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Allergie und Psychosomatik

  • Chapter
Allergologie

Zusammenfassung

Psychosomatische Aspekte in der Allergologie sind zur Differenzialdiagnostik notwendig. Neben somatoformen Reaktionen – bei denen Patienten auf eine Allergie fixiert sind ohne positive Nachweise in der Allergiediagnostik – sind vor allem Angststörungen und Depressionen als Folge einer Allergie zu differenzieren und ggf. eine additive Indikation zur Psychotherapie zu stellen. Angstsymptome können anaphylaktoiden Symptomen sehr ähnlich sein und müssen von validierten Allergiereaktionen unterschieden werden. Neue psychoimmunologische Studien konnten den Einfluss von Neuromediatoren auf das allergische Entzündungsgeschehen sowohl in tierexperimentellen als auch in Studien am Menschen zeigen. Die neurogene Entzündung ist ein Erklärungsmodell, das die stressbedingte Exazerbation einer bestehenden Allergie erklärt. Psychotherapien sind in Deutschland gut etabliert; ergänzend kommen die psychosomatische Grundversorgung in der Allergologie selbst, die ambulante kassenärztliche Psychotherapie sowie stationäre Behandlungen in der Akut-Psychosomatik oder in psychosomatischen Reha-Kliniken für die allergologische Diagnostik und Therapie in Betracht.

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Author information

Authors and Affiliations

  1. Inst. für Med. Psychologie, Justus-Liebig-Universität Gießen, Friedrichstraße 36, 35392, Gießen, Deutschland

    J. Kupfer PD Dr. Dipl.-Psych.

  2. Universitäts-Hautklinik Gießen, Justus-Liebig-Universität Gießen, Gaffkystraße 14, 35392, Gießen, Deutschland

    V. Niemeier PD Dr. med.

  3. Universitäts-Hautklinik Gießen, Justus-Liebig-Universität Gießen, Gaffkystraße 14, 35392, Gießen, Deutschland

    U. Gieler Prof. Dr. med.

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  1. U. Gieler Prof. Dr. med.
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  2. V. Niemeier PD Dr. med.
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  3. J. Kupfer PD Dr. Dipl.-Psych.
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Editor information

Editors and Affiliations

  1. Klinikum rechts der Isar, Technischen Universität München, München

    Tilo Biedermann

  2. Städtisches Klinikum Karlsruhe, Karlsruhe

    Werner Heppt

  3. Universitätsklinikum Gießen und Marburg GmbH, Marburg

    Harald Renz

  4. Universitätsklinikum Tübingen, Eberhard Karls Universität, Tübingen

    Martin Röcken

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Gieler, U., Niemeier, V., Kupfer, J. (2016). Allergie und Psychosomatik. In: Biedermann, T., Heppt, W., Renz, H., Röcken, M. (eds) Allergologie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-37203-2_42

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  • DOI: https://doi.org/10.1007/978-3-642-37203-2_42

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-37202-5

  • Online ISBN: 978-3-642-37203-2

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