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Evidence-Based Complementary and Alternative Medicine
Volume 2013, Article ID 735731, 15 pages
http://dx.doi.org/10.1155/2013/735731
Research Article

Evaluation of a Salutogenetic Concept for Inpatient Psychosomatic Treatment

1Research Section of Applied Consciousness Sciences, Department of Psychosomatic Medicine, University Medical Center Regensburg, 93047 Regensburg, Germany
2Institute of Psychology, Leopold Franzens University Innsbruck, 6020 Innsbruck, Austria
3Department of Psychosomatic Medicine, University Medical Center Regensburg, 93053 Regensburg, Germany

Received 19 April 2013; Revised 23 June 2013; Accepted 18 July 2013

Academic Editor: Tobias Esch

Copyright © 2013 Thilo Hinterberger et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The increase of psychosomatic disorders due to cultural changes requires enhanced therapeutic models. This study investigated a salutogenetic treatment concept for inpatient psychosomatic treatment, based on data from more than 11000 patients of a psychosomatic clinic in Germany. The clinic aims at supporting patients’ health improvement by fostering values such as humanity, community, and mindfulness. Most of patients found these values realized in the clinical environment. Self-assessment questionnaires addressing physical and mental health as well as symptom ratings were available for analysis of pre-post-treatment effects and long-term stability using one-year follow-up data, as well as for a comparison with other clinics. With respect to different diagnoses, symptoms improved in self-ratings with average effect sizes between 0.60 and 0.98. About 80% of positive changes could be sustained as determined in a 1-year follow-up survey. Patients with a lower concordance with the values of the clinic showed less health improvement. Compared to 14 other German psychosomatic clinics, the investigated treatment concept resulted in slightly higher decrease in symptoms (e.g., depression scale) and a higher self-rated mental and physical improvement in health. The data suggest that a successfully implemented salutogenetic clinical treatment concept not only has positive influence on treatment effects but also provides long-term stability.