Long-term effectiveness of inpatient and day hospital treatment in departments of psychosomatic medicine and psychotherapy in Germany

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • Henrik Kessler - , Ruhr University Bochum, University of Marburg (Joint first author)
  • Stephan Doering - , Medical University of Vienna (Joint first author)
  • Aram Kehyayan - , Ruhr University Bochum (Author)
  • Magdalena Pape - , Ruhr University Bochum, University of Bamberg (Author)
  • Tobias Hofmann - , Charité – Universitätsmedizin Berlin, DRK Kliniken Berlin (Author)
  • Matthias Rose - , Charité – Universitätsmedizin Berlin (Author)
  • Katrin Imbierowicz - , University of Bonn (Author)
  • Franziska Geiser - , University of Bonn (Author)
  • Ilona Croy - , Department of Psychotherapy and Psychosomatic Medicine, Friedrich Schiller University Jena (Author)
  • Kerstin Weidner - , Department of Psychotherapy and Psychosomatic Medicine (Author)
  • Jörg Rademacher - , University Hospital Duesseldorf (Author)
  • Silke Michalek - , University Hospital Duesseldorf (Author)
  • Eva Morawa - , Friedrich-Alexander University Erlangen-Nürnberg (Author)
  • Yesim Erim - , Friedrich-Alexander University Erlangen-Nürnberg (Author)
  • Christoph Jansen - , LVR University Hospital Essen, University of Duisburg-Essen (Author)
  • Martin Teufel - , LVR University Hospital Essen, University of Duisburg-Essen (Author)
  • Stanislav Heinzmann - , University Medical Center Freiburg (Author)
  • Claas Lahmann - , University Medical Center Freiburg (Author)
  • Eva Milena Johanne Peters - , Justus Liebig University Giessen, University of Marburg (Author)
  • Johannes Kruse - , Justus Liebig University Giessen, University of Marburg (Author)
  • Dirk von Boetticher - , University of Göttingen (Author)
  • Christoph Herrmann-Lingen - , University of Göttingen (Author)
  • Mariel Nöhre - , Hannover Medical School (MHH) (Author)
  • Martina de Zwaan - , Hannover Medical School (MHH) (Author)
  • Ulrike Dinger - , University Hospital Duesseldorf, Heidelberg University  (Author)
  • Hans Christoph Friederich - , Heidelberg University  (Author)
  • Alexander Niecke - , University of Cologne (Author)
  • Christian Albus - , University of Cologne (Author)
  • Rüdiger Zwerenz - , University Medical Center Mainz (Author)
  • Manfred Beutel - , University Medical Center Mainz (Author)
  • Casper Roenneberg - , Ludwig Maximilian University of Munich (Author)
  • Peter Henningsen - , Ludwig Maximilian University of Munich (Author)
  • Barbara Stein - , Paracelsus Medical University Nuremberg (Author)
  • Christiane Waller - , Paracelsus Medical University Nuremberg (Author)
  • Karsten Hake - , University of Rostock (Author)
  • Carsten Spitzer - , University of Rostock (Author)
  • Andreas Stengel - , University Hospital Tübingen, German Center for Mental Health (DZPG) Partner Site Tübingen, Klinikum Stuttgart (Author)
  • Stephan Zipfel - , University Hospital Tübingen, German Center for Mental Health (DZPG) Partner Site Tübingen (Author)
  • Katja Weimer - , Ulm University (Author)
  • Harald Gündel - , Ulm University (Author)
  • Stephan Herpertz - , Ruhr University Bochum (Author)

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.

Details

Original languageEnglish
Article number1531504
JournalFrontiers in psychiatry
Volume16
Publication statusPublished - 2025
Peer-reviewedYes

External IDs

ORCID /0009-0007-9140-4068/work/203814104

Keywords

Sustainable Development Goals

ASJC Scopus subject areas

Keywords

  • effectiveness, follow-up, inpatient treatment, outcome, psychosomatic medicine, psychotherapy