{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T14:03:00Z","timestamp":1781877780406,"version":"3.54.5"},"reference-count":29,"publisher":"Springer Science and Business Media LLC","issue":"7","license":[{"start":{"date-parts":[[2020,4,28]],"date-time":"2020-04-28T00:00:00Z","timestamp":1588032000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2020,4,28]],"date-time":"2020-04-28T00:00:00Z","timestamp":1588032000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Hautarzt"],"published-print":{"date-parts":[[2020,7]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:sec>\n<jats:title>Hintergrund<\/jats:title>\n<jats:p>Pruritus ist ein h\u00e4ufiges und qu\u00e4lendes Symptom in der Bev\u00f6lkerung sowie in \u00e4rztlichen Praxen.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Ziel der Arbeit<\/jats:title>\n<jats:p>Der vorliegende Beitrag gibt einen \u00dcberblick \u00fcber die Systematik psychischer Faktoren in Entstehung bzw. Verlauf des Pruritus sowie Hinweise zu ihrer jeweiligen Diagnostik<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Material und Methode<\/jats:title>\n<jats:p>Es handelt sich um eine \u00dcberblicksarbeit.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Ergebnisse<\/jats:title>\n<jats:p>Psychische Beeintr\u00e4chtigungen\/St\u00f6rungen k\u00f6nnen als Reaktion auf chronischen Pruritus auftreten, z.\u202fB. als Anpassungsst\u00f6rungen, depressive St\u00f6rungen, Angstst\u00f6rungen. Psychische Faktoren k\u00f6nnen auch in Entstehung und Verlauf eines chronischen Pruritus eine Rolle spielen, entweder im Zusammenspiel mit organischen Ursachen oder bei deren Fehlen als somatoformer Pruritus oder Pruritus bei coen\u00e4sthetischer Schizophrenie. Ferner k\u00f6nnen selbstinduzierte Kratzartefakte mit oder ohne Pruritus im Rahmen von St\u00f6rungen der Impulskontrolle, Zwangsst\u00f6rungen oder Artefaktst\u00f6rungen auftreten. Auch eine prim\u00e4r unabh\u00e4ngige Komorbidit\u00e4t mit einer sonstigen psychischen oder psychosomatischen St\u00f6rung kann das Management des Pruritus erschweren und den Krankheitsverlauf beeinflussen. Es werden Hinweise zur Diagnostik der genannten Faktoren gegeben.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Diskussion<\/jats:title>\n<jats:p>Die Diagnostik psychischer Einflussfaktoren und psychischer Aspekte des chronischen Pruritus ist komplex. Das wichtigste diagnostische Werkzeug ist die gr\u00fcndliche Anamneseerhebung auch bez\u00fcglich psychischer Aspekte. Zus\u00e4tzlich k\u00f6nnen psychometrische Instrumente zum Einsatz kommen, die das \u00e4rztliche Gespr\u00e4ch jedoch nicht ersetzen.<\/jats:p>\n<\/jats:sec>","DOI":"10.1007\/s00105-020-04596-1","type":"journal-article","created":{"date-parts":[[2020,4,28]],"date-time":"2020-04-28T21:02:33Z","timestamp":1588107753000},"page":"506-510","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Diagnostik von psychischen Faktoren bei chronischem Pruritus","Diagnosis of psychological aspects in chronic pruritus"],"prefix":"10.1007","volume":"71","author":[{"given":"G.","family":"Schneider","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2020,4,28]]},"reference":[{"key":"4596_CR1","doi-asserted-by":"publisher","first-page":"547","DOI":"10.2340\/00015555-1309","volume":"92","author":"F Dalgard","year":"2012","unstructured":"Dalgard\u00a0F, Stern\u00a0R, Lien\u00a0L, Hauser\u00a0S (2012) Itch, stress and self-efficacy among 18-year-old boys and girls: a\u00a0Norwegian population-based cross-sectional study. 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