Doering, Stephan, Herpertz, Stephan, Hofmann, Tobias ORCID: 0000-0002-4002-3552, Rose, Matthias, Imbierowicz, Katrin, Geiser, Franziska, Croy, Ilona ORCID: 0000-0002-0361-5559, Weidner, Kerstin, Rademacher, Jorg, Michalek, Silke ORCID: 0000-0001-5130-0730, Morawa, Eva, Erim, Yesim, Teigelack, Per, Teufel, Martin, Hartmann, Armin, Lahmann, Claas, Peters, Eva Milena Johanne, Kruse, Johannes, von Boetticher, Dirk, Herrmann-Lingen, Christoph, Nohre, Mariel, de Zwaan, Martina, Dinger, Ulrike, Friederich, Hans-Christoph, Niecke, Alexander, Albus, Christian, Zwerenz, Rudiger, Beutel, Manfred, Roenneberg, Casper, Henningsen, Peter, Stein, Barbara, Waller, Christiane, Hake, Karsten, Spitzer, Carsten, Stengel, Andreas, Zipfel, Stephan, Weimer, Katja, Guendel, Harald and Kessler, Henrik . What Kind of Patients Receive Inpatient and Day-Hospital Treatment in Departments of Psychosomatic Medicine and Psychotherapy in Germany? Psychother. Psychosom.. BASEL: KARGER. ISSN 1423-0348

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Abstract

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.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Doering, StephanUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Herpertz, StephanUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hofmann, TobiasUNSPECIFIEDorcid.org/0000-0002-4002-3552UNSPECIFIED
Rose, MatthiasUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Imbierowicz, KatrinUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Geiser, FranziskaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Croy, IlonaUNSPECIFIEDorcid.org/0000-0002-0361-5559UNSPECIFIED
Weidner, KerstinUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Rademacher, JorgUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Michalek, SilkeUNSPECIFIEDorcid.org/0000-0001-5130-0730UNSPECIFIED
Morawa, EvaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Erim, YesimUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Teigelack, PerUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Teufel, MartinUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hartmann, ArminUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Lahmann, ClaasUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Peters, Eva Milena JohanneUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kruse, JohannesUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
von Boetticher, DirkUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Herrmann-Lingen, ChristophUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Nohre, MarielUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
de Zwaan, MartinaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Dinger, UlrikeUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Friederich, Hans-ChristophUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Niecke, AlexanderUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Albus, ChristianUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Zwerenz, RudigerUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Beutel, ManfredUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Roenneberg, CasperUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Henningsen, PeterUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Stein, BarbaraUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Waller, ChristianeUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hake, KarstenUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Spitzer, CarstenUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Stengel, AndreasUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Zipfel, StephanUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Weimer, KatjaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Guendel, HaraldUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kessler, HenrikUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-697404
DOI: 10.1159/000527881
Journal or Publication Title: Psychother. Psychosom.
Publisher: KARGER
Place of Publication: BASEL
ISSN: 1423-0348
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
Psychiatry; PsychologyMultiple languages
URI: http://kups.ub.uni-koeln.de/id/eprint/69740

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