Psychosomatik

Präambel

Aussage

Der Einfluss psychosozialer Faktoren auf die Entstehung der Colitis ulcerosa scheint gering zu sein, es wird aber ein mäßiger Einfluss psychosozialer Faktoren auf den Verlauf der Colitis ulcerosa angenommen. Auffällige Persönlichkeitsmerkmale können eher als sekundäre, krankheitsbedingte Veränderungen interpretiert werden (A).

Erläuterung

In der Literatur gibt es nur wenige Hinweise (mit hypothetischer Interpretation) zum Einfluss psychosozialer Faktoren auf die Entstehung der Colitis ulcerosa [1] [2] [3] [4].

Literatur

• 1 Salem S N, Shubair K S. Non-specific ulcerative colitis in Bedouin Arabs.  Lancet. 1967;  1 473-474 (IV)
• 2 Tocchi A, Lepre L, Liotta G. et al . Familial and psychological risk factors of ulcerative colitis.  Ital J Gastroenterol Hepatol. 1997;  29 395-398 (IIa)
• 3 Andrews H, Barczak P, Allan R N. Psychiatric illness in patients with inflammatory bowel disease.  Gut. 1987;  28 1600-1604 (III)
• 4 Kurina L M, Goldacre M J, Yeates D. et al . Depression and anxiety in people with inflammatory bowel disease.  J Epidemiol Community Health. 2001;  55 716-720 (IIb)
• 5 Duffy L C, Zielezny M A, Marshall J R. et al . Relevance of major stress events as an indicator of disease activity prevalence in inflammatory bowel disease.  Behav Med. 1991;  17 101-110 (IIb)
• 6 Levenstein S, Prantera C, Varvo V. et al . Psychological stress and disease activity in ulcerative colitis: a multidimensional cross-sectional study.  Am J Gastroenterol. 1994;  89 1219-1225 (IIa)
• 7 Levenstein S, Prantera C, Voarvo V. et al . Stress and exacerbation in ulcerative colitis: A prospective study of patients enrolled in remission.  Am J Gastroenterol. 2000;  95 (5) 1213-1220 (IIb)
• 8 Riley S A, Mani V, Goodman M J. et al . Why do patients with ulcerative colitis relapse?.  Gut. 1990;  31 179-183 (IIb)
• 9 Wietersheim J, Overbeck A, Kiel K. et al . The significance of recurrence - inducing events for patients with chronic inflammatory bowel diseases. Results of a prospective longitudinal study over three years.  Psychother Psychosom Med Psychol. 1994;  44 58-64 (IIb)
• 10 Paar G H, Bezzenberger U, Lorenz-Meyer H. Über den Zusammenhang von psychosozialem Stress und Krankheitsaktivität bei Patienten mit Morbus Crohn und Colitis ulcerosa.  Z Gastroenterol. 1988;  26 648-657 (III)
• 11 North C S, Alpers D H, Helzer J E. et al . Do life events or depression exacerbate inflammatory bowel disease? A prospective study.  Ann Intern Med. 1991;  114 381-386 (IIb)
• 12 Bitton A, Sewitch M J, Peppercorn M A. et al . Psychosocial determinants of relapse in ulcerative colitis: a longitudinal study.  Am J Gastroenterol. 2003;  98 2203-2208 (IIa)
• 13 Mittermaier C, Dejaco C, Waldhoer T. et al . Impact of depressive mood on relapse in patients with inflammatory bowel disease: a prospective 18-month follow-up study.  Psychosom Med. 2004;  66 79-84 (IIa)
• 14 Gomez-Gil E, Vidal A, Panes J. et al . Relationship between patient’s subjective stress perception and the course of inflammatory bowel disease.  Gastroenterol Hepatol. 2003;  26 411-416 (III)
• 15 Robertson D AF, Ray J, Diamond I. et al . Personality profile and affective state of patients with inflammatory bowel disease.  Gut. 1989;  30 623-626 (III)
• 16 Sewitch M J, Abrahamowicz M, Bitton A. et al . Psychosocial correlates of patient-physician discordance in inflammatory bowel disease.  Am J Gastroenterol. 2002;  97 2174-2183 (III)
• 17 Robinson A, Thompson D G, Wilkin D. et al . Guided self-management and patient-directed follow-up of ulcerative colitis: a randomised trial.  Lancet. 2001;  358 976-981 (Ib)
• 18 Moser G, Tillinger W, Sachs G. et al . Disease-related concerns: a study on out-patients with inflammatory bowel disease.  Eur J Gastroenterol Hepatol. 1995;  7 853-858 (III)
• 19 Lange A, Haslbeck E, Andus T. et al . Patient education in inflammatory bowel disease.  Z Gastroenterol. 1996;  34 411-415 (IIb)
• 20 Larsson K, Sundberg Hjelm M, Karlbom U. et al . A group-based patient education programme for high-anxiety patients with Crohn disease or ulcerative colitis.  Scand J Gastroenterol. 2003;  38 763-769 (III)
• 21 Wietersheim J, Jantschek G, Sommer W. et al . Education of patients with inflammatory bowel diseases.  Wien Med Wochenschr. 1999;  149 352-354 (III)
• 22 Engström I, Lindquist B L. Inflammatory bowel disease in children and adolescents: a somatic and psychiatric investigation.  Acta Paediatr Scand. 1991;  89 640-647 (IIa)
• 23 Engström I. Inflammatory bowel disease in children and adolescents: mental health and family functioning (Review).  J Pediatr Gastroenterol Nutr. 1999;  28 S28-S33 (IV)
• 24 Guthrie E, Jackson J, Shaffer J. et al . Psychological disorder and severity of inflammatory bowel disease predict health-related quality of life in ulcerative colitis and Crohn’s disease.  Am J Gastroenterol. 2002;  97 1994-1999 (III)
• 25 Shaw L, Ehrlich A. Relaxation training as a treatment for chronic pain caused by ulcerative colitis.  Pain. 1987;  29 287-293 (IIa)
• 26 Schwarz S P, Blanchard E B. Evaluation of psychological treatment for inflammatory bowel disease.  Behav Res Ther. 1991;  29 167-177 (Ib)
• 27 Patterson M. An evaluation of the effectiveness of psychotherapy in the treatment of ulcerative colitis.  Gastroenterology. 1964;  (IIb)
• 28 Mussell M, Bocker U, Nagel N. et al . Reducing psychological distress in patients with inflammatory bowel disease by cognitive-behavioural treatment: exploratory study of effectiveness.  Scand J Gastroenterol. 2003;  38 755-762 (IIb)
• 29 Milne B, Joachim G, Niedhardt J. A stress management program for inflammatory bowel disease patients.  J Advan Nurs. 1986;  11 561-567 (Ib)
• 30 Maunder R G, Esplen M J. Supportive-expressive group psychotherapy for persons with inflammatory bowel disease.  Can J Psychiatry. 2001;  46 622-626 (III)
• 31 Jantschek G. Colitis ulcerosa - Morbus Crohn. Adler RH, Herrmann JM, Köhle K et al Uexküll Psychosomatische Medizin. 6th edn München, Jena; Urban & Fischer 2003: 923-940 (IV)