title: [Differential indication of inpatient and day clinic treatment in psychosomatics].
abstract: Aim of the "DINSTAP"-study is to identify criteria that are of importance for a decision between inpatient or day clinic treatment in patients that are usually admitted to psychosomatic clinics in Germany. 299 inpatient and 268 day clinic treatment episodes from 10 clinics were included in the study. Next to basic data and diagnosis, severity of symptoms and impairment were evaluated (pre, post). A questionnaire was developed which includes aspects that are relevant for differential indication according to clinical experts. This questionnaire was filled out before admission. First results show that patients in both treatment settings were comparable concerning impairment at intake. Inpatients showed better improvement (SCL-90-R, GAF) over the course of treatment. Aspects like the necessity of relief from everyday tasks or a daily "training situation" at home allowed a prediction of therapist's decision for inpatient or day clinic treatment. Further detailed analyses are planned to answer the question of differential indication more comprehensively.
authors.affiliation: Abteilung für Psychosomatische Medizin und Psychotherapie, Universitätsklinik Freiburg, Freiburg. almut.zeeck@uniklinik-freiburg.de
authors.forename: Almut
authors.initials: A
authors.lastname: Zeeck
authors.forename: Armin
authors.initials: A
authors.lastname: Hartmann
authors.forename: Joachim
authors.initials: J
authors.lastname: Küchenhoff
authors.forename: Heinz
authors.initials: H
authors.lastname: Weiss
authors.forename: Isa
authors.initials: I
authors.lastname: Sammet
authors.forename: Ekkehard
authors.initials: E
authors.lastname: Gaus
authors.forename: Eckart
authors.initials: E
authors.lastname: Semm
authors.forename: Dirk
authors.initials: D
authors.lastname: Harms
authors.forename: Andrea
authors.initials: A
authors.lastname: Eisenberg
authors.forename: Roland
authors.initials: R
authors.lastname: Rahm
authors.forename: Jörn
authors.initials: J
authors.lastname: von Wietersheim
mesh_terms: D000328:Adult; D000368:Aged; D003631:Day Care, Medical; D005260:Female; D005858:Germany / Q000453:epidemiology; D006801:Humans; D007297:Inpatients; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D011602:Psychophysiologic Disorders / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy*; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D016896:Treatment Outcome