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[谁无法从身心康复中获益?]

[Who doesn't benefit from psychosomatic rehabilitation?].

作者信息

Lange M, Franke W, Petermann F

机构信息

Zentrum für Klinische Psychologie und Rehabilitation der Universität Bremen, Bremen, Germany.

出版信息

Rehabilitation (Stuttg). 2012 Dec;51(6):392-7. doi: 10.1055/s-0032-1304612. Epub 2012 Jun 11.

Abstract

BACKGROUND

The aim of this study was to examine how far treatment success in psychosomatic rehabilitation can be predicted by patients' characteristics, therapy motivation and disorder.

METHODS

Data of 307 patients with psychosomatic disease were included. External and self-evaluations were operationalized as criterion for success. Data were collected using the Brief Symptom Inventory (BSI), Patients' Questionnaire of Therapy Motivation (PAREMO-20) and Disorder Severity Score (BSS). Hierarchical linear regression analysis was used for data analysis.

RESULTS AND CONCLUSIONS

A sceptical attitude, low education and long time of incapacity for work prior to rehabilitation can predict a lower treatment success. High levels of readiness for change and 6-8 working hours daily seem to favourably impact coping with disease in the framework of inpatient psychosomatic rehabilitation.

摘要

背景

本研究的目的是探讨患者特征、治疗动机和疾病在多大程度上能够预测心身康复的治疗效果。

方法

纳入307例心身疾病患者的数据。将外部评估和自我评估作为成功的标准。使用简明症状量表(BSI)、患者治疗动机问卷(PAREMO - 20)和疾病严重程度评分(BSS)收集数据。采用分层线性回归分析进行数据分析。

结果与结论

持怀疑态度、低学历以及康复前长时间无法工作可预测较低的治疗成功率。较高的改变意愿水平和每日6 - 8小时的工作时间似乎有利于在住院心身康复框架内应对疾病。

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