{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T04:31:46Z","timestamp":1777869106887,"version":"3.51.4"},"reference-count":0,"publisher":"S. Karger AG","license":[{"start":{"date-parts":[[2009,12,9]],"date-time":"2009-12-09T00:00:00Z","timestamp":1260316800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/karger.com\/pages\/terms-and-conditions"},{"start":{"date-parts":[[2009,12,9]],"date-time":"2009-12-09T00:00:00Z","timestamp":1260316800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/karger.com\/pages\/terms-and-conditions"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Folia Phoniatr Logop"],"abstract":"<jats:p>Unter der Hypothese einer psychosomatischen Genese zeigten in einer mehrdimensionalen Untersuchung 28 Patienten (1 weiblich, 27 m\u00e4nnlich) in ihrem Pers\u00f6nlichkeitsprofil erh\u00f6hte Werte in den Dimensionen \u00abErregbarkeit\u00bb, \u00abemotionale Labilit\u00e4t\u00bb, \u00abBeanspruchung\u00bb sowie \u00abGehemmtheit\u00bb. Neben den Stimmbeschwerden waren andere k\u00f6rperliche, aber insbesonde-re allgemeine Beschwerden wie Dysthymie, Depressivit\u00e4t sowie vegetative \u00dcberstimulierung vorhanden. Die soziale Kompetenz erwies sich durch \u00abKontaktangst\u00bb und \u00abNich-nein-sagen-K\u00f6nnen\u00bb eingeschr\u00e4nkt. Daneben waren psychosoziale Belastungen durch Verlusterlebnisse mit existentiellem Bedrohungsempfinden zu erheben. Das Kontaktgranulom stellt demnach eine sekund\u00e4re Reaktionsbildung auf eine spezifische Kombination pers\u00f6nlicher Dispositionen und soziostruktureller Lebensumst\u00e4nde dar. Abschliessend wird ein Kausalmodell, das als weiteres diagnostisches Suchfeld dient, entworfen.<\/jats:p>","DOI":"10.1159\/000266331","type":"journal-article","created":{"date-parts":[[2009,12,10]],"date-time":"2009-12-10T02:56:10Z","timestamp":1260413770000},"page":"288-297","source":"Crossref","is-referenced-by-count":6,"title":["Das laryngeale Kontaktgranulom \u2013 ein psychosomatisches St\u00f6rungsbild?"],"prefix":"10.1159","author":[{"given":"Christiane","family":"Kiese-Himmel","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eberhard","family":"Kruse","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"127","published-online":{"date-parts":[[2009,12,9]]},"container-title":["Folia Phoniatrica et Logopaedica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/karger.com\/article-pdf\/doi\/10.1159\/000266331","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T13:09:31Z","timestamp":1777554571000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000266331"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009,12,9]]},"references-count":0,"URL":"https:\/\/doi.org\/10.1159\/000266331","archive":["Portico"],"relation":{},"ISSN":["1021-7762","1421-9972"],"issn-type":[{"value":"1021-7762","type":"print"},{"value":"1421-9972","type":"electronic"}],"subject":[],"published":{"date-parts":[[2009,12,9]]}}}