[The role of day care hospitals in psychosocial rehabilitation of patients with psychiatric war injuries].
The integrative therapy with the aim of psychosocial rehabilitation of the patients with war psychotraumas, treated in the Day-time hospital in the period 1992-1996, was described and analysed in this study. There were 209 patients (175 males and 34 females)--133 (63.6%) war veterans and 76 (36.4%) refugees. All patients had posttraumatic mental disorders caused by strong war stressors. Diagnostic estimation was carried out in accordance with DSM-III-R classification and standardized PTSD interview. The most frequent were adaptation disorders and posttraumatic stress disorder. Eclectically oriented therapy which consisted of pharmacotherapy, psychotherapy, sociotherapy, occupational and recreational therapy was applied. The results of therapy and specially group therapy and social support, were positive; 182 (67.1%) patients were pronounced capable and 27 (12.9%) uncapable for work, but in almost all of them the social functioning and adaptation were improved. It could be said that the Day-time hospital was the optimal place for psychosocial rehabilitation of patients with war psychotraumas, because hospitalization and stigmatisation was omitted, with favourable conditions for keeping and renewal of the social network.
R
R
Samardzić
G
G
Mandić-Gajić
T
T
Alacov
B
B
Bosić
D000293:Adolescent; D000328:Adult; D003130:Combat Disorders / Q000628:therapy*; D003631:Day Care, Medical; D005260:Female; D006772:Hospitals, Military; D006801:Humans; D008297:Male; D008875:Middle Aged; D015022:Yugoslavia
Uloga dnevne bolnice u psihosocijalnoh rehabilitaciji bolesnika sa ratnim psihtraumama.