PubMed Health⌕ Search

Biomedical subjects

R Sandweg

Publications and source records attributed to R Sandweg.

10 recordsLinked to original sources
PubMed2003

[Early pensioning: reasons and sequelae. A retrospective study of prognosis in early pensioning and course of illness subsequent to premature retirement].

The aim of the present study was to identify factors at the beginning of inpatient rehabilitation for musculoskeletal diseases, predicting the employment state as early retiree or employed person 5 years after discharge. Of the cases, 88.7% could be correctly classified by logistic regression through "results of radiological imaging procedures," "duration of sick leave," and "wish for social compensation." Another objective was investigation of the influence of retirement on development of complaints. Early retirees were compared retrospectively to working persons 5 years after discharge with regard to development of main symptoms and well-being, considering the initial reason for social compensation. Early retirees with clinical reason for early retirement showed no marked changes, whereas patients who continued to work improved significantly in the long run. Results are discussed in relation to their socioeconomic implications.

Chronic Disease↗
PubMed1992

[Psychopathologic findings and results of treatment of pension applicants].

As part of a broader follow-up study (n = 1088) in a psychosomatic hospital, 35 patients who had applied for early retirement on health grounds were examined by means of a psychosomatic personality inventory (PSKB-Rudolf). In addition to confirming previous findings in relation to the character-profile and defence-mechanisms of such patients, the present study describes a cluster of characteristics that would lead to unfavourable therapeutic results. The fact that these persons had applied for early retirement had in itself no appreciable therapeutic consequences.

Adaptation, Psychological↗
PubMed1991

[Personality markers of phobic patients and their change in psychotherapy. Descriptive results of a catamnestic project of the effectiveness of 6-9 week inpatient treatment].

The present paper is part on an extensive follow-up study aimed at the investigation of the effects of in-patient psychotherapy and at the durability of those effects. Using a psychoanalytic oriented personality-inventory (PSKB, Rudolf 1981) 85 phobic patients were examined at the beginning, at the end, and one year after a 6-8 week in-patient psychotherapy. Our results confirmed some of the generally described personality-characteristics in patients with phobia: the phobic symptoms are often accompanied by physical symptoms (sensation of dizziness, weakness sensation, palpitation, sleep disturbance, heavy sweating and breathlessness) and psychic symptoms (anxiousness, depression, restlessness, reduced self-awareness, pedantry, inhibition of aggressive impulses) which could be influenced by psychotherapy. Furthermore we depicted results which have not yet been published in literature.

Adult↗
PubMed1991

[Success in inpatient psychotherapy--results of a catamnesis project in a specialist hospital for psychogenic diseases].

The article reports on the quantitative and qualitative successes of inpatient psychotherapy within the framework of a catamnesis project that was started in 1986. All the patients of one year completed at the beginning and before the end of their inpatient treatment the PSKB of Rudolf, parts of the FAPK (Koch) and the Giessen test. One year later an abridged version and 3 years later the complete questionnaire material were collected. At the end of their course 12.5% of the patients complained of deterioration, whereas 20% did not report any change and 67.6% stated that their condition had improved. The therapeutic success did not diminish during the period covered by the catamnesis. By means of a factor analysis it was possible to extract 13 factors in the PSKB that were used as basis for the profiles of the findings.

Adult↗
PubMed1990

[Psychosomatic rehabilitation].

In rehabilitation medicine a multi-axial descriptive and theoretical model must be applied to do justice to the manifold aspects. In particular for psychosomatic medicine, but to the same extent also for disciplines concerned with the individual organs, it will necessary to pay attention to the social-interactional as well as to the development psychology aspects of these diseases and to their anatomic pathology and physiological pathology developments. The tasks and aims of psychosomatic rehabilitation medicine are described: diagnostics, details of hospitalisation and psychotherapy are described. To enhance the therapeutic value of the psychosomatic hospital somatotherapy and psychotherapy are co-ordinated for the patient's benefit. The special importance of psychosomatic rehabilitation for prevention is pointed out. A new, comprehensive re-orientation is aimed at to help patients to lead a generally healthier and more effective life.

Combined Modality Therapy↗
PubMedDate not supplied

[Predictors of therapeutic success in inpatient psychosomatic rehabilitation of musculo-skeletal diseases].

The aim of the present study was to identify pre-program factors and treatment-related changes predicting short-term (end of treatment) and long-term (three years after therapy) treatment success in inpatient psychosomatic rehabilitation of musculo-skeletal diseases. Discriminant function analysis of pre-program factors above all revealed a positive influence of a non-existing wish for social compensation, a smaller amount of medical treatment and lower sick leave for short- and long-term therapeutic outcome. Analysis of treatment related changes showed, that an improved mobility, well-being and an ameliovated self-esteem had prognostic value for short-term success. Long-term success was predicted by improved well-being, an improvement of understanding between physician and patient and by decreased depressive symptoms in the course of treatment.

Female↗
PubMedDate not supplied

[The Berlin Documentation System for Psychotherapy].

A Berlin Team for Documentation in Psychotherapy has developed an extensive documentation system. It provides data of a social, psychological and life-history nature, refering to computerized dataanalysis, which are pertinent in the psychological assessment of patients with neurotic and psychosomatic symptoms. The instrument which serves in collecting the data--a special type of psychoanalytic interview--has been used routinely in the Berlin-Group since 1951 to diagnose neurotic disturbances and to prognostically assess the chances for treatment. Interest in assessment-procedures which especially take into account the social situation of the patient, and the work on documentation procedures which treat psychological and social factors with equal weight, grew out of the tradition of the Psychoanalytic Ambulance of Berlin in the years between 1920 and 1940. The following report, in treating its historical development, describes the psychoanalytic interview as well as the psychoanalytic institutions whose large amount of experience in the treatment of patients made it possible to construct the documentation system (Institut für Psychogene Erkrankungen der AOK Berlin und Abteilung für Psychotherapie und Psychosomatische Medizin im Klinikum Charlottenburg). The authors present the specific elements of the datasystem: the patient's attitude towards his illness, his actual social environment, his early socialization process, personality structure and prognosis. They discuss the relationship between the documentation on the one hand and the process of psychoanalytic interview on the other, which necessitates both the understanding of the patient's life-history and his pattern of social interaction. The possibilities and limitations of the data evaluation especially in regard to ratings are discussed in its methodological aspects. The most important questions to be answered by this project are: Testing of psychoanalytic hypotheses with help of extensive data from numerous patients, the descriptive differentiation of neurotic personality patterns, the testing of social influences on psychosomatic disorders, and the construction of a short version of documentation with which comparative research on psychotherapy should be possible.

Berlin↗