title: [Somatic rehabilitation as a field of work for psychologists: results of a nationwide survey of structures and practice in orthopaedic and cardiac inpatient medical rehabilitation].
abstract: OBJECTIVE
  A detailed analysis of the present structural quality and practice of psychological services in inpatient medical rehabilitation facilities was conducted. The study was carried out for the indications chronic back pain and coronary heart disease.
  
  
  METHODS
  A nationwide postal survey of psychological services in orthopaedic and cardiac inpatient rehabilitation facilities was carried out.
  
  
  RESULTS
  Data from psychology departments of 169 orthopaedic and 75 cardiac inpatient rehabilitation facilities are available. In both indication areas an average of one psychologist is in charge of 100 patients. In the treatment of patients with chronic back pain and coronary heart disease, several methods of psychological assessment and a wide range of psychological interventions are being applied. On the whole, there are notable parallels between the psychological interventions provided to patients with chronic back pain and coronary heart disease. At the same time, however, there is considerable heterogeneity among rehabilitation facilities as to the psychological interventions carried out.
  
  
  CONCLUSIONS
  The heterogeneity found reveals the low degree of standardization of psychological practice in medical rehabilitation of patients with chronic back pain or coronary heart disease. This emphasizes the need for developing and implementing recommendations or practice guidelines for psychological interventions.
authors: Abteilung Qualitätsmanagement und Sozialmedizin, Universitätsklinikum Freiburg, Freiburg, Germany. christina.reese@uniklinik-freiburg.de
authors: C
authors: C
authors: Reese
authors: W H
authors: WH
authors: Jäckel
authors: O
authors: O
authors: Mittag
mesh_terms: D001416:Back Pain / Q000453:epidemiology* / Q000534:rehabilitation*; D002908:Chronic Disease; D015897:Comorbidity; D003327:Coronary Disease / Q000453:epidemiology* / Q000534:rehabilitation*; D003625:Data Collection; D005260:Female; D005858:Germany / Q000453:epidemiology; D006760:Hospitalization; D006801:Humans; D008297:Male; D009985:Orthopedics / Q000706:statistics & numerical data*; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data; D015995:Prevalence; D013000:Psychiatric Somatic Therapies / Q000706:statistics & numerical data*; D012046:Rehabilitation / Q000706:statistics & numerical data*; D012307:Risk Factors; D016896:Treatment Outcome