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Psychological Interventions in Inpatient Medical Settings: A Brief Review

Author

Listed:
  • Lekeisha A. Sumner*

    (PhD, ABPP, Director of Health Psychology, Department of Psychiatry and Behavioral Neuroscience, Cedars-Sinai Medical Center, Los Angeles, California, USA)

  • Waguih William IsHak

    (MD, FAPA, Vice Chairman of Education and Research at Cedars-Sinai Medical Center, and Clinical Professor of Psychiatry, David Geffen School of Medicine at UCLA, Los Angeles, California, USA)

  • Jonathan Dang, MD

    (MD, Cedars-Sinai Medical Center, Los Angeles, California, USA)

  • Brigitte Vanle

    (PhD, Cedars-Sinai Medical Center, Los Angeles, California, USA)

  • Naina Mahtani

    (MA, Department of Psychology, Loma Linda University, Loma Linda, California, USA)

  • Itai Danovitch

    (MD, Chairman, Department of Psychiatry and Behavioral Neurosciences, Los Angeles, California, USA)

Abstract

Background: Behavioral health conditions are prevalent among patients in inpatient medical settings and when not adequately treated contribute to diminished treatment outcomes and quality of life. Substantial evidence has demonstrated the effectiveness of psychological interventions in addressing behavioral health conditions in a range of settings but, to a lesser extent with psychologically-based interventions delivered in inpatient medical settings. Purpose: The purpose of this paper is to increase attention on psychological interventions being delivered to patients across a broad spectrum of medical specialties in inpatient medical settings to support the implementation of interventions to address increasing patient needs. Methods: This selected, brief review of the literature sought to describe published psychologically-based interventions delivered in inpatient medical settings. A search for studies catalogued on PubMed from 2007 to 2016 was examined and studies were included in the review if they were delivered within inpatient medical settings. Two reviewers independently assessed relevant studies for criteria. Results: A total of ten articles met the inclusion criteria with interventions targeting outcomes across four primary domains: 1) pain and fatigue; 2) cognition; 3) affective/emotional and; 4) self-harm. Several articles support interventions grounded in Cognitive-Behavioral Therapy and brief psychological interventions. Most studies reported favorable outcomes for the interventions relative to controls. Conclusions: Psychologically-based interventions, especially those that integrate components of cognitive-behavioral therapy and a multidisciplinary approach, can be implemented in inpatient medical settings and may promote improved patient outcomes. However, the quality of this evidence requires formal assessment, requiring more comprehensive reviews are needed to replicate findings and clarify effectiveness of interventions.

Suggested Citation

  • Lekeisha A. Sumner* & Waguih William IsHak & Jonathan Dang, MD & Brigitte Vanle & Naina Mahtani & Itai Danovitch, 2018. "Psychological Interventions in Inpatient Medical Settings: A Brief Review," International Journal of Healthcare and Medical Sciences, Academic Research Publishing Group, vol. 4(5), pages 73-83, 05-2018.
    • Handle: RePEc:arp:ijohms:2018:p:73-83
    DOI: arpgweb.com/?ic=journal&journal=13&info=aims
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    References listed on IDEAS

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    1. Robert Carroll & Chris Metcalfe & David Gunnell, 2014. "Hospital Presenting Self-Harm and Risk of Fatal and Non-Fatal Repetition: Systematic Review and Meta-Analysis," PLOS ONE, Public Library of Science, vol. 9(2), pages 1-9, February.
    2. Irving Kirsch & Brett J Deacon & Tania B Huedo-Medina & Alan Scoboria & Thomas J Moore & Blair T Johnson, 2008. "Initial Severity and Antidepressant Benefits: A Meta-Analysis of Data Submitted to the Food and Drug Administration," PLOS Medicine, Public Library of Science, vol. 5(2), pages 1-9, February.
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