Reindell A, Ferner H, Gmelin K
Z Psychosom Med Psychoanal. 1981 Oct-Dec;27(4):358-71.
The discussion on the differentiation of colitis ulcerosa and ileitis terminalis (M. Crohn) respectively has not as yet been settled in regard to their psychosomatic aspects. This study attempts to examine differences in the psychic manifestation occasionally discussed in the literature and in the clinical environment with the aid of psychological tests and data won by means of semi-standardized interviews. The results support the hypothesis that there are differences in the psychic structures of the patients from the two samples. Patients suffering from colitis ulcerosa show a closer resemblance to one another than the M. Crohn patients. The general impression is that they area "more normal" and better adjusted. Among the M. Crohn patients a difference must be made between an older, depressive part of the sample, and a younger, more active group with pronounced dependency conflicts. The connections with psychodynamic interpretations are discussed.
关于溃疡性结肠炎和局限性回肠炎（克罗恩病）在身心方面的鉴别讨论尚未定论。本研究试图借助心理测试以及通过半标准化访谈获得的数据，来检验文献和临床环境中偶尔讨论到的心理表现差异。结果支持了这样的假设，即两个样本中的患者在心理结构上存在差异。溃疡性结肠炎患者之间的相似性比克罗恩病患者更高。总体印象是，他们“更正常”且适应性更好。在克罗恩病患者中，必须区分样本中年龄较大、有抑郁情绪的部分，以及年龄较小、更活跃且有明显依赖冲突的群体。文中还讨论了与心理动力学解释的联系。
