The Role of the Social Network in Psychosomatic Day Care and Inpatient Care

Lischka, Anna-Marie; Lind, Antje; Linden, Michael A.

doi:10.1177/0020764008096162

Cited by 3 publications

(3 citation statements)

References 16 publications

(14 reference statements)

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“…According to Mörtl et al, the successful integration of therapeutic content and skills into everyday life is an important factor in day-care treatment concepts [47]. Other studies show that in particular those patients who live in a partnership or have family seem to benefit from day-care treatment settings [48]. Thus, compared to inpatient therapy, day-care psychotherapy is not only less expensive, but also has benefits concerning many other aspects [49].…”

Section: Discussionmentioning

confidence: 99%

Psychosomatic–psychotherapeutic treatment in an evening clinic: a qualitative examination of patients’ expectations and experiences

Brunner

Dinger

Komo-Lang

et al. 2019

Int J Ment Health Syst

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BackgroundOver a course of 10 weeks the psychosomatic–psychotherapeutic evening clinic at the University of Heidelberg offers an intensive and multimodal 3-h treatment program on three evenings a week. The clinic aims at accommodating patients who on the one hand do not fit the criteria of partial or full-time inpatient therapy, but on the other hand requires a more intensified therapy dose than the usual German outpatient settings can cater for. In the presented monocentric, qualitative study, we wanted to examine this treatment concept with regard to the patients’ specific concerns, expectations, and individual experiences. By contrasting differences in intensity of outpatient and inpatient treatment, we aimed to identify those characteristics of the evening clinic setting that were perceived as especially helpful.MethodEach of the 25 patients was interviewed twice, using semi-structured interviews. The interviews took place before (T0) and after (T1) the 10-week treatment interval. A qualitative content analysis of the transcribed interviews was performed using the software “MaxQDA”.ResultsWe identified a total of 1609 separate codes and grouped them into 33 topics and 5 overarching categories. Here, we found some aspects independent of the therapeutic setting, and others concerning the patients’ specific expectations and experiences resulting from the particularities of the evening clinic as an outpatient setting including certain inpatient characteristics. This included the possibility of patients continuing to work and being able to fulfil social obligations, i.e. childcare or caring for relatives, while at the same time undergoing intensive psychotherapeutic treatment.ConclusionsOur results show that the evening clinic concept is particularly suitable for patients with mental and psychosomatic disorders who require intensified multimodal therapy while continuing to meet their obligations in their private and working lives. However, in comparison to other therapeutic methods, this concept generated greater stress and time challenges. Patients should therefore have a reasonably good standard of functioning in everyday life and sufficient coping resources. This is especially important for patients who continue working in their jobs while undergoing treatment. So far, there is a lack of quantitative data which would be needed to evaluate the effectiveness of this novel setting.

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Section: Discussionmentioning

confidence: 99%

Psychosomatic–psychotherapeutic treatment in an evening clinic: a qualitative examination of patients’ expectations and experiences

Brunner

Dinger

Komo-Lang

et al. 2019

Int J Ment Health Syst

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show abstract

“…Hierfür muss jedoch betrachtet werden, ob sich die beiden Rehabilitationsformen hinsichtlich ihres Behandlungserfolges unterscheiden. Generell wurde eine Effektivität der Behandlung in beiden Rehabilitationsformen gefunden [7,21,22,[25][26][27]. Zu dem zeigten Studien, welche ganztägig ambulante Rehabilita tion mit stationärer Rehabilitation direkt verglichen, dass das Ausmaß der Effektivität ähnlich ist.…”

Section: Zusammenfassung ▼unclassified

Ganztägig ambulante- vs. stationäre psychosomatische Rehabilitation.

Oelmann

Licht

Bassler³

et al. 2015

Psychother Psych Med

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“…So far, most studies examining differences of day clinic and inpatient psychotherapy have investigated mixed patient samples. Lischka et al [ 20 ] assessed patients’ social relationships and their impact on day clinic and inpatient treatment. They were able to show that patients living in non-single households preferred day clinic treatment and that relationships were perceived as more supportive at the end of treatment across settings.…”

Section: Introductionmentioning

confidence: 99%

Day clinic and inpatient psychotherapy of depression (DIP-D): qualitative results from a randomized controlled study

Nikendei

Haitz

Huber

et al. 2016

Int J Ment Health Syst

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ObjectiveDepressive disorders are among the most common psychiatric disorders. For severely depressed patients, day clinic and inpatient settings represent important treatment options. However, little is known about patients’ perceptions of the different levels of care. This study aimed to obtain an in-depth analysis of depressive patients’ experiences of day clinic and inpatient treatment in a combined clinical setting.MethodsFollowing a randomized controlled trial comparing day clinic and inpatient psychotherapy for depression (Dinger et al. in Psychother Psychosom 83:194–195, 2014), a sample of depressive patients (n = 35) was invited to participate in a semi-structured interview during an early follow up 4 weeks after discharge. A qualitative analysis of interview transcripts was performed following the principles of constructivist thematic analysis.ResultsFollowing analysis, 1355 single codes were identified from which five main categories and 26 themes were derived for both groups. In regard to patient group integration and skill transfer to everyday life, distinct differences could be observed between the day clinic and inpatient group.ConclusionWhile adjustment to therapeutic setting and patient group integration seem to be facilitated by inpatient treatment, the day clinical setting appears to promote treatment integration into patients’ everyday contexts, aiding treatment-related skill transfer to everyday life as well as alleviating discharge from clinic treatment. Further studies on depressive subject groups in day clinic and inpatient treatment should investigate aspects of group cohesion and treatment integration in relation to therapeutic outcome.

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The Role of the Social Network in Psychosomatic Day Care and Inpatient Care

Cited by 3 publications

References 16 publications

Psychosomatic–psychotherapeutic treatment in an evening clinic: a qualitative examination of patients’ expectations and experiences

Psychosomatic–psychotherapeutic treatment in an evening clinic: a qualitative examination of patients’ expectations and experiences

Ganztägig ambulante- vs. stationäre psychosomatische Rehabilitation.

Day clinic and inpatient psychotherapy of depression (DIP-D): qualitative results from a randomized controlled study

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