title: [Stability of mental stress-induced hemodynamic and autonomic reaction despite successful treatment for psychosomatic disorder].
abstract: Autonomic imbalance and exaggerated stress responses are associated with an increased risk of morbidity and mortality and have been associated with several psychosomatic disorders. Has in-patient psychotherapy any effect on autonomic regulation and mental stress reactivity? In 77 patients undergoing in-patient psychometric treatment psychometric examination and psychophysiological assessment of hemodynamic and autonomic parameters during rest and 2 mental stress tests was performed at the beginning and at the end of in-patient psychotherapy. Despite marked improvements in symptoms our short-term treatment for psychosomatic disorders did not affect autonomic and hemodynamic activation at rest or during stress testing. It remains to be investigated if increased physical activity and relaxation expected after improvement have beneficial physiological effects over longer time spans.
authors.affiliation: Abteilung für Allgemein- und Viszeralchirurgie, Klinikum Kemperhof, Gemeinschaftsklinikum Koblenz-Mayen, Koblenz.
authors.forename: Jana
authors.initials: J
authors.lastname: Lomb
authors.affiliation: Klinik für Psychosomatische Medizin und Psychotherapie, Universitätsmedizin Göttingen.
authors.forename: Christina
authors.initials: C
authors.lastname: Kleiber
authors.affiliation: Klinik für Psychosomatische Medizin und Psychotherapie, Universitätsmedizin Göttingen.
authors.forename: Christoph
authors.initials: C
authors.lastname: Herrmann-Lingen
mesh_terms: D001341:Autonomic Nervous System / Q000503:physiopathology*; D006439:Hemodynamics; D006801:Humans; D011602:Psychophysiologic Disorders / Q000503:physiopathology* / Q000523:psychology / Q000628:therapy*; D013315:Stress, Psychological / Q000503:physiopathology* / Q000523:psychology