Clinical experience with patients suffering from hyperemesis gravidarum (severe nausea and vomiting during pregnancy): thoughts about subtyping of patients, treatment and counseling models
The medical and psychological treatment of hyperemesis gravidarum (HG) is generally acknowledged as being difficult. It is also recognized that the somatic changes during pregnancy play a role in the process of HG and that psychosocial factors are of particular importance. The following issues have...
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| Veröffentlicht in: | Patient Education and Counseling 1997-05, Vol.31 (1), p.65-75 |
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| creator | Lub-Moss, Marike M.H Eurelings-Bontekoe, E.H.M |
| description | The medical and psychological treatment of hyperemesis gravidarum (HG) is generally acknowledged as being difficult. It is also recognized that the somatic changes during pregnancy play a role in the process of HG and that psychosocial factors are of particular importance. The following issues have been studied: psychosocial stressors; personality disorders; coping mechanisms and stress tolerance. The reviewed studies mention many different causes of HG. Some produce symptoms in certain women and some will not. As a result of clinical experience and observation during several years treating women with HG from a broad social, cultural and ethnic background in a large inner-city general hospital, we have been able to identify several subgroups of HG patients according to personality pathology, psychiatric symptoms and psychosocial stress factors. Accurate assessment is necessary in order to be able to tailor the interventions to the characteristics and needs of the individual patient. For the various subgroups different treatment strategies are recommended. |
| doi_str_mv | 10.1016/S0738-3991(97)01011-2 |
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It is also recognized that the somatic changes during pregnancy play a role in the process of HG and that psychosocial factors are of particular importance. The following issues have been studied: psychosocial stressors; personality disorders; coping mechanisms and stress tolerance. The reviewed studies mention many different causes of HG. Some produce symptoms in certain women and some will not. As a result of clinical experience and observation during several years treating women with HG from a broad social, cultural and ethnic background in a large inner-city general hospital, we have been able to identify several subgroups of HG patients according to personality pathology, psychiatric symptoms and psychosocial stress factors. Accurate assessment is necessary in order to be able to tailor the interventions to the characteristics and needs of the individual patient. For the various subgroups different treatment strategies are recommended.</description><subject>Adaptation, Psychological</subject><subject>Adult</subject><subject>Counseling</subject><subject>Female</subject><subject>Humans</subject><subject>Hyperemesis gravidarum</subject><subject>Hyperemesis Gravidarum - classification</subject><subject>Hyperemesis Gravidarum - psychology</subject><subject>Hyperemesis Gravidarum - therapy</subject><subject>Medical Services</subject><subject>Meta Analysis</subject><subject>Nursing</subject><subject>Patient Education</subject><subject>Personality</subject><subject>Personality Problems</subject><subject>Pregnancy</subject><subject>Prenatal Care</subject><subject>Risk Factors</subject><subject>Stress Variables</subject><subject>Stress, Psychological - psychology</subject><subject>Therapy</subject><subject>Treatment and counseling</subject><issn>0738-3991</issn><issn>1873-5134</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1997</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkc1u1DAUhSMEKkPhDajkFWolAnacxHY3CI1aflSJBbC2HPtmxiiJg38G5t14uDozo9mysn3POfde-SuKK4LfEUza998xo7ykQpBrwW5wrpGyelKsCGe0bAitnxars-V58SKEXxjjtq3JRXEhiGAc16vi33qwk9VqQPB3Bm9h0oD-2LhFs4r5FQMKqe-zMm1Q792ItvvsgxGCDWjj1c4a5dOIrgPsch1NKgVQSE0G7dxo45Iz6RCfPWwmNen9zS2KW5c229xddS7FPKOL-3kxuf48-S2KHlQc8_3QT7s0BRgW1-gMDOFl8axXQ4BXp_Oy-Hl_92P9uXz49unL-uNDqSknsWS0bSumOmx6AQKw6FSlheJcka5hgtCOGmMEUNzzHjQnrKubWlWq5pp2nNPL4s2x7-zd7wQhytEGDcOgJnApSCYwa1vGsrE5GrV3IXjo5eztqPxeEiwXavJATS5IpGDyQE1WOXd1GpC6Ecw5dcKU9ddHPXPQZ_Xua8NoVS3xDyc5f8LOgpdBH0ga60FHaZz9zwKPDg62zA</recordid><startdate>19970501</startdate><enddate>19970501</enddate><creator>Lub-Moss, Marike M.H</creator><creator>Eurelings-Bontekoe, E.H.M</creator><general>Elsevier Ireland Ltd</general><scope>7SW</scope><scope>BJH</scope><scope>BNH</scope><scope>BNI</scope><scope>BNJ</scope><scope>BNO</scope><scope>ERI</scope><scope>PET</scope><scope>REK</scope><scope>WWN</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19970501</creationdate><title>Clinical experience with patients suffering from hyperemesis gravidarum (severe nausea and vomiting during pregnancy): thoughts about subtyping of patients, treatment and counseling models</title><author>Lub-Moss, Marike M.H ; Eurelings-Bontekoe, E.H.M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c381t-736627ab0df9e9e09ba2c9a88a1b57913b3ddd9e30f8fec817b454a2a48c3b883</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1997</creationdate><topic>Adaptation, Psychological</topic><topic>Adult</topic><topic>Counseling</topic><topic>Female</topic><topic>Humans</topic><topic>Hyperemesis gravidarum</topic><topic>Hyperemesis Gravidarum - classification</topic><topic>Hyperemesis Gravidarum - psychology</topic><topic>Hyperemesis Gravidarum - therapy</topic><topic>Medical Services</topic><topic>Meta Analysis</topic><topic>Nursing</topic><topic>Patient Education</topic><topic>Personality</topic><topic>Personality Problems</topic><topic>Pregnancy</topic><topic>Prenatal Care</topic><topic>Risk Factors</topic><topic>Stress Variables</topic><topic>Stress, Psychological - psychology</topic><topic>Therapy</topic><topic>Treatment and counseling</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lub-Moss, Marike M.H</creatorcontrib><creatorcontrib>Eurelings-Bontekoe, E.H.M</creatorcontrib><collection>ERIC</collection><collection>ERIC (Ovid)</collection><collection>ERIC</collection><collection>ERIC</collection><collection>ERIC (Legacy Platform)</collection><collection>ERIC( SilverPlatter )</collection><collection>ERIC</collection><collection>ERIC PlusText (Legacy Platform)</collection><collection>Education Resources Information Center (ERIC)</collection><collection>ERIC</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Patient Education and Counseling</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lub-Moss, Marike M.H</au><au>Eurelings-Bontekoe, E.H.M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><ericid>EJ573222</ericid><atitle>Clinical experience with patients suffering from hyperemesis gravidarum (severe nausea and vomiting during pregnancy): thoughts about subtyping of patients, treatment and counseling models</atitle><jtitle>Patient Education and Counseling</jtitle><addtitle>Patient Educ Couns</addtitle><date>1997-05-01</date><risdate>1997</risdate><volume>31</volume><issue>1</issue><spage>65</spage><epage>75</epage><pages>65-75</pages><issn>0738-3991</issn><eissn>1873-5134</eissn><abstract>The medical and psychological treatment of hyperemesis gravidarum (HG) is generally acknowledged as being difficult. 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For the various subgroups different treatment strategies are recommended.</abstract><cop>Ireland</cop><pub>Elsevier Ireland Ltd</pub><pmid>9197804</pmid><doi>10.1016/S0738-3991(97)01011-2</doi><tpages>11</tpages></addata></record> |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Adaptation, Psychological Adult Counseling Female Humans Hyperemesis gravidarum Hyperemesis Gravidarum - classification Hyperemesis Gravidarum - psychology Hyperemesis Gravidarum - therapy Medical Services Meta Analysis Nursing Patient Education Personality Personality Problems Pregnancy Prenatal Care Risk Factors Stress Variables Stress, Psychological - psychology Therapy Treatment and counseling |
| title | Clinical experience with patients suffering from hyperemesis gravidarum (severe nausea and vomiting during pregnancy): thoughts about subtyping of patients, treatment and counseling models |
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