Der Nervenarzt

, Volume 83, Issue 9, pp 1106–1114

Ätiopathogenetische Aspekte somatoformer Störungen

Leitthema

Zusammenfassung

Die Ätiopathologie somatoformer Störungen ist nur vor dem Hintergrund eines biopsychozialen Modells integriert darstellbar. Hierbei müssen kulturelle wie historische Einflüsse ebenso berücksichtigt werden wie die jeweils aktuell vorherrschende Schwerpunktsetzung in Forschung und Praxis. Vor diesem Hintergrund ist die Betonung neurobiologischer Befunde auch als das nicht zufällige Ringen von Betroffenen wie deren Behandlern um Legitimität zu interpretieren. Die Datenlage zu Einflussfaktoren auf Entstehung und Aufrechterhaltung somatoformen Geschehens ist ebenso divers wie weitgehend unspezifisch und weist damit auf ein noch abzuarbeitendes Forschungsprogramm hin.

Schlüsselwörter

Ätiopathologie Somatoforme Störungen Biopsychosoziales Modell Neurobiologie Forschung 

Etiopathogenetic aspects of somatoform disorders

Summary

The etiopathology of somatoform disorders can only be understood against the background of an integrated biopsychosocial model. Cultural and historical influences must be taken into account as well as contemporary settings of scientific or medical priorities. In this context the emphasis on neurobiological findings can be interpreted as the non-accidental struggle for legitimacy of both patients and physicians. Altogether the available data on factors influencing the formation and maintenance of somatoform symptoms has to be described as both diverse and unspecific and thus points to a challenging research program in the coming years.

Keywords

Etiopathology Somatoform disorders Biopsychosocial model Neurobiology Research 

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© Springer-Verlag 2012

Authors and Affiliations

  1. 1.Klinik und Poliklinik für Psychosomatische Medizin und PsychotherapieUniversitätsklinikum UlmUlmDeutschland

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