title: [Evaluation of Contextual Factors in Psychosomatic Rehabilitation].
abstract: Objectives:Although individualized and ICF-oriented implementation of rehabilitation treatment requires knowledge of relevant contextual factors, there is a lack of operationalized documentation and measurement tools to evaluate these factors. Therefore, an ICF-oriented semi-structured interview was designed.Methods:20 contextual factors were externally assessed whether they negatively affected mental functioning and participation of psychosomatic patients. Additionally, psychometric scales were applied.Results:Six relevant impairing contextual factors were identified. Contextual factors significantly correlated with psychometric scales. Patients with higher contextual impairment showed significantly higher psychological stress levels.Conclusions:Anamnesis of contextual factors at the beginning of psychosomatic rehabilitation yields important information for therapy planning. Further research on contextual factors in medical rehabilitation is needed.
authors.affiliation: Zentrum für Klinische Psychologie und Rehabilitation (ZKPR), Universität Bremen.
authors.forename: N I
authors.initials: NI
authors.lastname: Bülau
authors.affiliation: Zentrum für Klinische Psychologie und Rehabilitation (ZKPR), Universität Bremen.
authors.forename: F
authors.initials: F
authors.lastname: Kessemeier
authors.affiliation: Zentrum für Klinische Psychologie und Rehabilitation (ZKPR), Universität Bremen.
authors.forename: F
authors.initials: F
authors.lastname: Petermann
authors.affiliation: Institut für Sozialmedizin, Rehabilitationswissenschaften und Versorgungsforschung (ISRV), Hochschule Nordhausen.
authors.forename: M
authors.initials: M
authors.lastname: Bassler
authors.affiliation: Zentrum für Klinische Psychologie und Rehabilitation (ZKPR), Universität Bremen.
authors.forename: A
authors.initials: A
authors.lastname: Kobelt
mesh_terms: D000328:Adult; D000368:Aged; D006233:Persons with Disabilities / Q000145:classification* / Q000534:rehabilitation* / Q000706:statistics & numerical data; D005260:Female; D005858:Germany; D006801:Humans; D064702:International Classification of Functioning, Disability and Health / Q000458:organization & administration*; D008297:Male; D001523:Mental Disorders / Q000145:classification / Q000523:psychology* / Q000534:rehabilitation*; D008875:Middle Aged; D011594:Psychometrics / Q000379:methods*; D012046:Rehabilitation; D055815:Young Adult