[Psychosomatic liaison service in neurology. Accordance between need for psychotherapeutic interventions and their realization].
The study addresses the realization of psychotherapeutic interventions in the framework of an integrated psychosomatic liaison service in neurology. Eighty-four patients from one unit at the Department of Neurology of the University of Freiburg, Germany, underwent structured psychodiagnostic interviews and filled in self-rating instruments to evaluate mental disorders, psychosocial distress, ways of coping, and quality of life. Motivation and the need for treatment were estimated by both patients and a liaison psychotherapist. Using ICD-10-F criteria, mental and behavioral disorders were diagnosed in 35% of the cases. Thirty-seven percent of the patients desired psychological support. Actual intervention occurred in 27%, with a mean consultation rate of 3.7 sessions. There was only slight agreement between the estimated need for treatment and the interventions actually performed. The realization of psychotherapeutic interventions was subject to a complex interaction between patient needs, "objective" psychosocial distress, and institutional factors. Differentiation between primary medical care and psychotherapy was difficult.
Fritzsche
K
K
Abteilung für Psychosomatik und Psychotherapeutische Medizin am Universitätsklinikum Freiburg. kf@psysom.ukl.uni-freiburg.de
Ratz
U
U
Federschmidt
H
H
Zeeck
A
A
D000328:Adult; D000368:Aged; D015897:Comorbidity; D005260:Female; D005858:Germany; D006801:Humans; D038801:International Classification of Diseases; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology / Q000628:therapy; D008875:Middle Aged; D020380:Needs Assessment / Q000706:statistics & numerical data; D009422:Nervous System Diseases / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology / Q000628:therapy*; D010348:Patient Care Team / Q000706:statistics & numerical data; D011602:Psychophysiologic Disorders / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology / Q000628:therapy*; D011613:Psychotherapy / Q000706:statistics & numerical data; D012017:Referral and Consultation / Q000706:statistics & numerical data