title: A qualitative investigation of barriers and facilitators of rehabilitation success from the psychosomatic inpatients' perspective.
abstract: OBJECTIVE
  Psychosomatic inpatient rehabilitation aims at promoting functioning in patients with mental disorders. Although generally effective, some patients do not benefit from this rehabilitation and suffer from symptoms as well as functional impairment. This study aimed to identify patient-reported factors influencing activity and participation outcomes.
  
  
  METHODS
  Five focus groups with N=23 former psychosomatic rehabilitation inpatients were conducted. The discussions focused on facilitators and barriers of treatment outcome. The material was analyzed inductively according to qualitative content analysis. Categories were derived from the material.
  
  
  RESULTS
  Patients reported sociodemographic and clinical characteristics as well as personal factors, preparation before psychotherapy, and aspects of employment and health care as predictors of treatment success.
  
  
  CONCLUSIONS
  A wide range of possible factors that influence the course of functioning from the patients' perspective were determined. These factors can be assigned to the ICF conceptual model. Clinician and researcher perspectives may complement these factors.
authors.affiliation: Department of Medical Psychology, Center for Psychosocial Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
authors.forename: Anna Levke
authors.initials: AL
authors.lastname: Brütt
authors.affiliation: Department of Medical Psychology, Center for Psychosocial Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
authors.forename: Julia Luise
authors.initials: JL
authors.lastname: Magaard
authors.affiliation: Department of Medical Psychology, Center for Psychosocial Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany; Psychology Institute, Alps-Adria-University Klagenfurt, Klagenfurt, Austria.
authors.forename: Sylke
authors.initials: S
authors.lastname: Andreas
authors.affiliation: Department of Medical Psychology, Center for Psychosocial Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
authors.forename: Holger
authors.initials: H
authors.lastname: Schulz
keywords: activities of daily living; patient-centered care; psychiatric rehabilitation; qualitative study