Veränderung der Symptombelastung und der Funktionsfähigkeit gemäß ICF in der stationären psychosomatischen Rehabilitation

Braunger, Carina; Müller, Gottfried; Wietersheim, Jörn von; Oster, Jörg

doi:10.1055/s-0043-124308

Cited by 2 publications

(2 citation statements)

References 15 publications

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“…Making a diagnosis according to a standard diagnostic system like DSM-IV presupposes the presence of distinct symptoms (Criterion A) but also a marked distress or disability by the condition (Criterion B) [ 3 ]. Studies have repeatedly confirmed a positive correlation between the severity of symptoms and the degree of functional impairment [ 4 – 6 ]. Recently, Rosburg and colleagues [ 7 ] showed that patients with different psychiatric diagnoses also have different levels of functional limitations.…”

Section: Introductionmentioning

confidence: 99%

One-year follow-up of functional impairment in inpatients with mood and anxiety disorders – Potentials of the Mini-ICF-APP

et al. 2022

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Background The aim of the study was to investigate functional impairment and its relationship to illness severity in a sample of patients with a diagnosis of mood or anxiety disorder during inpatient treatment and 1 year after discharge. Methods Two hundred thirty-nine inpatients with primary diagnoses of mood or anxiety disorders were assessed at baseline and at follow-up by a range of validated instruments. Mini-ICF-APP was used for the assessment of functional impairment, BDI-II for the assessment of clinical symptoms and remission. Sample characteristics and measures of impairment at baseline and at follow-up were analysed descriptively. Symptomatically remitted and non-remitted patients were compared with regard to capacity limitations. Results Initially, the sample showed considerable impairment in many capacities, particularly endurance, spontaneous activities, structuring of tasks, competency and flexibility. After 1 year, all capacities significantly improved. The level of impairment was correlated with employment status and severity of clinical symptoms. About 50% of the patients remitted in clinical symptomatology. Retrospectively, the remitted and the unremitted did not differ in functional impairment at baseline but there were considerable differences at follow-up. Conclusions Mini-ICF-APP is a useful instrument to monitor functional status and change in psychiatric samples, complementing the usual focus on symptom reduction.

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Section: Introductionmentioning

confidence: 99%

One-year follow-up of functional impairment in inpatients with mood and anxiety disorders – Potentials of the Mini-ICF-APP

et al. 2022

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“…The ICF AT-50 Psych is a self-assessment questionnaire based on the ICF for mapping activity and participation of people with mental disorders. With a total of 50 items, activity (verbal competence, fulfilment of requirements, fitness and well-being) and participation (social relationships and activities, closeness in social relationships, social consideration) are assessed each with three scales [ 17 – 19 ]. The rationale for choosing the HEALTH-49 and ICF-AT 50 domains as indicators of rehabilitation effectiveness lies in their comprehensive and standardized approach to assessing health outcomes.…”

Section: Methodsmentioning

confidence: 99%

The impact of the Covid-19 pandemic on the effectiveness of psychosomatic rehabilitation in Germany

Kaier,

Knecht,

Nalbach

et al. 2024

BMC Health Serv Res

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Background The aim of the present study is to investigate the impact of the Covid-19 pandemic on the effectiveness of psychosomatic rehabilitation. Methods Between April 2019 and March 2022, a total of 18,388 patients from 7 rehabilitation centres could be included in the study. For each patient, score values from the HEALTH-49 and ICF AT-50 Psych questionnaires were calculated at the beginning and at the end of rehabilitation and the effectiveness of the rehabilitation program was determined by comparing the scores at the beginning and at the end of the rehabilitation programme. Using risk adjusted linear mixed models, three time intervals were compared: a pre-pandemic episode (April 2019 to March 2020), the first year of the pandemic (April 2020 to March 2021) and the second year of the pandemic (April 2021 to March 2022). Results Overall, it can be stated that the pandemic has substantially impaired the effectiveness of psychosomatic rehabilitation measures. This phenomenon can be observed across a wide range of psychosocial markers and even two years after the start of the pandemic there is no end to the limited effectiveness. With regard to ‘psychological and somatoform disorders’, for example, there was a relative decrease in the effectiveness of the rehabilitation measure by 11.29% in the first year of the pandemic compared to the pre-pandemic episode, p < 0.001. In the second year of the pandemic, the effectiveness of the rehabilitation measure was still decreased by 8.8% compared to the pre-pandemic episode, p < 0.001. In addition, the evaluations show that a division of the pandemic effect into direct effects (on the individual) and indirect effects (via further complication of the occupational problem environment) can be made and that the pandemic-related complication of the occupational problem environment are still prevalent more than two years after the start of the pandemic. Discussion The Covid-19 pandemic has had a significant impact on the psychosomatic rehabilitation programs reducing the effectiveness of treatment not only for a short period of time but constantly until March 2022. Trial Registration Number DRKS00029669; Date of registration: 02/08/2022.

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Veränderung der Symptombelastung und der Funktionsfähigkeit gemäß ICF in der stationären psychosomatischen Rehabilitation

Abstract: The results point to the fact that psychosomatic rehabilitation has positive effects on functioning. While planning the therapy functioning as well as symptom severity should be considered. Controlled studies are needed.

Cited by 2 publications

References 15 publications

One-year follow-up of functional impairment in inpatients with mood and anxiety disorders – Potentials of the Mini-ICF-APP

One-year follow-up of functional impairment in inpatients with mood and anxiety disorders – Potentials of the Mini-ICF-APP

The impact of the Covid-19 pandemic on the effectiveness of psychosomatic rehabilitation in Germany

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