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Chapter 3 - Consultation-Liaison Psychiatry and Psychosomatics

From Subspecialty to Forma Mentis

Published online by Cambridge University Press:  01 February 2024

Andrea Fiorillo
Affiliation:
University of Campania “L. Vanvitelli”, Naples
Peter Falkai
Affiliation:
Ludwig-Maximilians-Universität München
Philip Gorwood
Affiliation:
Sainte-Anne Hospital, Paris
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Summary

This chapter provides an overview concerning the historical development of consultation-liaison psychiatry (CLP) and details the meaning of consultation and liaison activity. The procedure of consultation is detailed. Several assessment tools that support clinical investigation are presented and discussed. Specifically, the assessment of personality traits, anxiety and depressive symptoms, and other psychological factors are addressed. As far as clinical research is considered, two topics are presented: CLP within the psycho-neuro-endocrine-immune perspective and CLP in the field of transplants. Finally, special attention is dedicated to the impact of CLP on health care budgets and to the role played by CLP in end-of-life care. Several skills are required in the field of CLP. Some are general (e.g., assessment of psychiatric diagnosis and medical-psychiatric comorbidity, use of psychopharmacological treatments, etc.); others are specific to the setting (e.g., transplantation, end-of-life-care, etc.). Once acquired, both general and specific skills may be implemented in psychiatric settings other than the CLP, thus representing professional assets potentially useful in all psychiatric settings. Therefore, CLP should be considered not only as a subspecialty of psychiatry, but also as a forma mentis, a professional attitude that the psychiatrist may implement in several psychiatric settings.

Type
Chapter
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Mental Health Research and Practice
From Evidence to Experience
, pp. 27 - 48
Publisher: Cambridge University Press
Print publication year: 2024

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References

European Union of Medical Specialists. Charter on Training of Medical Specialists in the European Community. Brussels: UEMS; 2003.Google Scholar
Ferrari, S, Martire, L, Rigatelli, M. The Psychiatric-Psychosomatic Consultation Service (PPCS) of Modena: Eleven years of experience between clinical, training and research activities. J Psychosom Res 2012;72(6):479480.Google Scholar
European Union of Medical Specialists. European Accreditation Council for Continuing Medical Education Annual Report. Brussels: UEMS; 2009.Google Scholar
Engel, GL. The need for a new medical model: A challenge for biomedicine. Science. 1977 Apr 8;196(4286):129–36.CrossRefGoogle Scholar
Lipowski, ZJ, Wise, T N. History of Consultation-Liaison Psychiatry. In: Wise, M G, Rundell, J R (Eds.). Textbook of Consultation-Liaison Psychiatry: The Practice of Psychiatry in the Medically Ill. Washington: American Psychiatric Publishing; 2002, pp. xvxvi.Google Scholar
Alexander, F. The development of psychosomatic medicine. Psychosom Med. 1962;24:1324.CrossRefGoogle ScholarPubMed
Schwab, JJ. Consultation-liaison psychiatry: A historical overview. Psychosomatics. 1989 Summer;30(3):245–54.CrossRefGoogle ScholarPubMed
Lobo, A, Lozano, M, Diefenbacher, A. Psychosomatic psychiatry: A European view. Eur. J. Psychiat. 2007;21(2).CrossRefGoogle Scholar
Aitken, P, Lloyd, G, Mayou, R, Bass, C, Sharpe, M. A history of liaison psychiatry in the UK. BJPsych Bull. 2016;40(4):199203.CrossRefGoogle ScholarPubMed
Çamsarı, UM, Babalıoğlu, M. Editöre Mektup: Konsültasyon-Liyezon Psikiyatrisi (Psikosomatik Tıp) Kısa Tarihi, Eğitimi Ve Günümüz Psikiyatrisindeki Yeri: ABD’den Bir Perspektif [Letter to the editor: brief history Of Consultation-Liaison Psychiatry, its current status and training in modern psychiatry: a perspective from the United States]. Turk Psikiyatri Derg. 2016;27(4):290–94. Turkish.Google Scholar
Steinberg, H. Die Geburt des Wortes “psychosomatisch” in der medizinischen Weltliteratur durch Johann Christian August Heinroth [The birth of the word “psychosomatic” in medical literature by Johann Christian August Heinroth]. Fortschr Neurol Psychiatr. 2007;75(7):413–17. German.CrossRefGoogle ScholarPubMed
Lipsitt, DR. Consultation-liaison psychiatry and psychosomatic medicine: The company they keep. Psychosom Med. 2001;63(6):896909. doi: 10.1097/00006842-200111000-00008. Erratum in: Psychosom Med. 2002;64(1):84.CrossRefGoogle ScholarPubMed
Billings, EG. The psychiatric liaison department of the University of Colorado medical school and hospitals. Am J Psychiatry. 1966 Jun;122(12):Suppl:2833.CrossRefGoogle ScholarPubMed
Alexander, F, Saul, LJ. Essential hypertension. Psychosom. Med. 1939;1:139.CrossRefGoogle Scholar
Alexander, F. Psychosomatic Medicine: Its Principles and Applications. New York: W W Norton & Co.; 1950.Google Scholar
Nemiah, JC, Sifneos, PE. Psychosomatic illness: A problem in communication. Psychother Psychosom. 1970;18(1):154–60.CrossRefGoogle ScholarPubMed
Sifneos, PE. Problems of psychotherapy of patients with alexithymic characteristics and physical disease. Psychother Psychosom. 1975;26(2):6570.CrossRefGoogle ScholarPubMed
Bagby, RM, Parker, JD, Taylor, GJ. The twenty-item Toronto Alexithymia Scale–I. Item selection and cross-validation of the factor structure. J Psychosom Res. 1994 Jan;38(1):2332.CrossRefGoogle ScholarPubMed
Marty, P, de M’Uzan, M, David, C. L’investigation psychosomatique. Paris: Presses Universitaires de France; 1963.Google Scholar
Wise, MG, Rundell, JR. Clinical Manual of Psychosomatic Medicine: A Guide to Consultation-Liaison Psychiatry. Washington, DC: American Psychiatric Association Publishing; 2005.Google Scholar
Philbrick, KL, Rundell, JL, Netzel, PJ, Levenson, JL. Clinical Manual of Psychosomatic Medicine. 2nd ed. Washington, DC: American Psychiatric Association Publishing; 2012.Google Scholar
Söllner, W, Creed, F, European Association of Consultation-Liaison Psychiatry and Psychosomatics Workgroup on Training in Consultation-Liaison. European guidelines for training in consultation-liaison psychiatry and psychosomatics: report of the EACLPP Workgroup on Training in Consultation-Liaison Psychiatry and Psychosomatics. J Psychosom Res. 2007 Apr;62(4):501–9.CrossRefGoogle ScholarPubMed
European Union of Medical Specialists. Report of the European Board of Psychiatry: Consultation Liaison Psychiatry and Psychosomatic Medicine in the European Union. Brussels: UEMS; 1997.Google Scholar
Deter, HC, Kruse, J, Zipfel, S. History, aims and present structure of psychosomatic medicine in Germany. Biopsychosoc Med. 2018 Jan 2;12:1.CrossRefGoogle ScholarPubMed
World Psychiatric Association. WPA Institutional Program on the Core Training. Curriculum for Psychiatry. Yokohama: WPA; 2002.Google Scholar
Rigatelli, M, Ferrari, S, Uguzzoni, U, Natali, A. Teaching and training in the psychiatric-psychosomatic consultation-liaison setting. Psychother Psychosom. 2000 Jul–Aug;69(4):221–8.CrossRefGoogle ScholarPubMed
Steptoe, A. Depression and the development of coronary heart disease. In: Steptoe, A (Ed.). Depression and Physical Illness. Cambridge: Cambridge University Press; 2007, pp. 53124.Google Scholar
Steptoe, A. Integrating clinical with biobehavioural studies of depression and physical illness. In: Steptoe, A (Ed.). Depression and Physical Illness. Cambridge: Cambridge University Press; 2007, pp. 397408.Google Scholar
Telles-Correia, D (Ed.). Avaliação em Psiquiatria de Ligação. Psiquiatria de Ligação na Prática Clínica. Lisboa: Lidel; 2011. Portuguese.Google Scholar
Telles-Correia, D, Sampaio, D. Manual de Psicopatologia. Psicopatologia, passado, presente e futuro. Lisboa: Lidel; 2013. Portuguese.Google Scholar
Fava, GA, Freyberger, HJ, Bech, P, et al. Diagnostic criteria for use in psychosomatic research. Psychother Psychosom. 1995;63(1):18.CrossRefGoogle ScholarPubMed
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed. Washington, DC: American Psychiatric Association Publishing; 2013.Google Scholar
Lecrubier, Y, Sheehan, DV, Weiller, E, et al. The Mini International Neuropsychiatric Interview (MINI). A short diagnostic structured interview: Reliability and validity according to the CIDI. Eur Psychiatry. 1997;12(5):224231.CrossRefGoogle Scholar
Spitzer, RL, Williams, JB, Gibbon, M, First, MB. The Structured Clinical Interview for DSM-III-R (SCID). I: History, rationale, and description. Arch Gen Psychiatry. 1992 Aug;49(8):624–9.CrossRefGoogle ScholarPubMed
Ribeiro, J. Investigação e avaliação em psicologia da saúde. Lisboa: Climepsi; 1999. Portuguese.Google Scholar
Botelho, MT. Personalidade e saúde uma década revisitada. In: Leal, I (Ed.). Perspectivas em psicologia da saúde. Lisboa: Quarteto; 2006. Portuguese.Google Scholar
Hill, MM, Hill, A. Investigação por Questionário. Lisboa: Sílabo; 2005. Portuguese.Google Scholar
Telles-Correia, D, Barbosa, A, Mega, I. Personalidade e transplante Personality and transplantation. Acta Med Port. 2010 Jul–Aug;23(4):655–62. Portuguese.Google ScholarPubMed
Derogatis, LR, Wise, TN. Screening and Psychological Assessment of Anxiety and Depression. Anxiety and Depressive Disorders in The Medical Patients. Washington, DC: American Psychiatric Press; 1988, pp. 7397.Google Scholar
McCrae, RR, Costa, PT Jr. A contemplated revision of the NEO Five-Factor Inventory. Pers Individ Dif. 2004;36(3):587596.CrossRefGoogle Scholar
Costa, PT, Mccrae, RR. The NEO Personality Inventory Manual. Odessa: Psychological Assessment Resources; 1985.Google Scholar
Costa, PT, Mccrae, RR. The NEO PI Revised. Personality Inventory Manual. Odessa: Psychological Assessment Resources; 1990.Google Scholar
Brown, TA, Chorpita, BF, Barlow, DH. Structural relationships among dimensions of the DSM-IV anxiety and mood disorders and dimensions of negative affect, positive affect, and autonomic arousal. J Abnorm Psychol. 1998 May;107(2):179–92.CrossRefGoogle ScholarPubMed
House, A. Mood disorders in the physically ill – problems of definition and measurement. J Psychosom Res. 1988;32(4–5):345–53.CrossRefGoogle ScholarPubMed
Creed, F, Dickens, C. Depression in the medically ill. In: Steptoe, A (Ed.). Depression and Physical Illness. Cambridge: Cambridge University Press; 2007, pp. 218.Google Scholar
Creed, F. Can DSM-V facilitate productive research into the somatoform disorders? J Psychosom Res. 2006 Apr;60(4):331–4. https://doi.org/10.1016/j.jpsychores.2006.02.007. PMID: 16581353.CrossRefGoogle ScholarPubMed
Creed, F. Somatisation in functional dyspepsia: integrating gastric physiology with psychological state. Gut. 2008 Dec;57(12):1642–3. https://doi.org/10.1136/gut.2008.161174. PMID: 19022920.CrossRefGoogle ScholarPubMed
Creed, F, Morgan, R, Fiddler, M, et al. Depression and anxiety impair health-related quality of life and are associated with increased costs in general medical inpatients. Psychosomatics. 2002 Jul–Aug;43(4):302–9.CrossRefGoogle ScholarPubMed
Cavanaugh, S, Clark, DC, Gibbons, RD. Diagnosing depression in the hospitalized medically ill. Psychosomatics. 1983 Sep;24(9):809–15.CrossRefGoogle ScholarPubMed
Derogatis, LR, Wise, TN. Anxiety and Depressive Disorders in the Medical Patient. No. 4. Washington, DC: American Psychiatric Press, 1989.Google Scholar
Endicott, J. Measurement of depression in patients with cancer. Cancer. 1984 May 15;53(10 Suppl):2243–9.CrossRefGoogle ScholarPubMed
Sunderland, T, Alterman, IS, Yount, D, et al. A new scale for the assessment of depressed mood in demented patients. Am J Psychiatry. 1988 Aug;145(8):955–9.Google ScholarPubMed
Hare, DL, Davis, CR. Cardiac Depression Scale: Validation of a new depression scale for cardiac patients. J Psychosom Res. 1996 Apr;40(4):379–86.CrossRefGoogle ScholarPubMed
Zigmond, AS, Snaith, RP. The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983 Jun;67(6):361–70.CrossRefGoogle ScholarPubMed
Hamilton, M. The assessment of anxiety states by rating. Br J Med Psychol. 1959;32(1):50–5.CrossRefGoogle ScholarPubMed
Beck, AT, Epstein, N, Brown, G, Steer, RA. An inventory for measuring clinical anxiety: psychometric properties. J Consult Clin Psychol. 1988 Dec;56(6):893–7.CrossRefGoogle ScholarPubMed
Spielberger, CD, Gorsuch, RL, Lushene, RE. Test Manual for the State-Trait Anxiety Inventory. Palo Alto: Consulting Psychologists Press; 1970.Google Scholar
Beck, AT, Ward, CH, Mendelson, M, Mock, J, Erbaugh, J. An inventory for measuring depression. Arch Gen Psychiatry. 1961 Jun;4:561–71.CrossRefGoogle ScholarPubMed
Hamilton, M. A rating scale for depression. J Neurol Neurosurg Psychiatry. 1960;23:5661.CrossRefGoogle ScholarPubMed
Montgomery, SA, Asberg, M. A new depression scale designed to be sensitive to change. Br J Psychiatry. 1979 Apr;134:382–9.CrossRefGoogle ScholarPubMed
McDowell, I. (2006). Measuring Health: A Guide to Rating Scales and Questionnaires (3rd ed.). Oxford: Oxford University Press. https://doi.org/10.1093/acprof:oso/9780195165678.001.0001.CrossRefGoogle Scholar
Schwarzener, R, Schwarzener, C. A critical survey of coping instruments. In: Zeidner, M, Endler, NS (Eds.). Handbook of Coping: Theory, Research, Applications. New York: Wiley; 1996, pp. 110.Google Scholar
Krohne, HW. Vigilance and cognitive avoidance as concepts in coping research. In: Krohne, HW (Ed.). Attention and Avoidance: Strategies in Coping with Aversiveness. Seattle: Hogrefe&Huber; 1996.Google Scholar
Lazarus, RS, Folkman, S. Stress, Appraisal and Coping. New York: Springer; 1984.Google Scholar
Telles-Correia, D, Mega, I, Barbosa, A, Barroso, E, Monteiro, E. Coping nos doentes transplantados Coping in transplantated patients. Acta Med Port. 2008 Mar–Apr;21(2):141–8. Portuguese.Google ScholarPubMed
Carver, CS, Scheier, MF, Weintraub, JK. Assessing coping strategies: A theoretically based approach. J Pers Soc Psychol. 1989 Feb;56(2):267–83.CrossRefGoogle ScholarPubMed
Carver, CS. You want to measure coping but your protocol’s too long: consider the brief COPE. Int J Behav Med. 1997;4(1):92100.CrossRefGoogle ScholarPubMed
Sifneos, PE. The prevalence of “alexithymic” characteristics in psychosomatic patients. Psychother Psychosom. 1973;22(2):255–62.CrossRefGoogle ScholarPubMed
Galeazzi, GM, Ferrari, S, Mackinnon, A, Rigatelli, M. Interrater reliability, prevalence, and relation to ICD-10 diagnoses of the Diagnostic Criteria for Psychosomatic Research in consultation-liaison psychiatry patients. Psychosomatics. 2004 Sep–Oct;45(5):386–93.CrossRefGoogle ScholarPubMed
Mancini, S, Alboni, S, Mattei, G, et al. Preliminary results of a multidisciplinary Italian study adopting a Psycho-Neuro-Endocrine-Immunological (PNEI) approach to the study of colorectal adenomas. Acta Biomed. 2020 Sep 30;92(1):e2021014.Google Scholar
Miranda, PJ, DeFronzo, RA, Califf, RM, Guyton, JR. Metabolic syndrome: definition, pathophysiology, and mechanisms. Am Heart J. 2005 Jan;149(1):3345.CrossRefGoogle ScholarPubMed
Hess, PL, Al-Khalidi, HR, Friedman, DJ, et al. The metabolic syndrome and risk of sudden cardiac death: The atherosclerosis risk in communities study. J Am Heart Assoc. 2017 Aug 23;6(8):e006103.CrossRefGoogle ScholarPubMed
Mattei, G, Padula, MS, Rioli, G, et al. Metabolic syndrome, anxiety and depression in a sample of Italian primary care patients. J Nerv Ment Dis. 2018 May;206(5):316–24.CrossRefGoogle Scholar
Rioli, G, Tassi, S, Mattei, G, et al. The association between symptoms of anxiety, depression, and cardiovascular risk factors: Results from an Italian cross-sectional study. J Nerv Ment Dis. 2019 May;207(5):340–7.CrossRefGoogle ScholarPubMed
Marchi, M, Mattei, G, Mancini, S, et al. Personality traits and physical activity may be involved in colorectal carcinogenesis: Preliminary data from a cross-sectional study on patients undergoing colonoscopy. Minerva Psichiatr. 2019;60(2):100–1.CrossRefGoogle Scholar
Goldbacher, EM, Matthews, KA. Are psychological characteristics related to risk of the metabolic syndrome? A review of the literature. Ann Behav Med. 2007 Nov–Dec;34(3):240–52.CrossRefGoogle ScholarPubMed
Mariani, F, Sena, P, Roncucci, L. Inflammatory pathways in the early steps of colorectal cancer development. World J Gastroenterol. 2014 Aug 7;20(29):9716–31.CrossRefGoogle ScholarPubMed
Lang, T, Klaghofer, R, Buddeberg, C. Psychiatric comorbidity and psychosocial markers in patients before heart, liver or lung transplantation. Schweiz Med Wochenschr 1997; 27: 1950–60.Google Scholar
Zahn, A, Seubert, L, Jünger, J, et al. Factors influencing long-term quality of life and depression in German liver transplant recipients: a single-centre cross-sectional study. Ann Transplant. 2013 Jun 26;18:327–35. https://doi.org/10.12659/aot.883962. PMID: 23817439.Google ScholarPubMed
Miller, LR, Paulson, D, Eshelman, A, et al. Mental health affects the quality of life and recovery after liver transplantation. Liver Transpl. 2013 Nov;19(11):1272–8. https://doi.org/10.1002/lt.23728. Epub 2013 Sep 24. PMID: 23959592.CrossRefGoogle ScholarPubMed
Telles-Correia, D, Barbosa, A, Mega, I, Monteiro, E. Psychosocial predictors of adherence after liver transplant in a single transplant center in Portugal. Prog Transplant. 2012 Mar;22(1):91–4. https://doi.org/10.7182/pit2012569. PMID: 22489449.CrossRefGoogle Scholar
Ferrari, S., Martire, L., Rigatelli, M. The Psychiatric-Psychosomatic Consultation Service (PPCS) of Modena: Eleven years of experience between clinical, training and research activities. J Psychosom Res 2012;72(6):479480.Google Scholar
Ludwig, G, Dobe-Tauchert, P, Nonnast-Daniel, B, et al. Assessing psychosocial vulnerability and care needs of pretransplant patients by means of the INTERMED. Z Psychosom Med Psychother 2014; 60:190203.Google ScholarPubMed
Mattei, G, Laghi, A, Balduzzi, S, et al. Indicators of complex care during the consultation-liaison psychiatry activity at the Transplant Center of the Policlinico Hospital, Modena. Transplant Proc. 2017 Nov;49(9):2105–9. https://doi.org/10.1016/j.transproceed.2017.09.031. PMID: 29149969.CrossRefGoogle ScholarPubMed
Cavana, S, Mattei, G, Rioli, G, et al. Are patients with pre-orthotopic liver transplant psychiatric consultation different in bio-psycho-social complexity from other consultation inpatients? A study from a consultation-liaison psychiatric service. J Psychosom Res. 2018;109:94–5.CrossRefGoogle Scholar
Moscara, M, Bergonzini, E. Integrating the principles of transference-focused psychotherapy with psychiatric consultation for patients admitted to a general hospital: A clinical application of a psychotherapeutic tool. Int J Appl Psychoanal Stud. Published online ahead of print 1–12. https://doi.org/10.1002/aps.1661.CrossRefGoogle Scholar
Härter, M, Baumeister, H, Reuter, K, et al. Increased 12-month prevalence rates of mental disorders in patients with chronic somatic diseases. Psychother Psychosom. 2007;76(6):354–60.CrossRefGoogle ScholarPubMed
Desan, PH, Zimbrean, PC, Weinstein, AJ, Bozzo, JE, Sledge, WH. Proactive psychiatric consultation services reduce length of stay for admissions to an inpatient medical team. Psychosomatics. 2011 Nov–Dec;52(6):513–20.CrossRefGoogle Scholar
Rigatelli, M, Ferrari, S. The Modena Consultation-Liaison Psychiatry Service, Italy. Br J Psychiatry. 2004 Mar;184:268–9.CrossRefGoogle ScholarPubMed
Huyse, FJ, Lyons, JS, Stiefel, F, et al. Operationalizing the biopsychosocial model: the intermed. Psychosomatics. 2001 Jan–Feb;42(1):513.CrossRefGoogle ScholarPubMed
Ferrari, S, Mattei, G, Marchi, M, Galeazzi, GM, Pingani, L. Is consultation-liaison psychiatry “getting old”? How psychiatry referrals in the general hospital have changed over 20 years. Int J Environ Res Public Health. 2020 Oct 10;17(20):7389.CrossRefGoogle ScholarPubMed
Diefenbacher, A. Consultation and liaison psychiatry. In: Helmchen, H, Henn, F, Lauter, H, Sartorius, N (Eds.). Contemporary Psychiatry. Berlin: Springer; 2000, pp. 253–67.Google Scholar
Parsonage, M, Fossey, M. Economic Evaluation of a Liaison Psychiatry Service. London: Centre for Mental Health; 2011.Google Scholar
Lyons, JS, Hammer, JS, Strain, JJ, Fulop, G. The timing of psychiatric consultation in the general hospital and length of hospital stay. Gen Hosp Psychiatry. 1986 May;8(3):159–62.CrossRefGoogle ScholarPubMed
Wood, R, Wand, AP. The effectiveness of consultation-liaison psychiatry in the general hospital setting: a systematic review. J Psychosom Res. 2014 Mar;76(3):175–92.CrossRefGoogle ScholarPubMed
Hosaka, T, Aoki, T, Watanabe, T, Okuyama, T, Kurosawa, H. General hospital psychiatry from the perspective of medical economics. Psychiatry Clin Neurosci. 1999 Aug;53(4):449–53.CrossRefGoogle ScholarPubMed
Mattei, G, Moscara, M, Balducci, J, et al. Stability of psychiatric diagnoses in candidates to liver transplantation referred to a consultation-liaison psychiatry service. J Clin Med. 2019;8:800.CrossRefGoogle ScholarPubMed
Zerbinati, L, Palagini, L, Balestrieri, M, et al. Changes of consultation-liaison psychiatry practice in Italian general hospitals: a comparative 20-year multicenter study. Front Psychiatry. 2022 Oct 14;13:959399. https://doi.org/10.3389/fpsyt.2022.959399. PMID: 36311528; PMCID: PMC9614237.CrossRefGoogle ScholarPubMed
Kim, YS, Do, H, Lee, JW, et al. Patient reporting pain intensity immediately after surgery can be associated with underlying depression in women with breast cancer. Psychooncology. 2016 Mar;25(3):308–15.CrossRefGoogle ScholarPubMed
Thekdi, SM, Trinidad, A, Roth, A. Psychopharmacology in cancer. Curr Psychiatry Rep. 2015 Jan;17(1):529.CrossRefGoogle ScholarPubMed
Breitbart, W, Chochinov, HM, Alici, Y. Palliative care. In: Levenson, JL (Ed.). Textbook of Psychosomatic Medicine. Psychiatric Care of the Medically Ill. Washington, DC: American Psychiatric Publishing; 2011, pp. 1053–84.Google Scholar
Braun, UK, Kunik, ME, Pham, C. Treating depression in terminally ill patients can optimize their physical comfort at the end of life and provide them the opportunity to confront and prepare for death. Geriatrics. 2008 Jun;63(6):25–7.Google ScholarPubMed
Janberidze, E, Hjermstad, MJ, Brunelli, C, et al. The use of antidepressants in patients with advanced cancer: Results from an international multicentre study. Psychooncology. 2014 Oct;23(10):1096–102.CrossRefGoogle ScholarPubMed
Rigatelli, M, Galeazzi, GM, Cavicchioli, C, et al. La consulenza psichiatrica nel reparto di malattie infettive. Psychiatric referral in the infectious disease ward. 1997, pp. 193201. Italian.Google Scholar
Leentjens, AF, Rundell, JR, Wolcott, DL, et al. Reprint of: Psychosomatic medicine and consultation-liaison psychiatry: scope of practice, processes, and competencies for psychiatrists working in the field of CL psychiatry or psychosomatics. A consensus statement of the European Association of Consultation-Liaison Psychiatry and Psychosomatics (EACLPP) and the Academy of Psychosomatic Medicine (APM). J Psychosom Res. 2011 May;70(5):486–91.CrossRefGoogle ScholarPubMed

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