Motivational and Volitional Determinants of Applying for Psychosomatic Rehabilitation: Findings of a Cohort Study

被引:7
作者
Bethge, M. [1 ]
Peters, E. [1 ]
Michel, E. [2 ]
Radoschewski, F. M. [2 ]
Spanier, K. [1 ]
机构
[1] Univ Lubeck, Inst Sozialmed & Epidemiol, Ratzeburger Allee 160, D-23562 Lubeck, Germany
[2] Charite Univ Med Berlin, Bereich Rehabil Forsch, Inst Med Soziol & Rehabil Wissensch, Berlin, Germany
关键词
mental disorder; rehabilitation; cohort study; utilization; MEDICAL REHABILITATION; SOCIAL SUPPORT; HEALTH; DEPRESSION; DISABILITY; DISORDERS; GERMANY; ANXIETY;
D O I
10.1055/s-0042-119631
中图分类号
R49 [康复医学];
学科分类号
100215 ;
摘要
Objective: Analyses of motivational and volitional determinants of applying for psychosomatic rehabilitation Methods: Determinants of a rehabilitation request were assessed by a questionnaire in 2013. Applications for psychosomatic rehabilitation measures until the end of 2014 were extracted from administrative data records. Included were employees with mental disorders. Results: Only 55 of 974 persons requested a rehabilitation measure. The intention to apply for a rehabilitation measure was strongest determined by self-efficacy and family and professional support. Planning was explained by intention and to a lesser extent by family and physician support. Persons with higher planning scores were more likely to apply for a rehabilitation measure. Physician support also increased the likelihood of a rehabilitation request. Conclusion: The analyses identified determinants of rehabilitation claims that are modifiable. This gives opportunities to support rehabilitation claims. However, the contribution of these factors to explain rehabilitation requests is only limited.
引用
收藏
页码:341 / 347
页数:7
相关论文
共 24 条
[1]  
[Anonymous], GES DEUTSCHL
[2]  
[Anonymous], DTSCH RENTENVERSICHE
[3]   The evolution of the cognitive model of depression and its neurobiological correlates [J].
Beck, Aaron T. .
AMERICAN JOURNAL OF PSYCHIATRY, 2008, 165 (08) :969-977
[4]   Self-Reported Poor Work Ability-An Indicator of Need for Rehabilitation? A Cross-Sectional Study of a Sample of German Employees [J].
Bethge, Matthias ;
Spanier, Katja ;
Neugebauer, Tjark ;
Mohnberg, Inka ;
Radoschewski, Friedrich Michael .
AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION, 2015, 94 (11) :958-966
[5]  
Bramesfeld Anke, 2004, J Ment Health Policy Econ, V7, P3
[6]   Who is treated, and how, for depression? An analysis of statutory health insurance data in Germany [J].
Bramesfeld, Anke ;
Grobe, Thomas ;
Schwartz, Friedrich Wilhelm .
SOCIAL PSYCHIATRY AND PSYCHIATRIC EPIDEMIOLOGY, 2007, 42 (09) :740-746
[7]   Scaling-up treatment of depression and anxiety: a global return on investment analysis [J].
Chisholm, Dan ;
Sweeny, Kim ;
Sheehan, Peter ;
Rasmussen, Bruce ;
Smit, Filip ;
Cuijpers, Pim ;
Saxena, Shekhar .
LANCET PSYCHIATRY, 2016, 3 (05) :415-424
[8]  
Deutsche Rentenversicherung Bund, 2015, STAT DTSCH RENT, V203
[9]  
Jacobi F, 2014, NERVENARZT, V85, P77, DOI 10.1007/s00115-013-3961-y
[10]  
KING G, 2001, POLIT ANAL, V0009