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Anpassungsstörungen bei Patienten einer psychosomatischen Poliklinik - Beschwerden, Veränderungsbereitschaft und Psychotherapiemotivation


Dannemann, S; Einsle, F; Kämpf, Franziska; Joraschky, Peter; Maercker, Andreas; Weidner, Kerstin (2010). Anpassungsstörungen bei Patienten einer psychosomatischen Poliklinik - Beschwerden, Veränderungsbereitschaft und Psychotherapiemotivation. Zeitschrift für Psychosomatische Medizin und Psychotherapie, 56:231-243.

Abstract

New diagnostic concept of adjustment disorders in psychosomatic outpatients – Symptom severity, willingness to change, psychotherapy motivation Objectives: Adjustment disorders (AD) represent a frequently diagnosed type of disorder for which scientific interest has been limited because of insufficient diagnostic criteria. This study presents a concept comprising cognitive, behavioural, and emotional criteria (ADNM) which investigates differences in symptom severity, willingness to change, and motivation for psychotherapy in subjects with adjustment disorders. Method: 331 outpatients were examined with a number of tools (ADNM, SCL-90-R, FPTM-23, FEVER). The ADNM is evaluated on the basis of theoretical assumptions and divides the sample into subjects with elevated and normal scores. Results: The sample comprised patients with elevated scores (61 %) and normal scores (39 %). Subjects with AD scored higher on depression, anxiety, and impulsivity (p < 0.001) as well as exhibiting elevated scores on the SCL-90-R (p < 0.001), for contemplation/action (p = 0.003 | p < 0.001), and for psychotherapy motivation (p < 0.001). Conclusion: The ADNM identifies patients experiencing stress. Further longitudinal studies should examine whether patients more frequently enter psychotherapy or not.

New diagnostic concept of adjustment disorders in psychosomatic outpatients – Symptom severity, willingness to change, psychotherapy motivation Objectives: Adjustment disorders (AD) represent a frequently diagnosed type of disorder for which scientific interest has been limited because of insufficient diagnostic criteria. This study presents a concept comprising cognitive, behavioural, and emotional criteria (ADNM) which investigates differences in symptom severity, willingness to change, and motivation for psychotherapy in subjects with adjustment disorders. Method: 331 outpatients were examined with a number of tools (ADNM, SCL-90-R, FPTM-23, FEVER). The ADNM is evaluated on the basis of theoretical assumptions and divides the sample into subjects with elevated and normal scores. Results: The sample comprised patients with elevated scores (61 %) and normal scores (39 %). Subjects with AD scored higher on depression, anxiety, and impulsivity (p < 0.001) as well as exhibiting elevated scores on the SCL-90-R (p < 0.001), for contemplation/action (p = 0.003 | p < 0.001), and for psychotherapy motivation (p < 0.001). Conclusion: The ADNM identifies patients experiencing stress. Further longitudinal studies should examine whether patients more frequently enter psychotherapy or not.

Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:06 Faculty of Arts > Institute of Psychology
Dewey Decimal Classification:150 Psychology
Language:German
Date:2010
Deposited On:22 Oct 2014 07:17
Last Modified:05 Apr 2016 18:25
Publisher:Vandenhoeck & Ruprecht
ISSN:1438-3608
Related URLs:http://www.v-r.de/en/magazine-0-0/zeitschrift_fuer_psychosomatische_medizin_und_psychotherapie-500028/ (Publisher)

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