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BACKGROUND Psychotherapy is the treatment of choice for patients with anorexia nervosa, although evidence of efficacy is weak. The Anorexia Nervosa Treatment of OutPatients (ANTOP) study aimed to assess the efficacy and safety of two manual-based outpatient treatments for anorexia nervosa--focal psychodynamic therapy and enhanced cognitive behaviour(More)
OBJECTIVE Studies in fibromyalgia syndrome with functional neuroimaging support the hypothesis of central pain augmentation. To determine whether structural changes in areas of the pain system are additional preconditions for the central sensitization in fibromyalgia we performed voxel based morphometry in patients with fibromyalgia and healthy controls. (More)
BACKGROUND Experimental stress has been shown to have analgesic as well as allodynic effect in animals. Despite the obvious negative influence of stress in clinical pain conditions, stress-induced alteration of pain sensitivity has not been tested in humans so far. Therefore, we tested changes of pain sensitivity using an experimental stressor in ten female(More)
Introduction: The objective of this study was to investigate the influence of accidents, the physical and psychological consequences, the patient’s predisposition as well as work-related cognitions on return to work (RTW) post accident. Despite the costs of time-off from work after accidental injuries, very few investigations have been carried out so far.(More)
Seit 1998 wird das “Sisi-Syndrom” als eine besondere Ausprägungsform der Depression in den Medien erwähnt und Aussagen über Nosologie,Genese und Behandlungsmöglichkeiten dargestellt. In der nachfolgenden Arbeit werden anhand der zugrunde liegenden Untersuchungen und Veröffentlichungen die Aussagen zum “Sisi-Syndrom” kritisch überprüft. Dabei können bislang(More)
Hypnotic paralysis has been used since the times of Charcot to study altered states of consciousness; however, the underlying neurobiological correlates are poorly understood. We investigated human brain function during hypnotic paralysis using resting-state functional magnetic resonance imaging (fMRI), focussing on two core regions of the default mode(More)
INTRODUCTION The neurobiological basis of non-organic movement impairments is still unknown. As conversion disorder and hypnotic states share many characteristics, we applied an experimental design established in conversion disorder to investigate hypnotic paralysis. METHODS Movement imitation and observation were investigated by functional magnetic(More)
Die körperdysmorphe Störung („body dysmorphic disorder“; BDD) oder Dysmorphophobie ist eine relativ häufige Störung, klinisch gekennzeichnet durch eine übermäßige Beschäftigung mit einem eingebildeten Mangel oder einer befürchteten Entstellung der äußeren Erscheinung. Die übermäßige Beschäftigung verursacht einen oft hohen Leidensdruck und(More)
Ein auf der Basis von DRGs (Diagnosis Related Groups) pauschalierendes Vergütungssystem wird 2003 verbindlich für alle vollstationären Krankenhausleistungen in Deutschland eingeführt, mit Ausnahme der Behandlungen psychischer Störungen. Die bisherige Literatur weist die DRGs insgesamt als schlechte Grundlage zur Abschätzung des Ressourcenverbrauchs für die(More)
OBJECTIVES To improve the synergy of established methods of teaching, the Department of Psychosomatics and Psychotherapy, University Hospital Münster, developed a web-based elearning tool using video clips of standardized patients. The effect of this blended-learning approach was evaluated. METHODS A multiple-choice test was performed by a naive (without(More)