The role of chronic disorders in psychotherapy
Introduction Many mental disorders take a chronic course, associated with disability and/or participation restrictions. This is well recognized in social psychiatry. It is assumed that in psychotherapy milder disorders are seen, but there are no data available in this regard. In a survey in outpati...
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2022-06-01
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| Series: | European Psychiatry |
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| Online Access: | https://www.cambridge.org/core/product/identifier/S0924933822008665/type/journal_article |
| _version_ | 1797617584491724800 |
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| author | M. Linden |
| author_facet | M. Linden |
| author_sort | M. Linden |
| collection | DOAJ |
| description |
Introduction
Many mental disorders take a chronic course, associated with disability and/or participation restrictions. This is well recognized in social psychiatry. It is assumed that in psychotherapy milder disorders are seen, but there are no data available in this regard. In a survey in outpatient psychotherapy the rate of patients with chronic disorders and associated impairment was assessed.
Objectives
Goal of the present study was to assess the prevalence and meaning of long term and prevailing disorders in psychotherapy
Methods
A total of 131 psychotherapists (43.5% psychodynamic, 55.7% cognitive behavior therapy) reported about 322 outpatients. Therapists were interviewed in person by two research psychotherapists in regard to illness characteristics of unselected patients.
Results
The duration of illness was longer than 1 year in 98.1% of patients or longer than a decade in 54.5%. In the judgement of the therapists 79% of disorders had a chronic or recurrent course. In 25% there were relevant participation impairments in regard to daily activities, leisure time, social relations, or work. About one quarter had already been in inpatient treatment.
Conclusions
The data show that chronic disorders are the rule rather than the exception in psychotherapy. This requires a multidimensional and interdisciplinary treatment approach, including sociomedical interventions in order to sustain participation in life. This should be recognized in the treatment concepts and also get proper attention in the education and reimbursement of psychotherapists.
Disclosure
No significant relationships.
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| first_indexed | 2024-03-11T07:57:51Z |
| format | Article |
| id | doaj.art-891fc5afc2234593b74925ffa5baeb52 |
| institution | Directory Open Access Journal |
| issn | 0924-9338 1778-3585 |
| language | English |
| last_indexed | 2024-03-11T07:57:51Z |
| publishDate | 2022-06-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | European Psychiatry |
| spelling | doaj.art-891fc5afc2234593b74925ffa5baeb522023-11-17T05:05:19ZengCambridge University PressEuropean Psychiatry0924-93381778-35852022-06-0165S341S34110.1192/j.eurpsy.2022.866The role of chronic disorders in psychotherapyM. Linden0Charité University Medicine Berlin, Psychosomatic Medicine And Rehabilitation, Berlin, Germany Introduction Many mental disorders take a chronic course, associated with disability and/or participation restrictions. This is well recognized in social psychiatry. It is assumed that in psychotherapy milder disorders are seen, but there are no data available in this regard. In a survey in outpatient psychotherapy the rate of patients with chronic disorders and associated impairment was assessed. Objectives Goal of the present study was to assess the prevalence and meaning of long term and prevailing disorders in psychotherapy Methods A total of 131 psychotherapists (43.5% psychodynamic, 55.7% cognitive behavior therapy) reported about 322 outpatients. Therapists were interviewed in person by two research psychotherapists in regard to illness characteristics of unselected patients. Results The duration of illness was longer than 1 year in 98.1% of patients or longer than a decade in 54.5%. In the judgement of the therapists 79% of disorders had a chronic or recurrent course. In 25% there were relevant participation impairments in regard to daily activities, leisure time, social relations, or work. About one quarter had already been in inpatient treatment. Conclusions The data show that chronic disorders are the rule rather than the exception in psychotherapy. This requires a multidimensional and interdisciplinary treatment approach, including sociomedical interventions in order to sustain participation in life. This should be recognized in the treatment concepts and also get proper attention in the education and reimbursement of psychotherapists. Disclosure No significant relationships. https://www.cambridge.org/core/product/identifier/S0924933822008665/type/journal_articlechronic disorderPsychotherapyimpairment |
| spellingShingle | M. Linden The role of chronic disorders in psychotherapy European Psychiatry chronic disorder Psychotherapy impairment |
| title | The role of chronic disorders in psychotherapy |
| title_full | The role of chronic disorders in psychotherapy |
| title_fullStr | The role of chronic disorders in psychotherapy |
| title_full_unstemmed | The role of chronic disorders in psychotherapy |
| title_short | The role of chronic disorders in psychotherapy |
| title_sort | role of chronic disorders in psychotherapy |
| topic | chronic disorder Psychotherapy impairment |
| url | https://www.cambridge.org/core/product/identifier/S0924933822008665/type/journal_article |
| work_keys_str_mv | AT mlinden theroleofchronicdisordersinpsychotherapy AT mlinden roleofchronicdisordersinpsychotherapy |