PMID: 9551502Apr 29, 1998Paper

Psychosomatic-psychotherapeutic rehabilitation of social medicine problem patients--an exploratory study of findings, follow-up and treatment outcome

Die Rehabilitation
D OlbrichH Klenke-Bossek

Abstract

The group of social-medical problem patients was defined as comprising those patients who are admitted during an on-going invalidity pension award procedure or who are drawing a fixed-term pension, patients who have declared their intention to apply for pension award and/or have been on sick leave for an uninterrupted 6 months at the time of admission. In light of this definition, some 25-30% of the patients referred to us would be considered social-medical problem patients. The main focus of the present study had been to identify the subgroup of patients who might be expected to profit from psychosomatic rehabilitation notwithstanding their social-medical problems. Improvement in physical symptoms was achieved in 34% of the patients, and in 43% relative to the psychological symptoms present. The group of patients showing the greatest measure of improvement can be described by the following prognostically favourable factors: incapacity for work at the time of admission but no application for pension award made or planned; lower average age, higher motivation on admission, and lower severity of the social-medical problems, no denial of psychosocial factors, and willingness to join group psychotherapy. Prognostically unfavourable...Continue Reading

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