[Resource activation and therapeutic success in in-patient and day-care psychosomatic treatment]

Psychother Psychosom Med Psychol. 2015 Mar;65(3-4):104-11. doi: 10.1055/s-0034-1389958. Epub 2014 Nov 17.
[Article in German]

Abstract

Objective: The aim of the study was to examine the association between resource activation and treatment success in in-patient and day-care psychosomatic treatment.

Methods: 130 patients were examined at the beginning and at the end of their in-patient or day-care psychosomatic treatment. The change of resource realization (RES[1]) and different measures of therapeutic success (SCL-90-R[2], BDI-II[3], WHO-5-Q[4], GAS[5], retrospective success evaluation [6]) were assessed using standardized questionnaires.

Results: The results demonstrated a significant trans-diagnostic change in patients' resource realization, which correlated with different measures of mental health (SCL-90-R, BDI-II, WHO-5-Q). Resource realization at the beginning of the treatment and the process of resource activation (pre-post measure of resource realization) turned out to be relevant for predicting treatment success. Furthermore, mediation analysis shows that initiation of experiences of mastery (BSPR-P[7]) seems to be effective as a mediation process.

Conclusion: The results show that resource realization improves during psychosomatic treatment and is associated with treatment success.

MeSH terms

  • Adolescent
  • Adult
  • Day Care, Medical
  • Female
  • Health Resources / statistics & numerical data*
  • Humans
  • Inpatients
  • Male
  • Middle Aged
  • Neuropsychological Tests
  • Psychiatric Status Rating Scales
  • Psychophysiologic Disorders / therapy*
  • Retrospective Studies
  • Treatment Outcome
  • Young Adult