Psychotherapy and Psychosomatics

Standard Research Article

Psychiatric and Psychosomatic Consultation-Liaison Services in General Hospitals: A Systematic Review and Meta-Analysis of Effects on Symptoms of Depression and Anxiety

Stein B. · Müller M.M. · Meyer L.K. · Söllner W. · the CL Guidelines Working Group

Author affiliations

Department of Psychosomatic Medicine and Psychotherapy, Paracelsus Medical University, General Hospital Nuremberg, Nuremberg, Germany

Keywords: Consultation-liaison psychiatrySystematic reviewDepressionAnxiety

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Psychother Psychosom 2020;89:6–16
https://doi.org/10.1159/000503177

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Article / Publication Details

First-Page Preview
Abstract of Standard Research Article

Received: August 28, 2019
Accepted: September 04, 2019
Published online: October 22, 2019
Issue release date: January 2020

Number of Print Pages: 11
Number of Figures: 0
Number of Tables: 0

ISSN: 0033-3190 (Print)
eISSN: 1423-0348 (Online)

For additional information: https://www.karger.com/PPS

Abstract

Background: Psychiatric and psychosomatic consultation-liaison services (CL) are important providers of diagnosis and treatment for hospital patients with mental comorbidities and psychological burdens. Objective: To perform a systematic review and meta-analysis investigating the effects of CL on depression and anxiety. Methods: Following PRISMA guidelines, a systematic literature search was conducted until 2017. Included were published randomized controlled trials using CL interventions with adults in general hospitals, treatment as usual as control groups, and depression and/or anxiety as outcomes. Risk of bias was assessed using the Cochrane Risk of Bias Tool. Level of integration was assessed using the Standard Framework for Levels of Integrated Healthcare. Meta-analyses were performed using random effects models and meta-regression for moderator effects. Results: We included 38 studies (9,994 patients). Risk of bias was high in 17, unclear in 15, and low in 6 studies. Studies were grouped by type of intervention: brief interventions tailored to the patients (8), interventions based on specific treatment manuals (19), and integrated, collaborative care (11). Studies showed small to medium effects on depression and anxiety. Meta-analyses for depression yielded a small effect (d = –0.19, 95% CI: –0.30 to –0.09) in manual studies and a small effect (d = –0.33, 95% CI: –0.53 to –0.13) in integrated, collaborative care studies, the latter using mostly active control groups with the possibility of traditional consultation. Conclusions: CL can provide a helpful first treatment for symptoms of depression and anxiety. Given that especially depressive symptoms in medically ill patients are long-lasting, the results underline the benefit of integrative approaches that respect the complexity of the illness.

© 2019 S. Karger AG, Basel



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References

  1. Bourgeois JA, Kremen WS, Servis ME, Wegelin JA, Hales RE. The impact of psychiatric diagnosis on length of stay in a university medical center in the managed care era. Psychosomatics. 2005 Sep-Oct;46(5):431–9.
    External Resources
  2. Briskman I, Bar G, Boaz M, Shargorodsky M. Impact of co-morbid mental illness on the diagnosis and management of patients hospitalized for medical conditions in a general hospital. Int J Psychiatry Med. 2012;43(4):339–48.
    External Resources
  3. Naylor C, Parsonage M, McDaid D, Knapp M, Fossey M, Galea A. Long-term conditions and mental health: The cost of co-morbidities. London: The King’s Fund; 2012.
  4. Jeeva F, Dickens C, Coventry P, Bundy C, Davies L. Is treatment of depression cost-effective in people with diabetes? A systematic review of the economic evidence. Int J Technol Assess Health Care. 2013 Oct;29(4):384–91.
    External Resources
  5. Palacios J, Khondoker M, Mann A, Tylee A, Hotopf M. Depression and anxiety symptom trajectories in coronary heart disease: associations with measures of disability and impact on 3-year health care costs. J Psychosom Res. 2018 Jan;104:1–8.
    External Resources
  6. Vogeli C, Shields AE, Lee TA, Gibson TB, Marder WD, Weiss KB, et al. Multiple chronic conditions: prevalence, health consequences, and implications for quality, care management, and costs. J Gen Intern Med. 2007 Dec;22(S3 Suppl 3):391–5.
    External Resources
  7. Black SA, Markides KS, Ray LA. Depression predicts increased incidence of adverse health outcomes in older Mexican Americans with type 2 diabetes. Diabetes Care. 2003 Oct;26(10):2822–8.
    External Resources
  8. Creed F, Morgan R, Fiddler M, Marshall S, Guthrie E, House A. Depression and anxiety impair health-related quality of life and are associated with increased costs in general medical inpatients. Psychosomatics. 2002 Jul-Aug;43(4):302–9.
    External Resources
  9. Katon WJ, Rutter C, Simon G, Lin EH, Ludman E, Ciechanowski P, et al. The association of comorbid depression with mortality in patients with type 2 diabetes. Diabetes Care. 2005 Nov;28(11):2668–72.
    External Resources
  10. Lin EH, Rutter CM, Katon W, Heckbert SR, Ciechanowski P, Oliver MM, et al. Depression and advanced complications of diabetes: a prospective cohort study. Diabetes Care. 2010 Feb;33(2):264–9.
    External Resources
  11. Ludman EJ, Katon W, Russo J, Von Korff M, Simon G, Ciechanowski P, et al. Depression and diabetes symptom burden. Gen Hosp Psychiatry. 2004 Nov-Dec;26(6):430–6.
    External Resources
  12. Wu Q, Kling JM. Depression and the Risk of Myocardial Infarction and Coronary Death: A Meta-Analysis of Prospective Cohort Studies. Medicine (Baltimore). 2016 Feb;95(6):e2815.
    External Resources
  13. Arolt V, Driessen M, Dilling H. The Lübeck General Hospital Study. I: prevalence of psychiatric disorders in medical and surgical inpatients. Int J Psychiatry Clin Pract. 1997;1(3):207–16.
    External Resources
  14. Clarke DM, Minas IH, Stuart GW. The prevalence of psychiatric morbidity in general hospital inpatients. Aust N Z J Psychiatry. 1991 Sep;25(3):322–9.
    External Resources
  15. Friederich HC, Hartmann M, Bergmann G, Herzog W. Psychische Komorbidität bei internistischen Krankenhauspatienten. Psychother Psych Med. 2002 Jul;52(07):323–8.
    External Resources
  16. Silverstone PH. Prevalence of psychiatric disorders in medical inpatients. J Nerv Ment Dis. 1996 Jan;184(1):43–51.
    External Resources
  17. Wancata J, Benda N, Hajji M, Lesch OM, Müller C. Psychiatric disorders in gynaecological, surgical and medical departments of general hospitals in an urban and a rural area of Austria. Soc Psychiatry Psychiatr Epidemiol. 1996 Jun;31(3-4):220–6.
    External Resources
  18. Wood R, Wand AP. The effectiveness of consultation-liaison psychiatry in the general hospital setting: a systematic review. J Psychosom Res. 2014 Mar;76(3):175–92.
    External Resources
  19. Andreoli PB, Citero VA, Mari JJ. A systematic review of studies of the cost-effectiveness of mental health consultation-liaison interventions in general hospitals. Psychosomatics. 2003 Nov-Dec;44(6):499–507.
    External Resources
  20. Cape J, Whittington C, Bower P. What is the role of consultation-liaison psychiatry in the management of depression in primary care? A systematic review and meta-analysis. Gen Hosp Psychiatry. 2010 May-Jun;32(3):246–54.
    External Resources
  21. van der Feltz-Cornelis CM, Van Os TW, Van Marwijk HW, Leentjens AF. Effect of psychiatric consultation models in primary care. A systematic review and meta-analysis of randomized clinical trials. J Psychosom Res. 2010 Jun;68(6):521–33.
    External Resources
  22. Katon W, Lin EH, Kroenke K. The association of depression and anxiety with medical symptom burden in patients with chronic medical illness. Gen Hosp Psychiatry. 2007 Mar-Apr;29(2):147–55.
    External Resources
  23. Walker J, Burke K, Wanat M, Fisher R, Fielding J, Mulick A, et al. The prevalence of depression in general hospital inpatients: a systematic review and meta-analysis of interview-based studies. Psychol Med. 2018 Oct;48(14):2285–98.
    External Resources
  24. Heath B, Wise Romero P, Reynolds K. A standard framework for levels of integrated healthcare [Internet]. Washington, D.C.: SAMHSA-HRSA Center for Integrated Health Solutions; 2013 [29.07.2019]. Available from: http://www.integration.samhsa.gov/integrated-care-models/A_Standard_Framework_for_Levels_of_Integrated_Healthcare.pdf
  25. Amris K, Wæhrens EE, Christensen R, Bliddal H, Danneskiold-Samsøe B; IMPROvE Study Group. Interdisciplinary rehabilitation of patients with chronic widespread pain: primary endpoint of the randomized, nonblinded, parallel-group IMPROvE trial. Pain. 2014 Jul;155(7):1356–64.
    External Resources
  26. Bassett DL, Pilowsky I. A study of brief psychotherapy for chronic pain. J Psychosom Res. 1985;29(3):259–64.
    External Resources
  27. García J, Simón MA, Durán M, Canceller J, Aneiros FJ. Differential efficacy of a cognitive-behavioral intervention versus pharmacological treatment in the management of fibromyalgic syndrome. Psychol Health Med. 2006 Nov;11(4):498–506.
    External Resources
  28. Martín J, Torre F, Aguirre U, González N, Padierna A, Matellanes B, et al. Evaluation of the interdisciplinary PSYMEPHY treatment on patients with fibromyalgia: a randomized control trial. Pain Med. 2014 Apr;15(4):682–91.
    External Resources
  29. Moher D, Liberati A, Tetzlaff J, Altman DG; PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med. 2009 Jul;6(7):e1000097.
    External Resources
  30. German Association of the Scientific Medical Societies (AWMF) - Standing Guidelines Commission. AWMF Guidance Manual and Rules for Guideline Development, 1st Edition. [Internet]. Marburg, Germany: AWMF-Institut für Medizinisches Wissensmanagement; 2012 [cited 2019/07/29]. Available from: http://www.awmf.org/leitlinien/awmf-regelwerk.html
  31. Higgins JP, Altman DG, Sterne JA. Chapter 8: Assessing risk of bias in included studies. Cochrane Handbook for Systematic Reviews of Interventions Version 52 (updated June 2017) [Internet]. The Cochrane Collaboration; 2017 [cited 2019 Jul 29]. Available from https://training.cochrane.org/handbook
  32. Cochrane Deutschland, Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften - Institut für Medizinisches Wissensmanagement. [Risk of bias assessment in clinical trials: a manual for guideline preparation] [Internet]. Freiburg: Cochrane Deutschland; 2016 [cited 2019/07/29]. Available from: Cochrane Deutschland: http://www.cochrane.de/de/rob-manualAWMF. http://www.awmf.org/leitlinien/awmf-regelwerk/ll-entwicklung.html
  33. O’Donnell A, McParlin C, Robson SC, Beyer F, Moloney E, Bryant A, et al. Treatments for hyperemesis gravidarum and nausea and vomiting in pregnancy: a systematic review and economic assessment [Internet]Southampton, UK: NIHR Journals Library; 2016.[ [cited 2019 Jul 29]], Available from https://www.ncbi.nlm.nih.gov/books/NBK390518/
  34. Cohen J. Statistical power analysis for the behavioral sciences. New York: Routledge; 1988.
  35. Higgins JP, Deeks JJ. Chapter 7: Selecting studies and collecting data. Cochrane Handbook for Systematic Reviews of Interventions Version 51 (updated March 2011) [Internet]The Cochrane Collaboration; 2011., Available from https://training.cochrane.org/handbook
  36. Higgins JP, Deeks JJ, Altman DG. Chapter 16: Special topics in statistics. Cochrane Handbook for Systematic Reviews of Interventions Version 51 (updated March 2011) [Internet]. The Cochrane Collaboration; 2011. Available from https://training.cochrane.org/handbook
  37. Furukawa TA, Barbui C, Cipriani A, Brambilla P, Watanabe N. Imputing missing standard deviations in meta-analyses can provide accurate results. J Clin Epidemiol. 2006 Jan;59(1):7–10.
    External Resources
  38. R Core Team. R: A language and environment for statistical computing [Internet]. Vienna, Austria: R Foundation for Statistical Computing; 2017 [cited 2019/07/29]. Available from: https://www.R-project.org/
  39. Viechtbauer W. Conducting meta-analyses in R with the metafor package. J Stat Softw. 2010 Aug;36(3):1–48.
    External Resources
  40. Egger M, Davey Smith G, Schneider M, Minder C. Bias in meta-analysis detected by a simple, graphical test. BMJ. 1997 Sep;315(7109):629–34.
    External Resources
  41. Borenstein M, Hedges LV, Higgins JP, Rothstein HR. Introduction to meta-analysis. Hoboken (NJ): Wiley; 2009. https://doi.org/10.1002/9780470743386.
    External Resources
  42. Borenstein M, Hedges LV, Higgins JP, Rothstein HR. When does it make sense to perform a meta-analysis? In: Borenstein M, Hedges LV, Higgins JP, Rothstein HR, editors. Introduction to meta-analysis. Hoboken (NJ): Wiley; 2009. https://doi.org/10.1002/9780470743386.ch40.
    External Resources
  43. Cochran W. The combination of estimates from different experiments. Biometrics. 1954;10(1):101–29.
    External Resources
  44. Higgins JP, Thompson SG, Deeks JJ, Altman DG. Measuring inconsistency in meta-analyses. BMJ. 2003 Sep;327(7414):557–60.
    External Resources
  45. Borenstein M, Hedges LV, Higgins JP, Rothstein HR. A basic introduction to fixed-effect and random-effects models for meta-analysis. Res Synth Methods. 2010 Apr;1(2):97–111.
    External Resources
  46. DerSimonian R, Laird N. Meta-analysis in clinical trials. Control Clin Trials. 1986 Sep;7(3):177–88.
    External Resources
  47. Sterne Jonathan AC, Egger M. Regression Methods to Detect Publication and Other Bias in Meta-Analysis. In: Rothstein HR, Sutton AJ, Borenstein M, editors. Publication Bias in Meta‐Analysis: Prevention, Assessment and Adjustments. Hoboken (NJ): Wiley; 2006. https://doi.org/10.1002/0470870168.ch6.
    External Resources
  48. Wu W, Lin S, Wu G, Li L. [Influence of perioperative supportive psychotherapy on the postoperative mental state and sexual life in patients with uterine cervix cancer]. Zhongguo Linchuang Kangfu. 2005;9(16):42–3.
  49. Candy B, Jones L, Vickerstaff V, Tookman A, King M. Interventions for sexual dysfunction following treatments for cancer in women. Cochrane Database Syst Rev. 2016 Feb(2). https://doi.org/10.1002/14651858.CD005540.pub3.
    External Resources
  50. Austin MP, Frilingos M, Lumley J, Hadzi-Pavlovic D, Roncolato W, Acland S, et al. Brief antenatal cognitive behaviour therapy group intervention for the prevention of postnatal depression and anxiety: a randomised controlled trial. J Affect Disord. 2008 Jan;105(1-3):35–44.
    External Resources
  51. Baldwin R, Pratt H, Goring H, Marriott A, Roberts C. Does a nurse-led mental health liaison service for older people reduce psychiatric morbidity in acute general medical wards? A randomised controlled trial. Age Ageing. 2004 Sep;33(5):472–8.
    External Resources
  52. Blumenthal JA, Babyak MA, Keefe FJ, Davis RD, Lacaille RA, Carney RM, et al. Telephone-based coping skills training for patients awaiting lung transplantation. J Consult Clin Psychol. 2006 Jun;74(3):535–44.
    External Resources
  53. Burton MV, Parker RW, Farrell A, Bailey D, Conneely J, Booth S, et al. A randomised controlled trial of preoperative psychological preparation for mastectomy. Psychooncology. 1995 Apr;4(1):1–19.
    External Resources
  54. Callaghan P, Li HC. The effect of pre-operative psychological interventions on post-operative outcomes in Chinese women having an elective hysterectomy. Br J Health Psychol. 2002 May;7(Pt 2):247–52.
    External Resources
  55. Cole MG, Fenton FR, Engelsmann F, Mansouri I. Effectiveness of geriatric psychiatry consultation in an acute care hospital: a randomized clinical trial. J Am Geriatr Soc. 1991 Dec;39(12):1183–8.
    External Resources
  56. Cole MG, McCusker J, Elie M, Dendukuri N, Latimer E, Belzile E. Systematic detection and multidisciplinary care of depression in older medical inpatients: a randomized trial. CMAJ. 2006 Jan;174(1):38–44.
    External Resources
  57. Cullum S, Tucker S, Todd C, Brayne C. Effectiveness of liaison psychiatric nursing in older medical inpatients with depression: a randomised controlled trial. Age Ageing. 2007 Jul;36(4):436–42.
    External Resources
  58. Davidson KW, Rieckmann N, Clemow L, Schwartz JE, Shimbo D, Medina V, et al. Enhanced depression care for patients with acute coronary syndrome and persistent depressive symptoms: coronary psychosocial evaluation studies randomized controlled trial. Arch Intern Med. 2010 Apr;170(7):600–8.
    External Resources
  59. Given C, Given B, Rahbar M, Jeon S, McCorkle R, Cimprich B, et al. Does a symptom management intervention affect depression among cancer patients: results from a clinical trial. Psychooncology. 2004 Nov;13(11):818–30.
    External Resources
  60. Gruen W. Effects of brief psychotherapy during the hospitalization period on the recovery process in heart attacks. J Consult Clin Psychol. 1975 Apr;43(2):223–32.
    External Resources
  61. Guthrie E, Creed F, Dawson D, Tomenson B. A randomised controlled trial of psychotherapy in patients with refractory irritable bowel syndrome. Br J Psychiatry. 1993 Sep;163(3):315–21.
    External Resources
  62. Herrmann-Lingen C, Beutel ME, Bosbach A, Deter HC, Fritzsche K, Hellmich M, et al.; SPIRR-CAD Study Group. A stepwise psychotherapy intervention for reducing risk in coronary artery disease (SPIRR-CAD): results of an observer-blinded, multicenter, randomized trial in depressed patients with coronary artery disease. Psychosom Med. 2016 Jul-Aug;78(6):704–15.
    External Resources
  63. Hubschmid M, Aybek S, Maccaferri GE, Chocron O, Gholamrezaee MM, Rossetti AO, et al. Efficacy of brief interdisciplinary psychotherapeutic intervention for motor conversion disorder and nonepileptic attacks. Gen Hosp Psychiatry. 2015 Sep-Oct;37(5):448–55.
    External Resources
  64. Huffman JC, Mastromauro CA, Beach SR, Celano CM, DuBois CM, Healy BC, et al. Collaborative care for depression and anxiety disorders in patients with recent cardiac events: the Management of Sadness and Anxiety in Cardiology (MOSAIC) randomized clinical trial. JAMA Intern Med. 2014 Jun;174(6):927–35.
    External Resources
  65. Huffman JC, Mastromauro CA, Sowden G, Fricchione GL, Healy BC, Januzzi JL. Impact of a depression care management program for hospitalized cardiac patients. Circ Cardiovasc Qual Outcomes. 2011 Mar;4(2):198–205.
    External Resources
  66. Jantschek G, Zeitz M, Pritsch M, Wirsching M, Klör HU, Studt HH, et al.; German Study Group on Psychosocial Intervention in Crohn’s Disease. Effect of psychotherapy on the course of Crohn’s disease. Results of the German prospective multicenter psychotherapy treatment study on Crohn’s disease. Scand J Gastroenterol. 1998 Dec;33(12):1289–96.
    External Resources
  67. Kalaitzi C, Papadopoulos VP, Michas K, Vlasis K, Skandalakis P, Filippou D. Combined brief psychosexual intervention after mastectomy: effects on sexuality, body image, and psychological well-being. J Surg Oncol. 2007 Sep;96(3):235–40.
    External Resources
  68. Koertge J, Janszky I, Sundin O, Blom M, Georgiades A, László KD, et al. Effects of a stress management program on vital exhaustion and depression in women with coronary heart disease: a randomized controlled intervention study. J Intern Med. 2008 Mar;263(3):281–93.
    External Resources
  69. Kominski G, Andersen R, Bastani R, Gould R, Hackman C, Huang D, et al. UPBEAT: the impact of a psychogeriatric intervention in VA medical centers. Unified Psychogeriatric Biopsychosocial Evaluation and Treatment. Med Care. 2001 May;39(5):500–12.
    External Resources
  70. León-Pizarro C, Gich I, Barthe E, Rovirosa A, Farrús B, Casas F, et al. A randomized trial of the effect of training in relaxation and guided imagery techniques in improving psychological and quality-of-life indices for gynecologic and breast brachytherapy patients. Psychooncology. 2007 Nov;16(11):971–9.
    External Resources
  71. Lincoln NB, Flannaghan T. Cognitive behavioral psychotherapy for depression following stroke: a randomized controlled trial. Stroke. 2003 Jan;34(1):111–5.
    External Resources
  72. Linn MW, Linn BS, Harris R. Effects of counseling for late stage cancer patients. Cancer. 1982 Mar;49(5):1048–55.
    External Resources
  73. Mayou R, Sprigings D, Birkhead J, Price J. A randomized controlled trial of a brief educational and psychological intervention for patients presenting to a cardiac clinic with palpitation. Psychol Med. 2002 May;32(4):699–706.
    External Resources
  74. McArdle JM, George WD, McArdle CS, Smith DC, Moodie AR, Hughson AV, et al. Psychological support for patients undergoing breast cancer surgery: a randomised study. BMJ. 1996 Mar;312(7034):813–6.
    External Resources
  75. McCorkle R, Dowd M, Ercolano E, Schulman-Green D, Williams AL, Siefert ML, et al. Effects of a nursing intervention on quality of life outcomes in post-surgical women with gynecological cancers. Psychooncology. 2009 Jan;18(1):62–70.
    External Resources
  76. Moorey S, Greer S, Bliss J, Law M. A comparison of adjuvant psychological therapy and supportive counselling in patients with cancer. Psychooncology. 1998 May-Jun;7(3):218–28.
    External Resources
  77. Napolitano MA, Babyak MA, Palmer S, Tapson V, Davis RD, Blumenthal JA; Investigational Study of Psychological Intervention in Recipients of Lung Transplant (INSPIRE) Investigators. Effects of a telephone-based psychosocial intervention for patients awaiting lung transplantation. Chest. 2002 Oct;122(4):1176–84.
    External Resources
  78. Oslin DW, Thompson R, Kallan MJ, TenHave T, Blow FC, Bastani R, et al. Treatment effects from UPBEAT: a randomized trial of care management for behavioral health problems in hospitalized elderly patients. J Geriatr Psychiatry Neurol. 2004 Jun;17(2):99–106.
    External Resources
  79. Rollman BL, Belnap BH, LeMenager MS, Mazumdar S, Houck PR, Counihan PJ, et al. Telephone-delivered collaborative care for treating post-CABG depression: a randomized controlled trial. JAMA. 2009 Nov;302(19):2095–103.
    External Resources
  80. Roykulcharoen V, Good M. Systematic relaxation to relieve postoperative pain. J Adv Nurs. 2004 Oct;48(2):140–8.
    External Resources
  81. Schofield P, Gough K, Lotfi-Jam K, Bergin R, Ugalde A, Dudgeon P, et al. Nurse-led group consultation intervention reduces depressive symptoms in men with localised prostate cancer: a cluster randomised controlled trial. BMC Cancer. 2016 Aug;16(1):637.
    External Resources
  82. Schweickhardt A, Larisch A, Wirsching M, Fritzsche K. Short-term psychotherapeutic interventions for somatizing patients in the general hospital: a randomized controlled study. Psychother Psychosom. 2007;76(6):339–46.
    External Resources
  83. Shah A, Odutoye K, De T. Depression in acutely medically ill elderly inpatients: a pilot study of early identification and intervention by formal psychogeriatric consultation. J Affect Disord. 2001 Feb;62(3):233–40.
    External Resources
  84. Simson U, Nawarotzky U, Friese G, Porck W, Schottenfeld-Naor Y, Hahn S, et al. Psychotherapy intervention to reduce depressive symptoms in patients with diabetic foot syndrome. Diabet Med. 2008 Feb;25(2):206–12.
    External Resources
  85. Sneed NV, Finch NJ, Michel Y. The effect of psychosocial nursing intervention on the mood state of patients with implantable cardioverter defibrillators and their caregivers. Prog Cardiovasc Nurs. 1997;12(2):4–14.
    External Resources
  86. Stiefel F, Zdrojewski C, Bel Hadj F, Boffa D, Dorogi Y, So A, et al. Effects of a multifaceted psychiatric intervention targeted for the complex medically ill: a randomized controlled trial. Psychother Psychosom. 2008;77(4):247–56.
    External Resources
  87. Watkins CL, Auton MF, Deans CF, Dickinson HA, Jack CI, Lightbody CE, et al. Motivational interviewing early after acute stroke: a randomized, controlled trial. Stroke. 2007 Mar;38(3):1004–9.
    External Resources
  88. Hackett TP, Cassem NH. Massachusetts General Hospital handbook of general hospital psychiatry. Maryland Heights (MI): Mosby; 1978.
  89. Söllner W (Herzog W, Beutel M, Kruse J, editors). Psychosomatische Medizin und Psychotherapie heute. Stuttgart: Schattauer; 2012. pp. 68–73. [Consultation-Liaison services: from fire brigade to integrated care models].
  90. Lipsitt DR. Consultation-liaison psychiatry and psychosomatic medicine: the company they keep. Psychosom Med. 2001 Nov-Dec;63(6):896–909.
    External Resources
  91. Zipfel S, Herzog W, Kruse J, Henningsen P. Psychosomatic Medicine in Germany: More Timely than Ever. Psychother Psychosom. 2016;85(5):262–9.
    External Resources
  92. Katon WJ, Lin EH, Von Korff M, Ciechanowski P, Ludman EJ, Young B, et al. Collaborative care for patients with depression and chronic illnesses. N Engl J Med. 2010 Dec;363(27):2611–20.
    External Resources
  93. Smith GC. From consultation-liaison psychiatry to integrated care for multiple and complex needs. Aust N Z J Psychiatry. 2009 Jan;43(1):1–12.
    External Resources
  94. Fava GA. Rational use of antidepressant drugs. Psychother Psychosom. 2014;83(4):197–204.
    External Resources
  95. Rayner L, Price A, Evans A, Valsraj K, Higginson IJ, Hotopf M. Antidepressants for depression in physically ill people. Cochrane Database Syst Rev. 2010 Mar(3). https://doi.org/10.1002/14651858.CD007503.pub2.
    External Resources
  96. Rigatelli M, Casolari L, Massari I, Ferrari S. A follow-up study of psychiatric consultations in the general hospital: what happens to patients after discharge? Psychother Psychosom. 2001 Sep-Oct;70(5):276–82.
    External Resources
  97. National Institute for Health Care Excellence. Depression in adults with a chronic physical health problem: recognition and management [Internet]. London: NICE; 2009 [cited 2019/07/29]. Available from: https://www.nice.org.uk/guidance/cg91
  98. National Institute for Health Care Excellence. Depression in adults: recognition and management [Internet]. London: NICE; 2018 [cited 2019/07/29]. Available from: https://www.nice.org.uk/guidance/cg90
  99. National Institute for Health Care Excellence. Anxiety disorders [Internet]. London: NICE; 2014 [cited 2019/07/29]. Available from: https://www.nice.org.uk/guidance/qs53
  100. Peveler R, Carson A, Rodin G. Depression in medical patients. BMJ. 2002 Jul;325(7356):149–52.
    External Resources
  101. Henningsen P, Zipfel S, Sattel H, Creed F. Management of Functional Somatic Syndromes and Bodily Distress. Psychother Psychosom. 2018;87(1):12–31.
    External Resources
  102. Kathol RG, Hobbs Knutson K, Dehnel PJ. Physician’s guide: understanding and working with integrated case managers. Cham: Springer International Publishing; 2016. https://doi.org/10.1007/978-3-319-28959-5.
    External Resources
  103. Fava GA, Cosci F, Sonino N. Current Psychosomatic Practice. Psychother Psychosom. 2017;86(1):13–30.
    External Resources
  104. Fava GA, Guidi J, Rafanelli C, Rickels K. The Clinical Inadequacy of the Placebo Model and the Development of an Alternative Conceptual Framework. Psychother Psychosom. 2017;86(6):332–40.
    External Resources
  105. Summergrad P, Kathol RG, editors. Integrated care in psychiatry: redefining the role of mental health professionals in the medical setting. New York: Springer; 2014. https://doi.org/10.1007/978-1-4939-0688-8.
    External Resources

Article / Publication Details

First-Page Preview
Abstract of Standard Research Article

Received: August 28, 2019
Accepted: September 04, 2019
Published online: October 22, 2019
Issue release date: January 2020

Number of Print Pages: 11
Number of Figures: 0
Number of Tables: 0

ISSN: 0033-3190 (Print)
eISSN: 1423-0348 (Online)

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2020, Vol.89, No. 1

January 2020

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