Epidemiology of Psychogenic Disorders: The Mannheim Study - Results of a Field Survey in the Federal Republic of Germany

ISBN-13: 9783540180272 / Angielski / Miękka / 1987 / 176 str.

Heinz Schepank; Richard Mills; H. Strotzka

Opis

Presents the results of a ten-year research project on the epidemiology of psychogenic disorders (psychoneuroses, cha- racter neuroses and psychosomatic disorders). The study con- centrates on the age group relevantfor psychotherapeutic care: 25-50 year-olds living in urban communities.

Spis treści

1. Background.- 1 Introduction.- 1.1 Objectives.- 1.2 General Epidemiology.- 1.3 Special Features of Psychogenic Disorders.- 1.4 Consequences for Epidemiological Research.- 2 The Literature.- 2.1 The Epidemiology of Psychiatric Illnesses.- 2.2 The Epidemiology of Psychogenic Disorders.- 2.2.1 Follow-up Studies.- 2.2.2 Demography.- 2. Materials and Methods.- 3 The Project Design.- 3.1 Aims, Hypotheses, and Research Strategies.- 3.2 Project Time Scale and Pilot Study A.- 3.3 The Structure and Demography of Mannheim.- 3.4 The Sampling Procedure.- 3.5 Investigation of the Subjects.- 3.5.1 Instruments for Case Identification.- 3.5.2 Other Instruments.- 3.5.3 Steps in the Interview Process.- 3.5.4 The Interviewers.- 3.6 Case Definition.- 3.6.1 Our Case Definition.- 3.6.2 Essential Background Information on Case Definition.- 3.6.3 Our Criteria of Severity.- 3.7 Documentation.- 3.7.1 General Overview.- 3.7.2 Documentation of the Interview in the Interview Protocol.- 3.8 Procedures Employed in Statistical Evaluation (by N.Schiessl).- 3. Results.- 4 General Description of the Sample.- 5 Descriptive Epidemiological Results Derived from the Data Input Sheet.- 5.1 Morbidity.- 5.1.1 Cases.- 5.1.2 ICD Diagnoses.- 5.1.3 Psychogenic Symptomatology.- 5.1.4 Structural Diagnosis of the Personality in Accordance with Psychoanalytical Typology.- 5.1.5 The Impairment Score (IS).- 5.1.6 The Goldberg-Cooper Score.- 5.1.7 The SC, SC, and SC° Symptom Checklists.- 5.1.8 Further Data on Morbidity.- 5.2 Demographic Variables.- 5.2.1 The Age Cohorts.- 5.2.2 Sex Differences.- 5.2.3 Membership of Social Class.- 5.3 The Relation Between Behavior and Neurosis.- 5.3.1 Performance and Work.- 5.3.2 Sexuality, Marriage, and Partnership.- 5.3.3 Tobacco, Alcohol, and Drugs.- 5.3.4 Accidents.- 5.3.5 Ratings.- 6 Analytical Epidemiological Hypotheses.- 6.1 Childhood Development and Present Morbidity.- 6.2 Protective Factors During Early Childhood.- 6.3 The Symptom-Triggering Situation.- 6.4 Life Events (by N.Schiessl).- 7 Results Derived from the Interview Protocols.- 7.1 Structural Diagnosis and the Symptom-Triggering Situation from the Psychoanalytical Perspective.- 7.1.1 Preliminary Remarks.- 7.1.2 Analysis of Contents and Significance of the Challenge/Failure Situation.- 7.1.3 Hypotheses Regarding Specificity.- 7.1.4 The Challenge/Failure Situation and Psychosomatic Symptomatology.- 7.2 Psychoanalytical Test Questions.- 7.2.1 Dreams (by H.Parekh).- 7.2.2 Earliest Childhood Memories (by H.Parekh).- 7.2.3 Three Wishes.- 7.3 Countertransference.- 8 Psychological Test Results and Statistical Controls.- 8.1 FPI Test Results (by H.Parekh).- 8.2 Quality Controls.- 8.2.1 Validity of the Data and Openness of the Subjects.- 8.2.2 Interviewer Bias.- 8.3 Criteria of Quality of the Instruments Employed in Case Identification (by R. Manz).- 9 Treatment Uptake and Indication for Psychotherapy.- 9.1 Subjects’ Behavior in Response to Illness.- 9.2 The Expert-Assessed Need for Psychotherapy.- 10 Prognosis and Course.- 11 A Complex Model for the Origin of Psychogenic Disorders (by N.Schiessl).- 4. Discussion.- 12 Results from the Point of View of Epidemiological Research.- 13 Significance of the Results for Psychoanalysis.- 14 Implications for the Care of the Psychogenically Ill.- 15 A Retrospective Assessment and Prospects for the Future.- Interview Design.- Symptom Checklists (SC).- Inventory for the Documentation of Life Events.- Additional Life Event Sheet.- Symptom — Sign Inventory.- Illustrative Examples for the Impairment Score.- References.