Christoph schilling psychologe

Das Fibromyalgiesyndrom FMS wird im psychosomatischen Kontext als stressinduzierte Schmerzerkrankung durch eine Sensibilisierung der zentralnervösen schmerzverarbeitenden Systeme verstanden.

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Das FMS zeigt hohe Komorbiditäten mit psychischen bzw. Biografisch frühe Stresserfahrungen und Traumatisierungen wie körperlicher oder sexueller Missbrauch in der Kindheit bilden eine Vulnerabilität für die spätere Entwicklung eines FMS. Schwergegradgestuftes Vorgehen und Kommunikationsstrategien werden am Fallbeispiel dargestellt. The psychosomatic approach conceptualises the fibromyalgia syndrome FMS as a stress-induced pain syndrome with central sentisitation of pain processing systems.

FMS is often comorbid with mental or psychosomatic disorders, such as depression, anxiety disorders, somatoform disorders and personality disorders. Early stress and traumatisation lead to vulnerability to subsequent development of FMS. The group of FMS patients is heterogeneous with regard to pathophysiological pathways, which is why mechanism-based differentiation of subgroups seems to be appropriate.

Typical vicious circles of chronification of FMS are described and the importance of a successful doctor-patient relationship is emphasised. Different steps of treatment depend on the severity of the disorder and communication strategies are illustrated with a case example. Year Archive Subscribe to RSS Please copy the URL and add it into your RSS Feed Reader.

Download PDF. Aktuelle Rheumatologie ; 46 03 : DOI: Schlüsselwörter Psychosomatik - Chronischer Schmerz - Fibromyalgie-Syndrom.

Patterns of Childhood Abuse and Neglect in a Representative German Population Sample | PLOS ONE

Key words Psychosomatic - Chronic Pain - fibromyalgia syndrome. Crossref PubMed Google Scholar. Google Scholar. PubMed Google Scholar. Article in Thieme Connect PubMed Google Scholar.