[Incidence of psychic comorbidity in inpatient pneumological rehabilitation and indication for psychological counselling/psychotherapy].
The present study examines psychic comorbidities in patients with chronic diseases of the airways in pneumological rehabilitation centres and the indication for psychological counselling/psychotherapy. It is thus intended to help provide a rational basis for psychological and psychotherapeutic help in inpatient pneumological rehabilitation. According to accepted psychiatric screening scales (BSI, HADS), 30 % of the 159 examined patients undergoing rehabilitation were conspicuous in both questionnaires (BSI and HADS-D) and further 51 % were considered as conspicuous in one of the questionnaires. About 3 % of the pneumological patients in the Allgäu centre had a medical indication for psychological counselling/psychotherapy. In this respect the indication proved to be valid. The group of patients who were not referred to a psychological counselling/psychotherapy in spite of an existing psychic impairment showed a significantly lower motivation for treatment and a lower psychic tolerance. The large proportion of psychic stress confirms the relevance of psychological and/or psychotherapeutic help in pneumological rehabilitation.