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Erschienen in:
Koexistenz von Depression, Angst, traumatischem Stress und körperlicher Krankheit – allgemeine Positionen Kapitel lesen Erstes Kapitel lesen

2022 | OriginalPaper | Buchkapitel

6. Gastrointestinale Erkrankungen

verfasst von : Hans-Peter Kapfhammer

Erschienen in: Depression, Angst, traumatischer Stress und internistische Erkrankungen

Verlag: Springer Berlin Heidelberg

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Zusammenfassung

In einer Perspektive der psychischen und somatischen Komorbidität werden folgende gastrointestinale Krankheiten betrachtet: gastroduodenale Ulkuskrankheit, gastroösophageale Refluxkrankheit, entzündliche und maligne Erkrankungen des Gastrointestinaltrakts. Erhöhte Prävalenzraten einer affektiven und Stress-bezogenen Komorbidität sind mit je negativen Auswirkungen auf das dynamische Krankheitsgeschehen im Verlauf assoziiert. Potentielle Einflüsse vorbestehender depressiver, ängstlicher oder posttraumatischer Störungen auf erhöhte Inzidenzrisiken einzelner gastrointestinaler Krankheiten sind differentiell zu betrachten. Sie sind selbst beim Ulkus pepticum mit seinem identifizierten Hauptkausalfaktor einer Helicobacter pylori-Infektion konstruktiv zu diskutieren, bei den Malignomen des Gastrointestinaltrakts aber empirisch weiter offenzuhalten. Ätiopathogenetisch sind komplexe Interaktionen zwischen zentralen und peripheren Prozessen innerhalb einer „brain-gastrointestinal tract-brain“ Achse zu diskutieren. Empirische Studien zur Psychotherapie und Pharmakotherapie koexistenter affektiver und Stress-bezogener Symptome werden referiert.
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Metadaten
Titel
Gastrointestinale Erkrankungen
verfasst von
Hans-Peter Kapfhammer
Copyright-Jahr
2022
Verlag
Springer Berlin Heidelberg
Buch
Depression, Angst, traumatischer Stress und internistische Erkrankungen

Print ISBN: 978-3-662-65872-7

Electronic ISBN: 978-3-662-65873-4

Copyright-Jahr: 2022

DOI
https://doi.org/10.1007/978-3-662-65873-4_6

Neu im Fachgebiet Psychiatrie

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