{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T22:14:18Z","timestamp":1787004858928,"version":"build-2736575974"},"reference-count":27,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rehabilitation (Stuttg)"],"published-print":{"date-parts":[[2022,8]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:p>Die Entstehung und der Verlauf einer Herzerkrankung k\u00f6nnen durch\n                    psychische Komorbidit\u00e4t (v.\u2009a. Depression, Angstst\u00f6rung\n                    oder Posttraumatische Belastungsst\u00f6rung) entscheidend beeinflusst\n                    werden. Eine akute oder chronische kardiologische Erkrankung kann wiederum\n                    psychische St\u00f6rungen ausl\u00f6sen oder diese verst\u00e4rken.\n                    Diese Zusammenh\u00e4nge haben eine erhebliche Bedeutung f\u00fcr die\n                    kardiologische Rehabilitation, da psychische Komorbidit\u00e4t\n                    Aktivit\u00e4t und Teilhabe oft st\u00e4rker einschr\u00e4nken als die\n                    organische Herzkrankheit. In monodisziplin\u00e4ren Rehabilitationsverfahren\n                    (kardiologisch oder psychosomatisch) kann bei Komorbidit\u00e4t aber jeweils\n                    ein Krankheitsbild nicht ad\u00e4quat behandelt und sozialmedizinisch\n                    begutachtet werden. Hier sind f\u00e4cher\u00fcbergreifende\n                    Rehabilitationskonzepte gefordert.<\/jats:p>\n                  <jats:p>Im ersten Teil dieses Beitrages werden die Entwicklung und Implementierung eines\n                    interdisziplin\u00e4ren psychokardiologischen Rehabilitationskonzeptes von\n                    der Modellphase bis zur Etablierung und Ausweitung auf andere Fachgebiete sowie\n                    erste Forschungsergebnisse beschrieben. Die Deutsche Rentenversicherung Bund\n                    weitet das Konzept nach ersten positiven Evaluationsdaten und einer guten\n                    Akzeptanz der Rehabilitanden unter der Bezeichnung \u201eduale\n                    Rehabilitation\u201c auch auf andere Fachgebiete aus, um die\n                    interdisziplin\u00e4re Kooperation bei psychisch-somatischer\n                    Komorbidit\u00e4t zu f\u00f6rdern.<\/jats:p>\n                  <jats:p>Im zweiten Teil der Arbeit werden das Konzept und erste Daten aus der von der DRV\n                    Bund gef\u00f6rderten kontrollierten EvaPK-Studie (Evaluation der\n                    Effektivit\u00e4t psychokardiologischer Rehabilitation)\n                    vorgestellt. Diese zeigen, dass prim\u00e4r der Psychokardiologie zugewiesene\n                    komorbide Patienten gerade in Aktivit\u00e4t und Teilhabe (erfasst im\n                    Mini-ICF-APP-S) besonders belastet sind und dass die psychokardiologische\n                    Rehabilitation auch bei dieser hoch belasteten Gruppe effektiv ist. Es fehlen\n                    allerdings noch die Auswertungen der Katamnese und der kardialen\n                    Funktionsparameter.<\/jats:p>\n                  <jats:p>Sowohl die Pilotstudie als auch erste Daten der EvaPK-Studie zeigen, dass\n                    psychokardiologische Rehabilitation den Bed\u00fcrfnissen komorbider\n                    Patienten gerecht wird und von diesen gut akzeptiert wird. Erfolgreiche\n                    psychokardiologische Rehabilitation nach dem hier dargestellten Konzept\n                    erfordert allerdings einen h\u00f6heren Personalaufwand und intensive,\n                    gleichberechtigte Kooperation. Weitere Forschung hierzu ist notwendig.<\/jats:p>","DOI":"10.1055\/a-1866-6781","type":"journal-article","created":{"date-parts":[[2022,8,22]],"date-time":"2022-08-22T18:50:02Z","timestamp":1661194202000},"page":"230-239","source":"Crossref","is-referenced-by-count":13,"title":["F\u00e4cher\u00fcbergreifende psychokardiologische\n                    Rehabilitation: vom Modellprojekt zur Blaupause des dualen\n                    Rehabilitationskonzeptes \u2013 von Erfahrungswerten zu wissenschaftlichen\n                    Daten"],"prefix":"10.1055","volume":"61","author":[{"given":"Eike","family":"Langheim","sequence":"additional","affiliation":[{"name":"Reha-Zentrum Seehof der Deutschen Rentenversicherung Bund Abteilung\n                    Kardiologie"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christoph","family":"Schmitz","sequence":"additional","affiliation":[{"name":"Psychosomatische Fachklinik Kinzigtal, Gengenbach"},{"name":"Forschungsgruppe Psychosomatische Rehabilitation, Medizinische Klinik\n                    mit Schwerpunkt Psychosomatik, Centrum f\u00fcr Innere Medizin und\n                    Dermatologie Charit\u00e9 \u2013 Universit\u00e4tsmedizin\n                    Berlin"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Volker","family":"K\u00f6llner","sequence":"additional","affiliation":[{"name":"Forschungsgruppe Psychosomatische Rehabilitation, Medizinische Klinik\n                    mit Schwerpunkt Psychosomatik, Centrum f\u00fcr Innere Medizin und\n                    Dermatologie Charit\u00e9 \u2013 Universit\u00e4tsmedizin\n                    Berlin"},{"name":"Reha-Zentrum Seehof der Deutschen Rentenversicherung Bund Abteilung\n                    Verhaltenstherapie und Psychosomatik"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2022,8,22]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"312","DOI":"10.1007\/s12181-018-0271-4","article-title":"Bedeutung von psychosozialen Faktoren in der Kardiologie \u2013 Update\n                    2018","author":"C Albus","year":"2018","journal-title":"Kardiologe"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1055\/a-1215-0784","article-title":"Psychosoziale Risikofaktoren in einer personalisierten kardiologischen\n                    Pr\u00e4vention","volume":"22","author":"K H Ladwig","year":"2021","journal-title":"Psychotherapie im Dialog"},{"key":"ref3","volume-title":"(Hrsg.). 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