Frontiers in Psychiatry (Aug 2023)
The multicenter effectiveness study of inpatient and day hospital treatment in departments of psychosomatic medicine and psychotherapy in Germany
- Stephan Doering,
- Stephan Doering,
- Stephan Herpertz,
- Magdalena Pape,
- Tobias Hofmann,
- Matthias Rose,
- Katrin Imbierowicz,
- Franziska Geiser,
- Antonie Louise Bierling,
- Antonie Louise Bierling,
- 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,
- Eva Milena Johanne Peters,
- Johannes Kruse,
- Johannes Kruse,
- Dirk von Boetticher,
- Christoph Herrmann-Lingen,
- Mariel Nöhre,
- Martina de Zwaan,
- Ulrike Dinger,
- 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,
- Henrik Kessler
Affiliations
- Stephan Doering
- Department of Psychoanalysis and Psychotherapy, Medical University of Vienna, Vienna, Austria
- Stephan Doering
- Comprehensive Clinical Center for Neurosciences and Mental Health (C3NMH), Medical University of Vienna, Vienna, Austria
- Stephan Herpertz
- Department of Psychosomatic Medicine and Psychotherapy, LWL-University Hospital, Ruhr-University Bochum, Bochum, Germany
- Magdalena Pape
- Department of Psychosomatic Medicine and Psychotherapy, LWL-University Hospital, Ruhr-University Bochum, Bochum, Germany
- Tobias Hofmann
- Charité Center for Internal Medicine and Dermatology, Department of Psychosomatic Medicine, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany
- Matthias Rose
- Charité Center for Internal Medicine and Dermatology, Department of Psychosomatic Medicine, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany
- Katrin Imbierowicz
- Department of Psychosomatic Medicine and Psychotherapy, University of Bonn, Bonn, Germany
- Franziska Geiser
- Department of Psychosomatic Medicine and Psychotherapy, University of Bonn, Bonn, Germany
- Antonie Louise Bierling
- Department of Psychotherapy and Psychosomatic Medicine, Carl Gustav Carus Faculty of Medicine, Technische Universität, Dresden, Germany
- Antonie Louise Bierling
- Institute for Material Science and Nanotechnology, Technical University of Dresden, Dresden, Germany
- Antonie Louise Bierling
- Department of Clinical Psychology, Friedrich-Schiller University, Jena, Germany
- Kerstin Weidner
- Department of Psychotherapy and Psychosomatic Medicine, Carl Gustav Carus Faculty of Medicine, Technische Universität, Dresden, Germany
- Jörg Rademacher
- Department of Psychosomatic Medicine and Psychotherapy, LVR-University Hospital, Heinrich Heine University Düsseldorf, Düsseldorf, Germany
- Silke Michalek
- Department of Psychosomatic Medicine and Psychotherapy, LVR-University Hospital, Heinrich Heine University Düsseldorf, Düsseldorf, Germany
- Eva Morawa
- 0Department of Psychosomatic Medicine and Psychotherapy, University Hospital of Erlangen, Friedrich-Alexander University Erlangen-Nuremberg, Erlangen, Germany
- Yesim Erim
- 0Department of Psychosomatic Medicine and Psychotherapy, University Hospital of Erlangen, Friedrich-Alexander University Erlangen-Nuremberg, Erlangen, Germany
- Per Teigelack
- 1Clinic of Psychosomatic Medicine and Psychotherapy, LVR-University Hospital, University of Duisburg-Essen, Essen, Germany
- Martin Teufel
- 1Clinic of Psychosomatic Medicine and Psychotherapy, LVR-University Hospital, University of Duisburg-Essen, Essen, Germany
- Armin Hartmann
- 2Department of Psychosomatic Medicine und Psychotherapy, Center for Mental Health, Faculty of Medicine, University of Freiburg, Freiburg, Germany
- Claas Lahmann
- 2Department of Psychosomatic Medicine und Psychotherapy, Center for Mental Health, Faculty of Medicine, University of Freiburg, Freiburg, Germany
- Eva Milena Johanne Peters
- 3Department of Psychosomatic Medicine and Psychotherapy, Justus-Liebig University of Giessen, Giessen, Germany
- Eva Milena Johanne Peters
- 4Department of Psychosomatic Medicine and Psychotherapy, Philipps-University of Marburg, Marburg, Germany
- Johannes Kruse
- 3Department of Psychosomatic Medicine and Psychotherapy, Justus-Liebig University of Giessen, Giessen, Germany
- Johannes Kruse
- 4Department of Psychosomatic Medicine and Psychotherapy, Philipps-University of Marburg, Marburg, Germany
- Dirk von Boetticher
- 5Department of Psychosomatic Medicine and Psychotherapy, University of Göttingen Medical Centre, Göttingen, Germany
- Christoph Herrmann-Lingen
- 5Department of Psychosomatic Medicine and Psychotherapy, University of Göttingen Medical Centre, Göttingen, Germany
- Mariel Nöhre
- 6Department of Psychosomatic Medicine and Psychotherapy, Hannover Medical School, Hannover, Germany
- Martina de Zwaan
- 6Department of Psychosomatic Medicine and Psychotherapy, Hannover Medical School, Hannover, Germany
- Ulrike Dinger
- Department of Psychosomatic Medicine and Psychotherapy, LVR-University Hospital, Heinrich Heine University Düsseldorf, Düsseldorf, Germany
- Ulrike Dinger
- 7Department of General Internal Medicine and Psychosomatics, University Hospital, Heidelberg University, Heidelberg, Germany
- Hans-Christoph Friederich
- 7Department of General Internal Medicine and Psychosomatics, University Hospital, Heidelberg University, Heidelberg, Germany
- Alexander Niecke
- 8Department of Psychosomatic Medicine and Psychotherapy, University of Cologne, Faculty of Medicine and University Hospital Cologne, Cologne, Germany
- Christian Albus
- 8Department of Psychosomatic Medicine and Psychotherapy, University of Cologne, Faculty of Medicine and University Hospital Cologne, Cologne, Germany
- Rüdiger Zwerenz
- 9Department of Psychosomatic Medicine and Psychotherapy, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany
- Manfred Beutel
- 9Department of Psychosomatic Medicine and Psychotherapy, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany
- Heribert Christian Sattel
- 0Department of Psychosomatic Medicine and Psychotherapy, University Hospital, Technical University of Munich, Munich, Germany
- Peter Henningsen
- 0Department of Psychosomatic Medicine and Psychotherapy, University Hospital, Technical University of Munich, Munich, Germany
- Barbara Stein
- 1Department of Psychosomatic Medicine and Psychotherapy, Paracelsus Medical University, Nuremberg General Hospital, Nuremberg, Germany
- Christiane Waller
- 1Department of Psychosomatic Medicine and Psychotherapy, Paracelsus Medical University, Nuremberg General Hospital, Nuremberg, Germany
- Karsten Hake
- 2Department of Psychosomatic Medicine and Psychotherapy, University Medical Center Rostock, Rostock, Germany
- Carsten Spitzer
- 2Department of Psychosomatic Medicine and Psychotherapy, University Medical Center Rostock, Rostock, Germany
- Andreas Stengel
- 3Internal Medicine VI, Psychosomatic Medicine and Psychotherapy, University Hospital Tübingen, Tübingen, Germany
- Stephan Zipfel
- 3Internal Medicine VI, Psychosomatic Medicine and Psychotherapy, University Hospital Tübingen, Tübingen, Germany
- Katja Weimer
- 4Department of Psychosomatic Medicine and Psychotherapy, Ulm University Medical Center, Ulm, Germany
- Harald Gündel
- 4Department of Psychosomatic Medicine and Psychotherapy, Ulm University Medical Center, Ulm, Germany
- Henrik Kessler
- Department of Psychosomatic Medicine and Psychotherapy, LWL-University Hospital, Ruhr-University Bochum, Bochum, Germany
- Henrik Kessler
- 5Department of Psychosomatic Medicine and Psychotherapy, Campus Fulda, University of Marburg, Marburg, Germany
- DOI
- https://doi.org/10.3389/fpsyt.2023.1155582
- Journal volume & issue
-
Vol. 14
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.
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