Recognition of psychiatric disorders in musculoskeletal and cardiovascular rehabilitation patients
Abstract
Objective To investigate the detection rate of psychiatric disorders in rehabilitation inpatients with musculoskeletal and cardiovascular diseases (CVDs). Design Cross-sectional survey; analysis of medical charts and discharge reports, combined with standardized diagnostic interviews. Setting Four orthopedic and 6 cardiovascular rehabilitation hospitals in southwest Germany. Participants More than 1700 inpatients with different musculoskeletal disorders and CVDs participated in the survey. On the basis of their General Health Questionnaire score, 205 patients with musculoskeletal diseases and 164 patients with CVDs were selected randomly for standardized interviews. Discharge reports of interviewed patients were analyzed. Interventions Not applicable. Main outcome measures Clinical interview (Composite International Diagnostic Interview [CIDI]) to obtain diagnoses of psychiatric disorders as defined by the Diagnostic and Statistical Manual of Mental Disorders, 4th edition (DSM-IV). Assessment of psychosocial burden and diagnoses of mental disorders, as well as admission to psychologic treatments, based on discharge reports of the attending physicians. Results The detection rate (sensitivity) of mental disorders was 48% in the orthopedic rehabilitation patients and 32% in the cardiovascular patients. Specificity was 80% in musculoskeletal patients and 87% in cardiovascular patients. Differential diagnostic competencies were lacking, and only half of the physicians' diagnoses c…
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Comorbid mental disorders are associated with increased morbidity and mortality rates.
“Komorbide psychische Störungen sind mit erhöhten Morbiditäts-und Mortalitätsraten [ 8 , 9 ] , erhöhten Versorgungskosten [ 10 , 11 ] sowie niedriger Compliance [ 12 , 13 ] und Lebensqualität [ 9 , 14 ] assoziiert.”
From Inanspruchnahmebereitschaft und Inanspruchnahmeverhalten von Behandlungen aufgrund psychischer Belastungen bei Patienten der somatischen Rehabilitation (2012) · cites this paper as [8]
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- Authors
- Härter, M., Woll, S., Reuter, K., Wunsch, A., & Bengel, J.
- Affiliations
- University Medical Center Freiburg (DE)
- University of Freiburg (DE)
- Corresponding author
- Härter, Martin
- Venue
- Archives of Physical Medicine and Rehabilitation
- Publisher
- Elsevier BV
- Published
- 2004-07
- Volume
- 85
- Issue
- 7
- Pages
- 1192-1197
- ISSN
- 0003-9993 (ISSN-L)
- OpenAlex
- W2064053642
- Cited by
- 66
- References
- 46
- Citations by year
- 2026: 1 · 2024: 2 · 2023: 1 · 2022: 5 · 2021: 7 · 2020: 4 · 2019: 3 · 2017: 1 · 2016: 2 · 2015: 4 · 2014: 2 · 2013: 3 · 2012: 5
- FWCI
- 13.89
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Archives of Physical Medicine and Rehabilitation (publishedVersion)
- PubMed (publishedVersion)
- FreiDok plus (Universitätsbibliothek Freiburg) (submittedVersion)
- Funders
- Bundesministerium für Bildung und Forschung
- Topics
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
- Keywords
- mental illness, musculoskeletal rehabilitation, cardiac rehabilitation, mental disorder detection, sensitivity and specificity, psychosocial burden, differential diagnosis, comorbidities, psychodiagnosis, psychiatric referral
- MeSH terms
- Cardiac Rehabilitation, Adult, Aged, Aged, 80 and over, Mental Disorders, Cardiovascular Diseases, Cross-Sectional Studies, Germany, Humans, Middle Aged, Musculoskeletal Diseases, Comorbidity
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