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Funktionelle Syndrome und Beschwerden

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Verhaltensmedizin

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Zusammenfassung

Länger andauernde und subjektiv belastende körperliche Beschwerden, die medizinisch nicht ausreichend erklärt werden können, werden auf Ebene der fachärztlichen Versorgung häufig als funktionelle somatische Syndrome bezeichnet. Im psychiatrischen und psychosomatischen Kontext wird häufiger die Diagnosekategorie der somatoformen Störungen verwendet. In Bezug auf die Ätiopathogenese dieser Störungen ist eine biopsychosoziale Betrachtung unbedingt angezeigt. Das Zusammenspiel möglicher genetischer, neuroendokriner sowie hirnanatomischer und -funktioneller Veränderungen auf der einen Seite mit psychosozialen Faktoren wie stressreichen Lebensereignissen, Stresserleben im Alltag und schlechtem sozioökonomischen Status auf der anderen Seite muss bei der individuellen Entstehung und Aufrechterhaltung beachtet werden. Neben somatomedizinischen und verhaltensmedizinischen Ansätzen stellt nach Studienlage die kognitiv-behaviorale Psychotherapie, z. T. in Kombination mit der Gabe von Antidepressiva, die Behandlung der Wahl dar.

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Author information

Authors and Affiliations

  1. Institute of Psychiatry, Psychology & Neuroscience, King’s College London, 103 Denmark Hill, Box PO74, SE5 8AF, London, Großbritannien

    Dr. Susanne Fischer

  2. Fachbereich Psychologie, Philipps-Universität Marburg, Gutenbergstraße 18, 35032, Marburg, Deutschland

    Prof. Dr. Urs Nater & Dr. Ricarda Mewes

Authors
  1. Prof. Dr. Urs Nater
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  2. Dr. Susanne Fischer
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  3. Dr. Ricarda Mewes
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Editor information

Editors and Affiliations

  1. Psychologisches Institut, Universität Zürich, Zürich, Zürich, Switzerland

    Ulrike Ehlert

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Nater, U., Fischer, S., Mewes, R. (2016). Funktionelle Syndrome und Beschwerden. In: Ehlert, U. (eds) Verhaltensmedizin. Springer-Lehrbuch. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-48035-9_12

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  • DOI: https://doi.org/10.1007/978-3-662-48035-9_12

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-48034-2

  • Online ISBN: 978-3-662-48035-9

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