PiD - Psychotherapie im Dialog 2023; 24(03): 29-34
DOI: 10.1055/a-1935-6399
Standpunkte

Long-COVID und ME/CFS – Überlegungen zu einer erweiterten Psychosomatik

Henning Schauenburg

Die Pandemie hat zu langwierigen postinfektiösen Krankheitsverläufen geführt, für die bei sehr langen und chronifizierten Bildern bisher keine eindeutigen körperliche Ursachen gefunden werden. Der Artikel diskutiert die Auseinandersetzung um psychosomatische Sichtweisen bei diesen Verläufen und schlägt die Befassung mit modernen neurowissenschaftlichen Theorien zur Wahrnehmungsverarbeitung vor, aus denen therapeutische Vorgehensweisen abgeleitet werden, die komplexe psychophysische Wechselwirkungen besser berücksichtigen.



Publication History

Article published online:
28 August 2023

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  • Literatur

  • 1 Davis HE, McCorkell L, Vogel JM. et al. Long COVID: major findings, mechanisms and recommendations. Nat Rev Microbiol 2023; 21: 133-146
  • 2 Global Burden of Disease Long COVID Collaborators. Estimated Global Proportion of Individuals with Persistent Fatigue, Cognitive, and Respiratory Symptom Clusters Following Symptomatic Covid-19 in 2020 and 2021. JAMA 2022; 328: 1604-1615
  • 3 Bahmer T, Borzikowsky C, Lieb W. et al. Severity, predictors and clinical correlates of Post-COVID syndrome (PCS) in Germany: A prospective, multi-centre, population-based cohort study. eClinicalMedicine 2022; 51: 101549
  • 4 Ingman T, Smakowski A, Goldsmith K. et al. A Systematic Literature Review of Randomized Controlled Trials Evaluating Prognosis Following Treatment for Adult Chronic Fatigue Syndrome. Psychol Med 2022; 52: 2917-2929
  • 5 Rozenkrantz L, Kube T, Bernstein MH. et al. How beliefs about coronavirus disease (COVID) influence COVID-like symptoms? – A longitudinal study. Health Psychol 2022; 41: 519-526
  • 6 Sarter L, Heider J, Kirchner L. et al. Cognitive and emotional variables predicting treatment outcome of cognitive behavior therapies for patients with medically unexplained symptoms: a meta-analysis. J Psychosom Res 2021; 146: 110486
  • 7 Hirschtick JL, Titus AR, Slocum E. Population-Based Estimates of Post-acute Sequelae of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Infection (PASC) Prevalence and Characteristics. Clin Infect Dis 2021; 73: 2055-2064
  • 8 Lemogne C, Gouraud C, Pitron V. et al. Why the Hypothesis of Psychological Mechanisms in Long COVID is Worth Considering. J Psychosom Res 2023; 165: 111135
  • 9 Friston K. The free-energy principle: a unified brain theory?. Nat Rev Neurosci 2010; 11: 127-138
  • 10 Seth A. Being You. A New Science of Consiousness. London: Faber & Faber; 2021
  • 11 Stephan KE, Manjaly ZM, Mathys CD. et al. Allostatic Self-efficacy: A Metacognitive Theory of Dyshomeostasis-Induced Fatigue and Depression. Front Hum Neurosci 2016; 10: 550
  • 12 Greenhouse-Tucknott A, Butterworth JB, Wrightson JG. et al. Toward the unity of pathological and exertional fatigue: A predictive processing model. Cogn Affect Behav Neurosci 2022; 22: 215-228
  • 13 Lasselin J, Petrovic P, Olsson MJ. et al. Sickness behavior is not all about the immune response: Possible roles of expectations and prediction errors in the worry of being sick. Brain Behav Immun 2018; 74: 213-221
  • 14 Van Den Houte M, Bogaerts K, Van I Diest. et al. Inducing Somatic Symptoms in Functional Syndrome Patients: Effects of Manipulating State Negative Affect. Psychosom Med 2017; 79: 1000-1007
  • 15 Henningsen P, Zipfel S, Sattel H. et al. Management of Functional Somatic Syndromes and Bodily Distress. Psychother Psychosom 2018; 87: 12-31