title: [Day-care vs. inpatient psychosomatic rehabilitation].
abstract: OBJECTIVE
  The present study compares patient characteristics and treatment outcome of 138 patients from a day-care psychosomatic rehabilitation and 540 patients from an inpatient psychosomatic rehabilitation. It was analyzed if patients differ in demographic-, clinical- and socio-medical characteristics, if there are different treatment effects between the 2 types of rehabilitations and if other patient characteristics can predict success of treatment.
  
  
  METHODS
  Data was assessed twice (at intake and at discharge of rehabilitation) by self-reported surveys and external assessment of clinical discharge reports. Success of treatment was measured by changes in somatic and mental complaints, psychological well-being, work motivation, subjective forecast of employment, and externally estimated ability to work.
  
  
  RESULTS
  RESULTS indicate that day-care patients were higher burdened than inpatients at intake. They showed more complaints, had a higher number of days of incapacity and a higher chance of work difficulties. Furthermore, the prevalence of a migration background was higher. Both kinds of rehabilitation were successful in reducing somatic and mental complaints and in increasing psychological well-being. The "Würzburger Screening", which measures the subjective forecast of employment and occupational stress, turned out to be the best predictor for success of treatment.
  
  
  CONCLUSIONS
  Both day-care- and inpatient rehabilitation were mostly successful, even if day-care patients were more burdened at intake. Therefore day-care rehabilitation can be seen as a good alternative to inpatient rehabilitation.
authors: Abteilung IV, Deutsche Rentenversicherung Braunschweig-Hannover.
authors: Sophia
authors: S
authors: Oelmann
authors: Psychosomatik, Gesundheitszentrum Hannover.
authors: Michael
authors: M
authors: Licht
authors: Psychosomatik, Rehazentrum Oberharz, Clausthal-Zellerfeld.
authors: Markus
authors: M
authors: Bassler
authors: Zentrum für Klinische Psychologie und Rehabilitation, Universität Bremen.
authors: Franz
authors: F
authors: Petermann
authors: Abteilung IV, Deutsche Rentenversicherung Braunschweig-Hannover.
authors: Axel
authors: A
authors: Kobelt
mesh_terms: D000328:Adult; D000368:Aged; D003631:Day Care, Medical / Q000379:methods*; D005260:Female; D006801:Humans; D007297:Inpatients; D008297:Male; D008875:Middle Aged; D010045:Outpatients; D011602:Psychophysiologic Disorders / Q000523:psychology / Q000534:rehabilitation*; D013315:Stress, Psychological / Q000523:psychology / Q000534:rehabilitation; D016896:Treatment Outcome