Skip to main content
Log in

Schmerzbehandlung bei Patienten mit schizoaffektiver Psychose und Tumor

Pain therapy in patients with schizoaffective disorder and cancer

  • Kasuistiken
  • Published:
Der Schmerz Aims and scope Submit manuscript

Zusammenfassung

Es wird über zwei Patienten mit schizoaffektiver Psychose, Tumor und entsprechender Schmerzsymptomatik berichtet. Da eine kausale Zuordnung der Schmerzen allein zur somatischen oder psychischen Störung nicht möglich war, konnte nur eine vorhergehende Therapieoptimierung der schizoaffektiven Psychose in Kombination mit Opioiden erfolgreich sein.

Abstract

We report on two patients with schizoaffective psychosis, cancer, and pain. However, it is not possible to make somatic or psychic disturbances alone responsible for the pain. In patients with current schizoaffective disorders, only administration of a combination of psychopharmaceutical and opioid agents is successful.

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

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Abb. 1
Abb. 2

Literatur

  1. Bair MJ, Robinson RL, Katon W et al (2003) Depression and pain comorbidity: a literature review. Arch Intern Med 163:2433–2445

    Article  PubMed  Google Scholar 

  2. Birgenheir DG, Ilgen MA, Bohnert AS et al (2013) Pain conditions among veterans with schizophrenia or bipolar disorder. Gen Hosp Psychiatry 35:480–484

    Article  PubMed  Google Scholar 

  3. Brinkers M, Pfau G, Hachenberg T (2012) Coenästhesien – eine seltene Schmerzdiagnose bei Patienten mit Tumor. Z Palliativmed 13:1–4

  4. Capampangan DJ, Hoerth MT, Drazkowski JF et al (2010) Olfactory and gustatory hallucinations presenting as partial status epilepticus because of glioblastoma multiforme. Ann Emerg Med 56:374–377

    Article  PubMed  Google Scholar 

  5. Catala-Lopez F, Suarez-Pinilla M, Suarez-Pinilla P et al (2014) Inverse and direct cancer comorbidity in people with central nervous system disorders: a meta-analysis of cancer incidence in 577,013 participants of 50 observational studies. Psychother Psychosom 83:89–105

    Article  PubMed  Google Scholar 

  6. Crump C, Winkleby MA, Sundquist K et al (2013) Comorbidities and mortality in persons with schizophrenia: a Swedish national cohort study. Am J Psychiatry 170:324–333

    Article  PubMed  Google Scholar 

  7. Delaney JF (1976) Atypical facial pain as a defense against psychosis. Am J Psychiatry 133:1151–1154

    Article  CAS  PubMed  Google Scholar 

  8. Fann JR, Alfano CM, Burington BE et al (2005) Clinical presentation of delirium in patients undergoing hematopoietic stem cell transplantation. Cancer 103:810–820

    Article  PubMed  Google Scholar 

  9. Huber G (2005) Psychiatrie - Lehrbuch für Studium und Weiterbildung. Schattauer, Stuttgart

  10. Irwin KE, Henderson DC, Knight HP et al (2014) Cancer care for individuals with schizophrenia. Cancer 120:323–334

    Article  PubMed  Google Scholar 

  11. Isolan GR, Bianchin MM, Bragatti JA et al. (2010) Musical hallucinations following insular glioma resection. Neurosurg Focus 28:E9

    Article  PubMed  Google Scholar 

  12. Ji J, Sundquist K, Ning Y et al (2013) Incidence of cancer in patients with schizophrenia and their first-degree relatives: a population-based study in Sweden. Schizophr Bull 39:527–536

    Article  PubMed Central  PubMed  Google Scholar 

  13. Kredentser MS, Martens PJ, Chochinov HM et al (2014) Cause and rate of death in people with schizophrenia across the lifespan: a population-based study in Manitoba, Canada. J Clin Psychiatry 75:154–161

  14. Laursen TM, Munk-Olsen T, Vestergaard M (2012) Life expectancy and cardiovascular mortality in persons with schizophrenia. Curr Opin Psychiatry 25:83–88

    Article  PubMed  Google Scholar 

  15. Leucht S, Burkard T, Henderson J et al (2007) Physical illness and schizophrenia: a review of the literature. Acta Psychiatr Scand 116:317–333

    Article  CAS  PubMed  Google Scholar 

  16. Levesque M, Potvin S, Marchand S et al (2012) Pain perception in schizophrenia: evidence of a specific pain response profile. Pain Med 13:1571–1579

    Article  PubMed  Google Scholar 

  17. Lo YL, Hameed S, Rumpel H et al (2011) Auditory hallucinations and migraine of possible brainstem origin. J Headache Pain 12:573–575

  18. Maier C (1986) Vital disorders of the mouth (glossodynia) in depressive involutional psychoses. Nervenarzt 57:113–115

    CAS  PubMed  Google Scholar 

  19. Moussas GI, Karkanias AP, Papadopoulou A (2008) Psychological and psychiatric problems in cancer patients in the general hospital. Psychiatriki 19:124–144

    CAS  PubMed  Google Scholar 

  20. Okishiro N, Tanimukai H, Tsuneto S et al (2009) Can „steroid switching“ improve steroid-induced psychosis in a patient with advanced cancer? J Palliat Med 12:487–490

  21. Osborn DP, Limburg H, Walters K et al (2013) Relative incidence of common cancers in people with severe mental illness. Cohort study in the United Kingdom THIN primary care database. Schizophr Res 143:44–49

    Article  PubMed  Google Scholar 

  22. Bräunig P (1998) Coenästhetische Schizophrenien - Prävalenz und Symptomatik. In: Röhricht F, Priebe S (Hrsg) Körpererleben in der Schizophrenie. [Body experience in schizophrenia]. Hogrefe, Göttingen, S 55–66

  23. Rajmohan V, Kumar SK (2013) Psychiatric morbidity, pain perception, and functional status of chronic pain patients in palliative care. Indian J Palliat Care 19:146–151

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  24. Rhondali W, Ledoux M, Sahraoui F et al (2013) Management of psychiatric inpatients with advanced cancer: a pilot study. Bull Cancer 100:819–827

    PubMed  Google Scholar 

  25. Rommel O, Bokeloh M, Malin JP et al (1999) Coenesthesia – an important differential diagnosis in chronic pain syndromes. Schmerz 13:201–204

    Article  CAS  PubMed  Google Scholar 

  26. Somburg O, Steinberg H (2008) Cenesthetic schizophrenia by Huber: 50 years of a concept. Fortschr Neurol Psychiatr 76:413–420

    Article  CAS  PubMed  Google Scholar 

  27. Steiner J, Bogerts B, Hoffmeyer D et al (2007) Cenesthesia as a rare differential diagnosis of persistent idiopathic facial pain. Nervenarzt 78:198–201

    Article  CAS  PubMed  Google Scholar 

  28. Vella-Brincat J, Macleod AD (2007) Adverse effects of opioids on the central nervous systems of palliative care patients. J Pain Palliat Care Pharmacother 21:15–25

    Article  PubMed  Google Scholar 

  29. Wörz R, Lendle R (1998) Schmerz. Psychiatrische Aspekte und psychotherapeutische Behandlung. Urban & Fischer, München

Download references

Einhaltung ethischer Richtlinien

Interessenkonflikt. M. Brinkers, G. Pfau, A. Voigt und C. Schneemilch geben an, dass kein Interessenkonflikt besteht. Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to M. Brinkers.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Brinkers, M., Pfau, G., Voigt, A. et al. Schmerzbehandlung bei Patienten mit schizoaffektiver Psychose und Tumor. Schmerz 29, 217–222 (2015). https://doi.org/10.1007/s00482-014-1505-4

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00482-014-1505-4

Schlüsselwörter

Keywords

Navigation