[Use of operationalized psychodynamic diagnostics in childhood and adolescence in patients with somatic diseases].
Psychodynamic findings based on the Operationalized Psychodynamic Diagnostics in Childhood and Adolescence (OPD-CA) in patients with Anorectal Malformations (ARM) in comparison to psychiatric patients were presented focussing the psychic structure. Patients with ARM had significant better psychic structure especially with regard to coping with conflicts and communication of affects. Furthermore typical findings were generated: Patients with ARM had better treatment conditions and more positive relationships. Still they had fewer hypotheses about their disease and greater living burden. Structural strengthes facilitate acceptance and integration of the disease. Nonetheless more attention should be paid to child-oriented psychoeducation for development of age-appropriate hypotheses about the disease. Facing living burden, psychological-psychiatric support should be offered to patients with ARM.
Klinik für Psychiatrie, Psychosomatik und Psychotherapie des Kindes- und Jugendalters, Charité Universitätsmedizin Berlin. Sibylle.Winter@charite.de
Sibylle
S
Winter
Stefanie
S
Märzheuser
Dominik
D
Schmidt
Anna
A
Jelen-Mauboussin
Klaus
K
Lenz
Meinolf
M
Noeker
D000293:Adolescent; D001003:Anal Canal / Q000002:abnormalities*; D002648:Child; D002675:Child, Preschool; D017281:Cost of Illness; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis / Q000523:psychology*; D009483:Neuropsychological Tests; D010353:Patient Education as Topic; D012002:Rectal Diseases / Q000175:diagnosis / Q000209:etiology / Q000523:psychology*; D012007:Rectum / Q000002:abnormalities*; D055815:Young Adult