Abstract
Mental comorbidity adversely affects quality of life, health behavior, and prognosis in cardiac patients. While this comorbidity goes untreated in many patients, others typically receive outpatient treatment with psychotherapy, antidepressant medication, or collaborative care. However, severity of heart disease or the mental disorders sometimes interferes with continuous outpatient treatment. For severely ill patients, simultaneous inpatient treatment of heart disease and mental comorbidity may become necessary. In the German healthcare system, statutory health insurance covers inpatient psychosomatic treatment if medically indicated. This chapter describes a model of integrated inpatient psychocardiology treatment as implemented on a dedicated ward at University of Göttingen Medical Center. The different components of the therapeutic program are outlined and vignettes of typical cases are presented. Clinical impressions and first evaluation results suggest that the psychocardiology ward closes an important gap in the care of patients with severe comorbid heart disease and mental disorders or cardiac somatization.
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References
Bjarnason-Wehrens B, Held K, Hoberg E, Karoff M, Rauch B (2007) Deutsche Leitlinie zur Rehabilitation von Patienten mit Herz-Kreislauferkrankungen (DLL-KardReha). Clin Res Cardiol 96(Suppl 2):III/1–III/54
Brähler E, Schumacher J, Brähler C (2000) Erste gesamtdeutsche Normierung der Kurzform des Giessener Beschwerdebogens GBB-24. Psychother Psychosom Med Psychol 50:14–21
Chowdhury R, Khan H, Heydon E, Shroufi A, Fahimi S, Moore C, Stricker B, Mendis S, Hofman A, Mant J, Franco OH (2013) Adherence to cardiovascular therapy: a meta-analysis of prevalence and clinical consequences. Eur Heart J 34:2940–2948
Franke GH (2000) Brief symptom inventory von L. R. Derogatis (Kurzform der SCL-90-R): BSI Manual – Deutsche Version. Belz Test, Göttingen
Greiner W, Claes C, Busschbach JJ, von der Schulenburg JM (2005) Validating the EQ-5D with time trade off for the German population. Eur J Health Econ 6:124–130
Herrmann-Lingen C (2011a) Steps towards integrated psychosomatic medicine – the example of psychocardiology. J Psychosom Res 70:111–115
Herrmann-Lingen C (2011b) Interdisziplinäre Kursfortbildung Psychokardiologische Grundversorgung. Psychother Psych Med 61:489–490
Herrmann-Lingen C, Löser K, Kleiber C (2015) Predictors of persistent improvement in symptoms and quality of life after inpatient treatment for comorbid cardiovascular and mental illness. Psychosom Med 77:A35–A36, abstract
Hoffmann SO, Liedtke R, Schneider W, Senf W (1999) Psychosomatishce Medizin und Psychotherapie. Denkschrift zur Lage des Faches an den Hochschulen der Bundesrepublik Deutsschland. Schattauer, Stuttgart
Kleiber C, Herrmann-Lingen C (2011) Mit Herz und Seele: Psychokardiologische Konsiliar- und Liaisonarbeit. Verhaltensther Verhaltensmed 32:39–43
Kleiber C, Herrmann-Lingen C (2015) Psychokardiologie im Herzzentrum – somatische und psychotherapeutische Herausforderungen. Ärztl Psychother 10:151–155
Perk J, De Backer G, Gohlke H, Graham I, Reiner Z, Verschuren M, Albus C, Benlian P, Boysen G, Cifkova R, Deaton C, Ebrahim S, Fisher M, Germano G, Hobbs R, Hoes A, Karadeniz S, Mezzani A, Prescott E, Ryden L, Scherer M, Syvänne M, op Reimer WJ S, Vrints C, Wood D, Zamorano JL, Zannad F, European Association for Cardiovascular Prevention & Rehabilitation (EACPR), ESC Committee for Practice Guidelines (CPG) (2012) European Guidelines on cardiovascular disease prevention in clinical practice (version 2012). The Fifth Joint Task Force of the European Society of Cardiology and Other Societies on Cardiovascular Disease Prevention in Clinical Practice (constituted by representatives of nine societies and by invited experts). Eur Heart J 33:1635–1701
Romppel M, Herrmann-Lingen C, Wachter R, Edelmann F, Düngen H, Pieske B, Grande G (2013) A short form of the general self-efficacy scale (GSE-6): development, psychometric properties and validity in an intercultural non-clinical sample and a sample of patients at risk for heart failure. GMS Psychosoc Med 10:1–7
Schauenburg H, Hildenbrand G (2011) Stationäre Psychotherapie und Psychosomatik. In: Adler RH, Herzog W, Joraschky P, Köhle K, Langewitz W, Söllner W, Wesiack W (eds) Uexküll – Psychosomatische Medizin, 7th edn. Urban & Fischer, Munich, pp 561–571
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Olewinski, M., Paschke, AM., Mohebbi, A., Herrmann-Lingen, C., Kleiber, C. (2016). An Integrative Psychosomatic Approach to the Treatment of Patients with Cardiovascular Diseases: Concepts and Experiences of a Dedicated Psychocardiology Ward at the University of Göttingen Medical Center. In: Baune, B., Tully, P. (eds) Cardiovascular Diseases and Depression. Springer, Cham. https://doi.org/10.1007/978-3-319-32480-7_26
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DOI: https://doi.org/10.1007/978-3-319-32480-7_26
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