%0 Journal Article
%T Inpatient or day clinic treatment? Results of a multi-site-study
%A Zeeck
%A Almut
%A von Wietersheim
%A J£¿rn
%A Hartmann
%A Armin
%A Einsele
%A Sanna
%J GMS Psycho-Social-Medicine
%D 2009
%I 
%X Objective: This naturalistic study aimed to identify criteria which are of relevance for making a decision as to whether inpatient or day hospital treatment is indicated. Methods: In 567 patients who were consecutively admitted to 10 departments of psychosomatic medicine (day hospital or inpatient setting) in Germany, symptom severity at admission and discharge was measured (Symptom-Check-List-90-R, Global Assessment of Functioning). Before admission, clinicians rated aspects that might be important for differential indication (Rating Scale of Indication Criteria). A regression analysis was conducted to reveal relationships between outcome in each setting and possible predictors (criteria of relevance). Results: At admission inpatients and day clinic patients already showed some differences referring to aspects clinicians used to select patients for each setting. Good outcome in day hospital patients was associated with a high motivation and higher burdens at home, whereas reduced drive and loss of interest was correlated with a less favourable course. Inpatients did less well if their symptoms were triggered by situations at home and if they showed a high potential for regression. Conclusion: Results give first hints for criteria which are relevant for making a decision between inpatient and day hospital treatment in psychosomatic medicine.
%K differential indication
%K inpatients
%K day clinic
%K psychosomatics
%K prediction
%U http://www.egms.de/static/en/journals/psm/2009-6/psm000059.shtml