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2017 | OriginalPaper | Buchkapitel

35. Psychopathologie und Schmerz

verfasst von : Prof. Dr. C. Schmahl, Prof. Dr. med. K.-J. Bär

Erschienen in: Schmerzpsychotherapie

Verlag: Springer Berlin Heidelberg

Zusammenfassung

Bei psychischen Erkrankungen finden sich häufig auch Störungen im Bereich der Schmerzwahrnehmung bzw. -verarbeitung. In diesem Kapitel werden Befunde hierzu beispielhaft bei Borderline-Persönlichkeitsstörung (BPS) und posttraumatischer Belastungsstörung (PTBS), bei der Depression, der Schizophrenie und der Anorexie dargestellt. Bestimmte psychopathologische Zustände können mit Veränderungen der Schmerzverarbeitung assoziiert sein. Da affektive und kognitive Faktoren einen wichtigen Einfluss auf die Schmerzverarbeitung haben und sich Störungen der Schmerzverarbeitung anhand der Beteiligung sensorischer, affektiver und kognitiver Schmerzkomponenten beschreiben lassen, soll die Schmerzverarbeitung bei den einzelnen psychopathologischen Zuständen jeweils anhand der Beteiligung der einzelnen Komponenten charakterisiert werden. Soweit möglich werden abschließend die der gestörten Schmerzverarbeitung zugrunde liegenden neuroanatomischen und neurochemischen Mechanismen beschrieben.
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Zurück zum Zitat Tiefenbacher S, Novak MA, Lutz CK, Meyer JS (2005) The physiology and neurochemistry of self-injurious behavior: A nonhuman primate model. Front Biosci 10: 1–11 Tiefenbacher S, Novak MA, Lutz CK, Meyer JS (2005) The physiology and neurochemistry of self-injurious behavior: A nonhuman primate model. Front Biosci 10: 1–11
Zurück zum Zitat Ward NG, Bloom VL, Dworkin S, Fawcett J, Narasimhachari N, Friedel RO (1982) Psychobiological markers in coexisting pain and depression: toward a unified theory. J Clin Psychiatry 43: 32–41 Ward NG, Bloom VL, Dworkin S, Fawcett J, Narasimhachari N, Friedel RO (1982) Psychobiological markers in coexisting pain and depression: toward a unified theory. J Clin Psychiatry 43: 32–41
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Zurück zum Zitat Zanarini MC (2000) Childhood experiences associated with the development of borderline personality disorder. Psychiatr Clin North Am 23: 89–101 Zanarini MC (2000) Childhood experiences associated with the development of borderline personality disorder. Psychiatr Clin North Am 23: 89–101
Metadaten
Titel
Psychopathologie und Schmerz
verfasst von
Prof. Dr. C. Schmahl
Prof. Dr. med. K.-J. Bär
Copyright-Jahr
2017
Verlag
Springer Berlin Heidelberg
DOI
https://doi.org/10.1007/978-3-662-50512-0_35

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