[Is there adequate care for patients with psychosomatic disorders in Austria? Analysis of the need and a proposal for a model of quality assurance in Austrian psychosomatic medicine].

Abstract:

INTRODUCTION:Quality assurance in psychosomatic medicine in Austria is currently based on a voluntary continuing medical education programme in psychosocial, psychosomatic and psychotherapeutic medicine. It is questionable whether psychosomatic care can be sufficiently provided in this manner. In addition, a broadly based proposal to create a subspecialty in psychosomatic medicine in order to facilitate quality assurance, is investigated. METHODS:The necessity to reorganize psychosomatic care was explored through semi-structured qualitative interviews with experts. Data-based analyses probed the labour market of the proposed subspecialty, and the literature was reviewed to look into the cost-benefit ratio of psychosomatic treatment. RESULTS:All experts expressed a need to restructure psychosomatic care in Austria. Examples exist for psychosomatic treatment with an efficient cost-benefit relation in diverse medical settings. CONCLUSION:Establishing a subspecialty in Psychosomatic Medicine seems feasible and could contribute to increased quality assurance and the nationwide provision of psychosomatic care.

authors

Leitner A,Pieh C,Matzer F,Fazekas C

subject

Has Abstract

pub_date

2013-01-01 00:00:00

pages

408-21

issue

4

eissn

1438-3608

issn

2196-8349

journal_volume

59

pub_type

杂志文章
  • [Oxytocin, a mediator of anti-stress, well-being, social interaction, growth and healing].

    abstract::The neuroendocrine and physiological systems related to pain and stress have long been subjected to study. More recently, the corresponding systems promoting anti-stress and restoration have also come into focus. It is not only important to investigate the mechanisms underlying disease but also to examine the physiolo...

    journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie

    pub_type: 杂志文章,评审

    doi:10.13109/zptm.2005.51.1.57

    authors: Uvnas-Moberg K,Petersson M

    更新日期:2005-01-01 00:00:00

  • Operationalized Psychodynamic Diagnosis System and Outcome of Psychodynamic Inpatient Psychotherapy in Male and Female Patients.

    abstract:OBJECTIVE:To compare male and female patients with regard to the Operationalized Psychodynamic Diagnosis (OPD-2) system, treatment variables, and outcome after multimodal psychodynamic inpatient psychotherapy. METHODS:At the beginning and at the end of inpatient treatment in a multimodal psychodynamic setting, patient...

    journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie

    pub_type: 杂志文章

    doi:10.13109/zptm.2018.64.3.281

    authors: Schneider G,Heuft G

    更新日期:2018-09-01 00:00:00

  • [Mindfulness, depression, quality of life, and cancer: The nonlinear, indirect effect of mindfulness on the quality of life of cancer patients].

    abstract:OBJECTIVES:This study investigates the relationships between mindfulness, depression, and quality of life (QoL) in cancer patients. METHODS:A total of 51 cancer patients were assessed with the FreiburgMindfulness Inventory (FFA;Walach et al. 2004), the Hospital Anxiety and Depression Scale (HADS-D; Herrmann et al. 199...

    journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie

    pub_type: 杂志文章

    doi:10.13109/zptm.2014.60.4.337

    authors: Blawath S,Metten R,Tschuschke V

    更新日期:2014-01-01 00:00:00

  • [Not Available].

    abstract::In a quasi-experimental design, four groups were compared, (a) patients who had terminated psychoanalysis of more than two years' duration; (b) patients who had terminated individual psychotherapy of more than two years' duration; (c) patients who had terminated various kinds of low-dose psychotherapies; (d) patients ...

    journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie

    pub_type: 杂志文章

    doi:10.13109/zptm.1999.45.1.43

    authors: Sandell R

    更新日期:1999-03-01 00:00:00

  • [50 years of the Journal of psychosomatic medicine].

    abstract::This article is a review of the historical development of this journal from its establishment in 1954 to the present. The history of its founding will first be briefly outlined and illustrated with some facsimile prints from that time. The thematic focuses as they evolved over the last five decades will then be review...

    journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie

    pub_type: 历史文章,杂志文章

    doi:10.13109/zptm.2004.50.1.7

    authors: Rudolf G,Rüger U

    更新日期:2004-01-01 00:00:00

  • [Stress at work and well-being in junior residents].

    abstract:OBJECTIVES:The present study investigated the workplace experiences of junior physicians in their first year of residency, and the impact of these experiences on their physical and psychological well-being. METHODS:In a prospective longitudinal study 518 junior physicians (54.4% women, 45.6% men) were investigated twi...

    journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie

    pub_type: 杂志文章

    doi:10.13109/zptm.2005.51.2.163

    authors: Buddeberg-Fischer B,Klaghofer R,Buddeberg C

    更新日期:2005-01-01 00:00:00

  • [Development of the "ICD-10-Symptom-Rating"(ISR) questionnaire].

    abstract:OBJECTIVES:Construction of the newly developed "ICD-10 Symptom Rating" (ISR) is presented together with some statistical data. This questionnaire is founded on the well-known ICD-10, according to which symptoms are relevant for assessing psychological disorders. The ISR aims at a comprehensive evaluation of the severit...

    journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie

    pub_type: 杂志文章

    doi:10.13109/zptm.2008.54.4.409

    authors: Tritt K,von Heymann F,Zaudig M,Zacharias I,Söllner W,Loew T

    更新日期:2008-01-01 00:00:00

  • [Not Available].

    abstract::Inpatient psychotherapy is characterized by a combination of different therapeutic approaches. Research on psychotherapeutic processes in inpatient psychotherapy uses often only a single observer's perspective, based on the assumption that there exists a unitary process underlying the total process of inpatient psycho...

    journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie

    pub_type: 杂志文章

    doi:10.13109/zptm.2000.46.2.166

    authors: Hartkamp N,Tress W

    更新日期:2000-05-01 00:00:00

  • Focusing on Patients' Existing Resources and Strengths in Cognitive-Behavioral Therapy and Psychodynamic Therapy: A Systematic Review and Meta-Analysis.

    abstract::Objectives: Integrating a stronger focus on patients' existing strengths in traditional psychotherapy approaches is suggested by recent developments in psychological science, positive psychology, and psychotherapy research. However, the empirical status of treatments focusing on patients' existing strengths is unclear...

    journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie

    pub_type: 杂志文章,meta分析

    doi:10.13109/zptm.2019.65.2.144

    authors: Munder T PhD,Karcher A,Yadikar Ö,Szeles T,Gumz A

    更新日期:2019-06-01 00:00:00

  • [Not Available].

    abstract::Endometriosis is one of the most frequent gynecological disorders in the reproductive age. Discrepancies between clinical findings and subjective Symptoms cause the question of the determing factors for the subjective experience. In the present study an hermeneutic, sense-orientated approach was employed by using qual...

    journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie

    pub_type: 杂志文章

    doi:10.13109/zptm.1999.45.4.372

    authors: Bodden-Heidrich R,Hilberink M,Frommer J,Stratkötter A,Rechenberger I,Bender HG,Tress W

    更新日期:1999-12-01 00:00:00

  • [Fear of progression in breast cancer patients--validation of the short form of the Fear of Progression Questionnaire (FoP-Q-SF)].

    abstract:OBJECTIVES:Fear of progression is one of the most prevalent symptoms in cancer patients. The aim of this study was to validate the 12-item short version of the Fear of Progression Questionnaire (FoP-Q-SF). METHODS:A total of 1083 breast cancer patients were recruited by the Hamburg Cancer Register to fill out various ...

    journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie

    pub_type: 杂志文章

    doi:10.13109/zptm.2006.52.3.274

    authors: Mehnert A,Herschbach P,Berg P,Henrich G,Koch U

    更新日期:2006-01-01 00:00:00

  • [Course of symptom severity and prediction of outcome in inpatient psychotherapy].

    abstract:OBJECTIVES:The study looks for typical curves of symptom development in inpatients and investigates the influence of initial remoralisation and terminal improvement on the global therapy outcome. METHODS:71 psychotherapy inpatients (affective, anxiety, eating and personality disorders; average treatment duration 11.9 ...

    journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie

    pub_type: 杂志文章

    doi:10.13109/zptm.2001.47.4.380

    authors: Schauenburg H,Sammet I,Strack M

    更新日期:2001-01-01 00:00:00

  • [Disturbed regulation of self-esteem in patients with overt versus covert self-destructive behaviour].

    abstract:OBJECTIVES:According to psychoanalytic models self-harming patients are characterised by an unstable self-system and a disturbed regulation of self-esteem. This is presumed to be denied or dissociated to a greater degree by those who harm themselves secretly (factitious patients) as compared to those who show open self...

    journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie

    pub_type: 杂志文章

    doi:10.13109/zptm.2003.49.2.151

    authors: Fliege H,Becker J,Weber C,Schoeneich F,Klapp BF,Rose M

    更新日期:2003-01-01 00:00:00

  • [The techniques of the psychodynamic therapist: verbal interventions from a theoretical and practice-oriented perspective ].

    abstract:OBJECTIVES:To date we have only a limited understanding of the concrete verbal intervention techniques used in psychodynamic psychotherapy. In particular, there is no standard classification of these techniques. METHODS AND RESULTS:We analyzed the various types of verbal psychodynamic interventions from a theoretical ...

    journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie

    pub_type: 杂志文章,评审

    doi:10.13109/zptm.2014.60.3.219

    authors: Gumz A,Horstkotte JK,Kästner D

    更新日期:2014-01-01 00:00:00

  • [Not Available].

    abstract::In this piece of work the primary affects, as rage, fear, sadness and lacking of joy (anhedonia) are defined and discussed as specific causes for the development and outbreak of depressive states. Then conflicting primary emotions and depressive mental states are depicted to be followed by a discussion about the signi...

    journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie

    pub_type: 杂志文章

    doi:10.13109/zptm.2000.46.4.331

    authors: Krause R

    更新日期:2000-10-01 00:00:00

  • [Operationalized psychodynamic diagnostics (OPD) in patients in a prodromal state of schizophrenia--an explorative study].

    abstract:OBJECTIVES:To obtain data and hypotheses regarding the amelioration of risk estimation and preventive psychotherapy in patients in a prodromal state of schizophrenia by using OPD. METHODS:20 participants with a prodromal condition--6 subjects far from psychosis and 14 close to psychosis--along with 10 patients with pa...

    journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie

    pub_type: 杂志文章

    doi:10.13109/zptm.2010.56.2.150

    authors: Uzdawinis D,Edel MA,Ozgürdal S,von Haebler D,Hauser M,Witthaus H,Gudlowski Y,Heinz A,Juckel G

    更新日期:2010-01-01 00:00:00

  • [Age-, gender- and diagnosis-specific changes of body concept during stationary psychosomatic treatment].

    abstract:OBJECTIVE:This study investigates body concept with respect to psychiatric diagnosis, age and gender of inpatients before and after treatment. METHODS/SAMPLE:We examined 153 inpatients with 131 complete datasets. The examination was done at the beginning and at the end of the treatment using the Frankfurt Body Concept...

    journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie

    pub_type: 杂志文章

    doi:10.13109/zptm.2011.57.2.172

    authors: Stumpf A,Braunheim M,Heuft G,Schneider G

    更新日期:2011-01-01 00:00:00

  • [Clinical characteristics of computer game and internet addiction in persons seeking treatment in an outpatient clinic for computer game addiction].

    abstract:OBJECTIVES:Since March 2008 we have offered outpatient treatment for computer game and internet addiction. This article presents the assessment and clinical characterization of the first cohort of one year. METHODS:The reasons for seeking help (phone consultations, N=346) as well as sociodemographic and psychometric c...

    journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie

    pub_type: 杂志文章

    doi:10.13109/zptm.2011.57.1.77

    authors: Beutel ME,Hoch C,Wölfling K,Müller KW

    更新日期:2011-01-01 00:00:00

  • [A longitudinal analysis of the inpatient treatment of the elderly in psychosomatic departments].

    abstract:OBJECTIVES:This article investigates the development of the inpatient treatment capabilities of older patients from the age of 50 onward in inpatient psychosomatic-psychotherapeutic departments over a period of 15 years. METHOD:A Germany-wide postal survey that was almost identical to two previously conducted cross-se...

    journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie

    pub_type: 杂志文章

    doi:

    authors: Klemt AC,Heuft G

    更新日期:2013-01-01 00:00:00

  • [Qualitative psychotherapy research in German speaking countries].

    abstract:OBJECTIVES:The subject of this paper is a review of qualitative research in psychotherapy and psychosomatic medicine in German speaking countries. METHODS:A short systematic survey of the relevant topics is given. RESULTS:The methodology and methods are reviewed as well as subjects and results, e.g. first interview a...

    journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie

    pub_type: 杂志文章,评审

    doi:10.13109/zptm.2003.49.1.74

    authors: Frommer J,Streeck U

    更新日期:2003-01-01 00:00:00

  • [Quality of psychological strain in police work--development of a taxonomy of sources of stress].

    abstract:OBJECTIVES:Police officers frequently face traumatic stressors of different origins and thus bear an increased risk of developing a post-traumatic stress disorder. The most mentally burdening situations range from shootings, death of fellow officers, dealing with dead bodies in general, the effects of shift work, time ...

    journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie

    pub_type: 杂志文章

    doi:10.13109/zptm.2007.53.1.42

    authors: Reinecke S,Runde B,Bastians F,Weiss U,Heuft G,Bär O

    更新日期:2007-01-01 00:00:00

  • [Treatment preparation in psychosomatic medicine and psychotherapy].

    abstract:OBJECTIVE:The preparation for treatment represents a specific and crucial issue in psychosomatic medicine and psychotherapy. ASPECTS OF OUTPATIENT DIAGNOSTICS:A comprehensive interdisciplinary diagnosis is necessary that comprises both, the patient's psychopathology and biographical background. Since many patients are...

    journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie

    pub_type: 杂志文章

    doi:10.13109/zptm.2009.55.1.27

    authors: Doering S

    更新日期:2009-01-01 00:00:00

  • [The use of OPD-based focused interventions in inpatient psychotherapy: effects on outcome and course of treatment].

    abstract:OBJECTIVES:The study explores the course and outcome of inpatient psychodynamic psychotherapy (N=200) with particular regard to interpersonal experiences and behaviour. Based on the implementation of a focus conference, the multi-professional team members formulated an interpersonal treatment focus and individualised h...

    journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie

    pub_type: 杂志文章

    doi:

    authors: Stasch M,Schmal H,Hillenbrand E,Cierpka M

    更新日期:2007-01-01 00:00:00

  • [Changes in emotional experience during the course of psychoanalytic therapy].

    abstract:OBJECTIVES:Does the subjective emotional experience of patients change in the course of psychoanalytic treatment? METHODS:Ten patients were interviewed four times during their first two years in psychoanalytic therapy. Interviews were coded with regard to the patients' subjective emotional experience. Changes in indiv...

    journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie

    pub_type: 杂志文章

    doi:10.13109/zptm.2006.52.1.39

    authors: Leising D,Rudolf G,Oberbracht C,Grande T

    更新日期:2006-01-01 00:00:00

  • [The assessment of therapy success after radical prostatectomy].

    abstract:OBJECTIVES:Patient satisfaction plays an important role in the outcome quality of treatment for localized prostate carcinoma. This paper identifies factors that impact patients' assessment of therapy success one year after surgery. METHODS:Patient assessment of therapy success was measured with the Hamburger Frageboge...

    journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie

    pub_type: 杂志文章

    doi:10.13109/zptm.2011.57.4.356

    authors: Köhler N,Gansera L,Holze S,Stolzenburg JU,Rebmann U,Truss MC,Roth S,Scholz HJ,Fahlenkamp D,Thiel R,Brähler E

    更新日期:2011-01-01 00:00:00

  • [The psychic structure of chronic pain patients].

    abstract:OBJECTIVES:The study investigates the psychic structure and psychiatric comorbidity of chronic pain patients according to Kernberg's concept of personality organization. METHODS:We assessed 48 chronic pain patients attending the Behavioural Medicine Pain Clinic in the Department of Psychiatry. Patients were diagnosed ...

    journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie

    pub_type: 杂志文章

    doi:10.13109/zptm.2010.56.1.34

    authors: Fischer-Kern M,Mikutta C,Kapusta ND,Hörz S,Naderer A,Thierry N,Leithner-Dziubas K,Löffler-Stastka H,Aigner M

    更新日期:2010-01-01 00:00:00

  • On Mechanisms of Change in Psychodynamic Therapy.

    abstract:BACKGROUND:There is a growing body of evidence for the efficacy of psychodynamic therapy. Some representatives of other approaches, however, have repeatedly questioned its efficacy. Recently, another line of argumentation emerged, claiming that psychodynamic therapy may work, but that the mechanisms of change underlyin...

    journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie

    pub_type: 杂志文章,评审

    doi:10.13109/zptm.2018.64.1.16

    authors: Leichsenring F,Steinert C,Crits-Christoph P

    更新日期:2018-03-01 00:00:00

  • [Fatherless: long-term sequelae in German children of World War II].

    abstract:OBJECTIVE:In World War II, 2.5 million children in Germany lost their fathers. Most of them grew up with their single mother, often accompanied by financial hardship. In a questionnaire carried out in 2003 in persons born before 1947, a rate of 19 % reported that they grew up with their mother alone. METHODS:The prese...

    journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie

    pub_type: 杂志文章

    doi:10.13109/zptm.2007.53.3.216

    authors: Von Franz M,Hardt J,Brähler E

    更新日期:2007-01-01 00:00:00

  • [Transference interpretations and how they work: a systematic review].

    abstract::In clinical theory transference interpretations represent a central therapeutic technique and a specific mechanism of change in psychodynamic psychotherapies. However, the empirical basis lags behind the theoretical considerations. This article reviews both the results of empirical research on transference interpretat...

    journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie

    pub_type: 杂志文章,评审

    doi:10.13109/zptm.2012.58.3.219

    authors: Brumberg J,Gumz A

    更新日期:2012-01-01 00:00:00

  • [On the validity of the axis "Structure" of operationalized psychodynamic diagnostics].

    abstract:OBJECTIVES:As part of the concurrent validity, we aimed to empirically study the association between the axis IV (structure) of the Operationalized Psychodynamic Diagnostics (OPD) and corresponding constructs, which were assessed byself-report measures. METHODS:The structural level of 132 psychiatric inpatients was re...

    journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie

    pub_type: 杂志文章

    doi:10.13109/zptm.2002.48.3.299

    authors: Spitzer C,Michels-Lucht F,Siebel U,Freyberger HJ

    更新日期:2002-01-01 00:00:00