Psychiatric investigation of Tyrolean patients with primary Raynaud's phenomenon [Psychiatrische untersuchungen bei Tiroler patienten mit primärem Raynaud-phänomen]

被引：0

作者：

Weigel I. ^{[1
,6
]}

Klein-Weigel P. ^{[2
]}

Kinzl J. ^{[3
]}

Biebl W. ^{[3
]}

Fraedrich G. ^{[4
]}

Heidrich H. ^{[5
]}

机构：

[1] Zentrum für Rückenmarkverletzte, Unfallkrankenhaus Berlin, Berlin

[2] Klinik für Physikalische und Rehabilitative Medizin, Schwerpunkt Angiologie, DRK-Kliniken Berlin Köpenick, Berlin

[3] Klinische Abteilung für Psychosomatische Medizin und Psychosoziale Psychiatrie, Universitätsklinik für Psychiatrie, Medizinische Universität Innsbruck, Innsbruck

[4] Klinische Abteilung für Gefäßchirurgie, Universitätsklinik für Chirurgie, Medizinische Universität Innsbruck, Innsbruck

[5] Innere Abteilung, Franziskus-Krankenhaus, Berlin

[6] Zentrum für Rückenmarkverletzte, Unfallkrankenhaus Berlin, 12683 Berlin

来源：

Wiener Medizinische Wochenschrift | 2005年 / 155卷 / 17-18期

关键词：

Affective disorder; Anxiety disorder; Psychiatric comorbidity; Raynaud's phenomenon;

D O I：

10.1007/s10354-005-0201-5

中图分类号：

学科分类号：

摘要：

Raynaud's phenomenon is provoked by digital vasospasm, mostly induced by cold and emotional strain. While studies dealing with other vasospastic disorders, e. g. migraine, described an increased comorbidity with affective and anxiety disorders, only little evidence has been reported for such an association in Raynaud's phenomenon. 70 Tyrolean patients (55 females and 15 males) with primary Raynaud's phenomenon presented more often with psychiatric morbidity on DSM-IV axis-I during their life-time than prevalence studies in the general population of North America and Europe would have led to expect. No psychotic (0%) and fewer somatoform disorders (2.9%) were found whereas anxiety disorders (77.1%), affective disorders (48.6%), and eating disorders (14.3%) were clearly overrepresented. We would therefore recommend a psychiatric evaluation in primary Raynaud's phenomenon along with the vascular diagnostic assessment to ensure that any psychiatric co-morbidity can be identified and treated. © Springer-Verlag 2005.

引用

页码：416 / 421

页数：5

共 42 条

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