Psychosoziale Faktoren

  • M. Wolfersdorf
  • A. Heindl
  • B. Schuh
  • J. Kornacher
  • U. Rupprecht
  • F. Keller
Chapter

Zusammenfassung

Das Fehlen sozialer Unterstützung und sozialer Bindungen ist besonders mit Therapieresistenz verbunden. Daneben sind auch vorausgehende und interkurrente Stress-Situationen durch belastende Lebensereignisse bedeutsam. Die Behandlung therapieresistenter bzw. chronischer depressiver Erkrankungen hat sich auf folgende Ziele auszurichten:

  • stabile psychopharmakologische Symptomminimierung und Verschlechterungsprophylaxe,

  • eine unter psychotherapeutisch-sozialpsychiatrischer Begleitung/Behandlung erworbene neue Lebenskonzeption.

Die langfristige Begleitung ist gekennzeichnet durch Regelmäßigkeit, Kontinuität, Verlässlichkeit, bei Bedarf Krisenintervention und praktische Unterstützung. Die Behandlung therapieresistenter chronisch-depressiver Kranker bedarf schulenübergreifender überlegungen und Kompetenz sowie der Supervision und Selbsterfahrung.

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Copyright information

© Springer Medizin Verlag Heidelberg 2005

Authors and Affiliations

  • M. Wolfersdorf
  • A. Heindl
  • B. Schuh
  • J. Kornacher
  • U. Rupprecht
  • F. Keller

There are no affiliations available

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