What Kind of Patients Receive Inpatient and Day-Hospital Treatment in Departments of Psychosomatic Medicine and Psychotherapy in Germany?

被引：21

作者：

Doering, Stephan ^{[1
]}

Herpertz, Stephan ^{[2
]}

Hofmann, Tobias ^{[3
,4
,5
]}

Rose, Matthias ^{[3
,4
,5
]}

Imbierowicz, Katrin ^{[6
]}

Geiser, Franziska ^{[6
]}

Croy, Ilona ^{[7
,8
]}

Weidner, Kerstin ^{[7
]}

Rademacher, Jorg ^{[9
]}

Michalek, Silke ^{[9
]}

Morawa, Eva ^{[10
]}

Erim, Yesim ^{[10
]}

Teigelack, Per ^{[11
]}

Teufel, Martin ^{[11
]}

Hartmann, Armin ^{[12
]}

Lahmann, Claas ^{[12
]}

Peters, Eva Milena Johanne ^{[13
,14
]}

Kruse, Johannes ^{[13
,14
]}

von Boetticher, Dirk ^{[15
]}

Herrmann-Lingen, Christoph ^{[15
]}

Nohre, Mariel ^{[16
]}

de Zwaan, Martina ^{[16
]}

Dinger, Ulrike ^{[9
,17
]}

Friederich, Hans-Christoph ^{[17
]}

Niecke, Alexander ^{[18
,19
]}

Albus, Christian ^{[18
,19
]}

Zwerenz, Rudiger ^{[20
]}

Beutel, Manfred ^{[20
]}

Roenneberg, Casper ^{[21
]}

Henningsen, Peter ^{[21
]}

Stein, Barbara ^{[22
]}

Waller, Christiane ^{[22
]}

Hake, Karsten ^{[23
]}

Spitzer, Carsten ^{[23
]}

Stengel, Andreas ^{[24
]}

Zipfel, Stephan ^{[24
]}

Weimer, Katja ^{[25
]}

Guendel, Harald ^{[25
]}

Kessler, Henrik ^{[2
,26
]}

机构：

[1] Med Univ Vienna, Dept Psychoanal & Psychotherapy, Vienna, Austria

[2] Ruhr Univ Bochum, LWL Univ Hosp, Dept Psychosomat Med & Psychotherapy, Bochum, Germany

[3] Charite Univ Med Berlin, Dept Psychosomat Med, Charite Ctr Internal Med & Dermatol, Berlin, Germany

[4] Free Univ Berlin, Berlin, Germany

[5] Humboldt Univ, Berlin, Germany

[6] Univ Bonn, Dept Psychosomat Med & Psychotherapy, Bonn, Germany

[7] Tech Univ, Carl Gustav Carus Fac Med, Dept Psychotherapy & Psychosomat Med, Dresden, Germany

[8] Friedrich Schiller Univ, Dept Clin Psychol, Jena, Germany

[9] Heinrich Heine Univ Dusseldorf, LVR Univ Hosp, Dept Psychosomat Med & Psychotherapy, Dusseldorf, Germany

[10] Friedrich Alexander Univ Erlangen Nuremberg, Univ Hosp Erlangen, Dept Psychosomat Med & Psychotherapy, Erlangen, Germany

[11] Univ Duisburg Essen, LVR Univ Hosp, Clin Psychosomat Med & Psychotherapy, Essen, Germany

[12] Univ Freiburg, Fac Med, Ctr Mental Hlth, Dept Psychosomat Med & Psychotherapy, Freiburg, Germany

[13] Justus Liebig Univ Giessen, Dept Psychosomat Med & Psychotherapy, Marburg, Germany

[14] Philipps Univ Marburg, Dept Psychosomat Med & Psychotherapy, Marburg, Germany

[15] Univ Gottingen Med Ctr, Dept Psychosomat Med & Psychotherapy, Gottingen, Germany

[16] Hannover Med Sch, Dept Psychosomat Med & Psychotherapy, Hannover, Germany

[17] Heidelberg Univ, Univ Hosp, Dept Gen Internal Med & Psychosomat, Heidelberg, Germany

[18] Univ Cologne, Fac Med, Dept Psychosomat Med & Psychotherapy, Cologne, Germany

[19] Univ Hosp Cologne, Cologne, Germany

[20] Johannes Gutenberg Univ Mainz, Dept Psychosomat Med & Psychotherapy, Univ Med Ctr, Mainz, Germany

[21] Tech Univ Munich, Univ Hosp, Dept Psychosomat Med & Psychotherapy, Munich, Germany

[22] Paracelsus Med Univ, Nuremberg Gen Hosp, Dept Psychosomat Med & Psychotherapy, Nurnberg, Germany

[23] Univ Med Ctr Rostock, Dept Psychosomat Med & Psychotherapy, Rostock, Germany

[24] Univ Hosp Tubingen, Psychosomat Med & Psychotherapy, Internal Med 6, Tubingen, Germany

[25] Ulm Univ Med Ctr, Dept Psychosomat Med & Psychotherapy, Ulm, Germany

[26] Univ Marburg, Dept Psychosomat Med & Psychotherapy, Campus Fulda, Marburg, Germany

来源：

PSYCHOTHERAPY AND PSYCHOSOMATICS | 2023年 / 92卷 / 01期

关键词：

Inpatient treatment; Day-hospital; Diagnosis; Psychotherapy; Psychosomatic medicine;

D O I：

10.1159/000527881

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

Introduction: Germany is one of the few countries with a medical specialty of psychosomatic medicine and psychotherapy and many treatment resources of this kind. Objective: This observational study describes the psychosomatic treatment programs as well as a large sample of day-hospital and inpatients in great detail using structured diagnostic interviews. Methods: Mental disorders were diagnosed according to ICD-10 and DSM-IV by means of Mini-DIPS and SCID-II. In addition to the case records, a modified version of the CSSRI was employed to collect demographic data and service use. The PHQ-D was used to assess depression, anxiety, and somatization. Results: 2,094 patients from 19 departments participated in the study after giving informed consent. The sample consisted of a high proportion of "complex patients" with high comorbidity of mental and somatic diseases, severe psychopathology, and considerable social and occupational dysfunction including more than 50 days of sick leave per year in half of the sample. The most frequent diagnoses were depression, somatoform and anxiety disorders, eating disorders, personality disorders, and somato-psychic conditions. Conclusions: Inpatient and day-hospital treatment in German university departments of psychosomatic medicine and psychotherapy is an intensive multimodal treatment for complex patients with high comorbidity and social as well as occupational dysfunction.

引用

页码：49 / 54

页数：6

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