Abstract. The outcome of in-patient psychosomatic treatment was evaluated by longitudinal assessment at hospital admission, discharge, and 1-year-follow-up. Out of n = 1829 patients, n = 712 responded (38.9 %). Response rates co-varied with duration of in-patient treatment. Responder-analyses characterise the sample as fairly representative. Outcome criteria included standardised measures of complaints, mood quality, global quality of life, life satisfaction, everyday functioning, and social integration. Disease-related parameters (duration of illness, medical certification, number of doctors consulted, number of somatic resp. psychosocial diagnoses) and generalised outcome expectancies (self-efficacy, optimism, pessimism) were included as predictors. Patients' retrospective estimations at follow-up as well as longitudinal assessments show a successful and mostly stable therapy outcome. Negative moods and complaints show a new increase at follow-up, though, still remaining below the level at hospital admission. Although there is much accordance among the diagnostic groups, patients with anxiety disorders (ICD-10: F40/41) and patients with adaptation disorders (F43) show distinctly varying courses. Regression analyses yield specific correlations between disease-related parameters and long-term outcome: Duration of treatment does not predict treatment outcome. The number of somatic diagnoses is a predictor of complaints, the number of psychosocial diagnoses a predictor of negative moods at follow-up. Pessimism and - to a lesser degree - self-efficacy prove to significantly predict numerous outcome criteria. Generalised expectancies should be considered in the process of prognosis and differential indication.
{"title":"Prädiktoren des Behandlungsergebnisses stationärer psychosomatischer Therapie","authors":"H. Fliege, M. Rose, Ekkehard Bronner, B. Klapp","doi":"10.1055/s-2002-20184","DOIUrl":"https://doi.org/10.1055/s-2002-20184","url":null,"abstract":"Abstract. The outcome of in-patient psychosomatic treatment was evaluated by longitudinal assessment at hospital admission, discharge, and 1-year-follow-up. Out of n = 1829 patients, n = 712 responded (38.9 %). Response rates co-varied with duration of in-patient treatment. Responder-analyses characterise the sample as fairly representative. Outcome criteria included standardised measures of complaints, mood quality, global quality of life, life satisfaction, everyday functioning, and social integration. Disease-related parameters (duration of illness, medical certification, number of doctors consulted, number of somatic resp. psychosocial diagnoses) and generalised outcome expectancies (self-efficacy, optimism, pessimism) were included as predictors. Patients' retrospective estimations at follow-up as well as longitudinal assessments show a successful and mostly stable therapy outcome. Negative moods and complaints show a new increase at follow-up, though, still remaining below the level at hospital admission. Although there is much accordance among the diagnostic groups, patients with anxiety disorders (ICD-10: F40/41) and patients with adaptation disorders (F43) show distinctly varying courses. Regression analyses yield specific correlations between disease-related parameters and long-term outcome: Duration of treatment does not predict treatment outcome. The number of somatic diagnoses is a predictor of complaints, the number of psychosocial diagnoses a predictor of negative moods at follow-up. Pessimism and - to a lesser degree - self-efficacy prove to significantly predict numerous outcome criteria. Generalised expectancies should be considered in the process of prognosis and differential indication.","PeriodicalId":345802,"journal":{"name":"Psychother Psych Med","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2002-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127852144","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This study longitudinally examines the intensive and effective ways of coping in a cohort of 63 stroke patients (aged 38±85 yrs.). The coping activities of the stroke patients are investigated with the (cid:185)Freiburg Questionnaire of Coping with Illness (FQCI)™. In the acute phase (t 1 ), especially the compliance-focused coping strategies are (cid:185)very often™ used, whereas the problem-focused, self-constructive strategies leading to a quest for sense are only used (cid:185)quite often™. Three months later (t 2 ), compliance-and pro-blem-focused coping strategies are employed with less intensity, the self-constructive ones, however, in a more intensive way. The strategies leading to a quest for sense are hardly employed in an intensive way any longer. A subjective estimation made by the examined stroke patients shows that the most effective coping strategies in the acute phase (t 1 ) are problem-and compliance-focused. Self-constructive coping strategies come second and strategies with regard to a quest for sense only third in view of their effectiveness. Three months later (t 2 ), the effective coping strategies are still problem-focused but only to a very small degree, while the effectiveness of compliance-focused strategies is lost completely. The self-constructive coping behaviour will now become the most effective one, a behaviour which proves to be even more inclined to a quest for sense than in the acute phase.
{"title":"Das Bewältigungsverhalten von Schlaganfallpatienten: Intensität und Effektivität","authors":"R. Kremer1, Kirsten Quednau2","doi":"10.1055/s-2002-20181","DOIUrl":"https://doi.org/10.1055/s-2002-20181","url":null,"abstract":"This study longitudinally examines the intensive and effective ways of coping in a cohort of 63 stroke patients (aged 38±85 yrs.). The coping activities of the stroke patients are investigated with the (cid:185)Freiburg Questionnaire of Coping with Illness (FQCI)™. In the acute phase (t 1 ), especially the compliance-focused coping strategies are (cid:185)very often™ used, whereas the problem-focused, self-constructive strategies leading to a quest for sense are only used (cid:185)quite often™. Three months later (t 2 ), compliance-and pro-blem-focused coping strategies are employed with less intensity, the self-constructive ones, however, in a more intensive way. The strategies leading to a quest for sense are hardly employed in an intensive way any longer. A subjective estimation made by the examined stroke patients shows that the most effective coping strategies in the acute phase (t 1 ) are problem-and compliance-focused. Self-constructive coping strategies come second and strategies with regard to a quest for sense only third in view of their effectiveness. Three months later (t 2 ), the effective coping strategies are still problem-focused but only to a very small degree, while the effectiveness of compliance-focused strategies is lost completely. The self-constructive coping behaviour will now become the most effective one, a behaviour which proves to be even more inclined to a quest for sense than in the acute phase.","PeriodicalId":345802,"journal":{"name":"Psychother Psych Med","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2002-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126928514","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
T. Reisch, Martin Thommen, Zsuzsanna Csontos, Wolfgang Tschacher
: The Bern Day Treatment Programme offers cognitive-behavioural treatment to patients suffering from depression, eating disorders, anxiety disorders, and personality disorders. Treatment duration ranges from 12 to 20 weeks. Its concept is described in comparison to other similar institutions. To evaluate the programme the Beck Depression Inventory (BDI), the Symptom Check List (SCL-90-R), and the Change in Life Areas (VLB) were administered to 89 patients at admission and discharge. Their analyses revealed high symptom levels at admission and a significant improvement during treatment. Patients with personality disorders show less improvement in the VLB than patients without personality disorders. The results of the SCL-90-R indicate that the symptom levels at admission and the symptom reductions during treatment are similar to those of patients treated in inpatient units or in diagnostically specialised day treatment programmes. The Bern Day Treatment Programme seems to be feasible for highly impacted patients with non-psychotic disorders and might be a useful model for areas with low population density.
{"title":"Die Berner Psychotherapie-Tagesklinik: Evaluation und Einordnung in die psychiatrische Versorgungskette","authors":"T. Reisch, Martin Thommen, Zsuzsanna Csontos, Wolfgang Tschacher","doi":"10.1055/s-2002-20183","DOIUrl":"https://doi.org/10.1055/s-2002-20183","url":null,"abstract":": The Bern Day Treatment Programme offers cognitive-behavioural treatment to patients suffering from depression, eating disorders, anxiety disorders, and personality disorders. Treatment duration ranges from 12 to 20 weeks. Its concept is described in comparison to other similar institutions. To evaluate the programme the Beck Depression Inventory (BDI), the Symptom Check List (SCL-90-R), and the Change in Life Areas (VLB) were administered to 89 patients at admission and discharge. Their analyses revealed high symptom levels at admission and a significant improvement during treatment. Patients with personality disorders show less improvement in the VLB than patients without personality disorders. The results of the SCL-90-R indicate that the symptom levels at admission and the symptom reductions during treatment are similar to those of patients treated in inpatient units or in diagnostically specialised day treatment programmes. The Bern Day Treatment Programme seems to be feasible for highly impacted patients with non-psychotic disorders and might be a useful model for areas with low population density.","PeriodicalId":345802,"journal":{"name":"Psychother Psych Med","volume":"142 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2002-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117074684","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
0 / 2 0 0 1 7 . 2 . 2 0 0 2 b l a c k c y a n m a g e n t a y e l l o w Lässt sich das Verhältnis von Psychotherapie und Psychosomatik näher beschreiben? Jeder Versuch, Differenzierungen vorzunehmen, stöût schnell an Grenzen, die vor allem durch 1Facharzt Claimsa aber auch durch 1Methoden-Claimsa gezogen werden. Der Facharzt 1psychotherapeutische Medizina, der möglicherweise bald in 1Psychotherapie und Psychosomatika umgewandelt wird, vermittelt, dass er das gesamte Gebiet vertritt, andere Fachärzte (Allgemeinmediziner, Gynäkologen, Hautärzte) behaupten 3⁄4hnliches für ihren jeweiligen Bereich. Jede Psychotherapieschule (Psychoanalyse, Verhaltenstherapie, Gesprächspsychotherapie, systemische Therapie etc.) und auch Fachärzte für Psychiatrie nehmen für sich in Anspruch, Patienten mit psychosomatischen Symptomen effektiv behandeln zu können. Dazu findet sich der Anspruch einer integrierten Psychosomatik bzw. einer holistischen oder integrierten Medizin, wie ihn Thure von Uexküll vertritt. Psychosomatik ein heterogenes Feld, von dem viele behaupten, es sei sehr wichtig bzw. könnte wichtig werden.
{"title":"Psychotherapie und Psychosomatik - eine Einheit?","authors":"H. Deter","doi":"10.1055/s-2002-20185","DOIUrl":"https://doi.org/10.1055/s-2002-20185","url":null,"abstract":"0 / 2 0 0 1 7 . 2 . 2 0 0 2 b l a c k c y a n m a g e n t a y e l l o w Lässt sich das Verhältnis von Psychotherapie und Psychosomatik näher beschreiben? Jeder Versuch, Differenzierungen vorzunehmen, stöût schnell an Grenzen, die vor allem durch 1Facharzt Claimsa aber auch durch 1Methoden-Claimsa gezogen werden. Der Facharzt 1psychotherapeutische Medizina, der möglicherweise bald in 1Psychotherapie und Psychosomatika umgewandelt wird, vermittelt, dass er das gesamte Gebiet vertritt, andere Fachärzte (Allgemeinmediziner, Gynäkologen, Hautärzte) behaupten 3⁄4hnliches für ihren jeweiligen Bereich. Jede Psychotherapieschule (Psychoanalyse, Verhaltenstherapie, Gesprächspsychotherapie, systemische Therapie etc.) und auch Fachärzte für Psychiatrie nehmen für sich in Anspruch, Patienten mit psychosomatischen Symptomen effektiv behandeln zu können. Dazu findet sich der Anspruch einer integrierten Psychosomatik bzw. einer holistischen oder integrierten Medizin, wie ihn Thure von Uexküll vertritt. Psychosomatik ein heterogenes Feld, von dem viele behaupten, es sei sehr wichtig bzw. könnte wichtig werden.","PeriodicalId":345802,"journal":{"name":"Psychother Psych Med","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2002-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125736905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Bindungscharakteristika und Behandlungserfolg nach stationärer psychodynamischer Gruppenpsychotherapie","authors":"J. Sachse, Bernhard Strauß","doi":"10.1055/s-2002-24959","DOIUrl":"https://doi.org/10.1055/s-2002-24959","url":null,"abstract":"und","PeriodicalId":345802,"journal":{"name":"Psychother Psych Med","volume":"133 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124555340","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Zum Tod von Hans-Peter Rosemeier (7. April 1944 - 19. Februar 2006)","authors":"B. Strauß1, E. Brähler2, U. Koch3","doi":"10.1055/s-2006-932582","DOIUrl":"https://doi.org/10.1055/s-2006-932582","url":null,"abstract":"","PeriodicalId":345802,"journal":{"name":"Psychother Psych Med","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122437834","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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