학술논문
The multicenter effectiveness study of inpatient and day hospital treatment in departments of psychosomatic medicine and psychotherapy in Germany
Document Type
article
Author
Stephan Doering; Stephan Herpertz; Magdalena Pape; Tobias Hofmann; Matthias Rose; Katrin Imbierowicz; Franziska Geiser; Antonie Louise Bierling; Kerstin Weidner; Jörg Rademacher; Silke Michalek; Eva Morawa; Yesim Erim; Per Teigelack; Martin Teufel; Armin Hartmann; Claas Lahmann; Eva Milena Johanne Peters; Johannes Kruse; Dirk von Boetticher; Christoph Herrmann-Lingen; Mariel Nöhre; Martina de Zwaan; Ulrike Dinger; Hans-Christoph Friederich; Alexander Niecke; Christian Albus; Rüdiger Zwerenz; Manfred Beutel; Heribert Christian Sattel; Peter Henningsen; Barbara Stein; Christiane Waller; Karsten Hake; Carsten Spitzer; Andreas Stengel; Stephan Zipfel; Katja Weimer; Harald Gündel; Henrik Kessler
Source
Frontiers in Psychiatry, Vol 14 (2023)
Subject
Language
English
ISSN
1664-0640
Abstract
BackgroundReliable outcome data of psychosomatic inpatient and day hospital treatment with a focus on psychotherapy are important to strengthen ecological validity by assessing the reality of mental health care in the field. This study aims to evaluate the effectiveness of inpatient and day hospital treatment in German university departments of Psychosomatic Medicine and Psychotherapy in a prospective, naturalistic, multicenter design including structured assessments.MethodsStructured interviews were used to diagnose mental disorders according to ICD-10 and DSM-IV at baseline. Depression, anxiety, somatization, eating disorder and posttraumatic stress disorder (PTSD) symptoms, as well as personality functioning were assessed by means of questionnaires on admission and at discharge.Results2,094 patients recruited by 19 participating university hospitals consented to participation in the study. Effect sizes for each of the outcome criteria were calculated for 4–5 sub-groups per outcome domain with differing severity at baseline. Pre-post effect sizes for patients with moderate and high symptom severity at baseline ranged from d = 0.78 to d = 3.61 with symptoms of PTSD, depression, and anxiety showing the largest and somatization as well as personality functioning showing somewhat smaller effects.ConclusionsInpatient and day hospital treatment in German university departments of Psychosomatic Medicine and Psychotherapy is effective under field conditions.Clinical trial registrationhttps://drks.de/search/de/trial/DRKS00016412, identifier: DRKS00016412.