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Originalia

Warten, Entspannung oder Verhaltenstherapie

Published Online:February 22, 2008https://doi.org/10.1026/1616-3443.37.1.15

Abstract

Zusammenfassung.Theoretischer Hintergrund: Auf Grund hoher Prävalenzen und deutlicher einhergehender sozio-ökonomischer Folgen stellen multiple somatoforme Beschwerden ein ernst zu nehmendes Problem dar. Fragestellung: Wie effektiv ist eine ambulante kognitiv-behaviorale Gruppenbehandlung im Vergleich zu einem Entspannungsverfahren und einer Wartegruppe in Bezug auf körperliche Beschwerden, Angst, Depressivität und subjektive Gesundheit. Methode: Es wurde eine randomisierte Kontrollgruppenstudie (N = 77) durchgeführt. Die manualisierten Interventionen umfassten acht 90-minütige Termine, die wöchentlich stattfanden. Die manualisierte kognitiv-behaviorale Intervention baut auf dem Behandlungsansatz von Rief und Hiller (1998) auf. Ergebnisse: Sowohl die kognitiv-behaviorale Behandlung als auch die Entspannungsgruppe führten zu einer Verbesserung der somatoformen Beschwerden (SOMS-7). Die kognitiv-behaviorale Behandlung hatte darüber hinaus einen positiven Einfluss auf die Angst (HADS-D) und die subjektive psychische Gesundheit (SF-12). Schlussfolgerungen: Diese kurze, kognitiv-behaviorale Gruppenbehandlung hat positive Effekte auf ambulante Patientinnen und Patienten mit somatoformen Symptomen, die über die Effekte einer Entspannungsgruppe hinausgehen.


Waiting, relaxation, or cognitive-behavioral therapy - How effective is outpatient group therapy for somatoform symptoms?

Abstract.Background: Somatoform symptoms are a prevalent and disabling condition in primary care practice, causing high medical care utilization. Objective: To compare the short-term efficacy of cognitive behavioral outpatient group therapy with a relaxation group and a waiting control group, in regard to physical symptoms, anxiety, depression, and functional health. Methods: 77 subjects were treated and assessed in a randomized control group design. The manualized 8-session cognitive-behavioral group intervention is based on Rief and Hiller’s (1998) treatment approach. Results: Both cognitive-behavioral as well as relaxation group treatments lead to lower levels of somatoform symptoms (SOMS-7). Furthermore, cognitive-behavioral treatment reduced anxiety (HADS-G) and enhanced mental health (SF-12). Conclusions: This brief cognitive-behavioral group therapy has beneficial effects on out patients with somatoform symptoms that go beyond the effects of a relaxation group.

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