{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,24]],"date-time":"2025-07-24T11:35:59Z","timestamp":1753356959702,"version":"3.28.0"},"reference-count":22,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Fortschr Neurol Psychiatr"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Unter Emetophobie versteht man eine intensive und irrationale Angst vor dem\n                    Erbrechen. Sie z\u00e4hlt zu den spezifischen Phobien. Die Emetophobie ist\n                    eine bisher noch wenig erforschte Erkrankung. \u00dcber Ursachen und\n                    Pr\u00e4valenz ist nur wenig bekannt, zudem fehlt es an systematisch\n                    gesichertem Wissen zur Behandlung. Die meisten Studien weisen jedoch darauf hin,\n                    dass die Emetophobie \u00fcberwiegend Frauen betrifft, fr\u00fch in der\n                    Kindheit beginnt, meist einen chronischen Verlauf nimmt, mit psychischen\n                    Komorbidit\u00e4ten einhergeht und Betroffene oft aus Scham nicht von ihrem\n                    Leiden berichten. Die kognitive Verhaltenstherapie (KVT) mit Exposition und\n                    Reaktionsmanagement scheint das derzeit wirksamste Therapieverfahren zur\n                    Behandlung der Emetophobie. Wir berichten \u00fcber den Fall einer\n                    20-j\u00e4hrigen Frau, die initial wegen einer schweren depressiven Episode\n                    zur station\u00e4r-psychiatrischen Krankenhausbehandlung aufgenommen wurde.\n                    Das Erkennen der Emetophobie war dadurch erschwert, dass die Patientin aus Scham\n                    nicht spontan \u00fcber ihre Symptome berichtete. Eine gr\u00fcndliche und\n                    strukturierte Anamneseerhebung ist daher unerl\u00e4sslich, da Betroffene oft\n                    versuchen, ihre Symptome zu verheimlichen. Aus diesem Grunde wird die Erkrankung\n                    oft \u00fcbersehen und meist erst sp\u00e4t diagnostiziert und behandelt.\n                    Unsere Patientin beklagte eine starke emotionale Belastung durch die Symptome\n                    der Emetophobie, zeigte Vermeidungs- und Sicherheitsverhalten und war in ihrer\n                    Lebensqualit\u00e4t und allgemeinen Funktionsf\u00e4higkeit erheblich\n                    eingeschr\u00e4nkt. Die Symptomatik unserer Patientin besserte sich nach\n                    Beginn der kognitiven Verhaltenstherapie. Diese beinhaltete Wissensvermittlung\n                    durch Psychoedukation, eine \u00dcberpr\u00fcfung und Korrektur\n                    dysfunktionaler Kognitionen, graduierte Expositionen sowie der Aufbau positiver\n                    Selbstwirksamkeitserwartungen. Es besteht weiterer Bedarf an Forschung, um mehr\n                    \u00fcber dieses noch recht unbekannte Krankheitsbild zu erfahren, das ebenso\n                    viel Leid und psychosoziale Einschr\u00e4nkungen versuchen kann wie andere\n                    schwere psychische Erkrankungen.<\/jats:p>","DOI":"10.1055\/a-2248-5229","type":"journal-article","created":{"date-parts":[[2024,1,31]],"date-time":"2024-01-31T23:52:39Z","timestamp":1706745159000},"page":"135-138","source":"Crossref","is-referenced-by-count":1,"title":["Emetophobie: Die spezifische Phobie des Erbrechens \u2013 ein Case\n                    Report"],"prefix":"10.1055","volume":"92","author":[{"given":"Andreas Philipp","family":"Eckert","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Psychiatrie, Psychosomatik und\n                    Psychotherapie, Goethe-Universit\u00e4t Frankfurt am Main, Frankfurt am Main,\n                    Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lisa","family":"Wallner","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Psychiatrie, Psychosomatik und\n                    Psychotherapie, Goethe-Universit\u00e4t Frankfurt am Main, Frankfurt am Main,\n                    Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ataraxia Clara-Sophia","family":"Hofst\u00e4dter","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Psychiatrie, Psychosomatik und\n                    Psychotherapie, Goethe-Universit\u00e4t Frankfurt am Main, Frankfurt am Main,\n                    Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2024,1,31]]},"reference":[{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425787","author":"American Psychiatric Association","year":"2022","journal-title":"Diagnostic and statistical manual of mental 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