Deter H C, Sameith W, Maroska U, Ferner H, Reindell A
Z Psychosom Med Psychoanal. 1986;32(3):231-48.
The present study is an attempt at evaluating with clinocosomatic, psychodiagnostic, and sociologic instruments the alterations achieved by (psychodynamically oriented) psychosomatic in-patient therapy. Out of a total of 64 patients who in 1975 had undergone treatment for an average period of two months 46 (i. e. 76.7 per cent) were available for re-examination after a five-year interval. In two thirds of the patients the various complaints and the general autonomic instability had receded. The psychical and social situation had improved for between two thirds and three fourths of all re-examined patients both in their own opinion and in that of other people. Correspondingly there was a significant reduction in consultations at the physician's as well as days of disability and days of hospitalization per year. Factors contributing to a favourable diagnosis were: low age of the patient, short duration of complaint, substantial stress induced by the disease, and long-term in-patient treatment.
本研究旨在运用临床躯体检查、心理诊断及社会学工具，评估（以心理动力学为导向的）身心疾病住院治疗所取得的改变。1975年共有64名患者接受了平均为期两个月的治疗，五年后，其中46名患者（即76.7%）可供复查。三分之二的患者各种症状及全身自主神经功能不稳定的情况有所减轻。在所有接受复查的患者中，无论是患者自己还是其他人都认为，三分之二至四分之三患者的心理和社会状况得到了改善。相应地，每年看医生的次数、残疾天数及住院天数都显著减少。有助于做出良好诊断的因素包括：患者年龄小、症状持续时间短、疾病引起的压力大以及长期住院治疗。
