Universität zu Köln

Henning, Michaela, Subic-Wrana, Claudia, Wiltink, Joerg and Beutel, Manfred (2020). Anxiety Disorders in Patients With Somatic Diseases. Psychosom. Med., 82 (3). S. 287 - 296. PHILADELPHIA: LIPPINCOTT WILLIAMS & WILKINS. ISSN 1534-7796

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Abstract

Objective Anxiety disorders are among the most frequent mental disorders and are associated with a range of short- and long-term impairments and disabilities. Relatively little is known about anxiety disorders in patients with somatic diseases, and the present literature review highlights the current research in this field, data about prevalences of anxiety disorders in patients with somatic diseases, and the effectiveness of interventions. This article also introduces a comprehensive model of inpatient treatment and summarizes the evidence pertinent to this approach. Methods A narrative review is presented with regard to prevalence and treatment of anxiety disorders in patients with somatic diseases. The effects of inpatient treatment are illustrated based on a case report. Results This review indicates that anxiety disorders are more common in patients with somatic diseases, with prevalence estimates ranging from 2.5% to 55%, than in the general population. Several outpatient treatment options exist, with substantial support for the effectiveness of cognitive behavioral therapy, psychodynamic therapy, and pharmacotherapy. We also provide evidence in support of psychosomatic inpatient treatment for patients with anxiety disorders that are comorbid with somatic diseases. Conclusions Anxiety disorders are common in patients with somatic diseases, and several effective treatment options exist, including cognitive behavioral therapy and pharmacological interventions. We also provide support for the effectiveness of inpatient treatment with unique opportunities for multidisciplinary psychosomatic treatment of anxiety disorders with comorbid somatic diseases.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Henning, Michaela UNSPECIFIED UNSPECIFIED UNSPECIFIED Subic-Wrana, Claudia UNSPECIFIED UNSPECIFIED UNSPECIFIED Wiltink, Joerg UNSPECIFIED UNSPECIFIED UNSPECIFIED Beutel, Manfred UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-338333
DOI:	10.1097/PSY.0000000000000779
Journal or Publication Title:	Psychosom. Med.
Volume:	82
Number:	3
Page Range:	S. 287 - 296
Date:	2020
Publisher:	LIPPINCOTT WILLIAMS & WILKINS
Place of Publication:	PHILADELPHIA
ISSN:	1534-7796
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language CORONARY-ARTERY-DISEASE; QUALITY-OF-LIFE; PSYCHIATRIC-DISORDERS; PANIC DISORDER; HEART-DISEASE; RHEUMATOID-ARTHRITIS; DEPRESSIVE-DISORDERS; HOSPITAL TREATMENT; GLYCEMIC CONTROL; SOCIAL PHOBIA Multiple languages Psychiatry; Psychology; Psychology, Multidisciplinary Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/33833