[Patienten mit komorbiden somatischen und psychischen Erkrankungen haben ähnliche Fähigkeitsbeeinträchtigen wie Patienten mit psychischen Erkrankungen].

IF 1.4 4区 医学 Q3 REHABILITATION
Rehabilitation Pub Date : 2023-04-01 DOI:10.1055/a-1839-5048
Beate Muschalla, Michael Jöbges
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引用次数: 0

Abstract

Objectives: In patients with somatic illness and additional mental disorder, not only motor or sensory functions may be impaired, but also psychological capacities. These become more and more important for work ability in our modern working world. There are presently no data about the type and distribution of psychological capacity impairments in patients with comorbid somatic and mental disorders. These data are however important for estimation of diagnostic and therapy requirements.

Methods: 402 orthopedic, cardiological, and neurological patients with additional mental disorders were investigated with a structured clinical assessment for mental disorders (MINI) and psychological capacity impairments (Mini-ICF-APP).

Results: In all three somatic indications at least half of the comorbid patients had any clinically relevant psychological capacity impairment. Neurological patients (67%) and orthopedic patients (72%) were more often affected than cardiological patients (50.5%). Orthopedic patients are slightly more impaired in self-care; neurological and orthopedic patients are more impaired in mobility; and cardiological patients are less impaired in assertiveness.

Conclusion: In comparison of all three somatic patient groups with mental disorders the number of psychological capacity impairments is similar. In contrast to patients with mental disorders only (i. e. those without somatic comorbidity), the psychological impairment quality in comorbid patients may be influenced by the somatic illness. The data from this study are important in order to estimate diagnostic and therapeutic needs, such as capacity training or compensation of psychological capacity impairments.

Abstract Image

[患有多种疾病和精神疾病的患者对精神病的比例与患精神疾病的患者相同。]
目的:在躯体疾病和附加精神障碍患者中,不仅运动或感觉功能可能受损,而且心理能力也可能受损。在现代工作环境中,这些对工作能力变得越来越重要。目前还没有关于躯体和精神疾病合并症患者心理能力障碍的类型和分布的数据。然而,这些数据对于诊断和治疗需求的估计是重要的。方法:采用结构化的精神障碍临床评估(MINI)和心理能力障碍(MINI - icf - app)对402例伴有精神障碍的骨科、心内科和神经内科患者进行调查。结果:在所有三种躯体适应症中,至少一半的合并症患者有任何临床相关的心理能力障碍。神经内科患者(67%)和骨科患者(72%)比心脏病患者(50.5%)更容易受到影响。骨科患者在自我护理方面稍显受损;神经和骨科患者的活动能力受损更严重;心脏病患者在自信方面受到的损害较小。结论:三组躯体性精神障碍患者的心理能力障碍数量相近。与仅患有精神障碍的患者(即:无躯体共病者,共病患者的心理损害质量可能受到躯体疾病的影响。这项研究的数据对于评估诊断和治疗需求很重要,例如能力训练或心理能力损伤的补偿。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Rehabilitation
Rehabilitation REHABILITATION-
CiteScore
0.90
自引率
11.10%
发文量
0
审稿时长
6-12 weeks
期刊介绍: Die Zeitschrift Die Rehabilitation richtet sich an Mitarbeiterinnen und Mitarbeiter in Einrichtungen, Forschungsinstitutionen und Trägern der Rehabilitation. Sie berichtet über die medizinischen, gesetzlichen, politischen und gesellschaftlichen Grundlagen und Rahmenbedingungen der Rehabilitation und über internationale Entwicklungen auf diesem Gebiet. Schwerpunkte sind dabei Beiträge zu Rehabilitationspraxis (medizinische, berufliche und soziale Rehabilitation, Qualitätsmanagement, neue Konzepte und Versorgungsmodelle zur Anwendung der ICF, Bewegungstherapie etc.), Rehabilitationsforschung (praxisrelevante Ergebnisse, Methoden und Assessments, Leitlinienentwicklung, sozialmedizinische Fragen), Public Health, Sozialmedizin Gesundheits-System-Forschung sowie die daraus resultierenden Probleme.
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