title: [Symptoms, disease models and treatment experiences of patients in psychosomatic rehabilitation with and without a history of migration].
abstract: OBJECTIVE
  Previous studies have shown that psychosomatic rehabilitation treatments were less successful for patients with a migration background. These findings should be explored further with the help of interviews. The main aim of this study was to compare patients with and without a migration background with regards to social-demographic variables, disease model, symptoms, and the course and result of a psychosomatic rehabilitation treatment.
  
  
  METHODS
  75 patients with and 75 without a migration background were analysed. Half-structured interviews were carried out at admission, discharge and three months after discharge from treatment.
  
  
  RESULTS
  Patients with a migration background were "sicker" at the beginning of the rehabilitation. Especially men with a migration background benefit less from the treatment and often did not feel "at the right place" in the psychosomatic rehabilitation. Patients with a migration background have a more negative view of their work performance than patients without a migration background.
  
  
  CONCLUSIONS
  Patient with a migration background should receive more information about psychosomatic disease models and different treatment methods prior to their rehabilitation therapy.
authors.affiliation: Klinik für Psychosomatische Medizin und Psychotherapie, Universität Ulm, Albert-Einstein-Allee 23, 89070 Ulm.
authors.forename: Andrea
authors.initials: A
authors.lastname: Gruner
authors.forename: Jörg
authors.initials: J
authors.lastname: Oster
authors.forename: Gottfried
authors.initials: G
authors.lastname: Müller
authors.forename: Jörn
authors.initials: J
authors.lastname: von Wietersheim
mesh_terms: D000328:Adult; D016022:Case-Control Studies; D059026:Diagnostic Self Evaluation; D004185:Disability Evaluation; D054242:Emigrants and Immigrants / Q000523:psychology*; D005260:Female; D005500:Follow-Up Studies; D005858:Germany; D006801:Humans; D007406:Interview, Psychological; D008297:Male; D008875:Middle Aged; D008960:Models, Psychological; D010353:Patient Education as Topic; D011602:Psychophysiologic Disorders / Q000175:diagnosis / Q000208:ethnology / Q000523:psychology* / Q000534:rehabilitation*; D012047:Rehabilitation Centers; D012050:Rehabilitation, Vocational / Q000523:psychology; D012737:Sex Factors; D013001:Somatoform Disorders / Q000175:diagnosis / Q000208:ethnology / Q000523:psychology* / Q000534:rehabilitation*; D016896:Treatment Outcome