Seitz Tamara, Stastka Kurt, Schiffinger Michael, Rui Turk Bela, Löffler-Stastka Henriette
Medical University of Vienna, Department of Psychoanalysis and Psychotherapy, and Teaching Center/Postgraduate Unit/Health Care Management and Psychotherapy Research, Vienna, Austria.
SMZ Süd Hospital of Vienna, Department of Infectious Diseases and Tropical Medicine, Vienna, Austria.
Bull Menninger Clin. 2019 Spring;83(2):105-127. doi: 10.1521/bumc_2019_83_01. Epub 2019 Mar 6.
This study evaluated whether patients with somatic symptom disorder, expressing chronic pain that could not be attributed to a medical condition, would benefit from an 8-week inpatient residence at a psychiatric ward. In the 1-year follow-up after termination the authors examined the extent to which the integrated treatment decreased patient costs. A total of 106 patients participated in the follow-up and reported a significant improvement in their general health (Cohen's d = 1.5-2.21), a decrease in impairment due to pain (d = 2.24), and a decrease in symptom severity (d = 1.29). They took fewer medications and sick days, reported fewer hospital stays and medical examinations, and consulted and changed physicians and outpatient clinics less often (d = 0.55-1.1). The average cost per patient was cut in half, down to € 80,000/$96,000 per year. From a clinical standpoint, group analysis that focused on aggression was the most effective intervention.
本研究评估了患有躯体症状障碍、表现出无法归因于躯体疾病的慢性疼痛的患者，是否会从在精神科病房进行为期8周的住院治疗中获益。在治疗结束后的1年随访中，作者考察了综合治疗在多大程度上降低了患者的费用。共有106名患者参与了随访，结果显示他们的总体健康状况有显著改善（科恩d值=1.5 - 2.21），疼痛导致的功能损害有所减轻（d值=2.24），症状严重程度也有所降低（d值=1.29）。他们服用的药物和请病假的天数减少，住院和体检次数减少，看医生和更换门诊的频率也降低（d值=0.55 - 1.1）。每位患者的平均费用减半，降至每年80,000欧元/96,000美元。从临床角度来看，聚焦于攻击性的分组分析是最有效的干预措施。
