Physician patient communication is more effective when functional disturbances than syringes

- Psychotherapeuti discussions between physician and patient, relaxation exercises and movement are often more effective with patients with functional disturbances so mentioned or psychosomatischen complaints, a whose physical cause is unclear, than syringes or operations. To this conclusion scientists of the University of Tbingen come due to an evaluation of international scientific overview work to functional disturbances.

Functional disturbances are extremely frequent in house-medical practice. Round 30 per cent of all patients with the family doctor suffer from these illnesses, explained professor Dr. Wolfgang duke, medical director of the Heidelberger university clinic for general clinical and Psychosomati medicine. The spectrum of the complaints is broad, and frequently the illnesses are not clearly from each other definable. Therefore the researchers plead also for it, the typical shyness flap view, with e.g. the Rheumatologe only for the muscle and joint pain, which pays attention an orthopedist to the backs and the Gastroenterologe only the digesting problems, to give up and more comprehensively raise, under which physical and mental complaints the patients altogether suffer. Everyone, but many patients have complaints from several ranges, which will survey easy.

Since clear physical findings are missing, the patients have often an odyssey from physician to physician behind itself, before the functional disturbance is recognized. The three most frequent illnesses of this kind are the attraction intestine, the chronic tiredness syndrome and the Fibromyalgie, an illness with chronic pain in muscle and connective tissues. Genetic causes play a small role when functional illnesses only, on the contrary trauma tables are experiences in the early childhood, in addition, loading events in the later life like physical diseases, accidents or losses of the trips. Social and cultural influences are likewise important: Thus German patients bend compared with English twice as frequently too psychosomatisch caused back pain.

Further information to the study:
www.forum-gesundheitspolitik.de/dossier/index114.htm

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