[Frequency and consequences of financial problems in patients undergoing outpatient psychosomatic treatment].
OBJECTIVE
About seven million people in Germany are affected by overindebtedness and insolvency. Being severely in debt is a very stressful situation that can result in social marginalisation, reducted overall activity, and physical and mental illness. The present study investigated the frequency of financial problems and their effects on physical and mental disorders at a university psychosomatic clinic.


METHODS
The study included a total of 659 patients. Their mental status was assessed with the Symptom Checklist (SCL-90-R), their physical status with the Gießener Beschwerdebogen (GBB).


RESULTS
37 percent of the subjects reported experiencing financial problems. We found that subjects with financial problems reported more physical and mental disorders than those without financial problems. Furthermore, therapists more often recommended that patients with financial problems receive inpatient therapy than patients without financial problems.


CONCLUSIONS
The study suggests that financial problems should be included in any anamnesis, therapeutic recommendation, and actual therapy of patients in psychosomatic treatment.
Wagner
Stefanie
S
Klinik für Psychosomatische Medizin und Psychotherapie, Universitätsmedizin Mainz. stefwagn@uni-mainz.de
Münster
Eva
E
Beutel
Manfred E
ME
D000223:Adaptation, Psychological; D000328:Adult; D000553:Ambulatory Care / Q000191:economics*; D016361:Bankruptcy / Q000191:economics* / Q000706:statistics & numerical data*; D003430:Cross-Sectional Studies; D005260:Female; D005858:Germany; D006801:Humans; D008297:Male; D008875:Middle Aged; D010555:Personality Inventory / Q000706:statistics & numerical data; D011594:Psychometrics; D011602:Psychophysiologic Disorders / Q000191:economics* / Q000453:epidemiology* / Q000523:psychology; D011613:Psychotherapy / Q000191:economics*; D012803:Sick Role; D013001:Somatoform Disorders / Q000191:economics* / Q000453:epidemiology* / Q000523:psychology; D013315:Stress, Psychological / Q000150:complications