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[心身疾病住院治疗的有效性——一项多中心随访研究的结果]

[The effectiveness of psychosomatic inpatient treatment - results of a multicenter follow-up study].

作者信息

Probst Thomas, von Heymann Friedrich, Zaudig Michael, Konermann Jürgen, Lahmann Claas, Loew Thomas, Tritt Karin

机构信息

Abteilung für Psychosomatik, Universitätsklinikum der Universität Regensburg, Franz-Josef-Strauss-Allee 11, 93053 Regensburg.

出版信息

Z Psychosom Med Psychother. 2009;55(4):409-20. doi: 10.13109/zptm.2009.55.4.409.

Abstract

OBJECTIVES

This multicenter follow-up study examines the effectiveness of psychosomatic inpatient treatment under the conditions of routine practice.

METHODS

We chose a naturalistic design with one pre- and two postmeasurements: admission, discharge, and 1-year follow-up with a follow-up sample of 935 patients from five psychosomatic hospitals.We assessed the effectiveness of inpatient psychosomatic treatments with the Global Severity Index (GSI) of the SCL-90-R at admission (M = 1.20, SD = 0.68), discharge (M = 0.67, SD = 0.58), and 1-year follow-up (M = 0.83, SD = 0.68) as well as with the Veränderungsfragebogen des Erlebens und Verhaltens (VEV-K) at discharge (M = 125.42, SD = 27.27) and follow-up (M = 115.50, SD = 31.16).

RESULTS

Significant improvements were shown in the GSI from admission to discharge (F = 802.70, df = 1, p <or= 0.001) and from admission to follow-up (F = 312.84, df = 1, p < or = 0.001) as well as in the VEV-K at discharge (T = 25.78, df = 764, p < or = 0.001) and at follow-up (T = 15.05, df = 914, p < or = 0.001), showing the effectiveness of psychosomatic inpatient treatments.

摘要

目的

本多中心随访研究在常规实践条件下检验心身住院治疗的有效性。

方法

我们采用自然主义设计,进行一次治疗前测量和两次治疗后测量:入院时、出院时以及对来自五所心身医院的935名患者进行1年随访。我们使用SCL-90-R的总体严重程度指数(GSI)评估心身住院治疗的有效性,入院时(M = 1.20,标准差 = 0.68)、出院时(M = 0.67,标准差 = 0.58)和1年随访时(M = 0.83,标准差 = 0.68),以及出院时(M = 125.42,标准差 = 27.27)和随访时(M = 115.50,标准差 = 31.16)使用生活与行为变化问卷(VEV-K)进行评估。

结果

从入院到出院,GSI有显著改善(F = 802.70,自由度 = 1,p≤0.001),从入院到随访也有显著改善(F = 312.84,自由度 = 1,p≤0.001),出院时(T = 25.78,自由度 = 764,p≤0.001)和随访时(T = 15.05,自由度 = 914,p≤0.001)VEV-K也有显著改善,表明心身住院治疗是有效的。

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