Introduction: Germany is one of the few countries with a medical specialty of psychosomatic medicine and psychotherapy and many treatment resources of this kind. Objective: This observational study describes the psychosomatic treatment programs as well as a large sample of day-hospital and inpatients in great detail using structured diagnostic interviews. Methods: Mental disorders were diagnosed according to ICD-10 and DSM-IV by means of Mini-DIPS and SCID-II. In addition to the case records, a modified version of the CSSRI was employed to collect demographic data and service use. The PHQ-D was used to assess depression, anxiety, and somatization. Results: 2,094 patients from 19 departments participated in the study after giving informed consent. The sample consisted of a high proportion of “complex patients” with high comorbidity of mental and somatic diseases, severe psychopathology, and considerable social and occupational dysfunction including more than 50 days of sick leave per year in half of the sample. The most frequent diagnoses were depression, somatoform and anxiety disorders, eating disorders, personality disorders, and somato-psychic conditions. Conclusions: Inpatient and day-hospital treatment in German university departments of psychosomatic medicine and psychotherapy is an intensive multimodal treatment for complex patients with high comorbidity and social as well as occupational dysfunction.
Psychother Psychosom

中文翻译：

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德国心身医学科和心理治疗科住院和日间住院治疗的患者有哪些？

简介：德国是世界上少数拥有心身医学和心理治疗医学专业和众多此类治疗资源的国家之一。目标：这项观察性研究使用结构化诊断访谈，详细描述了心身治疗计划以及日间医院和住院患者的大量样本。方法：根据ICD-10和DSM-IV，通过Mini-DIPS和SCID-II诊断精神障碍。除了病例记录外，还采用了 CSSRI 的修改版本来收集人口统计数据和服务使用情况。PHQ-D 用于评估抑郁、焦虑和躯体化。结果：来自 19 个部门的 2,094 名患者在知情同意后参与了这项研究。该样本由高比例的“复杂患者”组成，他们患有精神和躯体疾病的高合并症、严重的精神病理学以及相当大的社会和职业功能障碍，其中一半样本每年请病假超过 50 天。最常见的诊断是抑郁症、躯体形式障碍和焦虑症、进食障碍、人格障碍和躯体心理疾病。结论：德国大学心身医学和心理治疗系的住院和日间住院治疗是针对具有高合并症和社会以及职业功能障碍的复杂患者的强化多模式治疗。
心理医生