[Gestosis and psychosomatic aspects].
Concerning the pathogenesis of toxemia there is little psychosomatically oriented research. 1. Etiology of toxemia. There is an elevated reactability of arterioles and consequently of the blood pressure on vasomotoric stimulation, which makes one think of a stress hypothesis. Excessive psychosocial distress is very hard to be grasped and quantified, even for scientific purposes. Therefore there are no greater sociological studies including extreme groups, for instance unmarried juvenile pregnant women. Their elevated risk of toxemia should be predictable by means of psychosocial factors. These expectations were raised by research dealing with psychology of personality and some endocrinological studies.--2. Therapy of toxemia. Some psychosomatical aspects can be considered in practice. a) Employing the manifold drug therapies, for instance of high blood pressure in late pregnancy, it is necessary to enlighten on possible side effects, to avoid unnecessary fears, favoring hypertension. b) Hospitalization without drug therapy, which for instance aims at tranquilization, should not go along with social isolation.--One-sided dietary rules as well as exaggerated invitations to reduce weight often by failing cause feelings of insufficiency and guilt. This kind of distress causes vegetative reactions and is of disadvantage for all kinds of toxemia. This is pointed out by animal experiments and successes of psychotherapy in cases of light hypertension during late pregnancy.
D001794:Blood Pressure; D001835:Body Weight; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D010554:Personality Disorders / Q000523:psychology; D011225:Pre-Eclampsia / Q000523:psychology* / Q000628:therapy; D011247:Pregnancy; D011602:Psychophysiologic Disorders / Q000523:psychology* / Q000628:therapy; D012917:Social Adjustment; D013315:Stress, Psychological / Q000150:complications
Gestose und Psychosomatik.