Schizophrene Störungen und Psychosen – Bedeutung für die reisemedizinische Beratung

Reisen können mit erhöhten psychischen Belastungen und Stress verbunden sein. Möglicherweise verschlimmern sich bei prädisponierten Personen bestehende psychotische Störungen oder es können sich bisher unbekannte Krankheitssymptome entwickeln. In der reisemedizinischen Beratung sollten Kenntnisse über die wesentlichen Zusammenhänge psychotischer Krankheitsbilder und die Möglichkeit der Prävention psychotischer Schübe vorhanden sein.

Travel can be associated with increased psychological stress. Pre–existing disturbances may worsen or new psychiatric diseases symptoms may develop in vulnerable persons. Consultations in travel medicine should be aware of the connections between increased strain and the development of psychiatric disorders and the potential of prevention of psychotic incidents.

Key words

psychological stress - psychiatric disorders - psychotic incidents

Literatur

• 1 Klosterkötter J.. Indizierte Prävention schizophrener Erkrankungen.  Dtsch Arztebl. 2008;  105 532-539
• 2 Ajdacic–Gross V, Lauber C, Warnke I. et al. . Changing incidence of psychotic disorders among the young in Zurich.  Schizophr Res. 2007;  95 9-18
• 3 WHO. .World Global Burdon of Disease, Update 2007, Part 4 Burden of disease: DALYS. Online im Internet: www.who.int/healthinfo
• 4 Crow TJ.. Schizophrenia as the price that Homo sapiens pays for language: a resolution of the central paradox in the origin of the species.  Brain Res Rev. 2000;  31 118-129
• 5 Yamasaki N, Maekawa M, Kobayashi K. et al. . Alpha–CaMKII deficiency causes immature dentate gyrus, a novel candidate endophenotype of psychiatric disorders.  Mol brain. 2008;  1 6
• 6 Crow TJ.. Is schizophrenia the price that Homo sapiens pays for language?.  Schizophr Res. 1997;  28 127-141
• 7 Crow TJ.. Nuclear schizophrenic symptoms as a window on the relationship between thought and speech.  Br J Psychiatry. 1998;  173 303-309
• 8 Lissek S, Peters S, Fuchs N. et al. . Cooperation and deception recruit different subsets of the theory–of–mind network.  PLoS. 2008;  3
• 9 Fields RD.. Myelination: An overlooked mechanism of synaptic plasticity?.  Neuroscientist. 2005;  11 528-531
• 10 Malaspina D, Corcoran C, Kleinhaus KR. et al. . Acute maternal stress in pregnancy and schizophrenia in offspring: A cohort prospective study.  BMC Psychiatry. 2008;  8 71
• 11 Brown AS.. Prenatal infection as a risk factor for schizophrenia.  Schizophr Bull. 2006;  32 200-202
• 12 Ozawa K, Hashimoto K, Kishimoto T. et al. . Immune activation during pregnancy in mice leads to doaminergic hyperfunction and cognitive impairment on the offspring: a neurodevelopmental animal model of schizophrenia.  Biol Psychiatry. 2006;  59 546-54
• 13 Brüne M.. On human self–domestication, psychiatry, and eugenics.  Philos Ethics Humanit Med. 2007;  2 21
• 14 Humphrey N.. Cave art, autism, and the evolution of the human mind.  Cambridge Archaeological Journal. 1998;  2 165-191
• 15 Dennet D.. Jaynes' Software archaeology. In: Brainchildren. Essays on Designing Minds. 1. Aufl. Cambridge: MIT Press 1998
• 16 Khaitovich P, Lockstone HE, Wayland MT. et al. . Metabolic changes in schizophrenia and human brain evolution.  Genome Biol. 2008;  9
• 17 Mérö L.. Die Grenzen der Vernunft. Kognition, Intuition und komplexes Denken. Reinbek: Rowohlt 2002
• 18 Kurtz P.. The transcendental temptation: a critique of religion and the paranormal. New York: Prometheus Books 1991
• 19 Kurtz P.. Science and religion: are they compatible?. New York: Prometheus Books 2003
• 20 Stevens A, Price J.. Evolutionary psychiatry: a new beginning. London: Routledge 1996
• 21 Stevens A, Price J.. Phrophets, cults and madness. London: Gerals Druckworth & Co Ltd 2000
• 22 Crow TJ.. Schizophrenia as failure of hemispheric dominance of language.  Trends in Neuroscience. 1997;  20 339-343
• 23 Burns JK.. Psychosis: a costly by–product of social brain evolution in Homo sapiens.  Prog Neuropsychopharmacol Biol Psychiatry. 2006;  30 797-814
• 24 Burns JK.. The descent of madness: evolutionary origins of psychosis and the social brain. London: Routledge 2007
• 25 Nasar S.. A beautiful mind: a biography of John Forbes Nash, Jr., winner of the Nobel Prize in economics, 1994. New York: Simon&Schuster 1998
• 26 Hopkins RO, Weaver LK.. Acute psychosis associated with diving.  Undersea Hyperb med. 2001;  28 145-148
• 27 Talpalar AE.. High pressure neurological syndrome.  Rev Neurol. 2007;  45 631-636
• 28 Firth PG, Zheng H, Windsor JS. et al. . Mortality on Mount Everest, 1921–2006: descriptive study.  BMJ. 2008;  337
• 29 Windsor JS.. Voices in the air.  BMJ. 2008;  337
• 30 Beccle HC. et al. . Heterophobia and neurosis in flying personel.  Br J Ophthal. 1945;  29 125-132

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