Psychosomatic Medicine in Germany: More Timely than Ever

Zipfel, Stephan; Herzog, Wolfgang; Kruse, Johannes; Henningsen, Peter

doi:10.1159/000447701

Cited by 1,621 publications

(48 citation statements)

References 58 publications

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“…Psychosomatic inpatient units are available mainly in Germany [205,206], Japan [207,208], and China [209]. The characteristics of the units vary according to the type of health system.…”

Section: Multidisciplinary Carementioning

confidence: 99%

Current Psychosomatic Practice

Fava

Cosci²,

Sonino³

2016

Psychother Psychosom

238

317

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Psychosomatic research has advanced over the past decades in dealing with complex biopsychosocial phenomena and may provide new effective modalities of patient care. Among psychosocial variables affecting individual vulnerability, course, and outcome of any medical disease, the role of chronic stress (allostatic load/overload) has emerged as a crucial factor. Assessment strategies include the Diagnostic Criteria for Psychosomatic Research. They are presented here in an updated version based on insights derived from studies carried out so far and encompass allostatic overload, type A behavior, alexithymia, the spectrum of maladaptive illness behavior, demoralization, irritable mood, and somatic symptoms secondary to a psychiatric disorder. Macroanalysis is a helpful tool for identifying the relationships between biological and psychosocial variables and the individual targets for medical intervention. The personalized and holistic approach to the patient includes integration of medical and psychological therapies in all phases of illness. In this respect, the development of a new psychotherapeutic modality, Well-Being Therapy, seems to be promising. The growth of subspecialties, such as psychooncology and psychodermatology, drives towards the multidisciplinary organization of health care to overcome artificial boundaries. There have been major transformations in health care needs in the past decades. From psychosomatic medicine, a land of innovative hypotheses and trends, many indications for changes in the current practice of medicine are now at hand. The aim of this critical review is to outline current and potential clinical applications of psychosomatic methods.

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“…Psychosomatic inpatient units are available mainly in Germany [205,206], Japan [207,208], and China [209]. The characteristics of the units vary according to the type of health system.…”

Section: Multidisciplinary Carementioning

confidence: 99%

Current Psychosomatic Practice

Fava

Cosci²,

Sonino³

2016

Psychother Psychosom

238

317

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“…18 Depending on the outcome in the various domains of the IM-E, information was given regarding diagnosed chronic diseases or mental health problems. In Germany, training as a physician for psychosomatic medicine includes knowledge in general internal medicine and psychotherapy.…”

Section: Treatmentmentioning

confidence: 99%

A short intervention targeting psychosomatic care in older adults with complex health care needs–results of a randomized controlled trial

Wild

Herzog

Schellberg

et al. 2018

Int J Geriat Psychiatry

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Objective The aim of this randomized controlled trial (RCT) was to assess the efficacy of a short intervention targeting psychosomatic care in older adults with complex health care needs. Methods Participants were recruited in the frame of the 11‐year follow‐up of a large population‐based study by means of the INTERMED interview. The INTERMED interview is an integrative assessment method to identify bio‐psycho‐social health care needs. Persons with high health care needs (interview score ≥ 17) were invited to take part. Participants were randomized with a 1:1 ratio to a control and an intervention group. The intervention group received a home visit conducted by a doctor trained in psychosomatic medicine. The primary hypothesis stated that the intervention group would have a better outcome with respect to health related quality of life (HRQOL) measured by the 12‐item short‐form health survey (mental component score, MCS) 6 months after randomization (T1). Secondary outcomes were physical HRQOL, health care needs, depression, anxiety, and somatic symptom severity. Results In total, 175 participants were included. At the three‐year follow‐up (T2), 97 participants (55.4%) were included. At T1, we did not find a difference regarding MCS between the intervention and control groups. At T2, the intervention group showed significantly lower health care needs compared with the control group. Regarding HRQOL, depression, and somatic symptom severity the two groups did not differ at T2. Conclusions The primary hypothesis was not confirmed. However, results indicate that a short intervention with complex patients could lead to reduced bio‐psycho‐social health care needs.

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“…Психоаналі-тично-орієнтована, сімейна системна, клі-єнт-центрована, гештальттерапія розробля-ють власні концепції розуміння психічної етіології соматоформних розладів та, від-повідно, стратегії їхнього лікування шляхом компенсації психологічних дефіцитів, усві-домлення та розв'язання позасвідомих кон-фліктів, налагодження інтерперсональної комунікації у сімейних, родинних і, навіть, трансгенераційних системах тощо. Сучас-ні інтегративні тренди у сфері психотерапії та психокорекції дають змогу фахівцям різ-них психотерапевтичних напрямів взаєм-но збагачувати своє теоретичне розуміння та інструментарій впливу, застосовувати комплементарні психотерапевтичні підходи з урахуванням індивідуальних особливос-тей кожного пацієнта [15,16,25,26,30].…”

Section: основні принципи комплексного ліку-вання соматоформних розладівunclassified

Somatoform Disorders in General Practice Doctors Work: Main Principles of Professional Approach to the Patients

Fostiak

Medyns’ka

2017

NTSN MS

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Анотація. Лікарі загальної практики відіграють важливу роль у розпізнаванні та лікуванні психічних розладів. Особливе місце займають психосоматичні захворювання, що згідно з кла-сифікацією МКХ-10 (Міжнародна класифікація хвороб -10-й перегляд) та DSM-V ( (MWM De Waal, 2004). Also were analyzed general principles of complex medical aid КОРОТКІ ПОВІДОМЛЕННЯBRIEF COMMUNICATION

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Psychosomatic Medicine in Germany: More Timely than Ever

Cited by 1,621 publications

References 58 publications

Current Psychosomatic Practice

Current Psychosomatic Practice

A short intervention targeting psychosomatic care in older adults with complex health care needs–results of a randomized controlled trial

Somatoform Disorders in General Practice Doctors Work: Main Principles of Professional Approach to the Patients

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