Somatische Belastungsstörungen und die Rolle des epistemischen Vertrauens

Viele Patient*innen mit somatischer Belastungsstörung (SSD) berichten von belastenden Kindheitserfahrungen (ACEs). Diese gehen mit Beeinträchtigungen der Persönlichkeitsfunktionen und Störungen des epistemischen Vertrauens einher und sind bei Patient*innen mit SSD mit einer deutlich erhöhten Symptomlast assoziiert. Hieraus ergeben sich neue Ansatzpunkte für die Behandlung von Patient*innen mit SSD.

Publication History

Article published online:
19 November 2024

• Literatur

• 1 Witt A, Sachser C, Plener PL. et al. The Prevalence and Consequences of Adverse Childhood Experiences in the German Population. Dtsch Arzteblatt Int 2019; 116: 635-642
• 2 Freier A, Kruse J, Schmalbach B. et al. The mediation effect of personality functioning between different types of child maltreatment and the development of depression/anxiety symptoms – A German representative study. J Affect Disord 2022; 299: 408-415
• 3 Kampling H, Kruse J, Lampe A. et al. Epistemic trust and personality functioning mediate the association between adverse childhood experiences and posttraumatic stress disorder and complex posttraumatic stress disorder in adulthood. Front Psychiatry 2022; 13: 919191
• 4 Krakau L, Tibubos AN, Beutel ME. et al. Personality functioning as a mediator of adult mental health following child maltreatment. J Affect Disord 2021; 291: 126-134
• 5 Zara S, Kruse J, Brähler E. et al. Suicidal ideation in patients with diabetes and childhood abuse – The mediating role of personality functioning: Results of a German representative population-based study. Diabetes Res Clin Pract 2024; 210: 111635
• 6 Pinto RJ, Vieira de Castro M, Correia-Santos P. et al. The mediating role of posttraumatic stress symptoms on somatization in adolescents: A two-wave longitudinal study. Psychol Trauma Theory Res Pract Policy 2023; 15: S47-S54
• 7 Eilers H, Aan Het Rot M, Jeronimus BF. Childhood Trauma and Adult Somatic Symptoms. Psychosom Med 2023; 85: 408-416
• 8 Kampling H, Riedl D, Lampe A. et al. Somatic symptom disorder and the role of epistemic trust, personality functioning and child abuse: results from a population-based representative German sample. Under review
• 9 Macina C, Bendel R, Walter M. et al. Somatization and Somatic Symptom Disorder and its overlap with dimensionally measured personality pathology: A systematic review. J Psychosom Res 2021; 151: 110646
• 10 OPD A. OPD-3 Operationalisierte Psychodynamische Diagnostik: Das Manual für Diagnostik und Therapieplanung. Bern: Hogrefe; 2023
• 11 Fonagy P, Allison E. Beyond Mentalizing: Epistemic Trust and the Transmission of Culture. Psychoanal Q 2023; 92: 599-640
• 12 Nolte T, Hutsebaut J, Sharp C. et al. The role of epistemic trust in mentalization-based treatment of borderline psychopathology. J Personal Disord 10/2023 [online]
• 13 Kerber A, Gewehr E, Zimmermann J. et al. Adverse childhood experiences and personality functioning interact substantially in predicting depression, anxiety, and somatization. Personal Ment Health 2023; 17: 246-258
• 14 Berens S, Schaefert R, Ehrenthal JC. et al. The Validity of Somatic Symptom Disorder in Patients With Gastrointestinal Complaints. J Clin Gastroenterol 2021; 55: e66-e76
• 15 Erkic M, Bailer J, Fenske SC. et al. Impaired emotion processing and a reduction in trust in patients with somatic symptom disorder. Clin Psychol Psychother 2018; 25: 163-172
• 16 Barak S, Landa J, Gerner M. et al. A Behavioral Characteristics Observational Measure of Youth with Somatic Symptom Disorder during Physical Rehabilitation. Life Basel Switz 2023; 13: 2078
• 17 Henningsen P. Management of somatic symptom disorder. Dialogues Clin Neurosci 2018; 20: 23-31
• 18 Riedl D, Kampling H, Kruse J. et al. Epistemic Trust Is a Critical Success Factor in Psychosomatic Rehabilitation-Results from a Naturalistic Multi-Center Observational Study. J Clin Med 2023; 13: 177
• 19 Riedl D, Rothmund MS, Grote V. et al. Mentalizing and epistemic trust as critical success factors in psychosomatic rehabilitation: results of a single center longitudinal observational study. Front Psychiatry 2023; 14: 1150422
• 20 Lampe A, Riedl D, Kampling H. et al. Improvements of complex posttraumatic stress disorder (CPTSD) symptoms during a multimodal psychodynamic inpatient rehabilitation treatment – results of an observational single center pilot study. Eur J Psychotraumatology 2024; 15: 2333221