[Outcome of simultaneous psychosomatic/internal-medicine inpatient care--a naturalistic follow-up study]
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[Outcome of simultaneous psychosomatic/internal-medicine inpatient care--a naturalistic follow-up study]. / Zastrow, Arne; Verena, Faude; Seyboth, Franziska; Niehoff, Dorothea; Herzog, Wolfgang; Löwe, Bernd.
in: Z PSYCHOSOM MED PSYC, Jahrgang 55, Nr. 3, 3, 2009, S. 229-247.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - [Outcome of simultaneous psychosomatic/internal-medicine inpatient care--a naturalistic follow-up study]
AU - Zastrow, Arne
AU - Verena, Faude
AU - Seyboth, Franziska
AU - Niehoff, Dorothea
AU - Herzog, Wolfgang
AU - Löwe, Bernd
PY - 2009
Y1 - 2009
N2 - OBJECTIVES: The effectiveness of simultaneous psychosomatic and internal-medicine inpatient care has not yet been satisfyingly investigated. What outcome is found in patients treated in a psychosomatic/internal medicine setting? Can we predict a reduction in depression and symptom severity? METHODS: The study design is prospective and naturalistic. Patients from a psychosomatic/internal-medicine setting and a solely internal-medicine ward filled in self-report questionnaires on the day of admission, five days thereafter, and three months after discharge. RESULTS: A total of 221 patients from a psychosomatic/internal-medicine setting and 418 patients from a solely internal-medicine ward were included. Patient characteristics differed significantly between the two wards. Treatment was associated with a reduction of depression and somatic symptom severity over time. Depression severity improved more in the psychosomatic/internal-medicine setting than in the internal-medicine ward (ES = 0.37 vs. ES = 0.65). The strongest predictor of improvement of depression and somatic symptom severity was the patients' belief that their physical well-being was influenced by psychological factors (B = 1.44 and 1 = 0.65). CONCLUSIONS: The results document a differential approach to admission in an integrated psychosomatic/internal medicine setting and underline the favourable course for psychological and somatic symptoms.
AB - OBJECTIVES: The effectiveness of simultaneous psychosomatic and internal-medicine inpatient care has not yet been satisfyingly investigated. What outcome is found in patients treated in a psychosomatic/internal medicine setting? Can we predict a reduction in depression and symptom severity? METHODS: The study design is prospective and naturalistic. Patients from a psychosomatic/internal-medicine setting and a solely internal-medicine ward filled in self-report questionnaires on the day of admission, five days thereafter, and three months after discharge. RESULTS: A total of 221 patients from a psychosomatic/internal-medicine setting and 418 patients from a solely internal-medicine ward were included. Patient characteristics differed significantly between the two wards. Treatment was associated with a reduction of depression and somatic symptom severity over time. Depression severity improved more in the psychosomatic/internal-medicine setting than in the internal-medicine ward (ES = 0.37 vs. ES = 0.65). The strongest predictor of improvement of depression and somatic symptom severity was the patients' belief that their physical well-being was influenced by psychological factors (B = 1.44 and 1 = 0.65). CONCLUSIONS: The results document a differential approach to admission in an integrated psychosomatic/internal medicine setting and underline the favourable course for psychological and somatic symptoms.
M3 - SCORING: Zeitschriftenaufsatz
VL - 55
SP - 229
EP - 247
JO - Z PSYCHOSOM MED PSYC
JF - Z PSYCHOSOM MED PSYC
SN - 1438-3608
IS - 3
M1 - 3
ER -
