9 results on '"S. Groben"'
Search Results
2. Characteristics of oligosymptomatic versus polysymptomatic presentations of somatoform disorders in patients with suspected allergies
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S. Groben, Dorothea Huber, Ulf Darsow, Bernd Löwe, Martine Grosber, Heidrun Behrendt, Susanne Bornschein, Esther Bubel, Constanze Hausteiner, Claas Lahmann, Johannes Ring, Bernadette Eberlein, Peter Henningsen, Florian Eyer, Surgical clinical sciences, and Skin function and permeability more...
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Adult ,Male ,Nosology ,medicine.medical_specialty ,Cross-sectional study ,health status ,Severity of Illness Index ,Diagnosis, Differential ,Quality of life ,Surveys and Questionnaires ,Severity of illness ,medicine ,Humans ,Psychiatry ,Quality Of Life ,Medicine(all) ,Pain disorder ,Middle Aged ,somatoform disorders ,medicine.disease ,Diagnostic and Statistical Manual of Mental Disorders ,Psychiatry and Mental health ,Clinical Psychology ,Distress ,Cross-Sectional Studies ,Logistic Models ,Female ,hypersensitivity ,Psychology ,Psychosocial ,Somatization ,mental health ,Clinical psychology - Abstract
Objective Psychobehavioral characteristics of patients with somatoform disorders (SFDs), are increasingly discussed as possible positive criteria for this diagnostic group. However, little is known about psychobehavioral differences, or similarities, between the different SFD presentations, i.e., polysymptomatic [multisomatoform/somatization disorders (MSD)] versus mono- or oligosymptomatic courses [pain disorder (PD), undifferentiated somatoform disorder (USD)]. Methods This is a cross-sectional study including 268 consecutive allergology inpatients. After an Structured Clinical Interview for DSM-IV , patients completed several self-rating questionnaires. Results were compared within the different SFD presentations as well as between patients with versus without SFDs. Results We identified 72 patients with an SFD. There were fewer and smaller psychobehavioral differences within patients with the different SFD presentations (MSD, USDs, PDs) than between patients with undifferentiated versus no SFD. Patients with one of the three different SFD subdiagnoses scored similarly on many measures referring to psychosocial distress (e.g., psychological distress, mental health-related quality of life, dissatisfaction with care). The number of reported symptoms, somatic symptom severity, a self-concept of bodily weakness, the degree of disease conviction, and physical health-related quality of life discriminated the different SFD presentations not only from patients without SFDs but also from each other. Conclusions Patients diagnosed with one of the different SFD subtypes share many psychobehavioral characteristics, mostly regarding the reporting of psychosocial distress. Perceived somatic symptom severity and physical impairment as indicators of bodily distress could either further define categorical subdivisions of SFD or dimensionally graduate one general SFD category defined by bothering bodily symptoms and disproportionate psychosocial distress. more...
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- 2010
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3. Psychobehavioral Predictors of Somatoform Disorders in Patients With Suspected Allergies
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Heidrun Behrendt, Claas Lahmann, Bernd Löwe, Johannes Ring, Esther Bubel, Ulf Darsow, Martine Grosber, Constanze Hausteiner, Bernadette Eberlein, Dorothea Huber, Susanne Bornschein, Peter Henningsen, Florian Eyer, S. Groben, Surgical clinical sciences, and Skin function and permeability more...
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Adult ,Male ,Adolescent ,Personality Inventory ,Psychometrics ,health status ,Severity of Illness Index ,Intolerances ,Predictive Value of Tests ,Germany ,Surveys and Questionnaires ,Severity of illness ,Criterion validity ,Animals ,Humans ,Medicine ,Arthropod Venoms ,Applied Psychology ,Psychiatric Status Rating Scales ,Medicine(all) ,business.industry ,Middle Aged ,somatoform disorders ,medicine.disease ,Hymenoptera ,Comorbidity ,Diagnostic and Statistical Manual of Mental Disorders ,Patient Health Questionnaire ,comorbidity ,Psychiatry and Mental health ,Cross-Sectional Studies ,Predictive value of tests ,Female ,hypersensitivity ,business ,Attitude to Health ,Somatization ,Clinical psychology - Abstract
OBJECTIVE: To explore a combination of health-related psychobehavioral features as potential positive criteria for somatoform disorders (SFD). Currently, SFD can only be diagnosed in the absence of sufficient organic symptom explanation, resulting in low criterion validity and delay of appropriate therapy. METHODS: Cross sectionally, we studied various psychobehavioral characteristics of 197 inpatients with suspected allergies. At the beginning of the medical work-up, patients were interviewed and completed a set of self-rating questionnaires (Illness Perception Questionnaire-Revised, Whiteley Index-7, Cognitions About Body And Health Questionnaire, Scale for the Assessment of Illness Questionnaire, Health Attitude Survey, Reassurance Questionnaire, and Patient Health Questionnaire). Organic explicability of the presenting symptoms was assessed by allergists at the end of the work-up. Forty-eight patients with SFD were compared with 149 patients without SFD, and predictive models were set up. To control for effects of the work-up situation, we also investigated 47 patients with an established diagnosis of hymenoptera venom allergy. RESULTS: In the work-up group, various self-reported psychobehavioral features discriminated patients with SFD from patients without SFD. In logistic regression analysis, self-reported dissatisfaction with medical care, disease conviction, reduced symptom controllability, and reduced body scanning independently predicted SFD. A predictive model based on these psychobehavioral characteristics had high sensitivity and specificity (area under the curve = 0.86, 95% Confidence Interval = 0.79-0.93; p < .001), which was comparable to the Patient Health Questionnaire-15, an established SFD screening tool assessing somatization. CONCLUSIONS: Psychobehavioral characteristics in patients with SFD cannot solely be attributed to the uncertainty of a work-up situation. Their predictive value is comparable to that of the traditional measuring of symptom number and severity; hence, they should be considered as SFD positive criteria in Diagnostic and Statistic Manual of Mental Disorders, 5th Edition. more...
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- 2009
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4. 21. Mainzer Allergie-Workshop
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C. van Drunen, A. Alexopoulou, O. Holst, U. Kalinke, A. Heinz, H. S. Adler, Thomas Werfel, N. Hövelmeyer, L. Klimek, Wolfgang Bäumer, Guido Heine, Christian Becker, I. Reese, N. Dehzad, M. Alrifai, F. Riffelmann, U. Raap, J. Kunz, C. Pföhler, Bernhard Przybilla, S. Vieths, M. Stanke, Stephan Scheurer, C. Böcking, Martin Mempel, Johannes Huss-Marp, S. Rennert, G. Sesztak-Greinecker, A. Boere, T. Zilker, M. Laimer, M. Schaller, H. Martin, T. Bopp, J. Saloga, M. Hoefeld-Fegeler, H. Renz, A. Dittrich, R. Bredehorst, D. Mayer, Monika Raulf-Heimsoth, Markus Ollert, Edzard Spillner, L. Lange, M. Thamsen, Franziska Ruëff, I. Braren, D. Dijkstra, B. Bonekoh, Albrecht Bufe, S. Sonar, Johannes Ring, D. Groneberg, W. Kempf, Hans F. Merk, Gerald Reese, Martin J Müller, H. Garn, M. Meurer, Alexander Kapp, M. McIntyre, H. Fromme, M. Abram, B. Schraven, C. Kurts, Jens M. Baron, Jan-Christoph Simon, R. Buhl, A. Ambach, S. Reuter, Kerstin Steinbrink, R. Jarisch, M. Büsing, C. Besser, G. Hansen, Stephan Sudowe, K. Sauer, F. Wölbing, M. Bros, K. Hörmann, T. Brüning, F. Schocker, O. Pfaar, T. Polte, F. Wantke, A. Weren, I. Eilbacher, E. Guenova, T. Jakob, S. Hompes, C. Hausteiner, E. Schmitt, C. Berking, W. Nockher, S. Schliemann, Martine Grosber, Y. von der Gathen, Dennis Nowak, G. Zwadlo-Klarwasser, M. Focke, Philippe Stock, M. Ehmke, K. Hilt, S. Bornschein, B. Hartmann, Uta Jappe, A. Karlberg, A. Ulmer, Milena Milovanovic, Evelyn Montermann, C. Lahmann, V. Kohlrautz, Angelika B. Reske-Kunz, B. Bunselmeyer, M. Niebuhr, M. Schiller, H. Gollnick, Eva Zahradnik, A. Hänsel, M. Andresen-Bergström, A. Braun, M. Stassen, Katja Nemat, V. Besche, T. Reinheckel, X. Zhang, C. Koch, Ulrich Wahn, V. Konakovsky, S. Hagner, Bettina Wedi, Petra Ina Pfefferle, A. Yildirim, S. Dietrich, C. Bovensiepen, V. Fokuhl, M. Albrecht, C. Taube, W. Baran, K. Ghoreschi, A. Flagge, K. Hoffmann-Sommergruber, V. Mariani, S. Reissig, H. Lauenstein, C. Fleischer, C. Hofmann, B. Bonnekoh, N. Lorenz, A. Petersen, Marcus Maurer, Thomas Holzhauser, W. Kreyling, H. Seismann, E. Bubel, Wolfgang Schober, S. Ochs, D. Huber, Claudia Traidl-Hoffmann, G. Marzban, S. Oeder, K. Schäkel, R. Eben, J. Remke, M. Bruder, A. Walker, T. Biedermann, N. Wiechmann, Marcus Peters, Stefanie Gilles, T. Grunwald, A. Ö. Yildirim, D. Mamerow, M. Kietzmann, W. Becker, E. Closs, Hagen Ott, Y. Höhn, K.-A. Dietrich, R. Schierl, K. Roeschmann, A. Radbruch, T. Dicke, Ingrid Sander, T. Welte, C. Skazik, T. Greiner, R. Brehler, J. Hiller, P. Preston-Hurlburt, K. Eyerich, P. Moser, V. Thiebes, Simon Blank, F. Bühling, C. Pilzner, M. Götz, A. Albert, S. Mommert, C. Kirschning, S. Lingner, H. Wiesner, S. Burgdorf, S. Trojandt, M. Grusser, C. Suender, S. Heydrich, S. Krause, T. Luger, M. Jung, A. Distler, G. Köther, Peter Thomas, M. Raap, J. Renne, R. Ferstl, V. Mauss, K. Roßbach, J. Fischer, A. Zimmer, D. Wieczorek, R. Teich, H. Bottomoly, I. Weichenmeier, V. Schäfer, G. Weindl, Jeroen Buters, Ralf Gutzmer, T. Hilmenyuk, M. Worm, E. Luger, H. Stark, N. Schütze, A. Renzing, L. Cifuentes, Gabriele Köllisch, H. Hofmann, W. Hemmer, Heidrun Behrendt, J. Dietze, Christina Barwig, M. Gschwandtner, A. Dudeck, P. Henningsen, M. Zemlin, F. Seyfarth, K. Stein, Thomas Herzinger, R. Kerzl, W. Hoetzenecker, M. Wittmann, S. Groben, A. Ilchmann, Ulf Darsow, J. Sültz, H. Heine, R. Massoumi, A. Waisman, I. Lehmann, S. Vrtala, P. Elsner, C. Hennig, M. Conrad, A. Hanuszkiewicz, T. Wiederholt, J. Lidholm, R. Mailhammer, U. Hipler, S. Pastore, R. Schmid, Ö. Türeci, T. Jaeger, S. Förster, M. Toda, B. Jeßberger, J. Zeitvogel, Bernadette Eberlein, S. Grabbe, U. Luxemburger, I. Bellinghausen, M. Röcken, U. Frankenberg, P. Muhr, Z. Waibler, H.-C. Rerinck, K. Greunke, A. Kilic, K. Papenfuß, H. Laubach, A. Vroling, S. Brand, and C. Weigert more...
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03 medical and health sciences ,medicine.medical_specialty ,0302 clinical medicine ,Otorhinolaryngology ,business.industry ,Family medicine ,medicine ,Immunology and Allergy ,030223 otorhinolaryngology ,business ,030215 immunology - Published
- 2009
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5. Somatoform disorders and causal attributions in patients with suspected allergies: Do somatic causal attributions matter?
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S. Groben and Constanze Hausteiner
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Nosology ,Adult ,Male ,Allergy ,medicine.medical_specialty ,Adolescent ,Cross-sectional study ,Statistics, Nonparametric ,Illness perceptions ,Interviews as Topic ,Surveys and Questionnaires ,medicine ,Hypersensitivity ,Humans ,In patient ,Psychiatry ,Somatoform Disorders ,Aged ,Sick Role ,Middle Aged ,medicine.disease ,Causality ,Diagnostic and Statistical Manual of Mental Disorders ,Psychiatry and Mental health ,Clinical Psychology ,Cross-Sectional Studies ,Female ,Psychology ,Attribution ,Psychosocial ,Attitude to Health - Abstract
Objective Somatic causal illness attributions are being considered as potential positive criteria for somatoform disorders (SFDs) in DSM-V. The aim of this study was to investigate whether patients diagnosed with SFDs tend towards a predominantly somatic attribution style. Methods We compared the causal illness attributions of 48 SFD and 149 non-somatoform disorder patients, in a sample of patients presenting for an allergy diagnostic work-up, and those of 47 controls hospitalised for allergen-specific venom immunotherapy. The SFD diagnosis was established by means of the Structured Clinical Interview for DSM-IV. Both spontaneous and prompted causal illness attributions were recorded through interview and by means of the causal dimension of the Revised Illness Perception Questionnaire (IPQ-R), respectively. Patients' spontaneous and prompted responses were assigned to a psychosocial, somatic, or mixed attribution style. Results Both in the free-response task and in their responses to the IPQ-R, SFD patients were no more likely than their nonsomatoform counterparts to focus on somatic explanations for their symptoms. They were just as likely to make psychosocial or mixed causal attributions. However, patients with SFDs were significantly more likely to find fault with medical care in the past. Conclusion Our data do not support the use of somatic causal illness attributions as positive criteria for SFDs. They confirm the dynamic and multidimensional nature of causal illness attributions. Clinical implications of these findings are discussed. more...
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- 2010
6. Prädiktoren für organisch unerklärte Beschwerden und somatoforme Störungen in der Allergologie
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Peter Henningsen, U. Darsow, Susanne Bornschein, Thomas Zilker, S. Groben, Bernadette Eberlein, Dorothea Huber, Constanze Hausteiner, Johannes Ring, and Esther Bubel
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Psychiatry and Mental health ,Clinical Psychology ,Applied Psychology - Published
- 2008
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7. A Difficult Doctor-Patient Interaction Predicts Organically Unexplained Symptoms In Allergology Patients
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Claas Lahmann, Martine Grosber, Esther Bubel, Bernadette Eberlein, Heidrun Behrendt, Ulf Darsow, Peter Henningsen, J. Ring, Dorothea Huber, Thomas Zilker, Susanne Bornschein, S. Groben, and Constanze Hausteiner more...
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medicine.medical_specialty ,business.industry ,Doctor patient ,Immunology ,Immunology and Allergy ,Medicine ,business ,Intensive care medicine - Published
- 2009
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8. Patient-doctor interaction, psychobehavioural characteristics and mental disorders in patients with suspected allergies: do they predict "medically unexplained symptoms"?
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Hausteiner-Wiehle C, Grosber M, Bubel E, Groben S, Bornschein S, Lahmann C, Eyer F, Eberlein B, Behrendt H, Löwe B, Henningsen P, Huber D, Ring J, and Darsow U
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- Adult, Anxiety Disorders complications, Countertransference, Depressive Disorder complications, Diagnostic Self Evaluation, Female, Humans, Hypersensitivity complications, Hypersensitivity diagnosis, Male, Middle Aged, Models, Psychological, Patient Satisfaction, Predictive Value of Tests, Psychiatric Status Rating Scales, Psychometrics, Sex Factors, Somatoform Disorders complications, Somatoform Disorders diagnosis, Surveys and Questionnaires, Anxiety Disorders psychology, Depressive Disorder psychology, Hypersensitivity psychology, Physician-Patient Relations, Somatoform Disorders psychology
- Abstract
In approximately 20% of patients with suspected allergies, no organic symptom explanation can be found. Limited knowledge about patients with "medically unexplained symptoms (MUS)" contributes to them being perceived as "difficult" and being treated inadequately. This study examined the psychobehavioural characteristics of patients presenting for a diagnostic allergy work-up. Patients were interviewed and completed various self-rating questionnaires. Patient-Doctor interaction was evaluated, and the organic explicability of the patients' symptoms was rated by allergists. Patients with vs. those without MUS differed in several respects. Mental comorbidity, female sex, dissatisfaction with care, and a problematic countertransference (the interviewer's feelings towards the patient) independently predicted MUS. Patients whose symptoms could be explained organically reported more psychobehavioural problems than a control group of immuno-therapy patients. There were no differences in patient-doctor interaction. In patients with suspected allergies, recognition of psychological burden and concurrent mental disorders is important. Mental comorbidity and a difficult patient-doctor interaction may predict MUS. more...
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- 2011
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9. Somatoform disorders and causal attributions in patients with suspected allergies: Do somatic causal attributions matter?
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Groben S and Hausteiner C
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- Adolescent, Adult, Aged, Cross-Sectional Studies, Diagnostic and Statistical Manual of Mental Disorders, Female, Humans, Hypersensitivity diagnosis, Hypersensitivity etiology, Interviews as Topic, Male, Middle Aged, Somatoform Disorders diagnosis, Somatoform Disorders etiology, Statistics, Nonparametric, Surveys and Questionnaires, Attitude to Health, Hypersensitivity psychology, Sick Role, Somatoform Disorders psychology
- Abstract
Objective: Somatic causal illness attributions are being considered as potential positive criteria for somatoform disorders (SFDs) in DSM-V. The aim of this study was to investigate whether patients diagnosed with SFDs tend towards a predominantly somatic attribution style., Methods: We compared the causal illness attributions of 48 SFD and 149 non-somatoform disorder patients, in a sample of patients presenting for an allergy diagnostic work-up, and those of 47 controls hospitalised for allergen-specific venom immunotherapy. The SFD diagnosis was established by means of the Structured Clinical Interview for DSM-IV. Both spontaneous and prompted causal illness attributions were recorded through interview and by means of the causal dimension of the Revised Illness Perception Questionnaire (IPQ-R), respectively. Patients' spontaneous and prompted responses were assigned to a psychosocial, somatic, or mixed attribution style., Results: Both in the free-response task and in their responses to the IPQ-R, SFD patients were no more likely than their nonsomatoform counterparts to focus on somatic explanations for their symptoms. They were just as likely to make psychosocial or mixed causal attributions. However, patients with SFDs were significantly more likely to find fault with medical care in the past., Conclusion: Our data do not support the use of somatic causal illness attributions as positive criteria for SFDs. They confirm the dynamic and multidimensional nature of causal illness attributions. Clinical implications of these findings are discussed., (Copyright © 2011 Elsevier Inc. All rights reserved.) more...
- Published
- 2011
- Full Text
- View/download PDF
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