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Psychische Komorbidität

Eine Herausforderung in der Akutversorgung

Psychological comorbidity

A challenge in acute care

  • Leitthema
  • Published:
Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz Aims and scope

Zusammenfassung

Ein großer Anteil der körperlich Kranken, die in Akutkrankenhäusern behandelt werden, leidet unter psychischen Begleiterkrankungen. Man geht davon aus, dass bis zu 30% eine klinisch relevante psychische Störung haben. Im Vordergrund stehen hier vor allem depressive Erkrankungen, Angststörungen, somatoforme Störungen und Suchterkrankungen. Psychische Komorbidität stellt dabei nicht nur eine erhebliche subjektive Belastung für die Betroffenen dar, sondern kann auch zu einem ungünstigen somatischen Krankheitsverlauf, längeren Liegezeiten und vermehrten Behandlungskosten beitragen. Trotz der Relevanz psychischer Begleiterkrankungen bleiben diese im Krankenhaus häufig unerkannt oder unbehandelt. Wo möglich, erscheint es daher sinnvoll, psychisch auffällige Patienten den psychosomatischen oder psychiatrischen Konsil- oder Liaisondiensten vorzustellen, um eine Mitbehandlung der psychischen Störung rechtzeitig initiieren zu können. Eine erfolgreiche Therapie erfordert neben psychotherapeutisch erfahrenen Ärzten vor allem eine enge interdisziplinäre Abstimmung zwischen den Fachabteilungen.

Abstract

Comorbid mental disorders are common in patients with chronic conditions. It can be assumed that around 30% of all inpatients have some kind of mental disorder. Most frequent are depressive disorders, anxiety disorders, somatoform disorders, and addictive disorders. Mental disorders are not only a subjective burden for the patient, but may also lead to an unfavourable course of the disease, longer hospital stay, and increased treatment costs. However, despite its importance comorbid mental disorders are often not recognized or appropriately treated. Wherever possible, patients with psychological issues should be presented to a psychosomatic or psychiatric consultation-liaison service for further diagnosis and treatment. To treat patients with comorbid mental disorders, physicians must be well experienced in psychotherapeutic treatment and a collaborative interdisciplinary working environment must have been established.

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  1. Institut und Poliklinik für Psychosomatische Medizin, Universitätsklinikum Hamburg-Eppendorf und Schön-Klinik Hamburg Eilbek, Martinistr. 52, 20251, Hamburg, Deutschland

    M. Rose, I. Wahl, J. Crusius &  B. Löwe

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  1. M. Rose
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  2. I. Wahl
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  3. J. Crusius
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  4. B. Löwe
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Correspondence to B. Löwe.

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Rose, M., Wahl, I., Crusius, J. et al. Psychische Komorbidität. Bundesgesundheitsbl. 54, 83–89 (2011). https://doi.org/10.1007/s00103-010-1182-0

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