Ungesunder Lebensstil bei Patienten einer psychosomatischen Poliklinik und Konsilambulanz

Abstract

Patients with mental disorders have an increased risk for somatic diseases. Especially life style risk factors contribute to this increased risk. In order to identify targets for preventive measures, we aimed to determine the prevalence of an unhealthy lifestyle in a clinical sample and to analyze associations with severity of mental disorders and somatic complaints. We analyzed the medical records of n=1 919 outpatients, who were treated between 2009-2011 in the Department of Psychosomatic Medicine and Psychotherapy of the University Medical Center Mainz. 62.4% of the patients were physically inactive, 33.2% were smokers and 17.4% were obese. Lifestyle risk factors were associated with increased symptom burden and impairment. Smoking was strongly associated with more previous psychiatric or psychosomatic inpatient treatments. These results indicate an urgent need for targeting health behavior more rigorously in the treatment of patients with common mental disorders.

Somatic symptom load in men and women from middle to high age in the Gutenberg Health Study - association with psychosocial and somatic factors

“…Less is known about the role of behavioral factors : high rates of unhealthy behavior have been shown in psychotherapy inpatients and outpatients, including somatization disorder 15 .…”

Ambivalent toward life, ambivalent toward psychotherapy? An investigation of the helping alliance, motivation for treatment, and control expectancies in patients with suicidal ideation in inpatient psychotherapy

“…The intensive multimodal, integrative inpatient therapy includes individual psychotherapy (twice a week), art therapy (twice a week), body-oriented therapy (once to twice a week), and group therapy sessions (twice to three times a week) (Beutel et al, 2008). In previous evaluations of the clinic's basic documentation, the most frequent diagnoses were depressive disorders (ICD-10: F32, F33, F34) at just under 60%, followed by anxiety disorders (ICD-10: F40, F41) with one-third of patients, and somatoform disorders with another fifth (Beutel et al, 2014).…”