Health ministry of republic of moldova the university of medicine and pharmacy nicolae testemiţanu



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Medical psychology.book

 
and
 
respiratory systems.
Gastrointes-
tinal disorders include gastric and duodenal ulcers, ulcerative colitis, and 
irritable bowel syndrome. (Anorexia nervosa and bulimia are sometimes 
considered psychosomatic disorders, but they also appear under the 
category of "anxiety disorder eating disorders" in 
DSM-IV
). Respiratory 
problems caused or worsened by psychological factors include asthma 
and hyperventilation syndrome. 
Psychosomatic disorders also affect the skin (eczema, allergies, and 
neurodermatitis) and genitourinary system (menstrual disorders and 
sexual dysfunction). 
Probably the most well-known psychosomatic connection is that of 
stress and coronary heart disease. Cardiovascular complaints include 
coronary artery disease, hypertension, tachycardia (speeded-up and 
irregular heart rhythm), and migraine headaches. The term 
"Type A"
 
has 
been used for over twenty years to describe the aggressive, competitive, 
impatient, controlling type of person whom researchers have found to be 
more prone to heart disease than people who are more easygoing and 
mild-mannered and less hostile and concerned with time.
People suffering from psychosomatic disorders have been helped 
by treatment of either their physical symptoms, the underlying psycholo-
gical causes, or both. If the disorder is in an advanced stage (such as in 
severe asthma attacks, perforated ulcers, or debilitating colitis) sympto-


49 
matic treatment must be undertaken initially as an emergency measure 
before the emotional component can be addressed.
Psychological approaches range from classic psychoanalysis, which 
addresses a person's early traumas and conflicts, to behavior therapy that 
focuses on changing learned behaviors that create or increase anxiety. 
Medications such as tranquilizers or antidepressants may be effective in 
relieving symptoms of psychosomatic disorders. Hypnosis has succes-
sfully been used to treat hyperventilation, ulcers, migraine headaches, 
and other complaints. Today, psychologists commonly treat psychoso-
matic ailments with the aid of such relaxation techniques as 
progressive 
relaxation, autogenic training, transcendental meditation, 
and
yoga
.
Biofeedback 
has been used in treating a number of different clinical pro-
blems, including tachycardia, hypertension, and both tension and mig-
raine headaches. 

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