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Collaborative stepped care for somatoform disorders: A pre-post-intervention study in primary care

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Collaborative stepped care for somatoform disorders: A pre-post-intervention study in primary care. / Shedden-Mora, Meike C.; Groß, Beatrice; Lau, Katharina; Gumz, Antje; Wegscheider, Karl; Löwe, Bernd.

in: J PSYCHOSOM RES, Jahrgang 80, 2016, S. 23-30.

Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung

Harvard

Shedden-Mora, MC, Groß, B, Lau, K, Gumz, A, Wegscheider, K & Löwe, B 2016, 'Collaborative stepped care for somatoform disorders: A pre-post-intervention study in primary care', J PSYCHOSOM RES, Jg. 80, S. 23-30. https://doi.org/10.1016/j.jpsychores.2015.11.004

APA

Shedden-Mora, M. C., Groß, B., Lau, K., Gumz, A., Wegscheider, K., & Löwe, B. (2016). Collaborative stepped care for somatoform disorders: A pre-post-intervention study in primary care. J PSYCHOSOM RES, 80, 23-30. https://doi.org/10.1016/j.jpsychores.2015.11.004

Vancouver

Shedden-Mora MC, Groß B, Lau K, Gumz A, Wegscheider K, Löwe B. Collaborative stepped care for somatoform disorders: A pre-post-intervention study in primary care. J PSYCHOSOM RES. 2016;80:23-30. https://doi.org/10.1016/j.jpsychores.2015.11.004

Bibtex

@article{3adfe917b9ca411da95596b5b74ee7c9,
title = "Collaborative stepped care for somatoform disorders: A pre-post-intervention study in primary care",
abstract = "OBJECTIVE:The successful management of somatoform disorders in primary care is often limited due to low diagnostic accuracy, delayed referral to psychotherapy, and unstructured overuse of health care. This study aimed to investigate the feasibility of establishing a collaborative stepped health care network for somatoform disorders, and its impact on the diagnostic process and treatment recommendations in primary care.METHOD:The Network for Somatoform and Functional Disorders (Sofu-Net) was established to connect 41 primary care physicians (PCP), 35 psychotherapists, and 8 mental health clinics. To evaluate Sofu-Net, primary care patients at high risk of having a somatoform disorder were identified using the Patient Health Questionnaire, and were assessed in detail at the patient and PCP level. Discussion of psychosocial distress in the consultations, diagnostic detection rates and treatment recommendations were compared before and 12 months after establishing the network.RESULTS:Out of the pre- (n=1645) and 12-months-post Sofu-Net patient samples (n=1756), 267 (16.2%) and 269 (15.3%) high-risk patients were identified. From these, 156 and 123 patients were interviewed and information was assessed from their PCP. Twelve months after Sofu-Net establishment, high-risk patients more frequently discussed psychosocial distress with their PCP (63.3% vs. 79.2%, p<.001). PCPs prescribed more antidepressants (3.8% vs. 25.2%, p<.001) and less benzodiazepines (21.8% vs. 6.5%, p<.001). Sofu-Net did not affect PCP's diagnostic detection rates or recommendation to initiate psychotherapy.CONCLUSION:The study results indicate feasibility of an interdisciplinary network for somatoform disorders. Collaborative care networks for somatoform disorders have the potential to improve doctor-patient-communication and prescription behavior.",
author = "Shedden-Mora, {Meike C.} and Beatrice Gro{\ss} and Katharina Lau and Antje Gumz and Karl Wegscheider and Bernd L{\"o}we",
year = "2016",
doi = "10.1016/j.jpsychores.2015.11.004",
language = "English",
volume = "80",
pages = "23--30",
journal = "J PSYCHOSOM RES",
issn = "0022-3999",
publisher = "Elsevier Inc.",

}

RIS

TY - JOUR

T1 - Collaborative stepped care for somatoform disorders: A pre-post-intervention study in primary care

AU - Shedden-Mora, Meike C.

AU - Groß, Beatrice

AU - Lau, Katharina

AU - Gumz, Antje

AU - Wegscheider, Karl

AU - Löwe, Bernd

PY - 2016

Y1 - 2016

N2 - OBJECTIVE:The successful management of somatoform disorders in primary care is often limited due to low diagnostic accuracy, delayed referral to psychotherapy, and unstructured overuse of health care. This study aimed to investigate the feasibility of establishing a collaborative stepped health care network for somatoform disorders, and its impact on the diagnostic process and treatment recommendations in primary care.METHOD:The Network for Somatoform and Functional Disorders (Sofu-Net) was established to connect 41 primary care physicians (PCP), 35 psychotherapists, and 8 mental health clinics. To evaluate Sofu-Net, primary care patients at high risk of having a somatoform disorder were identified using the Patient Health Questionnaire, and were assessed in detail at the patient and PCP level. Discussion of psychosocial distress in the consultations, diagnostic detection rates and treatment recommendations were compared before and 12 months after establishing the network.RESULTS:Out of the pre- (n=1645) and 12-months-post Sofu-Net patient samples (n=1756), 267 (16.2%) and 269 (15.3%) high-risk patients were identified. From these, 156 and 123 patients were interviewed and information was assessed from their PCP. Twelve months after Sofu-Net establishment, high-risk patients more frequently discussed psychosocial distress with their PCP (63.3% vs. 79.2%, p<.001). PCPs prescribed more antidepressants (3.8% vs. 25.2%, p<.001) and less benzodiazepines (21.8% vs. 6.5%, p<.001). Sofu-Net did not affect PCP's diagnostic detection rates or recommendation to initiate psychotherapy.CONCLUSION:The study results indicate feasibility of an interdisciplinary network for somatoform disorders. Collaborative care networks for somatoform disorders have the potential to improve doctor-patient-communication and prescription behavior.

AB - OBJECTIVE:The successful management of somatoform disorders in primary care is often limited due to low diagnostic accuracy, delayed referral to psychotherapy, and unstructured overuse of health care. This study aimed to investigate the feasibility of establishing a collaborative stepped health care network for somatoform disorders, and its impact on the diagnostic process and treatment recommendations in primary care.METHOD:The Network for Somatoform and Functional Disorders (Sofu-Net) was established to connect 41 primary care physicians (PCP), 35 psychotherapists, and 8 mental health clinics. To evaluate Sofu-Net, primary care patients at high risk of having a somatoform disorder were identified using the Patient Health Questionnaire, and were assessed in detail at the patient and PCP level. Discussion of psychosocial distress in the consultations, diagnostic detection rates and treatment recommendations were compared before and 12 months after establishing the network.RESULTS:Out of the pre- (n=1645) and 12-months-post Sofu-Net patient samples (n=1756), 267 (16.2%) and 269 (15.3%) high-risk patients were identified. From these, 156 and 123 patients were interviewed and information was assessed from their PCP. Twelve months after Sofu-Net establishment, high-risk patients more frequently discussed psychosocial distress with their PCP (63.3% vs. 79.2%, p<.001). PCPs prescribed more antidepressants (3.8% vs. 25.2%, p<.001) and less benzodiazepines (21.8% vs. 6.5%, p<.001). Sofu-Net did not affect PCP's diagnostic detection rates or recommendation to initiate psychotherapy.CONCLUSION:The study results indicate feasibility of an interdisciplinary network for somatoform disorders. Collaborative care networks for somatoform disorders have the potential to improve doctor-patient-communication and prescription behavior.

U2 - 10.1016/j.jpsychores.2015.11.004

DO - 10.1016/j.jpsychores.2015.11.004

M3 - SCORING: Journal article

VL - 80

SP - 23

EP - 30

JO - J PSYCHOSOM RES

JF - J PSYCHOSOM RES

SN - 0022-3999

ER -