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Fortschr Neurol Psychiatr 2009; 77(12): 720-737
DOI: 10.1055/s-0028-1109456
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© Georg Thieme Verlag KG Stuttgart · New York

Körperliche Erkrankungen bei psychiatrischen Patienten – Teil I[*]

Epidemiologie, häufige ErkrankungenMedical Disorders in Psychiatric Patients – Part IEpidemiology, Common DiseasesW. Hewer1 , H. S. Füeßl2
  • 1Vinzenz-von-Paul-Hospital, Rottweil
  • 2Isar-Amper Klinikum Haar
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Publication Date:
16 June 2009 (online)

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Vermittlung des aktuellen Kenntnisstands zur Häufigkeit und klinischen Bedeutung wichtiger körperlicher Begleiterkrankungen bei allgemeinpsychiatrischen Patienten. Der Beitrag befasst sich schwerpunktmäßig mit gesundheitlichen Beeinträchtigungen von Patienten mit schweren psychischen Erkrankungen („severe mental illness”– SMI). Anhand einer Übersicht zu aktuellen Mortalitätsstudien soll deutlich werden, dass Menschen mit SMI einer signifikanten Verkürzung ihrer Lebenserwartung unterliegen. Die Übersterblichkeit wird neben einer erhöhten Wahrscheinlichkeit unnatürlicher Todesfälle in einem mindestens genauso starken Umfang durch eine Häufung natürlicher Todesursachen determiniert. Ausgewählte diagnostische und therapeutische Aspekte häufiger körperlicher Begleiterkrankungen bei psychiatrischen Patienten werden besprochen. Diese betreffen Herz-Kreislauf-, Atemwegs- und Lungen- sowie metabolische Erkrankungen. Spezifische Risikokonstellationen im Kontext der psychiatrischen Behandlung – z. B. in Verbindung mit der Anwendung von Psychopharmaka – stehen dabei im Fokus.

4 Herrn Dr. med. Hans Werner Schied in dankbarer Verbundenheit gewidmet.

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4 Herrn Dr. med. Hans Werner Schied in dankbarer Verbundenheit gewidmet.

Priv.-Doz. Dr. med. Walter Hewer

Vinzenz-von-Paul-Hospital

Schwenninger Str. 55

78628 Rottweil

Email: w.hewer@VvPH.de