[Change of Symptom Severity and Functioning According to ICF in the In-Patient Psychosomatic Rehabilitation]. / Veränderung der Symptombelastung und der Funktionsfähigkeit gemäß ICF in der stationären psychosomatischen Rehabilitation.

BACKGROUND: In this naturalistic study the changes of patients of an in-patient psychosomatic rehabilitation with regard to functioning and to symptom severity were examined. METHODS: Self-evaluations of patients concerning their functioning (ICF AT-50 Psych) and their symptom severity (GSI) were elevated at 3 measurement periods: on admission (n=419), on discharge (n=354) and 6 months after discharge (n=297). RESULTS: Functioning as well as symptom severity improved from t1 to t2. With regard to functioning an improvement on global and specific scales was shown. From t2 to t3 the symptom severity increased lightly again, whereas the functioning level remained rather steady. Changes in symptom severity highly correlate with changes of functioning. DISCUSSION: The results point to the fact that psychosomatic rehabilitation has positive effects on functioning. While planning the therapy functioning as well as symptom severity should be considered. Controlled studies are needed.

[Characteristics of art therapists in rehabilitative therapy]. / Künstlerische Therapeutinnen und Therapeuten in der rehabilitativen Behandlung.

Characteristics of art therapists in rehabilitative therapy Objectives: This study examines the sociodemographic, qualification- and activity-related characteristics of art therapists working in the field of rehabilitation. METHODS: In 2013, an analysis of occupational groups was carried out in Germany, with the objective of describing the art therapists working there.A total of 2,303 complete datasets were submitted. From this group, those therapists mainly working in the field of rehabilitation/follow-up care/participation of disabled persons (according to Social Security Code VI and IX, n = 302) were selected and described. RESULTS: Most art therapists are female (average age 45 years) and largelywork part-time. Music and art therapy are the most common venues.More than 80% have a graduate degree. Methods of quality management are used.More than half of the therapists working in rehabilitation hospitals are employed in the field of psychosomatic medicine. Both individual and group therapy (each patient attending 1-2 times a week) are common. CONCLUSIONS: The results provide an overview of art therapy in the field of rehabilitation and show the spread in rehabilitation. Further research is indicated.

[The Prognostic Significance of ICF Data with Regard to Realization of Recommendations Given in the Medical Discharge Report after In-Patient Psychosomatic Rehabilitation]. / Die prognostische Bedeutung von ICF-Faktoren für die Umsetzung von Empfehlungen aus dem ärztlichen Entlassungsbericht nach einer stationären psychosomatischen Rehabilitation.

Target In this trial, the prognostic significance of ICF-related diagnostics compared to social and medical, disease-related and personal factors with regard to realization of recommendations given in the medical discharge report after the in-patient psychosomatic rehabilitation should be examined. Methodology ICF-related, social and medical, disease-related and personal prognostic factors were surveyed by questionnaires and interviews, on admission, discharge and 6 months after discharge from rehabilitation (time of catamnesis). As target criteria, realizations of recommendations from the fields of sports and exercise, psychotherapy and social medicine were chosen, they could be evaluated by telephone from N=344 participants at the time of catamnesis. For determination of relevant predictors, bivariate and multi-variate analyses were performed. Results 70% of patients realized the recommended sports and exercise, 45% the recommended psychotherapy and 44% a social and medical recommendation. With regard to the target criterion for the realization of recommended sports and exercise, the elevated prognostic factors had only a low prognostic value. For the prognosis of the target criterion of realizing a recommended psychotherapy, interpersonal problems and a low ability to interact in groups (Mini-ICF-APP) turned out to be relevant ICF-related predictors. Different problems (e. g., job-related conditions) appeared as relevant, ICF-related predictors concerning the realization of social and medical recommendations. Disturbances of reliability, self-evaluated by means of ICF AT-50 Psych, showed in the bivariate analyses significant correlations with the target criteria. Conclusion Besides other variables, also ICF-supported attributes turned out to be suitable for the prognosis of target criteria. They should be evaluated and considered in the rehabilitation process.

[Helpful Factors of Ambulant Art Therapy in the Group and Changes of Experiences in Psychosomatic Patients]. / Wirkfaktoren ambulanter Kunsttherapie in der Gruppe und Veränderungen im Erleben psychosomatischer Patienten.

The aim of this study was to analyze the experiences of patients suffering from mostly chronic psychosomatic disorders in an ambulant art therapy in the group. Especially, the focus was on the experienced changes, helpful factors and specifics of the therapy as well as on the experienced benefit. For this, 30 patients were interviewed in a semi-standardized way. Additionally, the symptom-based strain was psychometrically recorded in a part of the patients (21) at the beginning of the therapy and after at least 6 months of participation. The evaluation of those interviews with the qualitative analysis of the therapy subjects surrendered an improvement of the health state in most of the participants. Especially group factors, art as a mean of communication, becoming aware of feelings but also diversion and fun were proved to be beneficial. The art therapy also serves for structuring the week as well as a contact point and a resource in the interpersonal communication of everyday life. Nearly all of the patients referred to some important turning point pictures. Mostly, the benefit was valued as being high. But, in contrast, the psychometric measure did not show any significant change. The results emphasize the stabilizing function of art therapy in the examined patients, whereat the classification of the psychometric result is complicated by the absence of a control group.

[Patients' experiences and picture processes during the art therapy in a psychosomatic day hospital]. / Patientenerfahrungen und Bildverläufe in der Kunsttherapie einer psychosomatischen Tagesklinik.

The aim of this study was the examination of the experiences of patients participating in an art therapy during a psychosomatic day hospital. The data basis were 15 transliterated interviews from the end of the treatment, conducted with a presentation of the pictures painted in the art therapy sessions, as well as the digitised pictures. The evaluation was done with a qualitative analysis of the interviews and an analysis of the pictures, using a specially-developed category system. In the art therapy, most part of the pa-tients dealt with own conflicts. Nearly all pa-tients benefitted from the art therapy and indicated an improvement of their feeling. The picture processes are different; at the beginning, wishes and familiar techniques dominated. Pictures of turning points differed in their dimensions. The art therapy was seen as a part of the complete treatment in which several therapies assembled. The final interviews were experienced as helpful for further reflections.

[Symptoms, disease models and treatment experiences of patients in psychosomatic rehabilitation with and without a history of migration]. / Symptomatik, Krankheitsmodelle, Behandlungserleben und Effekte bei Patienten mit und ohne Migrationshintergrund in der psychosomatischen Rehabilitation.

OBJECTIVES: Previous studies have shown that psychosomatic rehabilitation treatments were less successful for patients with a migration background. These findings should be explored further with the help of interviews. The main aim of this study was to compare patients with and without a migration background with regards to social-demographic variables, disease model, symptoms, and the course and result of a psychosomatic rehabilitation treatment. METHODS: 75 patients with and 75 without a migration background were analysed. Half-structured interviews were carried out at admission, discharge and three months after discharge from treatment. RESULTS: Patients with a migration background were "sicker" at the beginning of the rehabilitation. Especially men with a migration background benefit less from the treatment and often did not feel "at the right place" in the psychosomatic rehabilitation. Patients with a migration background have a more negative view of their work performance than patients without a migration background. DISCUSSION: Patient with a migration background should receive more information about psychosomatic disease models and different treatment methods prior to their rehabilitation therapy.