Research Section of Applied Consciousness Sciences, Department of Psychosomatic Medicine, University Medical Center Regensburg, 93047 Regensburg, Germany.
Evid Based Complement Alternat Med. 2013;2013:735731. doi: 10.1155/2013/735731. Epub 2013 Sep 16.
The increase of psychosomatic disorders due to cultural changes requires enhanced therapeutic models. This study investigated a salutogenetic treatment concept for inpatient psychosomatic treatment, based on data from more than 11000 patients of a psychosomatic clinic in Germany. The clinic aims at supporting patients' health improvement by fostering values such as humanity, community, and mindfulness. Most of patients found these values realized in the clinical environment. Self-assessment questionnaires addressing physical and mental health as well as symptom ratings were available for analysis of pre-post-treatment effects and long-term stability using one-year follow-up data, as well as for a comparison with other clinics. With respect to different diagnoses, symptoms improved in self-ratings with average effect sizes between 0.60 and 0.98. About 80% of positive changes could be sustained as determined in a 1-year follow-up survey. Patients with a lower concordance with the values of the clinic showed less health improvement. Compared to 14 other German psychosomatic clinics, the investigated treatment concept resulted in slightly higher decrease in symptoms (e.g., depression scale) and a higher self-rated mental and physical improvement in health. The data suggest that a successfully implemented salutogenetic clinical treatment concept not only has positive influence on treatment effects but also provides long-term stability.
由于文化变化导致心身障碍的增加，需要增强治疗模式。本研究基于德国一家身心诊所的 11000 多名患者的数据，调查了一种针对住院心身治疗的健康促进治疗概念。该诊所旨在通过培养人文、社区和正念等价值观来支持患者的健康改善。大多数患者在临床环境中发现了这些价值观。自我评估问卷涵盖身心健康和症状评分，可用于分析治疗前后的效果和一年随访数据的长期稳定性，并与其他诊所进行比较。对于不同的诊断，自我评估的症状改善程度在 0.60 到 0.98 之间，平均效应大小为 0.60 到 0.98。在一年的随访调查中，约 80%的积极变化得以维持。与诊所价值观一致性较低的患者健康改善程度较低。与 14 家其他德国身心诊所相比，该研究中调查的治疗概念在症状（如抑郁量表）方面的下降略高，自我评估的心理健康和身体健康改善程度也更高。数据表明，成功实施的健康促进临床治疗概念不仅对治疗效果有积极影响，而且提供长期稳定性。
