Long-term effectiveness of inpatient and day hospital treatment in departments of psychosomatic medicine and psychotherapy in Germany
Year: 2025
Type: article
Abstract: Background: There is a lack of reliable data concerning the long-term effectiveness of psychosomatic inpatient and day hospital treatment in a naturalistic setting. The Multicenter Effectiveness Study of Inpatient and Day Hospital Treatment in Departments of Psychosomatic Medicine and Psychotherapy in Germany aims to provide such data. The study itself and effectiveness from admission to discharge have already been reported in this journal (Doering et al., 2023). This brief report adds 12-month follow-up data. Methods: The relevant outcome variables concerning somatoform, trauma-related, eating and personality disorders, as well as anxiety and depressive disorders were assessed by means of questionnaires on admission (T0), at discharge (T1) and after 12 months (T2). In order to make targeted statements about effectiveness regarding only clinically relevant symptoms, each symptom domain was stratified by severity at admission. Results: From a total of 2,094 patients at admission, 60.6% still provided data at T2. Overall, the changes achieved at discharge (T1) already reported in Doering (2023) remained stable over the 12-month follow-up period (T2). There were hence significant improvements from T0 to T2 across all symptom domains with large effect sizes ranging from d=1.0 to 3.4. Conclusions: The already reported effectiveness of inpatient and day hospital treatment in German university departments of Psychosomatic Medicine and Psychotherapy in a naturalistic setting is further strengthened by providing evidence for sustained treatment effects over the 12-month follow-up period. Importantly, the entire spectrum of disorders investigated showed this pattern. Clinical Trial Registration: https://drks.de/search/de/trial/DRKS00016412 RKS00016412, identifier DRKS00016412.
Source: Frontiers in Psychiatry
Authors: Henrik Kessler, Stephan Doering, Aram Kehyayan, Magdalena Pape, Tobias Hofmann, Matthias Rose, Katrin Imbierowicz, Franziska Geiser, Ilona Croy, Kerstin Weidner, Jörg Rademacher, Silke Michalek, Eva Morawa, Yesim Erim, Christoph Jansen, Martin Teufel, Stanislav Heinzmann, Claas Lahmann, Eva Milena Johanne Peters, Johannes Kruse, Dirk von Boetticher, Christoph Herrmann-Lingen, Mariel Nöhre, Martina de Zwaan, Ulrike Dinger, Hans-Christoph Friederich, Alexander Niecke, Christian Albus, Rüdiger Zwerenz, Manfred Beutel, Casper Roenneberg, Peter Henningsen, Barbara Stein, Christiane Waller, Karsten Hake, Carsten Spitzer, Andreas Stengel, Stephan Zipfel, Katja Weimer, Harald Gündel, Stephan Herpertz
Institutions: Philipps University of Marburg, University Hospitals of the Ruhr-University of Bochum, LWL-Universitätsklinikum Bochum, Ruhr University Bochum, Medical University of Vienna, University of Bamberg, Humboldt-Universität zu Berlin, DRK Kliniken Berlin, Charité - Universitätsmedizin Berlin, University of Bonn, University Hospital Bonn, Friedrich Schiller University Jena, Technische Universität Dresden, Düsseldorf University Hospital, Heinrich Heine University Düsseldorf, Friedrich-Alexander-Universität Erlangen-Nürnberg, Universitätsklinikum Erlangen, University of Duisburg-Essen, University of Freiburg, University Medical Center Freiburg, Justus-Liebig-Universität Gießen, Universitätsmedizin Göttingen, University of Göttingen, Medizinische Hochschule Hannover, Heidelberg University, University Hospital Heidelberg, University of Cologne, University Hospital Cologne, University Medical Center of the Johannes Gutenberg University Mainz, TUM Klinikum, Technical University of Munich, Nuremberg Hospital, Paracelsus Medizinische Privatuniversität, Universitätsmedizin Rostock, University of Rostock, Universitätsklinikum Tübingen, Klinikum Stuttgart, Deutsches Zentrum für Psychische Gesundheit, University of Tübingen, Universität Ulm, University Hospital Ulm
Language: English
Subfield: Clinical Psychology
Field: Psychology
Domain: Social Sciences
Open Access status: gold
Estimated APC paid: $3,801
OpenAlex ID: W4415664060