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Anpassungsstörungen bei internistischen Erkrankungen

Adjustment disorders in internal medicine diseases

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Zusammenfassung

Die Diagnose einer Anpassungsstörung kann nur gestellt werden, wenn ein expliziter Zusammenhang zu einem belastenden Lebensereignis besteht. Klinisch zeichnet sich diese Störung durch eine breite Symptomvariabilität aus (z. B. depressive Stimmung, Angst). Die Abgrenzung zu Prodromen anderer psychischer Erkrankungen und zu normalen Adaptationsprozessen ist nicht eindeutig geklärt. Dennoch wird diese Diagnose im klinischen Alltag und insbesondere in der Primärversorgung häufig gestellt. Vor diesem Hintergrund soll ihre Bedeutung im Zusammenhang mit internistischen Erkrankungen beleuchtet werden.

Abstract

It is only possible to diagnose an adjustment disorder if there is an explicit connection to a stressful life event. Clinically this disorder is marked by a wide variability of symptoms (e. g. depressive mood, anxiety). The prodromal symptoms have not been unequivocally differentiated from those of other mental disorders and normal adaptation processes. Nevertheless, the diagnosis is often made in clinical practice and, in particular, in primary care. Against this background, its significance is to be examined in association with internal medicine diseases.

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Authors and Affiliations

  1. Klinik und Poliklinik für Psychiatrie und Psychotherapie, Department für Psychische Gesundheit, Universitätsklinikum Leipzig, AöR, Semmelweisstr. 10, 04103, Leipzig, Deutschland

    M. Strauß & P. Schönknecht

  2. Klinik für Gastroenterologie und Rheumatologie, Universitätsklinikum Leipzig, AöR, Leipzig, Deutschland

    M. Pierer

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  1. M. Strauß
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  2. M. Pierer
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  3. P. Schönknecht
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Correspondence to M. Strauß.

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Strauß, M., Pierer, M. & Schönknecht, P. Anpassungsstörungen bei internistischen Erkrankungen. Internist 53, 1271–1275 (2012). https://doi.org/10.1007/s00108-012-3066-x

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