The multicenter effectiveness study of inpatient and day hospital treatment in departments of psychosomatic medicine and psychotherapy in Germany

  • \(\bf Background:\) Reliable 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. \(\bf Methods:\) Structured 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. \(\bf Results:\) 2,094 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 \(\it d\) = 0.78 to \(\it d\) = 3.61 with symptoms of PTSD, depression, and anxiety showing the largest and somatization as well as personality functioning showing somewhat smaller effects. \(\bf Conclusions:\) Inpatient and day hospital treatment in German university departments of Psychosomatic Medicine and Psychotherapy is effective under field conditions. \(\bf Clinical trial registration:\), identifier: DRKS00016412.

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Author:Stephan DoeringORCiDGND, Stephan HerpertzORCiDGND, Magdalena PapeORCiDGND, Tobias HofmannORCiDGND, Matthias RoseORCiDGND, Katrin ImbierowiczGND, Franziska GeiserORCiDGND, Antonie Louise BierlingGND, Kerstin WeidnerGND, Jörg RademacherGND, Silke MichalekORCiDGND, Eva MorawaGND, Yesim ErimORCiDGND, Per TeigelackGND, Martin TeufelGND, Armin HartmannGND, Claas LahmannGND, Eva Milena Johanne PetersORCiDGND, Johannes KruseGND, Dirk von BoetticherORCiDGND, Christoph Herrmann-LingenORCiDGND, Mariel NöhreORCiDGND, Martina de ZwaanGND, Ulrike DingerORCiDGND, Hans-Christoph FriedrichORCiDGND, Alexander NieckeORCiDGND, Christian AlbusGND, Rüdiger ZwerenzORCiDGND, Manfred BeutelORCiDGND, Heribert Christian SattelGND, Peter HenningsenORCiDGND, Barbara SteinORCiDGND, Christiane WallerGND, Karsten HakeGND, Carsten SpitzerORCiDGND, Andreas StengelORCiDGND, Stephan ZipfelORCiDGND, Katja WeimerORCiDGND, Harald GündelGND, Henrik KesslerGND
Parent Title (English):Frontiers in psychiatry
Publisher:Frontiers Media
Place of publication:Lausanne
Document Type:Article
Date of Publication (online):2024/02/19
Date of first Publication:2023/08/07
Publishing Institution:Ruhr-Universität Bochum, Universitätsbibliothek
Tag:Open Access Fonds
eating disorders; inpatient; personality functioning; psychosomatic treatment; somatoform disorders
Issue:Artikel 1155585
First Page:1155585-1
Last Page:1155585-9
Article Processing Charge funded by the Deutsche Forschungsgemeinschaft (DFG) and the Open Access Publication Fund of Ruhr-Universität Bochum.
Institutes/Facilities:LWL-Universitätsklinikum Bochum, Klinik für Psychosomatische Medizin und Psychotherapie
Dewey Decimal Classification:Technik, Medizin, angewandte Wissenschaften / Medizin, Gesundheit
open_access (DINI-Set):open_access
Licence (English):License LogoCreative Commons - CC BY 4.0 - Attribution 4.0 International