Advertisement

Rehabilitation-Oriented Treatment and Care in Psychosomatic Medicine Under a Lifespan Perspective

  • Michael Linden
Chapter
Part of the Integrating Psychiatry and Primary Care book series (IPPC)

Abstract

Many illnesses and especially mental disorders take a long-term course. In these cases, the diagnosis and treatment must adopt a long-term or lifespan perspective. Lifespan research examines the development of individuals from conception to death, recognizing biological, psychological and social factors alike. There is a need for the classification and assessment of courses, the description of determinants of course and the identification of critical developmental phases. In respect to treatment, questions are when to intervene, how, how long and how to evaluate treatment outcome. As treatment of chronic disorders is multidimensional and applied by different therapists and helpers parallel or successively, treatment coordination and case management over time are of great importance, which gives primary care physicians a special role. Finally, patients with chronic disorders are often disabled because of capacity limitations. Treatment must therefore not only focus on symptoms/functions but even more on capacity limitations and impairment of participation. Additionally there is a need for forensic evaluation in providing social support or early retirement. The care for patients with chronic disorders can be described as medical rehabilitation, which is a medical specialty of its own right. As there is a lack of related research, most medical guidelines, which mostly focus on episode treatment, are not valid in medical rehabilitation, which is why experimental and rule-based knowledge is of prime importance.

References

  1. 1.
    Linden M, Linden U, Schwantes U. Disability and functional burden of disease because of mental in comparison to somatic disorders in general practice patients. Eur Psychiatry. 2015;30:789–92.CrossRefPubMedGoogle Scholar
  2. 2.
    Linden M. Krankheit und Behinderung. Das ICF-Modell. Nervenarzt. 2015;86:29–35.CrossRefPubMedGoogle Scholar
  3. 3.
    Grant BF, Hasin DS, Stinson FS, Dawson DA, Ruan WJ, Goldstein RB, Smith SM, Saha TD, Huang B. Prevalence, correlates, co-morbidity, and comparative disability of DSM-IV generalized anxiety disorder in the USA: results from the National Epidemiologic Survey on Alcohol and Related Conditions. Psychol Med. 2005;35:1747–59.CrossRefPubMedGoogle Scholar
  4. 4.
    World Health Organization (WHO). International Classification of Functioning, Disability and Health: ICF. Geneva: World Health Organization; 2001.Google Scholar
  5. 5.
    Cheng S, Mao L. Physical activity continuum throughout the lifespan: is exercise medicine or what? J Sport Health Sci. 2016;5:127–8.CrossRefPubMedPubMedCentralGoogle Scholar
  6. 6.
    Baltes PB, Reuter-Lorenz P, Rosler F, editors. Life-span development and the brain. Cambridge: Cambridge University Press; 2006.Google Scholar
  7. 7.
    Rudolph CW. Lifespan developmental perspectives on working: a literature review of motivational theories. Work Aging Retirement. 2016;2:130–58.CrossRefGoogle Scholar
  8. 8.
    Entringer S, Buss C, Wadhwa PD. Prenatal stress and developmental programming of human health and disease risk: concepts and integration of empirical findings. Curr Opin Endocr Diabetes Obes. 2010;17:507–16.CrossRefGoogle Scholar
  9. 9.
    Plagemann A, Harder T, Rodekamp E. Prävention der kindlichen Adipositas während der Schwangerschaft. Monatsschr Kinderheilkd. 2010;158:542–52.CrossRefGoogle Scholar
  10. 10.
    Chaney A, Carballedo A, Amico F, et al. Effect of childhood maltreatment on brain structure in adult patients with major depressive disorder and healthy participants. J Psychiat Neurosci. 2014;39:50–9.CrossRefGoogle Scholar
  11. 11.
    Hubbard-Turner T, Wikstrom EA, Guderian S, Turner MJ. An acute lateral ankle sprain significantly decreases physical activity across the lifespan. J Sports Sci Med. 2015;14:556–61.PubMedPubMedCentralGoogle Scholar
  12. 12.
    Mezuk B, Heh V, Prom-Wormley E, Kendler KS, Pedersen NL. Association between major depression and type 2 diabetes in midlife: findings from the screening across the lifespan twin study. Psychosom Med. 2015;77:559–66.CrossRefPubMedPubMedCentralGoogle Scholar
  13. 13.
    Crowley SJ. Sleep behavior across the lifespan: how a model can expand our current understanding. Sleep Med Rev. 2015;28:1–4.CrossRefPubMedPubMedCentralGoogle Scholar
  14. 14.
    Lynch J, Smith GD. A life course approach to chronic disease epidemiology. Annu Rev Public Health. 2005;26:1–35.CrossRefPubMedGoogle Scholar
  15. 15.
    World Health Organization (WHO). The ICD-10 Classification of mental and behavioural disorder. Geneva: World Health Organization; 1992.Google Scholar
  16. 16.
    Bernert S, Linden M. Die Klassifikation von Verläufen chronischer Erkrankungen unter einer Lebensspannenperspektive als Grundlage der medizinischen rehabilitation. Präv Rehabil. 2011;23:87–103.Google Scholar
  17. 17.
    Michishita R, Matsuda T, Kawakami S, Kiyonaga A, Tanaka H, Morito N, Higaki Y. The accumulation of healthy lifestyle behaviors prevents the incidence of chronic kidney disease (CKD) in middle-aged and older males. Environ Health Prev Med. 2016;21:129–37.CrossRefPubMedPubMedCentralGoogle Scholar
  18. 18.
    Sheridan S, Pignone M, Mulrow C. Framingham-based tools to calculate the global risk of coronary heart disease. J Gen Intern Med. 2003;18:1039–52.CrossRefPubMedPubMedCentralGoogle Scholar
  19. 19.
    Lichtman JH, Bigger JT, Blumenthal JA, Frasur-Smith N, Kaufmann PG, Lespérance F, Mark DB, Sheps DS, Taylor CB, Froelicher ES. AHA science advisory. Depression and coronary heart disease. Prog Cardiovasc Nurs. 2008;24:19–26.Google Scholar
  20. 20.
    Speerin R, Slater H, Li L, et al. Moving from evidence to practice: models of care for the prevention and management of musculoskeletal conditions. Best Pract Res Clin Rheumatol. 2014;28:479–515.CrossRefPubMedGoogle Scholar
  21. 21.
    Linden M. Critical incidents und sozialmedizinische Weichenstellungen in der stationären psychosomatischen rehabilitation. Präv Rehabil. 2013;25:62–70.Google Scholar
  22. 22.
    Nicholas MK, Linton SJ, Watson PJ, Main CJ. Early identification and management of psychological risk factors (“yellow flags”) in patients with low back pain: a reappraisal. Phys Ther. 2011;91:1–17.Google Scholar
  23. 23.
    Engel GL. The need for a new medical model: a challenge for biomedicine. Science. 1977;196:129–36.CrossRefGoogle Scholar
  24. 24.
    Fava GA, Ruini C, Tomba E, Wise TN. The biopsychosocial factor. Psychother Psychosom. 2012;81:1–4.CrossRefPubMedGoogle Scholar
  25. 25.
    Linden M. Psychosomatic inpatient rehabilitation. The German model. Psychother Psychosom. 2014;83:205–12.CrossRefPubMedGoogle Scholar
  26. 26.
    Sachverständigenrat zur Begutachtung der Entwicklung im Gesundheitswesen im BMG. Bedarfsgerechte Versorgung—Perspektiven für ländliche Regionen und ausgewählte Leistungsbereiche Gutachten; 2014.Google Scholar
  27. 27.
    Noess O, Hernes FH, Blane D. Life course influences on mortality at older ages: evidence from the Oslo Mortality Study. Soc Sci Med. 2016;62:329–36.CrossRefGoogle Scholar
  28. 28.
    Herlitz A, Munthe C, Törner M, Forsander G. The counseling, self-care, adherence approach to person-centered care and shared decision making: moral psychology, executive autonomy, and ethics in multi-dimensional care decisions. J Health Commun. 2016;31:964–73.CrossRefGoogle Scholar
  29. 29.
    World Health Organization (WHO). Adherence to long-term therapies. Evidence for action. Geneva: World Health Organization; 2003.Google Scholar
  30. 30.
    Linden M. Chronische psychische Erkrankungen in der Hausarztpraxis. Hausarzt. 2016;53:56–7.Google Scholar
  31. 31.
    Arbeitsgemeinschaft Adipositas im Kinder Jugendalter. S3-Leitlinie zur Therapie der Adipositas im Kindes- und Jugendalter. 2009. http://www.aga.adipositas-gesellschaft.de/index.php?id=9.
  32. 32.
    Linden M, Müller WE. Rehabilitations-Psychopharmakotherapie. Arzneimittelbehandlung chronifizierender und chronifizierter psychischer syndrome. Köln: Deutscher Ärzteverlag; 2005.Google Scholar
  33. 33.
    Linden M, Westram A. Results of controlled clinical trials comparing guidelined exposed and “guideline naive” physicians in the treatment of depression, hypertension, and diabetes: what can be learned? Curr Psychiatr Rev. 2011;7:43–9.CrossRefGoogle Scholar
  34. 34.
    Hamburg MA, Collins FS. The path to personalized medicine. New England J Med. 2010;363:301–4.CrossRefGoogle Scholar
  35. 35.
    Mezzich J, Snaedal J, van Weel C, Heath I. Toward person-centered medicine: from disease to patient to person. Mt Sinai J Med. 2010;77:304–6.CrossRefPubMedGoogle Scholar
  36. 36.
    Livneh H. Quality of life and coping with chronic illness and disability. Rehabil Counsel Bull. 2015;59:67–83.CrossRefGoogle Scholar
  37. 37.
    Katz S, Moskowitz RW, Jackson BA. Studies of illness in the aged. The Index of ADL: a standardized measure of biological and psychosocial function. J Am Med Assoc. 1963;185:914–9.CrossRefGoogle Scholar
  38. 38.
    Mahoney FJ, Barthel DW. Functional evaluation: the Barthel index. Md State Med J. 1965;14:61–5.PubMedGoogle Scholar
  39. 39.
    Endicott J, Spitzer RL, Fleiss JL, Cohen J. The sickness rating scale: a procedure for measuring overall severity of psychiatric disturbance. Arch Gen Psychiatry. 1976;33:766–71.CrossRefPubMedGoogle Scholar
  40. 40.
    American Psychiatric Association. Diagnostic criteria from DSM-IV. Washington, DC: American Psychiatric Association; 1994.Google Scholar
  41. 41.
    Nasrallah H, Morosini PL, Gagnon DD. Reliability, validity and ability to detect change of the personal and social performance scale in patients with stable schizophrenia. Psychiatry Res. 2008;161:213–24.CrossRefPubMedGoogle Scholar
  42. 42.
    Morisini PL, Magliano L, Brambilla L, Ugolini S, Pioli R. Development, reliability and acceptability of a new version of the DSM-IV social and occupational functioning assessment scale (SOFAS) to assess routine social functioning. Acta Psychiatr Scand. 2000;1001:323–9.Google Scholar
  43. 43.
    World Health Organization. WHODAS II—Disability Assessment Schedule Training Manual: a guide to administration. Geneva: World Health Organization; 2004.Google Scholar
  44. 44.
    Cieza A, Ewert T, Üstün TB, Chatterji S, Kostanjsek N, Stucki G. Development of ICF core sets for patients with chronic conditions. J Rehabil Med. 2004;44:9–11.Google Scholar
  45. 45.
    Linden M, Baron S, Muschalla B, Molodynski A. Mini-ICF-APP social functioning scale. Oxford: Hogrefe; 2014a.Google Scholar
  46. 46.
    Linden M, Baron S, Muschalla B, Ostholt-Corsten M. Fähigkeitsbeeinträchtigungen bei psychischen Erkrankungen. Diagnostik, Therapie, und sozialmedizinische Beurteilung in Anlehnung an das mini-ICF-APP. Bern: Huber; 2014b.Google Scholar
  47. 47.
    Ky Y. Affective influences in person-environment fit theory: exploring the role of affect as both cause and outcome of P-E fit. J Appl Psychol. 2009;94:1210–26.CrossRefGoogle Scholar
  48. 48.
    Hesketh B, Griffin B. Person-environment-fit. Encyclopedia of adulthood and ageing. New York, NY: Wiley; 2015. p. 1–5.Google Scholar
  49. 49.
    Smith MJ, Boteler Humm L, Fleming MF, Jordan N, Wright MA, Ginger EJ, Wright K, Olsen D, Bell MD. Virtual reality job interview training for veterans with posttraumatic stress disorder. J Vocat Rehabil. 2015;42:271–9.CrossRefPubMedPubMedCentralGoogle Scholar
  50. 50.
    Mesa F, Le TA, Beidel DC. Social skill-based treatment for social anxiety disorder in adolescents. In: Ranta K, La Greca AM, Garcia-Lopez LJ, Marttunen M, editors. Social anxiety and phobia in adolescents. New York: Springer; 2015.Google Scholar
  51. 51.
    United Nations. Convention on the rights of persons with disabilities. New York, NY: UN; 2006.Google Scholar
  52. 52.
    Thase ME, Rush AJ. When at first you don’t succeed: sequential strategies for antidepressant nonresponders. J Clin Psychiatry. 1997;58:23–9.PubMedGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Research Group Psychosomatic RehabilitationCharité University Medicine BerlinBerlinGermany

Personalised recommendations