[Patients with versus without psychological disorders in orthopedic rehabilitation].
BACKGROUND
In this study it was examined whether orthopedic rehabilitants with versus without a comorbid mental disorder profit from inpatient orthopedic rehabilitation to the same degree. It was also investigated whether there were differential treatment effects between the traditional and behavioral-medical rehabilitation approaches.


METHODS
Questionnaires which assess pain-specific and associated variables were issued to a total of 361 patients on admission and discharge from rehabilitation.


RESULTS
In some aspects patients with a mental disorder benefited more from the treatment than patients without comorbidities. Differential treatment effects were found only in patients with a mental disorder and improvements were higher in the behavioral-medical than in the traditional rehabilitation approaches.


CONCLUSIONS
Psychological interventions in the inpatient orthopedic rehabilitation are recommended in order to adequately deal with the higher rate of persons with comorbid mental disorders.
Schwarz
S
S
FB Psychologie - AG Klinische Psychologie und Psychotherapie, Philipps-Universität Marburg, Gutenbergstr. 18, 35032, Marburg, Deutschland. susanne.schwarz@staff.uni-marburg.de
Mangels
M
M
Sohr
G
G
Holme
M
M
Worringen
U
U
Rief
W
W
D000328:Adult; D000368:Aged; D001008:Anxiety Disorders / Q000150:complications* / Q000523:psychology / Q000534:rehabilitation; D001521:Behavior Therapy; D003131:Combined Modality Therapy; D015897:Comorbidity; D003866:Depressive Disorder / Q000150:complications* / Q000523:psychology / Q000534:rehabilitation; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009140:Musculoskeletal Diseases / Q000150:complications / Q000523:psychology / Q000601:surgery*; D010146:Pain / Q000150:complications / Q000523:psychology* / Q000534:rehabilitation*; D010147:Pain Measurement; D011183:Postoperative Complications / Q000523:psychology / Q000534:rehabilitation*; D012047:Rehabilitation Centers; D012050:Rehabilitation, Vocational; D013001:Somatoform Disorders / Q000523:psychology / Q000534:rehabilitation*; D011795:Surveys and Questionnaires