Hahn Daniela, Bengel Jürgen, Härter Martin
Department of Psychiatry and Psychotherapy, Freiburg University Hospital, Germany.
Disabil Rehabil. 2005 Aug 5;27(15):911-6. doi: 10.1080/09638280500030654.
Prevalence of comorbid mental disorders in rehabilitation patients is high. In spite of the bio-psycho-social approach in rehabilitation, recognition and treatment rates of comorbid mental disorders during rehabilitation are low. The purpose of the study was to raise specific information about current clinical practice concerning comorbid mental disorders and training needs of rehabilitation personnel.
435 questionnaires were sent out to medical personnel in 54 rehabilitation hospitals in south-west Germany.
Psychologists in rehabilitation spend most of their time on counselling (45%) and group interventions (29%). Physicians and psychologists both feel highly responsible for recognizing mental disorders and motivating patients to seek aftercare. Screeners are rarely used by psychologists and physicians. Seventy-six percent of the participants would take part in specific training sessions. High training needs were stated for affective, anxiety and somatoform disorders. A specific training session for mental health in rehabilitation should last at least half a day and cover affective, anxiety and somatoform disorders.
Taking these results into account, it is possible to put together a training program in diagnostics of comorbid mental disorders, which fits the needs of the professionals.
康复患者中合并精神障碍的患病率很高。尽管康复采用生物 - 心理 - 社会方法，但康复期间合并精神障碍的识别和治疗率很低。本研究的目的是收集有关当前合并精神障碍临床实践以及康复人员培训需求的具体信息。
向德国西南部54家康复医院的医务人员发放了435份问卷。
康复领域的心理学家大部分时间用于咨询（45%）和团体干预（29%）。医生和心理学家都认为自己在识别精神障碍和促使患者寻求后续治疗方面负有高度责任。心理学家和医生很少使用筛查工具。76%的参与者愿意参加特定的培训课程。对情感、焦虑和躯体形式障碍的培训需求很高。康复领域心理健康的特定培训课程应至少持续半天，并涵盖情感、焦虑和躯体形式障碍。
考虑到这些结果，有可能制定一个符合专业人员需求的合并精神障碍诊断培训计划。
