[Is there a typical conflict in dyspepsia? An epidemiologic psychoanalytic contribution to the topic of a specific conflict in psychosomatic medicine].
The question whether a dependency-independency-conflict is specific for subjects with gastric complaints was investigated by means of a representative, psychoanalytic-epidemiologic field study (Mannheimer Kohortenprojekt). Out of a population of 600 adults probands with dyspepsia were compared with individuals with musculoskeletal symptoms and "healthy" subjects. Using interview protocols of these individuals two "blinded" raters judged whether the conflict under consideration was present in different aspects of life. It could be confirmed that subjects with gastric complaints showed the conflict significantly more often than either control group. However, the conflict was also found among individuals of either control group. It can be concluded that the dependency-independency-conflict is typical, but not specific for subjects suffering from dyspepsia.
Platz
T
T
Klinik für Psychosomatik und Psychoanalyse des Zentralinstituts für Seelische Gesundheit, Mannheim.
Schepank
H
H
Junkert
B
B
Tress
W
W
D000328:Adult; D015331:Cohort Studies; D003220:Conflict, Psychological; D003430:Cross-Sectional Studies; D004415:Dyspepsia / Q000453:epidemiology / Q000523:psychology*; D005260:Female; D005500:Follow-Up Studies; D005858:Germany / Q000453:epidemiology; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D010437:Peptic Ulcer / Q000523:psychology; D010552:Personality Assessment; D011574:Psychoanalytic Theory; D011602:Psychophysiologic Disorders / Q000453:epidemiology / Q000523:psychology*; D012803:Sick Role
Gibt es einen typischen Konflikt bei Magenbeschwerden? Ein epidemiologisch-tiefenpsychologischer Beitrag zur Frage des spezifischen Konfliktes in der psychosomatischen Medizin.