Veidlapa Nr. M-3 (8)

Course Description Status: Approved

Course Description Version: 25/26.R.1.00

Description Period: 2025./26 academic year rudens semestris

Study Course Accepted: -

Study Course Description

Psychosomatic Medicine

Main Study Course Information

Course Code
PMUPK_005
Branch of Science
Clinical medicine
ECTS
3.00
Target Audience
Medicine
LQF
Level 7
Study Type And Form
Full-Time

Study Course Implementer

Course Supervisor
Annija Gabriela Roze
Structure Unit Manager
Māris Taube
Structural Unit
Department of Psychosomatic Medicine and Psychotherapy
Contacts

Riga, 30 Kristapa Street, pmpk@rsu.lv, +371 67210989

About Study Course

Objective

To promote the acquisition of knowledge about mental health criteria and their role in the prevention of physical disorders and diseases.

Preliminary Knowledge

Knowledge of the central nervous system and brain anatomy, normal and pathological physiology.

Learning Outcomes

Knowledge

1.Students will understand and make description of ethiopathological process of somatisation, its main psychoemotional factors.

Skills

1.Students will be able to analyse somatical aspects of patient clinical cases.

Competences

1.To understand and analyze the multi-factorial nature of disorders and diseases, diagnostic criteria, the need for combination therapy.

Assessment

Individual work

Title
% from total grade
Grade
1.

Individual work
-
-

Prepared presentation o:

  • the clinical case;
  • the latest study (according to the subject of the lesson);
  • video analysis.

The type of practical assignment is applied at the discretion of course lecturer.

In order to evaluate the quality of the study course as a whole, the student must complete the study course evaluation questionnaire on the student portal.

Examination

Title
% from total grade
Grade
1.

Examination
-
10 points

The assessment of the exam is cumulative.

It consists of:

  1. Intermediate examination – 50%. Multiple choice test in lesson 2. *(In the 2nd semester, this assessment is replaced by the final grade of the 1st semester)
  2. Final examination (50%) – an electronised, e-study accessible or face-to-face multi-answer test on topics discussed within the course.

It is possible to credit the automatic final grade if the following criteria are met:

  • the intermediate test was passed on at least 8 points;
  • no more than 25% of lessons are missed (missed lessons must be passed);
  • 100% attendance of classes or passing the classes you were absent for justifiable reasons;
  • a presentation on the topic of the course lesson has been prepared a)literature review; b) a clinical case; c) the latest research (according to the topic of the lesson) (topic provided by the lecturer of the course)

Assessment focuses on the knowledge and practical skills acquired during the course.

Knowledge – the ability to define:

  • Criteria of mental health;
  • Defence mechanisms of psyche;
  • Emotions and affects, as well as their role in the process of somatization;
  • Types of attachment;
  • Diagnoses of psychosomatic disorders, theories of somatization, and treatment principles;
  • Principles of object relations theory;
  • Lifestyle-related illnesses.

Skills:

  • Fundamentals of establishing therapeutic doctor–patient relationships;
  • Basics of communication in working with patients;
  • Fundamentals of taking a psychosomatic case history (anamnesis);
  • Diagnosis and differential diagnosis of psychosomatic disorders, evaluation of treatment strategies, and clinical case analysis.

Study Course Theme Plan

FULL-TIME
Part 1

  1. Lecture

Modality
Location
Contact hours
On site
Auditorium
2

Topics

Mental health criteria. Salutogenesis. Biopsychosocial model in medicine.

  1. Lecture

Modality
Location
Contact hours
On site
Auditorium
2

Topics

Mental defense mechanisms. Coping strategies.

  1. Class/Seminar

Modality
Location
Contact hours
On site
Auditorium
4

Topics

Affect theory. Emotions. Attachment.
Description
  • Affect theory. Emotions, affects, their physiological role, psychophysiological classification. The role of emotions in the process of somatization. Emotional intelligence.
  • Attachment theory. Secure and insecure attachment. Its role in the process of somatization.
  • Practical work: analysis of emotions in clinical cases.

  1. Class/Seminar

Modality
Location
Contact hours
On site
Auditorium
4

Topics

Somatisation
Description
  • Somatization, its mechanisms.
  • Psychosomatic families.
  • Somatoform disorders. Body distress syndrome.
  • Psychotherapeutic treatment methods.
  • Practical work: analysis of somatization in clinical cases or video materials.

Intermediate examination.

  1. Class/Seminar

Modality
Location
Contact hours
On site
Auditorium
4

Topics

Chronic pain. Psychosomatic diseases. Methods of psychotherapeutic treatment. Semester test.
Description
  • Chronic pain.
  • Psychosomatic diseases.
  • Methods of psychotherapeutic treatment.
  • Practical work: analysis of clinical cases of psychosomatic diseases.

Semester test.
Total ECTS (Creditpoints):
1.50
Contact hours:
16 Academic Hours
Final Examination:
Test (Semester)
Part 2

  1. Lecture

Modality
Location
Contact hours
On site
Auditorium
2

Topics

Object relations theory. Partnerships. Love from the perspective of different theories.

  1. Lecture

Modality
Location
Contact hours
On site
Auditorium
2

Topics

Lifestyle diseases and active aging. Methods of psychotherapeutic treatment.

  1. Class/Seminar

Modality
Location
Contact hours
On site
Auditorium
4

Topics

Eating disorders.
Description
  • Types of eating disorders: anorexia, bulimia, binge eating.
  • Diagnostic criteria.
  • Methods of psychotherapeutic treatment.

  1. Class/Seminar

Modality
Location
Contact hours
On site
Auditorium
4

Topics

Personality disorders. Non-organic sexual disorders.
Description
  • General overview of personality disorders.
  • Definition of non-organic sexual disorders, diagnostic criteria.
  • Psychodynamic aspects of non-organic sexual disorders.
  • Methods of psychotherapeutic treatment.

Intermediate examination test.

*(If there is no final grade in the 1st semester)

  1. Class/Seminar

Modality
Location
Contact hours
On site
Auditorium
4

Topics

Doctor-patient relationship. Role plays. Exam
Description
  • Fundamental principles of the therapeutic doctor–patient relationship.
  • Communication with the patient.
  • Practical component: role-playing exercises focused on complex or conflict situations in the doctor–patient relationship.

Examination.
Total ECTS (Creditpoints):
1.50
Contact hours:
16 Academic Hours
Final Examination:
Exam (Written)

Bibliography

Required Reading

1.

Women at higher risk for inflation-related stress, 24.05.2023Suitable for English stream

2.

Medical-level empathy? Yup, chatGPT can fake that, 4.05.2023Suitable for English stream

3.

Long- term impact of childhood trauma explained, 2.05.2023Suitable for English stream

4.

Physicians may retire en masse soon. What does that mean for medicine? 18.04.2023Suitable for English stream

5.

Anger in adults a red flag for childhood trauma, 5.04.2023Suitable for English stream

6.

A better lower-cost option for mild to moderate Depression?, 30.03.2023Suitable for English stream

7.

Is it time to stop treating high triglycerides?, 29.03.2023Suitable for English stream

8.

Melatonin a new way to reduce self-harm, 27.03.2023Suitable for English stream

9.

Treating depression in primary care: the latest guidelines, 21.03.2023

10.

Physician suicide: investigating its prevalence and cause, 15.03.2023

11.

Epigenetics, satiety, and predictive markers of obesity, 27.02.2023

12.

Beyond the psychedelic effect: ayahuasca as antidepressant, 10.02.2023

13.

Do doctors want their babies to Grow up to be Physicians?, 7.02.2023

14.

Emotional eating tied to risk for diastolic dysfunction, 19.01.2023

15.

Vegetarians suffer more depression than meat eaters, 27.12.2022

16.

Greater Handgrip Strength tied to lower risk for depression, 20.12.2022

17.

What happens when doctors and patients interrupt each other?, 23.11.2022

18.

German survey on assisted suicide: how to handle this? Where should caution be exercised?, 16.09.2022

19.

Social isolation, Loneliness tied to death, MI, stroke: AHA, 4.08.2022

20.

Physicians react: burnout rates are alarming, so who should drive change? 6.06.2022

21.

K. Abrahamsson. R. Ennals. Sustainable work in Europe. Concepts, Conditions, Challenges. 2022 Edited Collection. 342 Pages

22.

Empathy fatigue in clinicians rises with latest COVID-19 surge, 16.09.2021

23.

Borderline personality disorder diagnosis: to tell or not to tell patients?, 22.03.2021

24.

Why men need mind-body medicine now more than ever, 2.04.2020

25.

Doctor – Patient relationship, 20.06.2019

26.

Why do we love sad music? Mourning our pain, 27.11.2018

27.

Doctors, nurses give lifestyle advice but are skeptical it’s heeded, 29.03.2018

28.

The 8 things that end childhood too soon: what clinicians should know, 30.06.2017

29.

Why do depressed doctors suffer in silence? – 27.06.2017

30.

Silvano Arieti, Morton F. Reiser. American Handbook of Psychiatry. Volume Four. Organic Disorders and Psychosomatic Medicine. e-Book 2015 International Psychotherapy Institute.

31.

Stress and depression mediated by single brain protein, 20.11.2014

32.

How the brain responds to trauma, 24.09.2014

33.

Long work hours wreak havoc in MDs, Personal lives, 23.09.2013

34.

Nature, Niche, and nurture. The role of social experience in transforming genotype into phenotype, 11.10.2011

35.

Dreams in Jungian psychology: The use of dreams as an instrument for research, diagnosis and treatment of social phobia, 2009

36.

Gunta Ancāne, D.Šmite, A. Ancāns. Emocionāla distresa un muskuloskeletālas disfunkcijas mijiedarbība pacientiem ar hroniskām muguras lejasdaļas sāpēm/ /Zinātniskie raksti: 2006. g. medicīnas nozares pētnieciskā darba publikācijas. RSU.-Rīga, 2007. - 86. - 96. lpp. (akceptējams izdevums)

37.

Gunta Ancāne. „Ārsta un pacienta terapeitisko attiecību psihoemocionālie aspekti.”//Latvijas Ārsts.- 2005/6. 77. - 79. (akceptējams izdevums)

38.

The effects of physician empathy on patient satisfaction and compliance, 09.2004

39.

Gunta Ancāne. Hronisku sāpju stāvokļu psihosomatiska izpratne//Latvijas Ārsts.- 2004. Nr 1.- 40 - 43. (akceptējams izdevums)

40.

Gunta Ancāne. Ķermeņa un psihes saistība//Psiholoģijas Pasaule. - 2004. - Nr. 1 - 38. - 43. lpp. (akceptējams izdevums)

41.

Gunta Ancāne. Psihosomatiskās medicīnas definīcija un īsa tās ideju attīstības vēsture// Psiholoģijas Pasaule. 2004. 2. 36 - 40. (akceptējams izdevums)

42.

Gunta Ancāne. Sirds–asinsvadu sistēmas un elpošanas sistēmas psihosomatiska Psiholoģijas pasaule. 2004./6. 34 - 39. (akceptējams izdevums)

43.

Gunta. Ancāne. “Psihosomatiskie traucējumi un slimības” “Psiholoģijas Pasaule”; nr.2004/04; 44. - 49. (akceptējams izdevums)

44.

Gunta. Ancāne. “Ēšana kā komunikācija un ēšanas traucējumi” “Psiholoģijas Pasaule”; nr. 2004/05; 18. - 23. (akceptējams izdevums)

45.

Implementing the care programme approach in psychotherapeutics settings, 2004

46.

Post-traumatic stress disorder: symptom profiles in men and women, 2003

47.

Physical symptoms and physician-experienced difficulty in the physician –patient relationship, 1.05.2001

Additional Reading

1.

Dž. Boulbijs. Drošais pamats Rasa ABC. 1995.

2.

A. Utināns. Cilvēka psihe. Tās darbība, funkcionēšanas traucējumi un ārstēšanas iespējas. Nacionālais apgāds. 2005. 568 lpp.

3.

Katedrā izstrādātie studentu pētnieciskie darbi (2023)/ student research works developed in the department (2023):

4.

1. Adelīna Nikitenko “Ģeneralizētas trauksmes izplatība Ogres pilsētas vidusskolēnu vidū un tās saistība ar vientulību.”

5.

2. Aksel Darius Överlien Dalili “Burnout Syndrome in Medical Personnel During The Covid-19 Pandemic”Suitable for English stream

6.

3. Ali Lavin “Changes of level of empathy in medical students during time of studies”Suitable for English stream

7.

4. Ieva Kulša “Celikālijas psihosomatiskie aspekti.”

8.

5. Jānis Kristpas Vasiļonoks “Ārstu-rezidentu spēja paziņot sliktas ziņas pacientam.”

9.

6. Karīna Rudus “Saistība starp trauksmes simptomu smagumu un stresa pārvarēšanas stratēģijām RSU medicīnas fakultātes preklīnisko studiju gadu studentu vidū.”

10.

7. Katrīna Liepiņa ”Adverse childhood experiences (ace) jeb nelabvēlīgas bērnības pieredzes saistībā ar gastrointestinālām sūdzībām āgenskalna ģimnāzijās”

11.

8. Laura Gribuste “Saistība starp kritiskās domāšanas dispozīciju un ticību paranormālajam Rīgas Stradiņa Universitātes studentu vidū.”

12.

9. Leonhard Francisco Schlichting “Borderline Personality Disorder as Comorbidity of Bulimia Nervosa in Adolescents”

13.

10. Linda Borskoviča “Pašcieņas, trauksmes, depresijas rādītāju saistība ar glikēmijas kontroli pacientiem ar 1. un 2. Tipa cukura diabētu”

14.

11. Linda Lumikki April Vainio “MDMA-assisted therapy in PTSD treatment”

15.

12. Megija Zunde “Trauksmes simptomu īpatsvara dinamika vidējam medicīnas personālam Covid-19 pandēmijas laikā Latvijā.”

16.

13. Miina-Maria Jyrälä “Depression as a risk factor for coronary artery disease, mechanisms behind it”

17.

14. Nika Kristiāna Meždreija “Somatizācijas un trauksmes simptomu salīdzinājums sesijas laikā un pēc tā RSU 1. un 6. kursa medicīnas fakultātes studentiem”

18.

15. Rebecca Abraham “The effect of parenting on the development of borderline personality disorder”

19.

16. Rebeka Beinaroviča “Sociāli ekonomiskā stāvokļa saistība ar izdegšanas sindromu medicīnas fakultātē studējošajiem.”

20.

17. Sima Shokouhi “The relationship between the belief in conspiracy theories and narcissistic personality traits in an individual.”

21.

18. Svetlana Redina “Ēšanas traucējumu saistība ar depresijas un trauksmes simptomiem starp 12. klašu skolniekiem piecās Rīgas Pārdaugavas rajona skolās: 71. vidusskolā, 96. vidusskolā, Anniņmuižas vidusskolā, Arkādijas vidusskolā, Imantas vidusskolā”

22.

19. Zanda Laura Šķiņķe “Trauksmes un depresijas simptomu korelācija ar un bez muguras lejasdaļas sāpēm RSU medicīnas fakultātes studentiem”