Wasilewski Janice, Otto Josephine, Linden Michael
Forschungsgruppe Psychosomatische Rehabilitation, Charité Universitätsmedizin Berlin.
Psychother Psychosom Med Psychol. 2018 Sep;68(9-10):417-422. doi: 10.1055/s-0043-118656. Epub 2017 Sep 28.
In rehabilitation medicine an important goal is to restore the ability to work by improving resistance to stress. We observed the development of resistance orientation on one hand and the tendency of self-care, stress avoidance, and regeneration orientation on the other, in the course of a 5 week psychosomatic inpatient rehabilitation. A convenience sample of 121 inpatients of a psychosomatic rehabilitation unit filled in the ReRe-Scale (Resistance-Regeneration-Scale) at the beginning and end of a 5 week inpatient treatment. Also patients rated their ability to work before discharge from the hospital. There was a decline in resistance orientation and a clear increase in regeneration orientation. Regeneration orientation, in contrast to resistance orientation, was associated with a greater ability to work. The reduction in resistance and increase in regeneration orientation was unexpected and could be seen as an unwanted effect of inpatient rehabilitation. When taking into account the disposition to go back to work, promotion of regeneration seems to be the better way. This raises questions in respect to treatment strategies for stress tolerance, and occupational rehabilitation but also for the definition of positive or negative treatment effects in psychotherapy.
在康复医学中，一个重要目标是通过提高抗压能力来恢复工作能力。在为期5周的身心疾病住院康复过程中，我们一方面观察到抗压取向的发展，另一方面观察到自我护理、压力回避和恢复取向的趋势。一个身心康复单元的121名住院患者组成的便利样本在为期5周的住院治疗开始时和结束时填写了“ReRe量表”（抗压-恢复量表）。患者还对出院前的工作能力进行了评分。抗压取向下降，恢复取向明显增加。与抗压取向相反，恢复取向与更强的工作能力相关。抗压能力的降低和恢复取向的增加出乎意料，可被视为住院康复的不良影响。考虑到重返工作的倾向，促进恢复似乎是更好的方法。这就引发了关于压力耐受性治疗策略、职业康复以及心理治疗中积极或消极治疗效果定义的问题。
