Buscar en
European Journal of Psychiatry
Toda la web
Inicio European Journal of Psychiatry The multi-disciplinary arena of psychosomatic medicine – Time for a transition...
Journal Information
Vol. 34. Issue 2.
Pages 63-73 (April - June 2020)
Share
Share
Download PDF
More article options
ePub
Vol. 34. Issue 2.
Pages 63-73 (April - June 2020)
Review article
DOI: 10.1016/j.ejpsy.2020.02.003
The multi-disciplinary arena of psychosomatic medicine – Time for a transitional network approach
Visits
...
C. Leuea,b,c,
Corresponding author
c.leue@mumc.nl

Corresponding author.
, M.A. van Schijndeld,e, D. Keszthelyif,g, G. van Koeveringec,h, R.W. Pondsa,b, R.G. Katholi,j,k, B.P. Ruttena,b
a Department of Psychiatry and Neuropsychology, Maastricht University Medical Centre, Maastricht, The Netherlands
b School for Mental Health and Neuroscience (MeHNs), Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands
c Pelvic Care Centre, Maastricht University Medical Center, Maastricht, The Netherlands
d Department of Psychiatry, Rijnstate Hospital, Arnhem, The Netherlands
e Department of Psychiatry, Erasmus University Medical Center, Rotterdam, The Netherlands
f Division of Gastroenterology-Hepatology, Maastricht University Medical Center, Maastricht, The Netherlands
g School for Nutrition and Translational Research In Metabolism (NUTRIM), Faculty of Health, Medicine and Life Sciences, Maastricht University, The Netherlands
h Department of Urology, Maastricht University Medical Center, Maastricht, The Netherlands
i Cartesian Solutions Inc., Burnsville, MN, United States
j Department of Internal Medicine, University of Minnesota, Minneapolis, United States
k Department of Psychiatry, University of Minnesota, Minneapolis, United States
Article information
Abstract
Full Text
Bibliography
Download PDF
Statistics
Figures (1)
Abstract
Background and objectives

Diverse disciplines, ranging from medical psychology to general hospital psychiatry and somatic specialties, are involved in efforts to understand psychosomatic conditions and to advocate multi-disciplinary management. Depending on the kind of problem, its acuity, severity and complexity, patients present at different settings. We aim to give examples of existing integrated care approaches at diverse health care settings and to depict obstacles to and benefits of that care. Furthermore, perspectives to overcome shortcomings concerning the organization of integrated care are outlined.

Method

Narrative review.

Results

This review describes obstacles to integrated psychosomatic care and delineates integrated medical and behavioural health services, ranging from the inpatient medical hospital setting to primary care. Benefits, shortcomings and aspirations of integrated care are drawn, suggesting that a transitional network approach might bridge the gap between medical disciplines and settings, within the medical hospital and back to primary care.

Conclusions

Various medical and behavioural health service models deliver integrated care. Research mainly focused on collaborative care in primary care. There are uncertainties about the effectiveness of primary care-based interventions targeting somatic complexity and severity in multi-conditional patients. Uncertainties remain, for instance, in cancer or cardiovascular disease with comorbid psychiatric disorders. Furthermore, current evidence does not support the use of primary caregivers in cases of functional somatic symptoms. Given that care transition is a vulnerable moment in health care, a transitional network approach using staff-guided case managers could bridge the gap between medical hospital disciplines and primary care, possibly having impact of societal relevance.

Keywords:
Comorbidity
Complexity
Integrated care
Collaborative care
Cost-of-illness
Anxiety
Depression
Chronic disease
Psychosomatic medicine

Article

These are the options to access the full texts of the publication European Journal of Psychiatry
Subscriber
Subscriber

If you already have your login data, please click here .

If you have forgotten your password you can you can recover it by clicking here and selecting the option “I have forgotten my password”
Comprar
Comprar acceso al artículo

Comprando el artículo el PDF del mismo podrá ser descargado

Precio 22,50 €

Comprar ahora
Contact
Phone for subscriptions and reporting of errors
From Monday to Friday from 9 a.m. to 6 p.m. (GMT + 1) except for the months of July and August which will be from 9 a.m. to 3 p.m.
Calls from Spain
932 415 960
Calls from outside Spain
+34 932 415 960
E-mail
Article options
Tools
es en pt

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos

es en pt
Política de cookies Cookies policy Política de cookies
Utilizamos cookies propias y de terceros para mejorar nuestros servicios y mostrarle publicidad relacionada con sus preferencias mediante el análisis de sus hábitos de navegación. Si continua navegando, consideramos que acepta su uso. Puede cambiar la configuración u obtener más información aquí. To improve our services and products, we use "cookies" (own or third parties authorized) to show advertising related to client preferences through the analyses of navigation customer behavior. Continuing navigation will be considered as acceptance of this use. You can change the settings or obtain more information by clicking here. Utilizamos cookies próprios e de terceiros para melhorar nossos serviços e mostrar publicidade relacionada às suas preferências, analisando seus hábitos de navegação. Se continuar a navegar, consideramos que aceita o seu uso. Você pode alterar a configuração ou obter mais informações aqui.