{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,16]],"date-time":"2025-04-16T08:48:41Z","timestamp":1744793321332},"reference-count":0,"publisher":"Georg Thieme Verlag KG","issue":"05","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psychiat Prax"],"published-print":{"date-parts":[[2019,7]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>\n          Ziel Es wird untersucht, ob opiatabh\u00e4ngige Patienten mit gesundheitlichen und sozialen Zusatzbelastungen von einer station\u00e4ren Drogen-Reha davon profitieren, dass eine bestehende Substitution zun\u00e4chst fortgef\u00fchrt wird.<\/jats:p><jats:p>\n          Methodik Multizentrische Studie in 4 Fachkliniken mit 227 bei Aufnahme substituierten und 156 bei Aufnahme opioidfreien Patienten.<\/jats:p><jats:p>\n          Ergebnisse Patienten ohne Reha-Erfahrung und solche mit affektiven und Angstst\u00f6rungen zeigten in der abstinenzbasierten Behandlung geminderte Erfolgsraten, in der initial substituierten Gruppe dagegen erh\u00f6hte.<\/jats:p><jats:p>\n          Schlussfolgerung F\u00fcr Patienten mit besonderen psychischen Belastungen bzw. f\u00fcr solche, die rein abstinenzbasierte Rehabilitationsbehandlungen nicht beginnen wollten, kann die Aufnahme unter Substitution ein Vorteil sein.<\/jats:p>","DOI":"10.1055\/a-0883-2690","type":"journal-article","created":{"date-parts":[[2019,7,3]],"date-time":"2019-07-03T22:41:57Z","timestamp":1562193717000},"page":"281-286","source":"Crossref","is-referenced-by-count":2,"title":["Substitution Opiatabh\u00e4ngiger im Rahmen der station\u00e4ren Rehabilitationsbehandlung \u2013 welche Patienten profitieren?"],"prefix":"10.1055","volume":"46","author":[{"given":"Thomas","family":"Kuhlmann","sequence":"additional","affiliation":[{"name":"Psychosomatische Klinik Bergisch-Gladbach"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Specka","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Psychiatrie und Psychotherapie, Medizinische Fakult\u00e4t der Universit\u00e4t Duisburg-Essen, LVR-Klinikum Essen"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andreas","family":"Rhode","sequence":"additional","affiliation":[{"name":"Fachklinik Release, Ascheberg-Herbern"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yvonne","family":"Post","sequence":"additional","affiliation":[{"name":"MVZ Marienhof, Koblenz"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martina","family":"Pietras","sequence":"additional","affiliation":[{"name":"Diakoniewerk Duisburg"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wilma","family":"Funke","sequence":"additional","affiliation":[{"name":"Kliniken Wied, M\u00fchlental"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karin","family":"Feugmann","sequence":"additional","affiliation":[{"name":"Diakoniewerk Duisburg"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Norbert","family":"Scherbaum","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Psychiatrie und Psychotherapie, Medizinische Fakult\u00e4t der Universit\u00e4t Duisburg-Essen, LVR-Klinikum Essen"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2019,7,3]]},"container-title":["Psychiatrische Praxis"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-0883-2690.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,7,29]],"date-time":"2019-07-29T22:40:07Z","timestamp":1564440007000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-0883-2690"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,7]]},"references-count":0,"journal-issue":{"issue":"05","published-online":{"date-parts":[[2019,7,3]]},"published-print":{"date-parts":[[2019,7]]}},"URL":"https:\/\/doi.org\/10.1055\/a-0883-2690","relation":{},"ISSN":["0303-4259","1439-0876"],"issn-type":[{"value":"0303-4259","type":"print"},{"value":"1439-0876","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,7]]}}}