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Einschneidende lebensereignisse im vorfeld von akuten psychischen erkrankungen

Stressful life-events in the beginning of acute psychiatric diseases

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Summary

A sample of 112 psychiatric inpatients were examined in comparison to 70 somatic inpatients with respect to the question, how frequent psychiatric diseases were in correlation with stressful life-events. There were significant discrepancies concerning life-event stress between the diagnostic subgroups. The life-event stress was most important in the neurotic patients, also patients suffering from endogenous psychoses, especially schizophrenics, showed an increased life-event stress. Different methods (objective stress scores suggested by Paykel, self-rating scores concerning negative experiences, and a synthesis between these two methods) led to similar results. Experiences, rated positive by the patients, showed no correlation with psychiatric diseases.

Zusammenfassung

An einer Stichprobe von 112 psychisch kranken Patienten wurde im Vergleich mit 70 körperlich Kranken analysiert, wie hdufig psychische Erkrankungen im Zusammenhang mit belastenden Lebensereignissen stehen. Es zeigten sich erhebliche Unterschiede der Life-event-Belastung zwischen den psychisch Kranken and der Kontrollgruppe sowie zwischen den einzelnen diagnostischen Gruppen. Die Life-event-Belastung war am ausgeprdgtesten bei den neurotisch Kranken. Auch bei den endogenen Psychosen, insbesondere bei den Schizophrenien, fand sich eine vermehrte Life-event-Belastung. Verschiedene Methoden (objektive Belastungswerte nach Paykel, vom Patienten angegebene Negativscores, Synthese aus objektiven and subjektiven Bewertungen) führten bei den Gruppenvergleichen zu vergleichbaren Resultaten. Vom Patienten als positiv bewertete Life-events standen nicht in Zusammenhang mit psychischen Erkrankungen.

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Authors and Affiliations

  1. Psychiatrische Klinik der Technischen Universität München, Möhlstraße 26, D-8000, München 80, Bundesrepublik Deutschland

    H. J. Möller, C. Grießhammer & H. Hacker

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  1. H. J. Möller
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  2. C. Grießhammer
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  3. H. Hacker
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Herrn Prof. A. Görres zum 65. Geburtstag gewidmet.

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Möller, H.J., Grießhammer, C. & Hacker, H. Einschneidende lebensereignisse im vorfeld von akuten psychischen erkrankungen. Eur Arch Psychiatr Neurol Sci 234, 118–124 (1984). https://doi.org/10.1007/BF00381218

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  • DOI: https://doi.org/10.1007/BF00381218

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