@article{PauliHerschbachWeineretal.1992, author = {Pauli, Paul and Herschbach, P. and Weiner, H. and von Rad, M.}, title = {Psychologische Faktoren der Non-Ulcer Dyspepsia (NUD)}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-80202}, year = {1992}, abstract = {Given the absence of any demonstrable organic reason for non~ulcer dyspepsia. and the weil known fact, that the psyche inOuences stomach function, it is widely held, that psychological factors cause NUD. To now, studies are concerned with the psychopathology and personality of NUDpatients, their illness behaviour, and with the relation between stress and abdominal pain. A critical review of these studies revea1ed, that among the psycho1ogical variables majnly anxiety and illness behaviour seems to playa central role in NUD. However. future studjes should focus more on the distinction towards other func{\"u}onal disorders and on the djfferentation within the heterogeneous group of NUD~ patients (especially with regard to physiological variables). Besides this, it seems rewarding to examine the so far seienlifidy neglected group of subjects with abdomina] pain, who do not contact a physician.}, subject = {Psychologie}, language = {de} } @article{PauliStrianLautenbacheretal.1989, author = {Pauli, Paul and Strian, F. and Lautenbacher, S. and Karlbauer, G. and H{\"o}lzl, R.}, title = {Emotionale Auswirkungen der autonomen Deafferentierung bei Diabetes-Neuropathie}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-55283}, year = {1989}, abstract = {Bei 46 Typ-I-Diabetikern im Alter zwischen 15 und 44 Jahren wurden die Auswirkungen der viszeralen Deafferentierung bei autonomer Diabetesneuropathie auf k{\"o}rperliche Befindlichkeit und Emotionalit{\"a}t untersucht. Die Erfassung des Auspr{\"a}gungsgrad der autonomen Neuropathie erfolgte mit vegetativen Funktionstest. Diabetiker ohne Neuropathie (N = 14), mit leichter Neuropathie (N = 23) und mit schwerer Neuropathie (N = 9) wurden miteinander verglichen. Gering ausgepr{\"a}gte autonome Neuropathie f{\"u}hrt zu vegetativen Funktionsst{\"o}rungen, ist aber gleichzeitig mit einer verminderten Wahrnehmung k{\"o}rperlicher Beschwerden - erfaßt mit der Freiburger Beschwerdenliste - verbunden. Im Streß- und Copingverhalten (SCOPE) und in bestimmten Pers{\"o}nlichkeitsdimensionen (FPI) finden sich dabei Hinweise auf eine verminderte emotionale Reaktivit{\"a}t. Patienten mit fortgeschrittener autonomer Neuropathie haben zumeist ausgepr{\"a}gte diabetische Folgekrankheiten (diabetische Retinopathie, Makro- und Mikroangiopathie etc.), scheinen aber die damit verbundenen k{\"o}rperlichen Beeintr{\"a}chtigungen und emotionalen Belastungen nicht st{\"a}rker als Diabetiker ohne Neuropathie wahrzunehmen. Die autonome Deafferentierung bei Diabetikern scheint somit sowohl zu einer gest{\"o}rten Wahrnehmung k{\"o}rperlicher Beschwerden wie auch zu einer beeintr{\"a}chtigten emotionalen Reaktionsf{\"a}higkeit zu f{\"u}hren.}, subject = {Psychologie}, language = {de} } @article{PauliLutzenbergerRauetal.1994, author = {Pauli, Paul and Lutzenberger, W. and Rau, H. and Birbaumer, N. and Rickard, T. C. and Yaroush, R. A. and Bourne, L. E. J.}, title = {Brain potentials during mental arithmetic: effects of extensive practice and problem difficulty}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-61345}, year = {1994}, abstract = {Recent behavioral investigations indicate that the processes underlying mental arithmetic change systematically with practice from deliberate, conscious calculation to automatic, direct retrieval of answers from memory [Bourne, L.E.Jr. and Rickard, T.C., Mental calculation: The development of a cognitive skill, Paper presented at the Interamerican Congress of Psychology, San Jose, Costa Rica, 1991; Psychol. Rev., 95 (1988) 492-527]. Results reviewed by Moscovitch and Winocur [In: The handbook of aging and cognition, Erlbaum, Hillsdale, NJ, 1992, pp. 315-372] suggest that consciously controlled processes are more dependent on frontal lobe function than are automatic processes. It is appropriate, therefore to determine whether transitions in the locus of primary brain activity occur with practice on mental calculation. In this experiment, we examine the relationship between characteristics of event-related brain potentials (ERPs) and mental arithmetic. Single-digit mental multiplication problems varying in difficulty (problem size) were used, and subjects were trained on these problems for four sessions. Problem-size and practice effects were reliably found in behavioral measures (RT). The ERP was characterized by a pronounced late positivity after task presentation followed by a slow wave, and a negativity during response indication. These components responded differentially to the practice and problem-size manipulations. Practice mainly affected topography of the amplitude of positivity and offset latency of slow wave, and problem-size mainly offset latency of slow wave and pre-response negativity. Fronto-central positivity diminished from session to session, and the focus of positivity centered finally at centro-parietal regions. This finding suggests that frontal lobe processing is necessary as long as task performance is not automatized, while automatized arithmetic processing requires parietal brain activity only. The pre-response negativity observed in the first session and during more difficult tasks is assumed to reflect excitatory preparatory processes, which could be associated with activation of calculation strategies.}, subject = {Psychologie}, language = {en} } @article{PauliHartlMarquardtetal.1991, author = {Pauli, Paul and Hartl, Lydia and Marquardt, Christian and Stalmann, Henrica and Strian, Friedrich}, title = {Heartbeat and arrhythmia perception in diabetic autonomic neuropathy}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-73599}, year = {1991}, abstract = {A comparative study of diabetics with autonomic neuropathy (N = 13) as against nonneuropathic diabetics (N = 16) and healthy control persons (N = 20) was carried out with respect 10 heart rate both at rest and under stress, frequency of cardiac arrhythmias in a 24-h ECG and accuracy of heartbeat and arrhythmia perception. In the subjects with diabetic autonomic neuropathy, the spontaneaus variability and stress-induced reactivity of the heart rate as weil as the number of tachycardic episodes were reduced, whereas the frequency of ventricular extrasystoles was somewhat increased. Impaired heartbeat perception and a complete Ioss of perception of arrhythmias as a consequence of neuropathic deafferentation could be demonstrated. Cardiac perception disordersalso playavital roJe in other clinical problems, e.g. silent myocardial infarction and Iack of awareness of hypoglycaemia in diabetes mellitus.}, subject = {Psychologie}, language = {en} } @article{PauliMarquardtHartletal.1991, author = {Pauli, Paul and Marquardt, Christian and Hartl, Lydia and Nutzinger, Detlef O. and H{\"o}lzl, Rupert and Strian, Friedrich}, title = {Anxiety induced by cardiac perceptions in patients with panic attack: a field study}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-61334}, year = {1991}, abstract = {In panic disorder bodily sensations appear to play an important role as a trigger for anxiety. In our psychophysiological model of panic attacks we postulate the following vicious circle: individuals with panic attacks perceive even quite small increases in heart rate and interpret these changes as being catastrophic. This elicits anxiety and a further increase in heart rate. To evaluate this model we conducted a field study of 28 subjects with panic attacks and 20 healthy controls. A 24 hr ambulatory ECG was recorded and the subjects were instructed to report any cardiac perceptions during this period and to rate the anxiety elicited by these perceptions. The incidence of cardiac perceptions was about the same in both groups, but only subjects with panic attacks reported anxiety associated with such perceptions. Analysis of the ECGs revealed that in both groups heart rate accelerations preceded cardiac perceptions. Following cardiac perceptions, the healthy controls showed a heart rate deceleration, whereas the subjects with panic attacks had a further acceleration. This heart rate increase after cardiac perceptions was positively related to the level of anxiety elicited by the perceptions. These results provide clear evidence in support of the vicious circle model of panic attacks.}, subject = {Psychologie}, language = {en} }