Skip to main content
SpringerLink
Log in
Book cover

Psychosomatische Gynäkologie und Geburtshilfe 1993/94 pp 202–212Cite as

Psychoendokrinologische Untersuchung an Patientinnen mit chronischen Unterbauchbeschwerden

  • Conference paper

Zusammenfassung

Chronische Unterbauchbeschwerden (CUBB) gelten als der „Kopfschmerz“ der Gynäkologie (Schei, 1990), da circa 2–24.5% aller gynäkologischen Patientinnen an diesen chronischen Beschwerden leiden (Schulze, 1990). Das Beschwerdebild wird von Richter & Stauber (1986) als ein wenig präzise definiertes Krankheitsbild bezeichnet, das durch organisch nicht erklärbare, meist chronische Unterleibsschmerzen imponiert. Es gibt circa 150 Bezeichnungen für dieses Störungsbild wie z. B. pelvine Neuralgie, Hysteralgie, Pelipathia vegetativa, Pseudoadnexitis spastica, Pelvipathie oder Krankheit mit den 20 Namen (Artner, 1982).

This is a preview of subscription content, log in via an institution.

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   54.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   69.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  • Albach F, Everaerd W (1992) Posttraumatic stress symptoms in victims of childhood incest. Psychotherapy and Psychosomatics 57: 143–151

    Article  PubMed  CAS  Google Scholar 

  • Allen WM, Masters WH (1955) Traumatic laceration of uterine support. American Journal of Obstetrics and Gynecology 70: 500–513

    PubMed  CAS  Google Scholar 

  • American Psychiatric Association. DSM-IV options book (1991) Work in progress. Washington: American Psychiatric Association

    Google Scholar 

  • Artner J (1982) Funktionelle Unterleibsbeschwerden der Frau. Medizinische Klinik 77: 683–685

    Google Scholar 

  • Beard RW, Belsey EM, Liebermann BA, Wilkinson JCM (1977) Pelvic pain in women. American Journal of Obstetrics and Gynecology 128: 566–570

    PubMed  CAS  Google Scholar 

  • Beard RW, Reginald PW, Wadsworth J (1988) Clinical features of women with chronic lower ab- dominal pain and pelvic congestion. British Journal of Obstetrics and Gynecology 95: 153–161

    Article  CAS  Google Scholar 

  • Beard R, Reginald P, Pearce S (1988) Psychological and somatic factors in women with pain due to pelvic congestion. In: Chrousos GP, Loriaux DL, Gold PW (Eds.). Advances in Experimental Medicine and Biology. New York and London: Plenum Press 245: 413–421

    Google Scholar 

  • Bortz J (1979) Lehrbuch der Statistik. Berlin: Springer

    Google Scholar 

  • Bundesminister für Jugend, Familie und Gesundheit (1986). Internationale Klassifikation der Krankheiten, Verletzungen und Todesursachen (ICD), 9. Revision. Köln: Kohlhammer

    Google Scholar 

  • Derogatis LR (1977) SCL-90 Manual. Baltimore: John Hopkins University

    Google Scholar 

  • Dressendörfer RA, Kirschbaum C, Rohde W, Stahl F, Strassburger CJ (1992) Synthesis of a cortisol-biotin conjugate and evaluation as a tracer in an immunoassay for salivary cortisol measurement. Journal of Steroid Biochemics and Molecular Biology, 43

    Google Scholar 

  • Ehlert U, Lupke U, Hellhammer D (1992) Verhaltensmedizin im llgemeinkrankenhaus: I. Zielgruppe und Rahmenbedingungen. Verhaltensmodifikation und Verhaltensmedizin 13: 235–259

    Google Scholar 

  • Eysenck HJ, Eysenck SB (1964) Manual of the Eysenck personality inventory. London: London University Press

    Google Scholar 

  • Fahrenberg J (1986) FBL-W Freiburger Beschwerden-Liste-Wiederholungsform. In: CIPS — Collegium Internationale Psychiatriae Scalarium, (Eds.). Internationale Skalen für Psychiatrie. Weinheim: Beltz Test GmbH

    Google Scholar 

  • Fahrenberg J, Hampel R, Selg H (1984) FPI-R: Das Freiburger Persönlichkeitsinventar. Revidierte

    Google Scholar 

  • Fassung und teilweise geänderte Fassung FPI-A1. Göttingen: Verlag für Psychologie

    Google Scholar 

  • Fry RP, Crisp AH, Beard RW (1991) Patients’ illness models in chronic pelvic pain. Psychotherapy and Psychosomatics 55: 158–163

    Article  PubMed  CAS  Google Scholar 

  • Gabelmann J (1986) Der chronische Unterbauchschmerz (Pelipathie). In: Fervers-Schorre B, Poettgen H, Stauber M (Eds.). Psychosomatische Probleme in der Gynäkologie und Geburtshilfe 1985. Berlin: Springer: 148–153

    Chapter  Google Scholar 

  • Gross RJ, Doerr H, Caldirola D, Guzinski G, Ripley HS (1981) Borderline syndrome and incest in chronic pelvic pain patients. International Journal of Psychiatry in Medicine 10: 79–96

    Article  CAS  Google Scholar 

  • Gwirtsman HE, Kaye WH, George DT, Jimmerson DC, Ebert MH, Gold PW (1989) Central and peripheral ACTH and cortisol levels in anorexia nervosa and bulimia. Archives of General Psychiatry 46: 61–69

    Article  PubMed  CAS  Google Scholar 

  • Hackt H, Lindstrom B, Orstam S, Palm O, Stafsnes H (1980) Über den Beckenschmerz bei der Frau — Eine psychiatrisch-gynäkologische Studie. Wiener Klinische Wochenschrift 27: 252–255

    Google Scholar 

  • Harrop-Griffith J, Katon W, Walker E, Holm L, Russo J, Hickock L (1988) The association between chronic pelvic pain, psychiatric diagnoses, and childhood sexual abuse. Obstetrics and Gynecology 71: 589–594

    Google Scholar 

  • Hathaway SR, McKinley JC (1951) Minnesota multiphasic personality inventory: Manual, New York: The Psychological Corporation

    Google Scholar 

  • Holsboer F, Gerken A, von Bardeleben U, Grimm W, Stalla GK, Mueller OA (1985) Relationship between pituitary responses to human corticotropin-releasing factor and thyrotropin-releasing hormone in depressives and normal controls. European Journal of Pharmacology 110: 153–154

    Article  PubMed  CAS  Google Scholar 

  • Janke W, Erdmann G, Boucsein W (1984) Streßverarbeitungsfragebogen (SVF). Göttingen: Verlag für Psychologie, Dr. C. J. Hogrefe

    Google Scholar 

  • Jansen B (1990) Pelipathie. In: Schulze C (Ed.) Gynäkopsychologie. Tübingen: DGVT Verlag: 43–46 Knorr K, Knorr-Gärtner H, Beller FK, Lauritzen C ( 1989 ) Geburtshilfe und Gynäkologie. Berlin: Springer

    Google Scholar 

  • Laue L, Gold PW, Richmond A, Chrousos GP (1991) The hypothalamic-pituitary-adrenal axis in anorexia nervosa and bulimia nervosa: Pathophysiologic implications. Advances in Pediatrics 38: 287–316

    Google Scholar 

  • Lesch KP, Laux G, Schulte HM, Pfuller H, Beckmann H (1988) Abnormal responsiveness of growth hormone to human corticotropin-releasing hormone in major depressive disorder. Journal of Affective Disorders 14: 245 —250

    Google Scholar 

  • Maes M, Schotte C, D’Hondt P, Claaes M, Vandewoude M, Scharpe S, Cosyns P (1991) Biological heterogeneity of melancholia: Results of pattern recognition methods. Journal of Psychiatric Research 25: 95–108

    Google Scholar 

  • Magni G, Andreoli C, de Leo D, Martinotti G, Rossi C (1986) Psychological profile of women with chronic pelvic pain. Archives of Gynecology 237: 165–168

    CAS  Google Scholar 

  • Mason JW (1968) A review of psychoendocrine research on the pituitary-adrenal cortical system. Psychosomatic Medicine 30: 576–607

    PubMed  Google Scholar 

  • Molinski H (1982) Psychosomatische Konstellationen bei Schmerzen im kleinen Becken ohne Organbefund. In: Beck L, Bender HG (Eds.). Gutartige gynäkologische Erkrankungen II. München: Urban & Schwarzenberg: 281–286

    Google Scholar 

  • Plotsky PM (1988) Hypophysiotropic regulation of stress-induced ACTH secretion. In: Chrousos GP, Loriaux DL, Gold PW (Eds.). Advances in experimental medicine and biology. Vol. 245. Mechanisms of physical and emotional stress. New York and London: Plenum Press 245: 65–82

    Google Scholar 

  • Rapkin AJ, Kames LD, Darke LL, Stampler FM, Naliboff BD (1990) History of physical and sexual abuse in women with chronic pelvic pain. Obstetrics and Gynecology 76: 92–96

    PubMed  CAS  Google Scholar 

  • Renaer M (1980) Chronic pelvic pain without obvious pathology in women. European Journal of Obstetrics, Gynecology, and Reproductive Biology 10: 415–463

    Article  CAS  Google Scholar 

  • Richter D, Stauber M (1986) Psychosomatik in Gynäkologie und Geburtshilfe. In: Uexküll, T. v. (Ed.). Psychosomatische Medizin. München: Urban & Schwarzenberg: 910–945

    Google Scholar 

  • Rosenthal RH, Ling FW, Rosenthal TL, McNeeley SG (1984) Chronic pelvic pain: Psychological features and laparoscopie findings. Psychosomatics 25: 833–841

    Google Scholar 

  • Roy-Byrne PP, Uhde TW, Post RM, Gallucci WBS, Chrousos GP, Gold PW (1986) The corticotropinreleasing hormone stimulation test in patients with panic disorders. American Journal of Psychiatry 143: 896–899

    PubMed  CAS  Google Scholar 

  • Schei B (1990) Psychosocial factors in pelvic pain. A controlled study of woman living in physically abusive relationships. Acta Obstetrica et Gynecologica Scandinavica 69: 67–71

    Article  CAS  Google Scholar 

  • Schulze C (1990) Gynäkologische Schmerzen. In: Basler H-D, Franz C, Kröner-Herwig B, Rehfisch H-P, Seemann H ( Eds. ). Psychologische Schmerztherapie

    Google Scholar 

  • Slocumb JC (1984) Neurological factors in chronic pelvic pain: Trigger points and the abdominal pelvic pain syndrome. American Journal of Obstetrics and Gynecology 149: 536–543

    PubMed  CAS  Google Scholar 

  • Stoudemire A, Kahn M, Brown JT, Linfors E, Houpt JL (1985) Masked depression in a combined medical-psychiatric unit. Psychosomatics 26: 221–228

    Article  PubMed  CAS  Google Scholar 

  • Strunk C (1978) Die Pelvipathie. Therapiewoche 28: 9523–9538

    Google Scholar 

  • Thomas DC, McArdle FJ, Rogers VE, Beard RW, Brown BH (1991) Local blood volume changes in women with pelvic congestion measured by applied potential tomography. Clinical Sciences 81: 401

    CAS  Google Scholar 

  • Walker EA, Katon WJ, Neraas K, Jemelka RP, Massoth D (1992) Dissociation in women with chronic pelvic pain. American Journal of Psychiatry 149: 534–537

    PubMed  CAS  Google Scholar 

  • Wenderlein M (1981) Psychosomatik in der Gynäkologie und Geburtshilfe. Stuttgart: Thieme

    Google Scholar 

  • Wickramasekera I (1989) Enabling the somatization patient to exit the somatic closet: A high-risk model. Psychotherapy: 26

    Google Scholar 

  • Wittchen HU, Saß H, Zaudig M Koehler K (1989) Diagnostisches und Statistisches Manual Psychischer Störungen. DSM-III-R. Weinheim: Belt/

    Google Scholar 

  • Yehuda R, Giller EL, Southwick SM, Lowy MT, Mason JW (1991) Hypothalamic pituitary adrenal dysfunction in posttraumatic stress disorder. Biological Psychiatry 30: 1031–1048

    Article  PubMed  CAS  Google Scholar 

  • Yehuda R, Southwick SM, Nussbaum G, Wahby V, Giller EL Jr, Mason JW (1990) Low urinary cortisol excretion in patients with posttraumatic stress disorder. Journal of Nervous and Mental Disease 178: 366–399

    Article  PubMed  CAS  Google Scholar 

  • Zung WWK (1986) DSI — Depression Status Inventory. In: CIPS — Collegium Internationale Psy-chiatriae Scalarium (Eds.) Internationale Skalen für Psychiatrie. Weinheim: Beltz Test GmbH

    Google Scholar 

  • Zung WWK (1986) SDS — Self-Rating Depression Scale. In: CIPS — Collegium Internationale Psychiatriae Scalarium (Eds.). Internationale Skalen für Psychiatrie. Weinheim: Beltz Test GmbH

    Google Scholar 

Download references

Authors
  1. Ulrike Ehlert
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Peter Locher
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Jürgen Hanker
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Univ.-Klinikum Rudolf Virchow, Standort Charlottenburg, Frauen- und Poliklinik Charlottenburg, Freie Universität Berlin, Pulsstraße 4, D-14059, Berlin, Deutschland

    H. Kentenich

  2. Frauenklinik der Charité, Schumannstraße 20/21, D-10117, Berlin, Deutschland

    Martina Rauchfuß

  3. Regensburger Straße 25, D-10777, Berlin, Deutschland

    Peter Diederichs

Rights and permissions

Reprints and permissions

Copyright information

© 1994 Springer-Verlag Berlin Heidelberg

About this paper

Cite this paper

Ehlert, U., Locher, P., Hanker, J. (1994). Psychoendokrinologische Untersuchung an Patientinnen mit chronischen Unterbauchbeschwerden. In: Kentenich, H., Rauchfuß, M., Diederichs, P. (eds) Psychosomatische Gynäkologie und Geburtshilfe 1993/94. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-78811-6_29

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-78811-6_29

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-57685-3

  • Online ISBN: 978-3-642-78811-6

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation