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Psychosomatik

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Chronisch-entzündliche Darmerkrankungen

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Zusammenfassung

CED sind keine psychosomatischen Erkrankungen (psychische Faktoren sind Mitursache der Erkrankung) im engeren Sinne. Der Krankheitsverlauf und die Therapie können zu psychischen und sozialen Belastungen der Patienten führen (somatopsychische Erkrankung). Seelische Faktoren (Stress, Depression) können einen ungünstigen Einfluss auf den Krankheitsverlauf haben (psychosomatische Erkrankung im weiteren Sinne). Gastroenterologen sollen psychosoziale Belastungen durch die CED und psychologische Behandlungswünsche der Patienten erfassen. Außerdem sollten behandelnde Ärzte auf die Möglichkeit einer Unterstützung durch Selbsthilfeorganisationen hinweisen. Eine psychotherapeutische Behandlung soll CED-Patienten mit psychischen Begleiterkrankungen empfohlen und aktiv vermittelt werden. Antidepressiva können gastrointestinale und seelische Beschwerden lindern. Eine Kooperation von Gastroenterologen und ärztlichen und psychologischen Psychotherapeuten mit Erfahrung in der psychosozialen Betreuung von CED-Patienten ist sinnvoll.

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Literatur

  • Alexander F (1950) Psychosomatic medicine. Its principles and applications. Norton, New York

    Google Scholar 

  • Auer PG, Enck P, Häuser W, Stengel A, Storr M, Langhorst J, AG Psychosomatik in der Gastroenterologie der DGVS (2018) Psychosomatics in gastroenterology – statement of the Work Group for Psychosomatics in Gastroenterology of the German Society of Gastroenterology, Digestive and Metabolic Diseases (DGVS). Z Gastroenterol 56:684–689

    Article  Google Scholar 

  • Authors, Collaborators (2019) Updated S3-Guideline Ulcerative Colitis. German Society for Digestive and Metabolic Diseases (DGVS). Z Gastroenterol 57:162–241.

    Google Scholar 

  • Ballou S, Keefer L (2017) Psychological interventions for irritable bowel syndrome and inflammatory bowel diseases. Clin Transl Gastroenterol. 8:e214

    Article  Google Scholar 

  • Berding A, Witte C, Gottschald M, Kaltz B, Weiland R, Gerlich C, Reusch A, Kruis W, Faller H (2017) Beneficial effects of education on emotional distress, self-management, and coping in patients with inflammatory bowel disease: a prospective randomized controlled study. Inflamm Intest Dis 1:182–190

    Article  Google Scholar 

  • Bernstein CN, Singh S, Graff LA, Walker JR, Miller N, Cheang M (2010) A prospective population-based study of triggers of symptomatic flares in IBD. Am J Gastroenterol 105:1994–2002

    Article  Google Scholar 

  • Bernstein KI, Promislow S, Carr R, Rawsthorne P, Walker JR, Bernstein CN (2011) Information needs and preferences of recently diagnosed patients with inflammatory bowel disease. Inflamm Bowel Dis 17:590–598

    Article  Google Scholar 

  • Biedermann L, Fournier N, Misselwitz B et al (2015) High rates of smoking especially in female Crohn’s disease patients and low use of supportive measures to achieve smoking cessation-data from the Swiss IBD Cohort Study. J Crohns Colitis 9:819–829

    Article  Google Scholar 

  • Blumenstein I, McDermott E, Keegan D et al (2013) Sources of information and factual knowledge in Europeans with inflammatory bowel diseases: a cross-cultural comparison between German and Irish patients. J Crohns Colitis 7:e331–e336

    Article  Google Scholar 

  • Bokemeyer B, Hardt J, Hüppe D et al (2013) Clinical status, psychosocial impairments, medical treatment and health care costs for patients with inflammatory bowel disease (IBD) in Germany: an online IBD registry. J Crohns Colitis 7:355–368

    Article  CAS  Google Scholar 

  • Borgaonkar MR, Townson G, Donnelly M, Irvine EJ (2002) Providing disease-related information worsens health-related quality of life in inflammatory bowel disease. Inflamm Bowel Dis 8:264–269

    Article  Google Scholar 

  • Bregenzer N, Lange A, Fürst A et al (2005) Patient education in inflammatory bowel disease does not influence patients knowledge and long-term psychosocial well-being. Z Gastroenterol 43:367–371

    Article  CAS  Google Scholar 

  • Büsch K, da Silva SA, Holton M, Rabacow FM, Khalili H, Ludvigsson JF (2014) Sick leave and disability pension in inflammatory bowel disease: a systematic review. J Crohns Colitis 8:1362–1377

    Article  Google Scholar 

  • Cámara RJ, Ziegler R, Begré S, Schoepfer AM, von Känel R, the Swiss Inflammatory Bowel Disease Cohort Study (SIBDCS) group (2009) The role of psychological stress in inflammatory bowel disease: quality assessment of methods of 18 prospective studies and suggestions for future research. Digestion 80:129–139

    Article  Google Scholar 

  • Cho R, Wickert NM, Klassen AF, Tsangaris E, Marshall JK, Brill H (2018) Identifying needs in young adults with inflammatory bowel disease: a qualitative study. Gastroenterol Nurs 41:19–28

    Article  Google Scholar 

  • Cosnes J, Beaugerie L, Carbonnel F, Gendre JP (2001) Smoking cessation and the course of Crohn’s disease: an intervention study. Gastroenterology 120:1093–1099

    Article  CAS  Google Scholar 

  • Crohn BB, Ginzburg L, Oppenheimer GD (1932) Regional ileitis. A pathologic and clinical entity. JAMA 99:1323–1328

    Article  Google Scholar 

  • Ducharme-Bénard S, Côté-Daigneault J, Lemoyne M, Orlicka K, Lahaie R, Weber A, Bouin M (2016) Patients with inflammatory bowel disease are unaware of the impact of smoking on their disease. J Clin Gastroenterol. 50:490–497

    Article  Google Scholar 

  • Enck P, Schäfer R (1996) Psychosoziale Faktoren beim M. Crohn: eine Übersicht [Psychosocial factors in Crohn disease – an overview]. Z Gastroenterol 34:708–713

    CAS  PubMed  Google Scholar 

  • Graff LA, Walker JR, Bernstein CN (2009) Depression and anxiety in inflammatory bowel disease: a review of comorbidity and management. Inflamm Bowel Dis 15:1105–1118

    Article  Google Scholar 

  • Häuser W, Janke KH, Klump B, Hinz A (2011) Anxiety and depression in patients with inflammatory bowel disease: comparisons with chronic liver disease patients and the general population. Inflamm Bowel Dis 17:621–632

    Article  Google Scholar 

  • Häuser W, Moser G, Klose P, Mikocka-Walus A (2014) Psychosocial issues in evidence-based guidelines on inflammatory bowel diseases: a review. World J Gastroenterol 20:3663–3671

    Article  Google Scholar 

  • Hüppe A, Langbrandtner J, Raspe H (2013) Komplexe psychosoziale Problemlagen bei Morbus Crohn und Colitis ulcerosa – fragebogengestütztes Assessment als erster Schritt zur Aktivierung von Patientinnen und Patienten [Assessing complex health problems of patients with IBD – first step to patient activation]. Z Gastroenterol 51:257–270

    Article  Google Scholar 

  • Jäghult S, Larson J, Wredling R, Kapraali M (2007) A multiprofessional education programme for patients with inflammatory bowel disease: a randomized controlled trial. Scand J Gastroenterol 42:1452–1459

    Article  Google Scholar 

  • Kamat N, Rajan Mallayasamy S, Sharma PSVN, Kamath A, Pai CG (2018) Video assisted patient education improves compliance with follow up and depression scores in inflammatory bowel diseases. Postgrad Med 130:355–360

    Article  Google Scholar 

  • Knowles SR, Monshat K, Castle DJ (2013) The efficacy and methodological challenges of psychotherapy for adults with inflammatory bowel disease: a review. Inflamm Bowel Dis 19:2704–2715

    Article  Google Scholar 

  • Knowles SR, Keefer L, Wilding H, Hewitt C, Graff LA, Mikocka-Walus A (2018) Quality of life in inflammatory bowel disease: a systematic review and meta-analyses-part II. Inflamm Bowel Dis 24:966–976

    Article  Google Scholar 

  • Langhorst J, Hofstetter A, Wolfe F, Häuser W (2013) Short-term stress, but not mucosal healing nor depression was predictive for the risk of relapse in patients with ulcerative colitis: a prospective 12-month follow-up study. Inflamm Bowel Dis 19:2380–2386

    Article  Google Scholar 

  • Lunney PC, Kariyawasam VC, Wang RR, Middleton KL, Huang T, Selinger CP, Andrews JM, Katelaris PH, Leong RW (2015) Smoking prevalence and its influence on disease course and surgery in Crohn’s disease and ulcerative colitis. Aliment Pharmacol Ther 42:61–70

    Article  CAS  Google Scholar 

  • Macer BJ, Prady SL, Mikocka-Walus A (2017) Antidepressants in inflammatory bowel disease: a systematic review. Inflamm Bowel Dis 23:534–550

    Article  Google Scholar 

  • McCombie AM, Mulder RT, Gearry RB (2013) How IBD patients cope with IBD: a systematic review. J Crohns Colitis 7:89–106

    Article  Google Scholar 

  • McCombie A, Gearry R, Andrews J, Mulder R, Mikocka-Walus A (2016) Does computerized cognitive behavioral therapy help people with inflammatory bowel disease? A randomized controlled trial. Inflamm Bowel Dis 22:171–181

    Article  Google Scholar 

  • Mikocka-Walus A, Bampton P, Hetzel D, Hughes P, Esterman A, Andrews JM (2015) Cognitive-behavioural therapy has no effect on disease activity but improves quality of life in subgroups of patients with inflammatory bowel disease: a pilot randomised controlled trial. BMC Gastroenterol 15:54

    Article  Google Scholar 

  • Mikocka-Walus A, Knowles SR, Keefer L, Graff L (2016) Controversies revisited: a systematic review of the comorbidity of depression and anxiety with inflammatory bowel diseases. Inflamm Bowel Dis 22:752–762

    Article  Google Scholar 

  • Preiß JC, Bokemeyer B, Buhr HJ et al (2014) Updated German clinical practice guideline on „Diagnosis and treatment of Crohn’s disease“ 2014. Z Gastroenterol. 52:1431–1484

    Google Scholar 

  • Rothe HM, Cuntz U (2014) Psychosomatische Institutsambulanzen in der sektorübergreifenden Versorgung. Ärztl Psychother 9:196–200

    Google Scholar 

  • Schaefert R, Häuser W (2017) Chronisch entzündliche Darmerkrankungen. In: Köhle K, Herzog W, Joraschlky P, Kruse K, Langewitz W, Söllner W (Hrsg) Uexküll. Psychosomatische Medizin, 8. Aufl. Elsevier, München, S 919–920

    Chapter  Google Scholar 

  • Selinger CP, Robinson A, Leong RW (2011) Clinical impact and drivers of non-adherence to maintenance medication for inflammatory bowel disease. Expert Opin Drug Saf 10:863–870

    Article  CAS  Google Scholar 

  • Szigethy EM, Allen JI, Reiss M, Cohen W, Perera LP, Brillstein L, Cross RK, Schwartz DA, Kosinski LR, Colton JB, LaRusso E, Atreja A, Regueiro MD (2017) White paper AGA: the impact of mental and psychosocial factors on the care of patients with inflammatory bowel disease. Clin Gastroenterol Hepatol 15:986–997

    Article  Google Scholar 

  • Timmer A, Preiss JC, Motschall E, Rücker G, Jantschek G, Moser G (2011) Psychological interventions for treatment of inflammatory bowel disease. Cochrane Database Syst Rev 2:CD006913

    Google Scholar 

  • To N, Gracie DJ, Ford AC (2016) Systematic review with meta-analysis: the adverse effects of tobacco smoking on the natural history of Crohn’s disease. Aliment Pharmacol Ther 43:549–561

    Article  CAS  Google Scholar 

  • Van Assche G, Dignass A, Bokemeyer B, the European Crohn’s and Colitis Organisation et al (2013) Second European evidence-based consensus on the diagnosis and management of ulcerative colitis, part 3: special situations. J Crohns Colitis 7:1–33

    Article  Google Scholar 

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Author information

Authors and Affiliations

  1. Klinik für Innere Medizin 1, Klinikum Saarbrücken gGmbH, Saarbrücken, Deutschland

    Winfried Häuser

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  1. Winfried Häuser
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Correspondence to Winfried Häuser .

Editor information

Editors and Affiliations

  1. Medizinische Klinik I, St. Marien- und St. Annastiftskrankenhaus, Ludwigshafen, Germany

    Jörg C. Hoffmann

  2. Klinik für Innere Medizin, Medius-Klinik Ostfildern-Ruit, Ostfildern, Germany

    Bodo Klump

  3. Allg.-, Viszeral- & Unfallchirurgie, Krankenhaus Porz am Rhein, Köln, Germany

    Anton Kroesen

  4. Medizinische Klinik I, Charité – Universitätsmedizin Berlin, Berlin, Germany

    Britta Siegmund

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Häuser, W. (2020). Psychosomatik. In: Hoffmann, J.C., Klump, B., Kroesen, A., Siegmund, B. (eds) Chronisch-entzündliche Darmerkrankungen. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-59104-8_36

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  • DOI: https://doi.org/10.1007/978-3-662-59104-8_36

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-59103-1

  • Online ISBN: 978-3-662-59104-8

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