title: [Motivational and Volitional Determinants of Applying for Psychosomatic Rehabilitation: Findings of a Cohort Study].
abstract: Objective:Analyses of motivational and volitional determinants of applying for psychosomatic rehabilitationMethods:Determinants of a rehabilitation request were assessed by a questionnaire in 2013. Applications for psychosomatic rehabilitation measures until the end of 2014 were extracted from administrative data records. Included were employees with mental disorders.Results:Only 55 of 974 persons requested a rehabilitation measure. The intention to apply for a rehabilitation measure was strongest determined by self-efficacy and family and professional support. Planning was explained by intention and to a lesser extent by family and physician support. Persons with higher planning scores were more likely to apply for a rehabilitation measure. Physician support also increased the likelihood of a rehabilitation request.Conclusion:The analyses identified determinants of rehabilitation claims that are modifiable. This gives opportunities to support rehabilitation claims. However, the contribution of these factors to explain rehabilitation requests is only limited.
authors.affiliation: Institut für Sozialmedizin und Epidemiologie, Universität zu Lübeck.
authors.forename: M
authors.initials: M
authors.lastname: Bethge
authors.affiliation: Institut für Sozialmedizin und Epidemiologie, Universität zu Lübeck.
authors.forename: E
authors.initials: E
authors.lastname: Peters
authors.affiliation: Institut für Medizinische Soziologie und Rehabilitationswissenschaft, Bereich Rehabilitationsforschung, Charité - Universitätsmedizin Berlin.
authors.forename: E
authors.initials: E
authors.lastname: Michel
authors.affiliation: Institut für Medizinische Soziologie und Rehabilitationswissenschaft, Bereich Rehabilitationsforschung, Charité - Universitätsmedizin Berlin.
authors.forename: F M
authors.initials: FM
authors.lastname: Radoschewski
authors.affiliation: Institut für Sozialmedizin und Epidemiologie, Universität zu Lübeck.
authors.forename: K
authors.initials: K
authors.lastname: Spanier
mesh_terms: D015331:Cohort Studies; D006233:Persons with Disabilities / Q000534:rehabilitation* / Q000706:statistics & numerical data; D005260:Female; D005858:Germany / Q000453:epidemiology; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology* / Q000534:rehabilitation*; D008875:Middle Aged; D009042:Motivation; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D010353:Patient Education as Topic; D015995:Prevalence; D012046:Rehabilitation / Q000706:statistics & numerical data*; D014600:Utilization Review; D014836:Volition