{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,3]],"date-time":"2026-02-03T18:08:58Z","timestamp":1770142138849,"version":"3.49.0"},"reference-count":30,"publisher":"Georg Thieme Verlag KG","issue":"09\/10","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psychother Psychosom Med Psychol"],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>In der vorliegenden Studie wurde die Implementierung eines verhaltensmedizinisch\n                    orientierten Rehabilitationskonzeptes in einer kardiologischen\n                    Rehabilitationsklinik gepr\u00fcft. Die dabei eingesetzten\n                    psychotherapeutischen Interventionen orientierten sich an der Akzeptanz- und\n                    Commitment-Therapie. Die Teilnehmer unserer Studie wurden in der neu\n                    implementierten verhaltensmedizinischen Kardiologie (VMK; n=149) oder in\n                    einer regul\u00e4ren kardiologischen Heilbehandlung (KHB; n=100)\n                    behandelt. Wir pr\u00fcften und verglichen die Erreichung der Zielgruppe\n                    (reach), die Genauigkeit der Umsetzung (fidelity), die Vollst\u00e4ndigkeit\n                    der Interventionsdurchf\u00fchrung (dose delivered) sowie die von den\n                    Teilnehmern wahrgenommenen verhaltensmedizinischen Behandlungsinhalte (dose\n                    received). Erg\u00e4nzend wurden Ver\u00e4nderungen gesundheitsbezogener\n                    Zielkriterien vom Rehabilitationsbeginn bis zur Entlassung in beiden\n                    Behandlungsgruppen erfasst. Die in der VMK behandelten Patienten waren\n                    st\u00e4rker belastet, und sie best\u00e4tigten mehr\n                    verhaltensmedizinische Inhalte, eine h\u00f6here Konsistenz der\n                    verhaltensmedizinischen Strategie und einen st\u00e4rkeren Kompetenzgewinn\n                    als die Patienten der KHB. Die durchgef\u00fchrten Adh\u00e4renzratings\n                    zeigten eine weitgehend konzeptgetreue Umsetzung des Ansatzes. In beiden\n                    Behandlungsgruppen verbesserten sich von der Aufnahme bis zur Entlassung die\n                    Depressivit\u00e4t, die Somatisierung, die \u00c4ngstlichkeit, die\n                    Herzangst, die Selbstwirksamkeitserwartung bezogen auf die Umsetzung sportlicher\n                    Aktivit\u00e4t im Alltag sowie die k\u00f6rperliche\n                    Leistungsf\u00e4higkeit im Ergometertraining statistisch signifikant.\n                    Dar\u00fcber hinaus wurden gro\u00dfe oder ann\u00e4hernd gro\u00dfe\n                    Effekte in der VMK f\u00fcr das Vermeidungsverhalten bei Herzangst\n                    (d=0,78), f\u00fcr Somatisierung (d=0,82),\n                    Depressivit\u00e4t (d=0,76) und \u00c4ngstlichkeit\n                    (d=0,72) sowie f\u00fcr die Ergometerleistung (d=0,86)\n                    erzielt. Eine randomisierte kontrollierte Studie zur weiteren\n                    \u00dcberpr\u00fcfung der Wirksamkeit sollte dieser Implementierungsstudie\n                    folgen.<\/jats:p>","DOI":"10.1055\/a-1749-6379","type":"journal-article","created":{"date-parts":[[2022,3,9]],"date-time":"2022-03-09T00:07:45Z","timestamp":1646784465000},"page":"429-437","source":"Crossref","is-referenced-by-count":8,"title":["Implementierung einer Verhaltensmedizinisch Orientierten\n                    Rehabilitation in der Kardiologie"],"prefix":"10.1055","volume":"72","author":[{"given":"Dieter","family":"Benninghoven","sequence":"additional","affiliation":[{"name":"M\u00fchlenbergklinik Holsteinische Schweiz, Verhaltensmedizin,\n                    Malente, Germany"},{"name":"University of L\u00fcbeck, Clinic of Psychotherapy and\n                    Psychosomatics, L\u00fcbeck, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elisabeth","family":"Menke","sequence":"additional","affiliation":[{"name":"M\u00fchlenbergklinik Holsteinische Schweiz, Verhaltensmedizin,\n                    Malente, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claudia","family":"China","sequence":"additional","affiliation":[{"name":"M\u00fchlenbergklinik Holsteinische Schweiz, Verhaltensmedizin,\n                    Malente, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Friedrich","family":"Schroeder","sequence":"additional","affiliation":[{"name":"M\u00fchlenbergklinik Holsteinische Schweiz, Kardiologie, Malente,\n                    Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthias","family":"Bethge","sequence":"additional","affiliation":[{"name":"Universit\u00e4t zu L\u00fcbeck, Institut f\u00fcr\n                    Sozialmedizin und Epidemiologie, Sektion Rehabilitation und Arbeit,\n                    L\u00fcbeck, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,3,8]]},"reference":[{"key":"ref1","first-page":"w13502","article-title":"Psychosocial stress and cardiovascular risk \u2013 current opinion","volume":"142","author":"R K\u00e4nel von","year":"2012","journal-title":"Swiss Med Wkly"},{"key":"ref2","volume-title":"Psychologische Aspekte in der Kardiologie. 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