Abstract
BackgroundTreatment results achieved after fulfilling an inpatient psychosomatic rehabilitation are often not permanent. Additional participation in outpatient rehabilitation aftercare may reduce the risk of recurrent disorders and support a successful reentry to working life. A therapy diary should accompany the aftercare and bring about the self-reflection process of psychosomatic rehabilitates, which could reduce recurrent disease progressions and support the recovery process as a whole. The study focuses on the evaluation of the effectiveness and implementation potentialities of a therapy diary in outpatient rehabilitation aftercare.MethodsIn a qualitative study, seven therapists for outpatient rehabilitation aftercare in Central Germany and eleven outpatient psychosomatic rehabilitation patients were interrogated using partially standardized, guideline-based expert interviews.The data evaluation is based on the Qualitative Content Analysis according to Mayring.ResultsThe results show that an accompanying use of a therapy diary during the outpatient rehabilitation aftercare enables an intense commitment through own thoughts and feelings. By writing down thoughts, emotions, dysfunctional behaviors in problematic situations, great successes are experienced. Through this initiated self-reflection process, the rehabilitant gains a better knowledge of one’s behavior in dealing with oneself and the environment and thereby, whenever necessary, learns to create new ways of acting.ConclusionsThe voluntary use of the therapy diary in the outpatient rehabilitation aftercare could assist the therapy process and henceforward the recovery of the rehabilitants, and also increase the prospect of successful occupational rehabilitation.
Highlights
Treatment results achieved after fulfilling an inpatient psychosomatic rehabilitation are often not permanent
Following the inpatient psychosomatic rehabilitation treatment, the outpatient rehabilitation aftercare should train the patients to cope with their allday life and potentially reoccurring symptoms [5, 6]
The experiences of a) therapists working in outpatient rehabilitation aftercare, and b) outpatient psychosomatic rehabilitation patients that actively use the therapy diary were compiled to answer the following questions: 1) How do you rate the effectiveness of a therapy diary? 2) How can the therapy diary be efficiently implemented in the outpatient rehabilitation aftercare setting?
Summary
Treatment results achieved after fulfilling an inpatient psychosomatic rehabilitation are often not permanent. A therapy diary should accompany the aftercare and bring about the self-reflection process of psychosomatic rehabilitates, which could reduce recurrent disease progressions and support the recovery process as a whole. The affected patients do benefit from interaction and social support during group sessions, both with and through other group members Hereabouts, such aspects as their health condition and psychosocial obstacle situations are addressed and can actively be processed in role plays, etc. The process of self-reflection is one method By recording their individual experiences, patients are assisted in gaining clarity about their thoughts, emotions, and behaviors. Based on the described concept of self-reflection and in the context of the study, an intervention strategy in form of a therapy diary was designed and was used as a means of support within outpatient rehabilitation aftercare groups. The experiences of a) therapists working in outpatient rehabilitation aftercare, and b) outpatient psychosomatic rehabilitation patients that actively use the therapy diary were compiled to answer the following questions: 1) How do you rate the effectiveness of a therapy diary? 2) How can the therapy diary be efficiently implemented in the outpatient rehabilitation aftercare setting?
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