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Erschienen in: Wiener klinische Wochenschrift 7-8/2017

01.04.2017 | original article

Assessment of the need for psychosomatic care in patients with suspected cardiac disease

verfasst von: Evelyn Kunschitz, Oliver Friedrich, Christine Schöppl, Thomas W. Weiss, Wolfgang Miehsler, Johann Sipötz, Gabriele Moser

Erschienen in: Wiener klinische Wochenschrift | Ausgabe 7-8/2017

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Summary

Objective

The study aimed to assess the subjectively perceived need for additional general disease-oriented and psychotherapeutic care in patients with suspected cardiac disease and to investigate if the request for additional care is consistent with impairment of generic quality of life and the presence of psychosomatic risk factors.

Material and methods

Patients referred for cardiac stress testing because of suspected cardiac disease completed the assessment of the demand for additional psychological treatment (ADAPT) questionnaire, an assessment tool for counselling demand in patients with chronic illness, the SF-36 quality of life and the hospital anxiety and depression scale (HADS) questionnaires.

Results

The questionnaires were administered to 233 patients (age: 54.5 ± 13.4, 57.5 % male). Exclusive demand for disease-oriented counselling was indicated by 45.1 %, demand for psychotherapeutic counselling (exclusive or combined with disease-oriented demand) by 33.9 %. Almost all patients with psychotherapeutic demand (96.3 %) expressed also request for disease-oriented counselling. Patients with exclusive demand for disease-oriented counselling showed significantly lower scores in the emotional and physical functioning and role domains of the SF-36 than the norm population. Patients demanding psychotherapeutic counselling reported significantly lower scores in all SF-36 domains than the norm population. Psychotherapeutic demand was strongly associated with positive indicators for mental distress: SF-36 MH (OR: 4.1), SF-36 MCS (OR: 5.9), HADS anxiety (OR: 3.9), and HADS depression (OR: 3.0).

Conclusions

Our study shows that the patients’ request for additional care reflects impairment of generic health status and psychological risk load. This indicates that the assessment of subjectively perceived demand allows to screen for patients who are in need of psychosomatic care and motivated to participate in additional counselling and therapy.
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Metadaten
Titel
Assessment of the need for psychosomatic care in patients with suspected cardiac disease
verfasst von
Evelyn Kunschitz
Oliver Friedrich
Christine Schöppl
Thomas W. Weiss
Wolfgang Miehsler
Johann Sipötz
Gabriele Moser
Publikationsdatum
01.04.2017
Verlag
Springer Vienna
Erschienen in
Wiener klinische Wochenschrift / Ausgabe 7-8/2017
Print ISSN: 0043-5325
Elektronische ISSN: 1613-7671
DOI
https://doi.org/10.1007/s00508-016-1050-5