Psychological status and motivation for psycho-social intervention in patients with allergic disorders [Psychisches befinden und motivation zu psychosozialen interventionen bei patienten mit allergischen erkrankungen]

被引:0
作者
Augustin M. [1 ,3 ]
Zschocke I. [1 ,2 ]
Koch A. [1 ]
Schöpf E. [1 ]
Czech W. [1 ]
机构
[1] Universitäts-Hautklinik Freiburg, Freiburg
[2] Abteilung Psychotherapie und Psychosomatische Medizin, Psychiatrische Universitäts-Klinik, Freiburg
[3] Univ.-Hautklinik, Hauptstraße 7
来源
Der Hautarzt | 1999年 / 50卷 / 6期
关键词
Immediate type allergies; Insect venom allergies; Need for psychosocial support; Psychological stress; Urticaria;
D O I
10.1007/s001050050935
中图分类号
学科分类号
摘要
The aim of this study was to compare the psychological stress of patients with different forms of immediate type hypersensitivity and urticaria. Moreover, the patients' motivation for different forms of psychological treatment was assessed and an indication for psychosocial support was defined. 228 consecutive inpatients with insect venom allergies (ins), food intolerance (food), drug hypersensitivities (dru) and urticaria (urt) were evaluated by validated questionnaires regarding psychological strain and motivation for psychosocial treatments. Patients with food intolerance and urticaria showed significantly elevated psychological stress and higher motivation for psychosocial support as compared to those with insect venom allergies and drug intolerance. Patient education was the favourite technique for the patients (food 78%, urt 57%, dru 24%, ins 17%), followed by relaxation treatment. The most important predictors for the motivation were the wish for self-responsibility, a feeling of helplessness and social limitations. If strong indication criteria are applied, psychosocial support is indicated in only small subgroups of each patient group. In spite of that, the management of allergic disease should consider the potential need for psychosocial support.
引用
收藏
页码:422 / 427
页数:5
相关论文
共 28 条
[21]  
Niemeier, V., Kupfer, J., Demmelbauer-Ebner, M., Stangier, U., Effouty, I., Gieler, U., Coping with acne vulgaris. Evaluation of the chronic skin disorder questionnaire in patients with acne (1998) Dermatology, 196, pp. 108-115
[22]  
O'Donnell, B.F., Lawlor, F.L., Simpson, L., Morgan, M., Greaves, M.W., The impact of chronic urticaria on quality of life (1997) Br J Dermatol, 136, pp. 197-201
[23]  
Schmidt-Traub, S., Bamler, K.J., Schaffrath-Rossario, A., Vermehrte Angst und andere psychische Auffälligkeiten bei Allergikern? (1995) Allergologie, 18, pp. 13-19
[24]  
Schubert, H.J., (1989) Psychosoziale Faktoren Bei Hauterkrankungen, , Vandenhoeck & Ruprecht, Göttingen
[25]  
Sheehan-Dare, R.A., Henderson, M.J., Cotterill, J.A., Anxiety and depression in patients with chronic urticaria and generalized pruritus (1990) Br J Dermatol, 123, pp. 769-774
[26]  
Stangier, U., Kolster, B., Ch, S., Krause, W., Gieler, U., Psychoendokrine subjektive Reaktionen von Urtikariapatienten unter standardisierten Streßbedingungen (1993) Hauterkrankungen in Psychologischer Sicht., pp. 192-209. , Gieler U Stangier U, Brähler E (Hrsg) Hogrefe, Göttingen
[27]  
Stangier, U., Ehlers, A., Gieler, U., (1996) Fragebogen Zur Bewältigung Von Hautkrankheiten, , Hogrefe, Göttingen
[28]  
Zschocke, I., Augustin, M., (1999) Entwicklung und Validierung Eines Fragebogens zum Psychosozialen Betreuungsbedarf und zur Therapiemotivation bei Patienten mit Hauterkrankungen (Publikation in Vorbereitung)