Abstract:
OBJECTIVE:Presently, little is known about the characteristics and impact of integrated care programs for patients with psychological comorbidity. The aim was to provide an overview of these integrated care programs and their effectiveness. METHODS:Systematic literature review including papers published between 1995 and 2014. An integrated care program had to consist of interventions related to at least two out of the six components of the Chronic Care Model. Programs had to address patients with psychological comorbidity, which is a psychological disease next to a somatic chronic disease. A meta-analysis was performed on depression treatment response and a best evidence synthesis was performed on other outcomes. RESULTS:Ten programs were identified, which mostly addressed comorbid depression and consisted of interventions related to three to five components of the Chronic Care Model. Meta-analysis showed significantly higher odds for depression treatment response for patients receiving integrated care (OR: 2.49, 95%CI [1.66-3.75]). Best evidence synthesis suggested moderate evidence for cost-effectiveness and for a beneficial effect on patient satisfaction and emotional well-being. Insufficient evidence was found for a beneficial effect on health-related quality of life, medication adherence, Hb1Ac levels and mortality. CONCLUSION:There are few studies evaluating integrated care programs for patients with psychological comorbidity. Although these studies suggest that integrated care programs could positively affect several patient outcomes and could be cost-effective, additional studies are recommended to further assess the value of integrated care for this patient group. This is especially important since the number of people with psychological comorbidity is rising.
journal_name
J Psychosom Resjournal_title
Journal of psychosomatic researchauthors
Lemmens LC,Molema CC,Versnel N,Baan CA,de Bruin SRdoi
10.1016/j.jpsychores.2015.07.013subject
Has Abstractpub_date
2015-12-01 00:00:00pages
580-94issue
6eissn
0022-3999issn
1879-1360pii
S0022-3999(15)00513-9journal_volume
79pub_type
杂志文章,meta分析,评审abstract::Tricyclic antidepressants have notable cardiac side effects, and this issue has become important due to the recent reports of increased cardiovascular mortality in patients with depression and anxiety. Several previous studies indicate that serotonin reuptake inhibitors (SRIs) do not appear to have such adverse effect...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/s0022-3999(03)00023-0
更新日期:2003-12-01 00:00:00
abstract:BACKGROUND:Chronic fatigue syndrome (CFS) is associated with a high use of health care services. To reduce the related costs for patients and society, it will be useful to know which factors determine CFS patients' amount of health care use. Little is known, however, about these factors. METHOD:The present study retro...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2008.03.015
更新日期:2008-07-01 00:00:00
abstract::This investigation sought to determine whether medical patients facing life-threatening illnesses (i.e. cancer, myocardial infarction) differed in their coping responses from medical patients facing nonlife-threatening illnesses (e.g. arthritis, dermatitis). Subjects' coping responses were measured by a Medical Coping...
journal_title:Journal of psychosomatic research
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journal_title:Journal of psychosomatic research
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更新日期:2020-02-01 00:00:00
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journal_title:Journal of psychosomatic research
pub_type: 杂志文章
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journal_title:Journal of psychosomatic research
pub_type: 杂志文章,随机对照试验
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更新日期:2019-01-01 00:00:00
abstract:OBJECTIVE:Fibromyalgia (FM) is a chronic musculoskeletal pain disorder characterized by widespread pain. This study focuses on patients' attributions of illness and of symptom onset. METHODS:Semi-structured interviews were conducted with 56 women to elicit patients' views on what triggered their FM. The transcripts of...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2012.12.014
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journal_title:Journal of psychosomatic research
pub_type: 杂志文章,评审
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更新日期:2004-04-01 00:00:00
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journal_title:Journal of psychosomatic research
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更新日期:2010-05-01 00:00:00
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journal_title:Journal of psychosomatic research
pub_type: 杂志文章,meta分析,评审
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更新日期:2007-11-01 00:00:00
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journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/0022-3999(94)90134-1
更新日期:1994-01-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/s0022-3999(00)00087-8
更新日期:2000-06-01 00:00:00
abstract::A principal component analysis was carried out on the 62-item Illness Behaviour Questionnaire responses of 832 pain clinics and patients and 746 psychiatric in-patients in the same general hospital. Analyses were carried out for the groups separately, and combined (N = 1578). The factors obtained were compared to thos...
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pub_type: 杂志文章
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更新日期:1993-01-01 00:00:00
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更新日期:2012-07-01 00:00:00
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journal_title:Journal of psychosomatic research
pub_type: 临床试验,杂志文章,随机对照试验
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pub_type: 杂志文章
doi:10.1016/j.jpsychores.2016.12.013
更新日期:2017-02-01 00:00:00
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pub_type: 杂志文章
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pub_type: 杂志文章
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pub_type: 杂志文章
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pub_type: 传,历史文章,杂志文章
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更新日期:2009-12-01 00:00:00
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pub_type: 杂志文章
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journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2019.03.013
更新日期:2019-05-01 00:00:00
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journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/0022-3999(94)90037-x
更新日期:1994-05-01 00:00:00
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journal_title:Journal of psychosomatic research
pub_type: 杂志文章,meta分析,评审
doi:10.1016/j.jpsychores.2009.10.005
更新日期:2010-06-01 00:00:00
abstract::Impaired sexual functioning limits the quality of life of 34-75% of post-myocardial infarction (MI) patients. This study examined the effects of three factors: (a) beta-blocker intake, (b) psychological distress, and (c) information about safety of sexual activity, on post-MI decreased sexual functioning. Sixty-three ...
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pub_type: 杂志文章
doi:10.1016/0022-3999(94)90018-3
更新日期:1994-10-01 00:00:00
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journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2012.07.007
更新日期:2012-10-01 00:00:00
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journal_title:Journal of psychosomatic research
pub_type: 杂志文章,评审
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更新日期:1997-01-01 00:00:00
abstract::Forty-eight subjects classified as either Type A (coronary-prone) or Type B (coronary-resistant) exchanged points worth money with a computer-simulated opponent while an electrocardiogram was computer-monitored and scored. Type A's were more aggressive during the socioeconomic exchanges than were Type B's. The more ag...
journal_title:Journal of psychosomatic research
pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:1983-01-01 00:00:00
abstract:OBJECTIVE:To test age- and sex-specific associations between adverse life events and functional bodily symptoms (FBS) in the general population. METHODS:In a population-based cohort, 964 participants (mean age 55 years SD 11, 48% male) completed two measurements waves of the present study. Lifetime exposure to 12 adve...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2015.05.013
更新日期:2015-08-01 00:00:00