[Predictors of successful transfer to everyday live of a relaxation method acquired in psychosomatic rehabilitation].
OBJECTIVE
The aim of the present study was to identify factors at the beginning and at the end of an inpatient psychosomatic rehabilitation predicting the successful transfer of Progressive Relaxation (PR) according to Jacobson three months after the stay.


METHODS
Eighty patients in a psychosomatic rehabilitation centre were studied in the beginning (T1), at discharge (T2) and three months after discharge (T3). Every patient participated in courses on PR. To evaluate the course, parts of the "Diagnostisches und evaluatives Instrumentarium für Entspannungstraining und Entspannungstherapie" were used. Transfer was defined as successful if patients practised PR at least once a week three months after their stay. Potential predictors were: diagnosis, age, symptoms, previous experiences, and motives at T1 and frequency of practising, adequateness of group size and change of symptoms at T2. Stepwise logistic regression analysis was used to identify predictors.


RESULTS
Three months after the course 52,5% of the patients were able to transfer PR successfully into their daily lives. 68,8% of cases had been correctly classified by logistic regression through: participation motive "positive thoughts" (T1) and "frequency of practising PR outside the course" (T2).


CONCLUSIONS
Intrinsic participation motives and practising independently are significant predictors of long-term transfer of PR. This indicates the necessity of discussing motives at the beginning as well as frequency of practising during the PR course. It would be particularly interesting to know whether specific encouraging of motivation would improve the transfer to everyday life.
Bernardy
K
K
Die Institutsangaben sind am Ende des Beitrags gelistet. k.bernardy@bliestal.mediclin.de
Krampen
G
G
Köllner
V
V
D000203:Activities of Daily Living / Q000523:psychology*; D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009042:Motivation; D017060:Patient Satisfaction; D011214:Practice, Psychological; D011602:Psychophysiologic Disorders / Q000523:psychology / Q000534:rehabilitation*; D012064:Relaxation Therapy / Q000379:methods*; D014163:Transfer, Psychology; D016896:Treatment Outcome