Hyperarousal in the hospital and what to do about it: the MED-PSYCH-NET - a transitional network approach fostering personalized care in psychosomatic medicine

Psychosomatics offers new perspectives to different medical specialisations not usually working together. It is shown that psychosomatic care based on integrated collaboration has better results and provides more scientific insights. This dissertation describes the effects of a transmural medical- psychological network providing multidisciplinary care to patients with psychosomatic symptoms resistant to treatment based on monodisciplinary approaches. We studied direct outcome measures and socially relevant medical costs and cost savings. An alarm falsification model was presented describing the relationship between functional physical symptoms and accompanying emotional symptoms. We also introduced a method allowing the measurement of psychosomatic symptoms in daily life which improves the knowledge of how stress-related symptoms develop.