Recognition of psychiatric disorders in musculoskeletal and cardiovascular rehabilitation patients

Härter, Martin; Woll, Sonja; Reuter, Katrin; Wünsch, Alexander; Bengel, Jürgen

doi:10.1016/j.apmr.2003.08.106

Cited by 60 publications

(41 citation statements)

References 34 publications

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“…Unfortunately, comorbid mental disorders often remain unrecognized and untreated [35, 36]. Comorbid mental disorders can negatively influence patients’ adherence to interventions and effectiveness of treatment, quality of life , mortality and costs of disease and care [1,2,3,4,5,6,7].…”

Section: Discussionmentioning

confidence: 99%

Increased 12-Month Prevalence Rates of Mental Disorders in Patients with Chronic Somatic Diseases

Härter

Baumeister

Reuter

et al. 2007

Psychother Psychosom

Self Cite

209

103

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Background: Although it is well established that chronic somatic diseases are significantly associated with a wide range of psychopathology, it remains unclear to what extent subjects with chronic somatic diseases are at increased risk of experiencing mental disorders. The present epidemiological study investigates age- and sex-adjusted 12-month prevalence rates of mental disorders in patients with cancer, and musculoskeletal, cardiovascular and respiratory tract diseases, based on comprehensive physicians’ diagnoses and compared with physically healthy probands. Methods: Prevalence rates were calculated from two large epidemiological surveys. These studies investigated inpatients and patients from the general population with cancer (n = 174) and musculoskeletal (n = 1,416), cardiovascular (n = 915) and respiratory tract diseases (n = 453) as well as healthy controls (n = 1,083). The prevalence rates were based on the Munich Composite International Diagnostic Interview, a standardized interview for the assessment of mental disorders. Results: Prevalence rates were very similar for inpatients (43.7%) and patients from the general population (42.2%). The adjusted odds ratios (OR) of patients with chronic somatic diseases were significantly elevated for mental disorders in comparison with healthy probands (OR: 2.2). Mood, anxiety and somatoform disorders were most frequent. The prevalence rates did not differ significantly between the somatic index diseases. The number of somatic diseases per patient had a higher association with mental disorders. Conclusions: There is a strong relationship between chronic somatic diseases and mental disorders. A future task is to improve the care of mental disorders in patients with chronic physical illness, specifically with multimorbid conditions.

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Section: Discussionmentioning

confidence: 99%

Increased 12-Month Prevalence Rates of Mental Disorders in Patients with Chronic Somatic Diseases

Härter

Baumeister

Reuter

et al. 2007

Psychother Psychosom

Self Cite

209

103

View full text Add to dashboard Cite

show abstract

“…Zusätzlich zeigen Daten zu Erkennens− und Behandlungsraten psychischer Störungen aus der kardiologischen und orthopädi− schen Rehabilitation, dass behandlungsbedürftige psychische Störungen in der stationären medizinischen Rehabilitation nicht ausreichend entdeckt und auch noch nicht störungsspezifisch behandelt werden [9,10].…”

Section: Introductionunclassified

Umsetzung und Bewertung einer Fortbildungsmaßnahme zum Erkennen und zur Diagnostik psychischer Störungen in der medizinischen Rehabilitation

Hahn¹,

Bengel²,

Härter³

2005

Rehabilitation

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The prevalence of comorbid mental disorders in rehabilitation patients is high. In spite of the biopsychosocial treatment approach in rehabilitation, recognition and treatment rates of comorbid mental disorders during medical rehabilitation are low. Therefore this study evaluates a special further-training measure for rehabilitation staff, intended to inform them about the relevance of comorbid mental disorders in rehabilitation patients, to train them in the use of screening instruments, and to discuss needed changes in rehabilitation processes. 14 further-training courses were carried out with 148 participants of different professions from rehabilitation hospitals. Interest in the training was rated to be high whereas previous knowledge of comorbid mental disorders was relatively low. The participants rated the basic conditions of the training as being good. Overall, the steps discussed to improve psycho-diagnostics in rehabilitation were rated as being important and realistic. Especially early recognition of mental burden, the use of screeners for detection, and the naming of diagnoses of mental disorders in discharge reports were considered as most readily realized. The results underline the importance of further-training for improving psycho-diagnostics in rehabilitation clinics, not only to ensure the biopsychosocial treatment approach in rehabilitation but also in view of reducing costs in the health care system.

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“…B. die Niederlassung in einer eigenen Praxis), dürfte die (somatische) Rehabilitation eine eher weniger attraktive Option darstellen. Untersuchungen zeigen, dass psychische Komorbidität in der orthopädischen und kardiologischen Rehabilitation oft unerkannt bleibt [ 15,16 ] . Eine Maßnahme zur Verbesserung der Entdeckungsrate psychischer Komorbidität stellt die Etablierung eines routinemäßigen psychologischen Screenings aller Rehabilitanden in der Einrichtung dar.…”

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Die somatische Rehabilitation als Arbeitsfeld für Psychologen: Ergebnisse einer bundesweiten Befragung zu Strukturen und Praxis in der stationären orthopädischen und kardiologischen Rehabilitation

Reese¹,

Jäckel²,

Mittag³

2011

Rehabilitation

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Recognition of psychiatric disorders in musculoskeletal and cardiovascular rehabilitation patients

Cited by 60 publications

References 34 publications

Increased 12-Month Prevalence Rates of Mental Disorders in Patients with Chronic Somatic Diseases

Increased 12-Month Prevalence Rates of Mental Disorders in Patients with Chronic Somatic Diseases

Umsetzung und Bewertung einer Fortbildungsmaßnahme zum Erkennen und zur Diagnostik psychischer Störungen in der medizinischen Rehabilitation

Die somatische Rehabilitation als Arbeitsfeld für Psychologen: Ergebnisse einer bundesweiten Befragung zu Strukturen und Praxis in der stationären orthopädischen und kardiologischen Rehabilitation

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