Abstract
Objective: Psychosomatic medicine, also known as consultation-liaison psychiatry, received approval as a subspecialty field of psychiatry by the American Board of Medical Specialties in the spring of 2003. This represents a crucial step in the development of the field of psychosomatic medicine and recognition by leaders in the fields of medicine and psychiatry of its importance. Methods: The field was developed in response to evidence suggesting that a high prevalence of psychiatric disorders exists in patients with complex medical illnesses and that diagnosis and management of these disorders in this population is critical yet frequently complicated by the medical illnesses themselves. Results: Psychosomatic medicine psychiatrists have developed specialized expertise in addressing these issues. Conclusion: The approval of subspecialty status for psychosomatic medicine will help promote the psychiatric care of patients with complex medical, surgical, obstetrical and neurological conditions, as well as foster further improvements in the quality of training and research in this important area.
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References
Lipsitt DR: Consultation-liaison psychiatry and psychosomatic medicine: the company they keep. Psychosom Med 2001; 63: 896–909
Thompson TL, Suddath RL, Edward G, Billings, MD: Pioneer of consultation-liaison psychiatry. Psychosomatics 1987; 28: 153–156
Larson DB, Kessler LC, Burns BJ, Pincus HA, Houpt JL, Fiester S, Chaitkin L: A research development workshop to stimulate outcome research in consultation-liaison psychiatry. Hosp Community Psychiatry 1987; 38: 1106–1109
Kimball CP: Conceptual developments in psychosomatic medicine: 1939–1969. Ann Intern Med 1970; 73: 307–316
Engel GL: The need for a new medical model: a challenge for biomedicine. Science 1977; 196: 129–136
Academy of Psychosomatic Medicine: Directory of U. S. Consultation-Liaison Fellowship Training Programs. Chicago, APM, 2001
Graduate Medical Education. JAMA 2001; 286: 1095–1107
Dorwart RA, Chartock LR, Dial T, Fenton W, Knesper D, Koran LM, Leaf PJ, Pincus H, Smith R, Weissman S, et al: A national study of psychiatrists’ professional activities. Am J Psychiatry 1992; 149: 1499–1505
Lyketsos CG, Treisman GJ, Lipsey JR, Morris PLP, Robinson RG: Does stroke cause depression? J Neuropsychiatry Clin Neurosciences 1998; 10: 103–107
Robinson RG, Starr LB, Kubos, KL, Rao K, Price TE: Mood disorders in stroke patients: importance of location of lesion. Brain 1984; 107: 81–93
Walker EA, Katon WJ, Hansom J, Harrop-Griffiths J, Holm L, Jones ML, Hickok LR, Russo J: Psychiatric diagnoses and sexual victimization in women with chronic pelvic pain. Psychosomatics 1995; 36: 531–540
Trzepacz PT, Baker RW, Greenhouse J: A symptom rating scale for delirium. Psychiatry Res 1988; 23: 89–97
Miller NE, Lipowski ZB, Lebowitz BD (eds): Delirium: advances in research and clinical practice. Int Psychogeriatrics 1992; 3: 97–114
Glassman AH, Shapiro PA: Depression and the course of coronary artery disease. Am J Psychiatry 1998; 155: 4–11
Simonsick EM, Wallace RB, Blazer DG, Berkman LF: Depressive symptomatology and hypertension-associated morbidity and mortality in older adults. Psychosom Med 1995; 57: 427–435
Lustman PJ, Anderson RJ, Freedland KE, de Groot M, Carney RM, Clouse RE: Depression and poor glycemic control: a meta-analytic review of the literature. Diabetes Care 2000; 23: 934–942
Lyketsos CG, Steele C, Galik E, Rosenblatt A, Steinberg M, Warren A, Sheppard JM: Physical aggression in dementia patients and its relationship to depression. Am J Psychiatry 1999; 156: 66–71
Morris PL, Robinson RG, Samuels J: Depression, introversion and mortality following stroke. Aust N Z J Psychiatry 1993; 27: 443–449
Simon G, Ormel J, Von Korff M, Barlow W: Health care costs associated with depressive and anxiety disorders in primary care. Am J Psychiatry 1995; 152: 352–357
Saravay SM, Steinberg MD, Weinschel B, Pollack S, Alovis N: Psychological comorbidity and length of stay in the general hospital. Am J Psychiatry 1991; 148: 324–329
Levenson JL: Psychological factors affecting medical conditions, in The American Psychiatric Press Textbook of Psychiatry, Fourth Edition. Edited by Hales RE, Yudovsky SC, Talbott JA. Washington, DC, American Psychiatric Press, 2002, pp 631–658
Strain JJ, Lyons JS, Hammer JS, Fahs M, Lebovits A, Paddison PL, Snyder S, Strauss E, Burton R, Nuber G, et al: Cost offset from a psychiatric consultation-liaison intervention with elderly hip fracture patients. Am J Psychiatry 1991; 148: 1044–1049
Von Korff M, Katon W, Bush T, Lin EH, Simon GE, Saunders K, Ludman E, Walker E, Unutzer J: Treatment costs, cost offset, and cost-effectiveness of collaborative management of depression. Psychosom Med 1998; 60: 143–149
Cole S, Saravay S: Mental disorders, in General Medical Practice: Adding Value to Health Care Through Consultation Liaison Psychiatry: Medical/Surgical Inpatient Care. Chicago, Academy of Psychosomatic Medicine, 1999
American Psychiatric Association: Practice guideline for the treatment of patients with delirium. Am J Psychiatry 1999; 156 (May suppl): 1–20
Huyse FJ: From consultation to complexity of care prediction and health service needs assessment. Editorial J Psychosomatic Res 1997; 43: 233–240
Katon W: The impact of major depression on chronic medical illness. Gen Hosp Psychiatry 1996; 18: 215–219
Francis J, Kapoor WN: Prognosis after hospital discharge of older medical patients with delirium. J Am Geri Soc 1992; 40: 601–606
Francis J, Martin D, Kapoor WN: A prospective study of delirium in hospitalized elderly. JAMA 1990 263: 1097–1101
Levitan SJ, Kornfeld DS: Clinical and cost benefits of liaison psychiatry. Am J Psychiatry 1981; 138: 790–793
Koenig HG, George LK, Meador KG: Use of antidepressants by nonpsychiatrists in the treatment of medically ill hospitalized depressed elderly patients. Am J Psychiatry 1997; 154: 1369–1375
Koenig HG, Kuchibhatla M: Use of health services by hospitalized medically ill depressed elderly patients. Am J Psychiatry 1998; 155: 871–877
Torem M, Saravay SM, Steinberg H: Psychiatric liaison: benefits of an “active” approach. Psychosomatics 1979; 20: 598–611
Burton HJ, Kline SA, Lindsay RM, Heidenheim AP: The relationship of depression to survival in chronic renal failure. Psychosom Med 1986, 48: 261–269
Levenson JL, Olbrisch ME: Shortage of donor organs and long waits: new sources of stress for transplant patients. Psychosomatics 1987; 28: 399–406
Holland JC: History of psycho-oncology: overcoming attitudinal and conceptual barriers. Psychosom Med 2002; 64: 206–221
McDaniel JS, Fowlie E, Summerville ME, Farber EW, Cohen Cole SA: An assessment of rates of psychiatric morbidity and functioning in HIV disease. Gen Hosp Psychiatry 1995; 17: 346–352
Schulberg HC, Katon W, Simon GE, Rush AJ: Treating major depression in primary care practice: an update of the Agency for Health Care Policy and Research Practice Guidelines. Arch Gen Psychiatry 1998; 55: 1121–1127
Agency for Health Care Policy and Research: Management of cancer pain: adults. Clin Pract Guidelines Quick Ref Guide Clin 1994; 9: 1–29
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Gitlin, D.F., Levenson, J.L. & Lyketsos, C.G. Psychosomatic Medicine: A New Psychiatric Subspecialty. Acad Psychiatry 28, 4–11 (2004). https://doi.org/10.1176/appi.ap.28.1.4
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DOI: https://doi.org/10.1176/appi.ap.28.1.4