodermatological approaches. Based on the modern psychodermatology concept, other corresponding sub-areas such as psychogastroenterology, psychocardiology etc. have emerged. After the theoretical part of this article, some selected skin diseases are discussed in more detail from the psychosomatic point of view.