What Kind of Patients Receive Inpatient and Day-Hospital Treatment in Departments of Psychosomatic Medicine and Psychotherapy in Germany?
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What Kind of Patients Receive Inpatient and Day-Hospital Treatment in Departments of Psychosomatic Medicine and Psychotherapy in Germany? / Doering, Stephan; Herpertz, Stephan; Hofmann, Tobias; Rose, Matthias; Imbierowicz, Katrin; Geiser, Franziska; Croy, Ilona; Weidner, Kerstin; Rademacher, Jörg; Michalek, Silke; Morawa, Eva; Erim, Yesim; Teigelack, Per; Teufel, Martin; Hartmann, Armin; Lahmann, Claas; Johanne Peters, Eva Milena; Kruse, Johannes; von Boetticher, Dirk; Herrmann-Lingen, Christoph; Nöhre, Mariel; de Zwaan, Martina; Dinger, Ulrike; Friederich, Hans-Christoph; Niecke, Alexander; Albus, Christian; Zwerenz, Rüdiger; Beutel, Manfred; Roenneberg, Casper; Henningsen, Peter; Stein, Barbara; Waller, Christiane; Hake, Karsten; Spitzer, Carsten; Stengel, Andreas; Zipfel, Stephan; Weimer, Katja; Gündel, Harald; Kessler, Henrik.
in: PSYCHOTHER PSYCHOSOM, Jahrgang 92, Nr. 1, 2023, S. 49-54.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › Kurzpublikation › Forschung › Begutachtung
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TY - JOUR
T1 - What Kind of Patients Receive Inpatient and Day-Hospital Treatment in Departments of Psychosomatic Medicine and Psychotherapy in Germany?
AU - Doering, Stephan
AU - Herpertz, Stephan
AU - Hofmann, Tobias
AU - Rose, Matthias
AU - Imbierowicz, Katrin
AU - Geiser, Franziska
AU - Croy, Ilona
AU - Weidner, Kerstin
AU - Rademacher, Jörg
AU - Michalek, Silke
AU - Morawa, Eva
AU - Erim, Yesim
AU - Teigelack, Per
AU - Teufel, Martin
AU - Hartmann, Armin
AU - Lahmann, Claas
AU - Johanne Peters, Eva Milena
AU - Kruse, Johannes
AU - von Boetticher, Dirk
AU - Herrmann-Lingen, Christoph
AU - Nöhre, Mariel
AU - de Zwaan, Martina
AU - Dinger, Ulrike
AU - Friederich, Hans-Christoph
AU - Niecke, Alexander
AU - Albus, Christian
AU - Zwerenz, Rüdiger
AU - Beutel, Manfred
AU - Roenneberg, Casper
AU - Henningsen, Peter
AU - Stein, Barbara
AU - Waller, Christiane
AU - Hake, Karsten
AU - Spitzer, Carsten
AU - Stengel, Andreas
AU - Zipfel, Stephan
AU - Weimer, Katja
AU - Gündel, Harald
AU - Kessler, Henrik
N1 - © 2022 The Author(s). Published by S. Karger AG, Basel.
PY - 2023
Y1 - 2023
N2 - 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.
AB - 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.
KW - Humans
KW - Inpatients
KW - Psychosomatic Medicine
KW - Psychophysiologic Disorders/epidemiology
KW - Psychotherapy
KW - Hospitals
KW - Germany/epidemiology
U2 - 10.1159/000527881
DO - 10.1159/000527881
M3 - Short publication
C2 - 36516807
VL - 92
SP - 49
EP - 54
JO - PSYCHOTHER PSYCHOSOM
JF - PSYCHOTHER PSYCHOSOM
SN - 0033-3190
IS - 1
ER -