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Psychosomatic Medicine, Vol 57, Issue 2 195-201, Copyright © 1995 by American Psychosomatic Society

ORIGINAL ARTICLES

Clinical speculation: is specificity back? This time thromboangiitis obliterans

T Hofer-Mayer, RH Adler, C Minder, F Mahler and A Radvila
Department of Medicine, Inselspital, University of Berne, Switzerland.

Do men with thrombangiitis obliterans (TO) show conspicuous personality features and behavior? Twenty-one men with TO were compared with 20 men with coronary artery disease (CAD). All diagnoses were angiographically confirmed. Mean ages were 40.1 (TO) and 43.4 years (CAD). Semistructured, open-ended interviews were conducted. Interview-behavior: TOs were more hostile, minimizing, evasive, and complicated than CADs (p < .001). The interviewer reacted with more anger, impatience, boredom, astonishment, and less empathy towards TOs (p < .001). Adult behavior: TOs had changed their place of work more often (p < .001), had more absentism from work (p < .001), and had more debts (p = .01) unrelated to the present illness. They smoked more before the illness (p = .01) and continued to smoke more frequently during their illness than CADs (p < .003). They were more often single or divorced (p < .05) and had more conflicts in their relationships (p Y .001) than CADs. During conflicts, TOs more often shouted or withdrew and less frequently tried to resolve conflicts with humor and discussions (p < .001) than CADs. TOs were more frequently dissatisfied with their life situation than CADs (p < .001). TOs more often passively submitted to their illness than CADs, who tried to cope by giving up smoking and by exercising (p < .001). Childhood: TOs more often mentioned a bad relationship with their father than CADS (p = .01) and had more disciplinary problems at home and in school (p = .002). TOs show remarkable personality features.(ABSTRACT TRUNCATED AT 250 WORDS)


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 Rheumatology (Oxford)Home page
X. Puechal and J.-N. Fiessinger
Thromboangiitis obliterans or Buerger's disease: challenges for the rheumatologist
Rheumatology, February 1, 2007; 46(2): 192 - 199.
[Abstract] [Full Text] [PDF]


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