[Participation-oriented psychotherapy for patients with mental disorders who are able or unable to work : Results of a survey of practicing psychotherapists].

Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz

Psychosomatische Medizin, Forschungsgruppe Psychosomatische Rehabilitation, Charité Universitätsmedizin Berlin, Berlin, Deutschland.

Published: July 2024

AI Article Synopsis

  • The study emphasizes the need for mental health treatment to both alleviate symptoms and enhance work participation.
  • Interviews with cognitive behavior and psychodynamic therapists revealed no significant differences in therapy characteristics between patients with short-term and long-term sick leave.
  • Patients on longer sick leave experienced greater impairments and received more targeted work participation treatments, while general health improvement efforts were uniformly applied regardless of sick leave duration.

Article Abstract

Background: Treatment of (chronic) mental disorders must focus on both reducing symptoms and improving social and work participation by social medicine treatments and counselling. The objective of this study was to compare psychotherapy patients who are fit or unfit for work to describe similarities and differences regarding patient status and interventions.

Methods: Interviews were performed with 73 cognitive behavior therapists and 58 psychodynamic psychotherapists about 188 and 134 recent cases they had seen, respectively. The case reports referred to patients who were on average 42 years old (65% females).

Results: There were no differences between patients with no or short-term sick leave (up to 6 weeks, n = 156) and patients with longer sick leave (7 weeks or more, n = 140) with respect to basic characteristics of treatment (side effects, therapeutic alliance). Patients with a longer sick leave duration had more severe capacity and participation impairments and received more specific work participation-oriented treatments, whereas general saluto-therapeutic activities (sports-club, counselling, family-support) were similarly undertaken in patients with shorter or longer sick leave.

Discussion: Therapists chose intervention options according to indication: in patients with work participation problems, more work-related treatments are undertaken, whereas interventions for general mental health improvement are distributed independent of specific work participation problems.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11231008PMC
http://dx.doi.org/10.1007/s00103-024-03899-1DOI Listing

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