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Psychotherapeut

, Volume 64, Issue 6, pp 482–488 | Cite as

Partnerschaft und Gesundheit

  • Beate DitzenEmail author
  • Monika Eckstein
  • Melanie Fischer
  • Corina Aguilar-Raab
Schwerpunkt: Liebe und Partnerschaft – Übersichten
  • 36 Downloads

Zusammenfassung

Partnerschaften sind eng mit psychischer und physischer Gesundheit verknüpft: Einerseits können sie über soziale Unterstützung oder direkt über Berührung einen stresspuffernden Effekt bewirken. Andererseits wirkt sich eine niedrige Beziehungsqualität belastend aus und wird selbst zu einem chronischen Stressor. Hierbei spielen psychoendokrine Substanzen und Neurotransmitter wie Oxytozin, Dopamin oder Serotonin eine vermittelnde Rolle, über z. B. die Aktivierung von Belohnungsschaltkreisen, deren Einflüsse und Zusammenhänge bereits in zahlreichen Studien belegt wurden. Auf dieser Grundlage werden die üblicherweise auf Selbstauskunft basierenden Outcome-Maße bei Interventions- und Therapiestudien zunehmend durch psychobiologische Marker – wie Speichelcortisol – ergänzt. In klinischer Hinsicht ist der Einbezug des Partners bzw. der Partnerin nicht nur gewinnbringend für den Krankheitsverlauf eines einzelnen Betroffenen, er stärkt darüber hinaus die positive Interaktionsfähigkeit und Beziehungsqualität, begünstigt das Gesundheitsverhalten, kann auch aufseiten des Partners entlastend wirken und ist daher unbedingt zu empfehlen.

Schlüsselwörter

Beziehungsqualität Stress Belohnung Paarbasierte Interventionen Translationale Forschung 

Romantic relationships and health

Abstract

Romantic relationships are closely linked to mental and physical health. On the one hand, they can have a stress buffering effect through social support or directly through touch. On the other hand, a poor relationship quality has a negative effect and can serve as a chronic stressor. In this context, psychoendocrine substances and neurotransmitters, such as oxytocin, dopamine or serotonin play a mediating role, e.g. through the activation of reward circuits, the involvement of which has already been demonstrated in several studies. As a result, self-reporting measures in evaluative interventional and treatment studies are increasingly supplemented by psychobiological markers, such as salivary cortisol. From a clinical point of view, the inclusion of the partner is not only beneficial for the course of the disease of an individual, it also strengthens the ability to positively interact and can increase relationship quality, and health behavior. Involving the partner can also have a relieving effect for the partner and is therefore highly recommended.

Keywords

Relationship quality Stress Reward Couple-based interventions Translational research 

Notes

Einhaltung ethischer Richtlinien

Interessenkonflikt

B. Ditzen, M. Eckstein, M. Fischer und C. Aguilar-Raab geben an, dass kein Interessenkonflikt besteht.

Alle beschriebenen Untersuchungen am Menschen oder an menschlichem Gewebe wurden mit Zustimmung der zuständigen Ethikkommission, im Einklang mit nationalem Recht sowie gemäß der Deklaration von Helsinki von 1975 (in der aktuellen, überarbeiteten Fassung) durchgeführt. Von allen beteiligten Patienten liegt eine Einverständniserklärung vor. Für die weiteren aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.

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Copyright information

© Springer Medizin Verlag GmbH, ein Teil von Springer Nature 2019

Authors and Affiliations

  • Beate Ditzen
    • 1
    Email author
  • Monika Eckstein
    • 1
  • Melanie Fischer
    • 1
  • Corina Aguilar-Raab
    • 1
  1. 1.Institut für Medizinische PsychologieZentrum für Psychosoziale Medizin, Universitätsklinikum Heidelberg, Ruprecht-Karls UniversitätHeidelbergDeutschland

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