[Symptoms, disease models and treatment experiences of patients in psychosomatic rehabilitation with and without a history of migration]

Z Psychosom Med Psychother. 2012;58(4):385-93. doi: 10.13109/zptm.2012.58.4.385.
[Article in German]

Abstract

Objectives: Previous studies have shown that psychosomatic rehabilitation treatments were less successful for patients with a migration background. These findings should be explored further with the help of interviews. The main aim of this study was to compare patients with and without a migration background with regards to social-demographic variables, disease model, symptoms, and the course and result of a psychosomatic rehabilitation treatment.

Methods: 75 patients with and 75 without a migration background were analysed. Half-structured interviews were carried out at admission, discharge and three months after discharge from treatment.

Results: Patients with a migration background were "sicker" at the beginning of the rehabilitation. Especially men with a migration background benefit less from the treatment and often did not feel "at the right place" in the psychosomatic rehabilitation. Patients with a migration background have a more negative view of their work performance than patients without a migration background.

Discussion: Patient with a migration background should receive more information about psychosomatic disease models and different treatment methods prior to their rehabilitation therapy.

Publication types

  • Comparative Study
  • English Abstract

MeSH terms

  • Adult
  • Case-Control Studies
  • Diagnostic Self Evaluation
  • Disability Evaluation
  • Emigrants and Immigrants / psychology*
  • Female
  • Follow-Up Studies
  • Germany
  • Humans
  • Interview, Psychological
  • Male
  • Middle Aged
  • Models, Psychological*
  • Patient Education as Topic
  • Psychophysiologic Disorders / diagnosis
  • Psychophysiologic Disorders / ethnology
  • Psychophysiologic Disorders / psychology*
  • Psychophysiologic Disorders / rehabilitation*
  • Rehabilitation Centers
  • Rehabilitation, Vocational / psychology
  • Sex Factors
  • Somatoform Disorders / diagnosis
  • Somatoform Disorders / ethnology
  • Somatoform Disorders / psychology*
  • Somatoform Disorders / rehabilitation*
  • Treatment Outcome