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Consultation–liaison service in the general hospital

Identifieur interne : 000917 ( Istex/Corpus ); précédent : 000916; suivant : 000918

Consultation–liaison service in the general hospital

Auteurs : Ulrike Ehlert ; Dieter Wagner ; Ulrike Lupke

Source :

RBID : ISTEX:B5BDA85056B5B30563AAD4C3DB955F90F89FF443

Abstract

Nearly 15% of patients referred to a general hospital psychological medicine consultation service met DSM criteria for somatoform disorders or showed psychological factors affecting physical conditions. In a case–control control study of patients meeting these diagnostic criteria, outcomes were compared of 21 consecutively referred patients who received a course of cognitive-behavioral therapy (CBT) in addition to standard hospital treatment (SHT) and another 21 patients who received SHT alone. Compared with the SHT group, those who received CBT treatment showed significantly decreased bodily complaints and negative mood, better insight into the psychosomatic causes of their complaints, and a high motivation for subsequent psychotherapy.

Url:
DOI: 10.1016/S0022-3999(99)00038-0

Links to Exploration step

ISTEX:B5BDA85056B5B30563AAD4C3DB955F90F89FF443

Le document en format XML

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<ce:label>*</ce:label>
<ce:text>Address correspondence to: Dr. Ulrike Ehlert, Department of Clinical Psychology, University of Zurich, Zurichbergstrasse 43, CH-8044 Zurich, Switzerland. Phone: +41-1-634-9086; Fax: +41-1-634-4930</ce:text>
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<ce:date-received day="5" month="5" year="1998"></ce:date-received>
<ce:date-accepted day="9" month="3" year="1999"></ce:date-accepted>
<ce:abstract>
<ce:section-title>Abstract</ce:section-title>
<ce:abstract-sec>
<ce:simple-para>Nearly 15% of patients referred to a general hospital psychological medicine consultation service met DSM criteria for somatoform disorders or showed psychological factors affecting physical conditions. In a case–control control study of patients meeting these diagnostic criteria, outcomes were compared of 21 consecutively referred patients who received a course of cognitive-behavioral therapy (CBT) in addition to standard hospital treatment (SHT) and another 21 patients who received SHT alone. Compared with the SHT group, those who received CBT treatment showed significantly decreased bodily complaints and negative mood, better insight into the psychosomatic causes of their complaints, and a high motivation for subsequent psychotherapy.</ce:simple-para>
</ce:abstract-sec>
</ce:abstract>
<ce:keywords>
<ce:section-title>Keywords</ce:section-title>
<ce:keyword>
<ce:text>Cognitive-behavioral therapy</ce:text>
</ce:keyword>
<ce:keyword>
<ce:text>Psychological medicine consultation service</ce:text>
</ce:keyword>
<ce:keyword>
<ce:text>Physical nonspecific symptoms</ce:text>
</ce:keyword>
<ce:keyword>
<ce:text>Short-term intervention</ce:text>
</ce:keyword>
</ce:keywords>
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<subTitle>Effects of cognitive-behavioral therapy in patients with physical nonspecific symptoms</subTitle>
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<title>Consultation–liaison service in the general hospital</title>
<subTitle>Effects of cognitive-behavioral therapy in patients with physical nonspecific symptoms</subTitle>
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<namePart type="given">Ulrike</namePart>
<namePart type="family">Ehlert</namePart>
<affiliation>Center of Psychobiological and Psychosomatic Research, University of Trier, Trier, Germany.</affiliation>
<affiliation>Address correspondence to: Dr. Ulrike Ehlert, Department of Clinical Psychology, University of Zurich, Zurichbergstrasse 43, CH-8044 Zurich, Switzerland. Phone: +41-1-634-9086; Fax: +41-1-634-4930</affiliation>
<affiliation>E-mail: ehlertu@klipsy.unizh.ch</affiliation>
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<name type="personal">
<namePart type="given">Dieter</namePart>
<namePart type="family">Wagner</namePart>
<affiliation>Center of Psychobiological and Psychosomatic Research, University of Trier, Trier, Germany.</affiliation>
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<roleTerm type="text">author</roleTerm>
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<name type="personal">
<namePart type="given">Ulrike</namePart>
<namePart type="family">Lupke</namePart>
<affiliation>Center of Psychobiological and Psychosomatic Research, University of Trier, Trier, Germany.</affiliation>
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<abstract lang="en">Nearly 15% of patients referred to a general hospital psychological medicine consultation service met DSM criteria for somatoform disorders or showed psychological factors affecting physical conditions. In a case–control control study of patients meeting these diagnostic criteria, outcomes were compared of 21 consecutively referred patients who received a course of cognitive-behavioral therapy (CBT) in addition to standard hospital treatment (SHT) and another 21 patients who received SHT alone. Compared with the SHT group, those who received CBT treatment showed significantly decreased bodily complaints and negative mood, better insight into the psychosomatic causes of their complaints, and a high motivation for subsequent psychotherapy.</abstract>
<note type="content">Section title: Original articles</note>
<note type="content">Table I: Description of the two groups of patients</note>
<note type="content">Table II: Pre–post comparisons and effect sizes of the extent of bodily complaints and depression scores for both groups of patients</note>
<note type="content">Table III: Results of the MANOVAs with repeated measurement with the dependent variables “bodily complaints” and “depression” in the two groups of patients</note>
<note type="content">Table IV: Between-group comparison in motivation for psychotherapy (QAMP)</note>
<subject>
<genre>Keywords</genre>
<topic>Cognitive-behavioral therapy</topic>
<topic>Psychological medicine consultation service</topic>
<topic>Physical nonspecific symptoms</topic>
<topic>Short-term intervention</topic>
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<title>Journal of Psychosomatic Research</title>
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<title>PSR</title>
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<originInfo>
<dateIssued encoding="w3cdtf">199911</dateIssued>
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<identifier type="ISSN">0022-3999</identifier>
<identifier type="PII">S0022-3999(00)X0054-2</identifier>
<part>
<date>199911</date>
<detail type="volume">
<number>47</number>
<caption>vol.</caption>
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<detail type="issue">
<number>5</number>
<caption>no.</caption>
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<extent unit="issue pages">
<start>403</start>
<end>490</end>
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<identifier type="DOI">10.1016/S0022-3999(99)00038-0</identifier>
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<accessCondition type="use and reproduction" contentType="copyright">©1999 Elsevier Science Inc.</accessCondition>
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