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1 Introduction
 [F] Diseases Research  / PubMed Research Articles  /
[Comorbid Mental Disorders in Gastroenterology and Hepatology: Prevalence and Psychosocial Needs in Tertiary Care].




Psychotherapie, Psychosomatik, medizinische Psychologie Feb ; ()


Niecke A1; Lemke H2; Goeser T3; Hellmich M4; Vitinius F5; Albus C6;

Author Information
  • 1Klinik und Poliklinik für Psychosomatik und Psychotherapie, Uniklinik Köln.
  • 2Klinik für Allgemeine Innere Medizin, Gastoenterologie und Infektiologie, Krankenhaus der Augustinerinnen, Köln.
  • 3Klinik für Gastroenterologie und Hepatologie, Uniklinik Köln.
  • 4Institut für Medizinische Statistik, Informatik und Epidemiologie, Universität zu Köln.
  • 5Klinik und Poliklinik für Psychosomatik und Psychotherapie, Uniklinik Köln.
  • 6Klinik und Poliklinik für Psychosomatik und Psychotherapie, Uniklinik Köln.


BACKGROUND: In the field of gastroenterology and hepatology, associations and interactions with comorbid mental disorders are often described, but there is currently a lack of methodologically high-quality studies on prevalence and the need for care. The aim of the study was to take account of this shortcoming.

METHODS: Prospective, monocentric, cross-sectional study of a representative sample of inpatients at a university hospital. A total of 308 participants were examined for the presence of 8 frequent psychological syndromes with a validated questionnaire (PHQ-D). In addition, 63 participants were examined for the presence of mental disorders according to ICD-10 with a diagnostic interview (SKID-I) that covers a wider range of diagnoses. The need for psychosocial care was raised from the perspective of internal medicine practitioners and psychosomatic experts.

RESULTS: The prevalence for at least 1 mental syndrome in the questionnaire sample (PHQ-D excl. PHQ-15) was 39.6%, in 23.8% of whom more than one syndrome was present. The most frequent were depressive and anxiety syndromes. There were significant differences in the various subgroups (sex, type and severity of the somatic disease). The 4-week prevalence for any mental disorder in the interview sample (SKID-I) was 52.4%. Affective and somatoform disorders as well as adaptation disorders were dominant. The need for psychosocial care was reported in 23.1% by the practitioners and in 30.2% by the experts.

CONCLUSIONS: Patients with gastroenterological-hepatological tertiary care have a high prevalence of treatment-related psychological syndromes or disorders. In comparison with the reference data of the Robert Koch Institute on the 12-month prevalence of mental disorders among the general population in Germany, the proportion of current mental disorders is almost twice as high (52.7 vs. 27.1%, p<0.001). To cover the need for care, the provision of psychosomatic liaison services and the strengthening of psychosomatic basic care in gastroenterology/hepatology should be established.

© Georg Thieme Verlag KG Stuttgart · New York.




Publication Type: English Abstract, Journal Article

This article is licensed under the the National Library of Medicine License. It uses material from the PubMed National Library of Medicine Data.

Last Modified:   2016-03-27

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