Supplementary Material for: What Kind of Patients Receive Inpatient and Day-Hospital Treatment in Departments of Psychosomatic Medicine and Psychotherapy in Germany?

<b><i>Introduction:</i></b> Germany is one of the few countries with a medical specialty of psychosomatic medicine and psychotherapy and many treatment resources of this kind. <b><i>Objective:</i></b> This observational study describes the psychosomatic treatment programs as well as a large sample of day-hospital and inpatients in great detail using structured diagnostic interviews. <b><i>Methods:</i></b> Mental disorders were diagnosed according to ICD-10 and DSM-IV by means of Mini-DIPS and SCID-II. In addition to the case records, a modified version of the CSSRI was employed to collect demographic data and service use. The PHQ-D was used to assess depression, anxiety, and somatization. <b><i>Results:</i></b> 2,094 patients from 19 departments participated in the study after giving informed consent. The sample consisted of a high proportion of “complex patients” with high comorbidity of mental and somatic diseases, severe psychopathology, and considerable social and occupational dysfunction including more than 50 days of sick leave per year in half of the sample. The most frequent diagnoses were depression, somatoform and anxiety disorders, eating disorders, personality disorders, and somato-psychic conditions. <b><i>Conclusions:</i></b> Inpatient and day-hospital treatment in German university departments of psychosomatic medicine and psychotherapy is an intensive multimodal treatment for complex patients with high comorbidity and social as well as occupational dysfunction.

<b><i>引言：</i></b> 德国是少数拥有心身医学与心理治疗医学专科，且具备大量该类治疗资源的国家之一。<b><i>研究目的：</i></b> 本项观察性研究通过结构化诊断访谈法，详细阐述了心身治疗方案，并对大样本日间住院与住院患者群体进行了细致描述。<b><i>研究方法：</i></b> 本研究依据《国际疾病分类第10版》（ICD-10）与《精神障碍诊断与统计手册第四版》（DSM-IV）的诊断标准，采用Mini-DIPS与SCID-II完成精神障碍诊断。除病例档案外，研究团队还采用改良版CSSRI收集人口统计学资料与服务使用情况数据，并通过PHQ-D评估抑郁、焦虑及躯体化症状。<b><i>研究结果：</i></b> 共有来自19个科室的2094名患者在签署知情同意书后参与本研究。该样本中“复杂患者”占比颇高，这类患者常伴随精神与躯体疾病共病、严重精神病理症状，以及显著的社会与职业功能受损——其中半数患者每年病假时长超过50天。最常见的诊断依次为抑郁障碍、躯体形式障碍、焦虑障碍、进食障碍、人格障碍以及心身病症。<b><i>研究结论：</i></b> 德国大学附属心身医学与心理治疗科室所开展的住院与日间住院治疗，是针对伴随高共病、社会及职业功能受损的复杂患者的强化多模式治疗方案。