title: Psychosomatic patients in integrated care: Which treatment mediators do we have to focus on?
abstract: The field of psychosomatics has gained increasing significance; it has been struggling to establish its position as either an independent discipline or a subdomain of specific areas such as internal medicine or psychiatry. However, the rise of psychosomatic syndromes and disease patterns as well as an increase of specific integrated psychosomatic wards is a clear indication for the growing importance of interdisciplinary approaches to psychosomatic disorders. The study presents data from an 8-week inpatient treatment at a psychosomatic facility and investigates whether patients improved in their subjective symptom experience. A complex treatment approach, ranging from pharmacological treatment and group and individual psychotherapy to physiotherapy and ergotherapy was integrated into this intervention. In essence, containment of intrapsychic aggression derivatives played a central role in the treatment of psychosomatic symptoms. A significant factor contributing to a successful treatment is the doctor-patient relationship. All these factors were investigated in the present study.
authors.affiliation: Department of Psychoanalysis and Psychotherapy at the Medical University of Vienna, Vienna, Austria.
authors.forename: Karoline
authors.initials: K
authors.lastname: Parth
authors.affiliation: Department of Psychoanalysis and Psychotherapy at the Medical University of Vienna, Vienna, Austria.|General Psychiatric Hospital, Vienna, Vienna, Austria.
authors.forename: Ania
authors.initials: A
authors.lastname: Rosar
authors.affiliation: Department of Psychiatry, SMZ Süd Hospital of Vienna, Vienna, Austria.
authors.forename: Kurt
authors.initials: K
authors.lastname: Stastka
authors.affiliation: Psychologische Hochschule, Berlin, Germany.
authors.forename: Timo
authors.initials: T
authors.lastname: Storck
authors.affiliation: Department of Psychoanalysis and Psychotherapy at the Medical University of Vienna, Vienna, Austria.
authors.forename: Henriette
authors.initials: H
authors.lastname: Löffler-Stastka
mesh_terms: D003131:Combined Modality Therapy; D005081:Exercise Therapy / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D011369:Professional-Patient Relations; D011602:Psychophysiologic Disorders / Q000188:drug therapy / Q000628:therapy*; D011613:Psychotherapy / Q000379:methods*