Specific Effects of Depression, Panic, and Somatic Symptoms on Illness Behavior

Abstract

Different mental and psychosomatic disorders contribute independently to health care use and other aspects of illness behavior.

Revising the Classification of Somatoform Disorders: Key Questions and Preliminary Recommendations

“…Furthermore, the assumption that patients with somatoform disorders visit mental health specialists less frequently than patients with other mental disorders, such as depression and anxiety, may be overstated. 29 Additional considerations for assigning a particular diagnosis to Axis I might be that psychiatric and other mental health specialists offer the most profound understanding of the disorder, or have developed the most successful treatments.…”

Work Factors Related to Psychological and Health-Related Distress Among Employees with Chronic Illnesses

“…A number of biopsychosocial factors have been associated with distress in chronic illness patients, particularly in relation to depression as a chronic illness and as a symptom of low psychological well-being in other chronic illnesses (7,8). Factors associated with distress include clinical status such as disease severity, presence of pain and fatigue; low functional status (i.e.…”

HCU-Q: Entwicklung eines Fragebogens zur Erfassung der Inanspruchnahme medizinischer Gesundheitsleistungen

“…Laut Daten einer bevölkerungsweiten repräsentativen Befragungsstudie lag die durchschnittliche Anzahl an Arztbesuchen in der deutschen Allgemeinbevölkerung bei 9,2 Kontakten in 12 Monaten [Rattay et al, 2013]. Bei psychischen Störungen war die Häufigkeit von selbstberichteten Arztbesuchen im Vergleich zu gesunden Kontrollprobanden etwa doppelt so hoch [Rief et al, 2005;Jacobi et al, 2004]. Insbesondere Patienten mit andauernden und beeinträchti-genden medizinisch unerklärten Körperbeschwerden (somatoforme Störungen) nehmen medizinische Gesundheitsleistungen intensiv in Anspruch und verursachen damit 2,5-fach erhöhte Gesundheitskosten im Vergleich zum nationalen Durchschnitt [Hiller et al, 2003].…”