Deter H C, Rapf M, Gladisch R, Rohner R
Abteilung für Psychosomatik und Psychotherapie der Medizinischen Klinik und Poliklinik im Universitätsklinikum Steglitz der Freien Universität Berlin.
Z Gastroenterol. 1993 Dec;31(12):703-10.
The present study includes 40 patients with Crohn's disease who underwent an internal and psychodiagnostic examination over a period of 5 to 8 weeks. On the average, there were only minor psychic symptoms were recorded in the psychodiagnostic instruments. The fewest symptoms were seen in the recurrence-free interval, a moderate number at the beginning of intermittent inpatient treatment and the largest number of symptoms in patients transferred to a psychosomatic department. While decreasing significantly from high levels under internal intensive care and at the beginning of inpatient depth-analysis-based psychotherapy, symptoms of depression and anxiety dropped only slightly from initially low levels in outpatients. In addition, there were first changes in the patients personality profile during psychotherapy. The findings are discussed under diagnostic and therapeutic aspects.