W. Häuser1, Nicole Schaal1, P. Schiedermaier1, G. Görge2
: Tobacco cessation interventions are cost effective therapies in the secondary prevention of coronary heart and chronic obstructive pulmonary diseases which however are rarely used in Germany. Therefore the frequency and the degree of tobacco addiction, the previous treatment of tobacco abuse and the present motivation for smoking cessation of all patients treated within one month in a department of cardiology/pneumology were assessed. 255 of 264 admitted patients (39 % women, 61 % men, mean age 65 +/- 13 years) were evaluated. 33/255 patients (13 %) were smokers, 110/255 (43 %) were former smokers and 112/255 (44 %) patients never smoked. 25/33 (76 %) of the smoking patients met the criteria of nicotine dependence and 8/33 (24 %) the criteria of nicotine abuse of the DSM-IV. According to the Fagerstrom-Nicotine-Dependence-Test (FTND) 6/33 (18 %) smokers were low nicotine dependent (FTND 0 - 3 points), 24/33 (73 %) smokers were moderate nicotine dependent (FTND 4 - 7 points) and 3/33 (9 %) smokers were high nicotine dependent (FTND 8 - 10 points). 8/33 patients (24 %) agreed in, 8/33 patients (24 %) were undecisive with regard to and 17/33 (52 %) smokers refused smoking cessation treatment during their hospital stay. There was no difference in the FTND between patients willing to stop smoking and patients which were undecisive or unwilling to stop smoking. 27/33 (82 %) patients were pointed to the existence of a tobacco induced disease by physicians, 14/33 (42 %) had received informations about smoking cessation, 7/33 (21 %) had received nicotine substitution and 3/33 (9 %) other treatments (smoking cessation training, acupuncture) in the past. Motivation for and realization of smoking cessation interventions should be considered as important tasks of the psychosomatic or addiction primary care in private practices and hospitals.
{"title":"Nikotinabhängigkeit und Motivation zur Raucherentwöhnung bei Patienten einer kardiologisch-pneumologischen Akutklinik","authors":"W. Häuser1, Nicole Schaal1, P. Schiedermaier1, G. Görge2","doi":"10.1055/s-2002-32861","DOIUrl":"https://doi.org/10.1055/s-2002-32861","url":null,"abstract":": Tobacco cessation interventions are cost effective therapies in the secondary prevention of coronary heart and chronic obstructive pulmonary diseases which however are rarely used in Germany. Therefore the frequency and the degree of tobacco addiction, the previous treatment of tobacco abuse and the present motivation for smoking cessation of all patients treated within one month in a department of cardiology/pneumology were assessed. 255 of 264 admitted patients (39 % women, 61 % men, mean age 65 +/- 13 years) were evaluated. 33/255 patients (13 %) were smokers, 110/255 (43 %) were former smokers and 112/255 (44 %) patients never smoked. 25/33 (76 %) of the smoking patients met the criteria of nicotine dependence and 8/33 (24 %) the criteria of nicotine abuse of the DSM-IV. According to the Fagerstrom-Nicotine-Dependence-Test (FTND) 6/33 (18 %) smokers were low nicotine dependent (FTND 0 - 3 points), 24/33 (73 %) smokers were moderate nicotine dependent (FTND 4 - 7 points) and 3/33 (9 %) smokers were high nicotine dependent (FTND 8 - 10 points). 8/33 patients (24 %) agreed in, 8/33 patients (24 %) were undecisive with regard to and 17/33 (52 %) smokers refused smoking cessation treatment during their hospital stay. There was no difference in the FTND between patients willing to stop smoking and patients which were undecisive or unwilling to stop smoking. 27/33 (82 %) patients were pointed to the existence of a tobacco induced disease by physicians, 14/33 (42 %) had received informations about smoking cessation, 7/33 (21 %) had received nicotine substitution and 3/33 (9 %) other treatments (smoking cessation training, acupuncture) in the past. Motivation for and realization of smoking cessation interventions should be considered as important tasks of the psychosomatic or addiction primary care in private practices and hospitals.","PeriodicalId":345802,"journal":{"name":"Psychother Psych Med","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2002-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129186164","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Anette Kersting1, Michael Reutemann1, H. Staats2, Patricia Ohrmann1, Thomas Suslow1, V. Arolt1
{"title":"Wirkfaktoren ambulanter Gruppentherapie","authors":"Anette Kersting1, Michael Reutemann1, H. Staats2, Patricia Ohrmann1, Thomas Suslow1, V. Arolt1","doi":"10.1055/s-2002-32862","DOIUrl":"https://doi.org/10.1055/s-2002-32862","url":null,"abstract":"","PeriodicalId":345802,"journal":{"name":"Psychother Psych Med","volume":"519 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2002-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116259113","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Erinnertes Erziehungsverhalten der Eltern und eigener Kinderwunsch - Gibt es hier Zusammenhänge?","authors":"J. Schumacher, Y. Stöbel-Richter, E. Brähler","doi":"10.1055/s-2002-32864","DOIUrl":"https://doi.org/10.1055/s-2002-32864","url":null,"abstract":"und and","PeriodicalId":345802,"journal":{"name":"Psychother Psych Med","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2002-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116915456","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cornelia Albani1, Gerd Blaser1, Annett Körner1, S. König1, Franziska Marschke1, Ilka Geißler1, Michael Geyer1, Dan Pokorny2, Hermann Staats3, Dieter Benninghofen3, Reiner Dahlbender2, Manfred Cierpka4, Horst Kächele2
{"title":"Zum Zusammenhang zwischen der Valenz von Beziehungserfahrungen und der Schwere der psychischen Beeinträchtigung","authors":"Cornelia Albani1, Gerd Blaser1, Annett Körner1, S. König1, Franziska Marschke1, Ilka Geißler1, Michael Geyer1, Dan Pokorny2, Hermann Staats3, Dieter Benninghofen3, Reiner Dahlbender2, Manfred Cierpka4, Horst Kächele2","doi":"10.1055/s-2002-32248","DOIUrl":"https://doi.org/10.1055/s-2002-32248","url":null,"abstract":"","PeriodicalId":345802,"journal":{"name":"Psychother Psych Med","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2002-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116023830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Psychosomatic disorders of delinquents are current clinical phenomena, but they are rarely examined and discussed. The contribution presents empirical-statistical results of a field-study with n = 202 unselected forensic patients in disciplinary measures. Psychosomatic diseases have been diagnosed in n = 48 cases. The interpretation of multi- and bivariate statistics hints at an iatrogene influence on detainees: Their psychosomatic disorders can be described as forms of autoplastic defence which must be considered in the context of specific basic personality structures and corresponding disturbed ego functions (control of impulses and anxiety, competence of communication and sublimation). This psychosomatic structure can be differentiated from perverse structured personalities. Characterised as an autoplastic and auto-aggressive reaction, the psychosomatic symptom can be distinguished from alloplastic and hetero-aggressive acting. Nevertheless these psychodynamics seem to be forensic-psychological predicators for anticipated delinquent relapses.
{"title":"Psyche - Soma - Delinquenz","authors":"U. Kobbé","doi":"10.1055/s-2002-32244","DOIUrl":"https://doi.org/10.1055/s-2002-32244","url":null,"abstract":"Psychosomatic disorders of delinquents are current clinical phenomena, but they are rarely examined and discussed. The contribution presents empirical-statistical results of a field-study with n = 202 unselected forensic patients in disciplinary measures. Psychosomatic diseases have been diagnosed in n = 48 cases. The interpretation of multi- and bivariate statistics hints at an iatrogene influence on detainees: Their psychosomatic disorders can be described as forms of autoplastic defence which must be considered in the context of specific basic personality structures and corresponding disturbed ego functions (control of impulses and anxiety, competence of communication and sublimation). This psychosomatic structure can be differentiated from perverse structured personalities. Characterised as an autoplastic and auto-aggressive reaction, the psychosomatic symptom can be distinguished from alloplastic and hetero-aggressive acting. Nevertheless these psychodynamics seem to be forensic-psychological predicators for anticipated delinquent relapses.","PeriodicalId":345802,"journal":{"name":"Psychother Psych Med","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2002-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116718474","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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