ulcerative colitis colon proctology
PERSONALITY 'IN ulcerative colitis and emotional resonance
C. Renzi et al.
art. pub. up. "Gnosis", Vol III, 1993: 1202-206
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SUMMARY
This studio su soggetti con Rettocolite Ulcerosa si propone di analizzare sia lo sfondo di personalità, con gli eventuali nuclei psicopatologici presenti, sia l'impatto emotivo di questa patologia, particolarmente nelle aree delle relazioni interpersonali e del concetto di sè. E' stato condotto uno studio psicodiagnostico su un campione di 20 soggetti adulti ( 10 M e 10 F, age range 22-50 anni) con Rettocolite Ulcerosa, in terapia ambulatoriale al momento dell'esecuzione delle prove psicologiche. Sono stati somministrati i seguenti tests psicologici: Test di Rorschach (metodo Klopfer & Davidson), IPAT Anxiety Scale e Human Figure Drawing Test di K.Machover. I dati sono stati posti a confronto, mediante il test statistico t di Student, con a control group, similar in composition and socio-cultural variables, consisting of healthy subjects. Patients with ulcerative colitis were more anxious than the control group, and also revealed the presence of profound deficiencies in the development of self-concept, linked to a serious disturbance of the concept and experiences of the body schema. An examination of personality structure revealed lack of inner resources and reduction in processing capacity of emotional stimuli, data correlated to the presence in these subjects, conflicts in the sphere of meaningful relationships, resulting in greater emotional reactivity to stress.
proctalgia ASPETTI PSICOLOGICI NELLA PROCTALGIA
C. Renzi et al.
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RIASSUNTO
In colonproctologia uno dei problemi che pongono delle difficoltà, sia a livello dell'approccio che a livello dell'intervento, è indubbiamente il dolore anale cronico idiopatico. Quindici anni fa solo il 20% dei pazienti con proctalgia avevano reali prospettive di cura, mentre più di recente il dato è cresciuto fino al 50%. Ciò anche grazie al fatto che sono state rese disponibili nuove tecniche diagnostiche, come l'eco transanale e lo studio della latenza del nervo pudendal, able to document changes in organic or functional. The presence of psychological pain in the anal has long been known: among the causes that are most frequently cited source of proctalgia are psychological changes with the presence of anxiety, depression and emotional disorders (1, 2, 3). On the other hand, the problem of idiopathic pain raises questions about the psychosomatic component independently of the location (4), the exploration of the psychological aspects involved in the pathology of anal pain arises then as a very useful tool in clinical practice, with important consequences both side diagnostic and therapeutic. The present work aims to study these aspects in a group of patients arrived to our observation.
CONSULTATION IN PSYCHOSOMATIC DISEASES OF COLORECTAL
C. Renzi et al.
art. pub. on "Review of Ital-Colon Proctology" Vol 10, October 4, 1991: 212-16
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ABSTRACT The author examines the characteristics of the advice in psychosomatic diseases of the colon and rectum, from many years of experience working with an ostomy Center. Is differentiated clinical work with patients with malignant disease than on other syndromes (RCU, irritable bowel syndrome, constipation) on the basis of the diagnosis of personality groups, which was done the research. Diagnostic tools have included projective tests of personality and character Questionnaire (IPAT Anxiety Scale). Observed in patients with cancer, anxiety, in relation to the underlying disease, appeared insensitive to rehabilitation techniques, but at significantly lower in those workers. Among patients with non-neoplastic diseases, there was evidence of many people with anxiety levels on the borderline between neurosis and psychosis, borderline personality matching structures. The psychopathological encountered highlight the need for psychological interventions and support interdisciplinary liaison.
