Psychotherapeutische Therapieansätze

Friederike Siedentopf
In: Leitsymptom chronischer Unterbauchschmerz der Frau · 2015 · pp. 91–93 · doi:10.1007/978-3-662-43669-1_10 · W4238969680
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While psychosomatic factors influence chronic pelvic pain, patient motivation for treatment is difficult; a trusting doctor-patient relationship and various psychotherapeutic approaches are key to successful therapy.

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The paper discusses the role of psychosomatic factors in chronic lower abdominal pain in women and addresses the difficulty of motivating patients for psychosomatic treatment. It emphasizes that a trusting physician–patient relationship is central to successful therapy and describes multiple psychotherapeutic approaches that have been reported as helpful. A key limitation stated in the text is that patient motivation for psychosomatic treatment can be hard, which can hinder implementation despite the potential benefits. Relevance to endometriosis: chronic pelvic pain is a broad condition that can include endometriosis, and this chapter’s focus on psychotherapeutic approaches for chronic lower abdominal pain overlaps with the symptom domain commonly studied in endometriosis research, though the text provided does not explicitly name endometriosis or adenomyosis.

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Zusammenfassung Psychosomatische Faktoren spielen beim chronischen Unterbauchschmerz eine Rolle, dennoch ist es oft schwer, die betroffenen Frauen zu einer psychosomatischen Behandlung zu motivieren. Im Vordergrund einer erfolgreichen Therapie steht eine vertrauensvolle Arzt-Patientin-Beziehung. Unterschiedliche psychotherapeutische Ansätze haben sich als hilfreich erwiesen. Access this chapter Tax calculation will be finalised at checkout Purchases are for personal use only Similar content being viewed by others Literatur Albert H (1999) Psychosomatic group treatment helps women with chronic pelvic pain. J Psychosom Obstet Gynaecol 20(4): 216–225 Farquhar CM, Rogers V, Franks S, Pearce S, Wadsworth J, Beard RW (1989) A randomized controlled trial of medroxyprogesterone acetate and psychotherapy for the treatment of pelvic congestion. Br J Obstet Gynaecol 96(10): 1153–1162 Ghaly AF (1994) The psychological and physical benefits of pelvic ultrasonography in patients with chronic pelvic pain and negative laparoscopy. J Obstet Gynecol 269–271 Haugstad GK, Haugstad TS, Kirste UM et al. (2006) Posture, movement patterns, and body awareness in women with chronic pelvic pain. J Psychosom Res 61(5): 637–644. Haugstad GK, Haugstad TS, Kirste UM et al. (2006) Somatocognitive therapy as treatment approach to chronic pelvic pain: results of a randomized controlled intervention study. Am J Obstet Gynecol 194(5): 1303–1310 Norman SA, Lumley MA, Dooley JA, Diamond MP (2004) For whom does it work? Moderators of the effects of written emotional disclosure in a randomized trial among women with chronic pelvic pain. Psychosom Med 66(2):174–183. Onwude JL, Thornton JG, Morley S, Lilleyman J, Currie I, Lilford RJ (2004) A randomised trial of photographic reinforcement during postoperative counselling after diagnostic laparoscopy for pelvic pain. Eur J Obstet Gynecol Reprod Biol 112(1): 89–94 Peters AA, van Dorst E, Jellis B, van Zuuren E, Hermans J, Trimbos JB (1991) A randomized clinical trial to compare two different approaches in women with chronic pelvic pain. Obstet Gynecol 77(5): 740–744 Selfe SA, Matthews Z, Stones RW. (1998) Factors influencing outcome in consultations for chronic pelvic pain. J Womens Health 7(8): 1041–1048 Author information Authors and Affiliations Corresponding author Editor information Editors and Affiliations Rights and permissions Copyright information © 2015 Springer-Verlag Berlin Heidelberg About this chapter Cite this chapter Siedentopf, F. (2015). Psychotherapeutische Therapieansätze. In: Sillem, M., Siedentopf, F., Mechsner, S. (eds) Leitsymptom chronischer Unterbauchschmerz der Frau. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-43669-1_10 Download citation DOI: https://doi.org/10.1007/978-3-662-43669-1_10 Published: Publisher Name: Springer, Berlin, Heidelberg Print ISBN: 978-3-662-43668-4 Online ISBN: 978-3-662-43669-1 eBook Packages: Medicine (German Language)

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