Dropout behavior in inpatient psychosomatic rehabilitation: how and when do inpatients terminate psychotherapy?

Zeitschrift für Psychosomatische Medizin und Psychotherapie
Rüdiger ZwerenzManfred E Beutel

Abstract

Despite its clinical and health economic importance, only few studies have analyzed the problem of dropout behavior from treatment in psychosomatic medicine and psychotherapy. For quality-assurance purposes and in light of limited resources in our medical system, it is important to identify future dropouts and to intervene appropriately during ongoing inpatient treatment. In a representative sample taken from inpatient psychosomatic rehabilitation, we evaluated the prevalence of dropout behavior as well as characteristics of patients who drop out compared to patients who complete the treatment regularly. Data of 2059 inpatients from the Psychosomatic Hospital Bad Neustadt/Saale were analyzed as to rates and dates of dropout and other patient characteristics. Overall 15.7 % of the patients dropped out of inpatient psychosomatic rehabilitation after a mean treatment duration of 28 days. Patients who dropped out tended to be younger, reported less distress, were less motivated, and had been diagnosed less often with an affective disorder as main diagnosis. Compared with patients who completed therapy regularly, they also profited less from both self- as well as external assessment of symptom change. It was shown that it is useful ...Continue Reading

References

Nov 15, 2000·Psychotherapie, Psychosomatik, medizinische Psychologie·B Junkert-TressM Franz
Dec 4, 2001·Zeitschrift für Psychosomatische Medizin und Psychotherapie·H SchauenburgM Strack
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Jun 19, 2003·Psychotherapie, Psychosomatik, medizinische Psychologie·Harald GündelDorothea Huber
Jan 30, 2004·Zeitschrift für Psychosomatische Medizin und Psychotherapie·Gerd RudolfEicke Schumann
May 18, 2004·Zeitschrift für Psychosomatische Medizin und Psychotherapie·Gerhard RumpoldStephan Doering
May 28, 2004·Psychotherapie, Psychosomatik, medizinische Psychologie·Katja AschenbrennerBernhard Strauss
Sep 2, 2004·Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz·F JacobiH-U Wittchen
Jun 3, 2005·Zeitschrift für Psychosomatische Medizin und Psychotherapie·Christine BauerGuenter Ploettner
Jun 3, 2005·Zeitschrift für Psychosomatische Medizin und Psychotherapie·Manfred E BeutelChristian Reimer
Jul 11, 2006·International Journal of Group Psychotherapy·Manfred E BeutelRüdiger Zwerenz

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Citations

Mar 25, 2011·Zeitschrift für Psychosomatische Medizin und Psychotherapie·Matthias RichterFritz A Muthny
Oct 22, 2014·Zeitschrift für Psychosomatische Medizin und Psychotherapie·Ute MartensMartin Teufel
Nov 6, 2021·Child: Care, Health and Development·Gloria MetznerManuela Glattacker

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