{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,11,14]],"date-time":"2024-11-14T00:10:14Z","timestamp":1731543014779,"version":"3.28.0"},"reference-count":18,"publisher":"Georg Thieme Verlag KG","issue":"11","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psychother Psychosom Med Psychol"],"published-print":{"date-parts":[[2024,11]]},"abstract":"Zusammenfassung<\/jats:title>\n Ziel der Studie Diabetes mellitus ist mit einer erh\u00f6hten Pr\u00e4valenz\n psychischer St\u00f6rungen, insbesondere Depressionen, assoziiert. Trotz einer h\u00e4ufig\n postulierten psychotherapeutischen Unterversorgung wurde der tats\u00e4chliche\n Psychotherapiebedarf dieser Patientengruppe bislang kaum untersucht. In dieser\n Studie soll die Versorgungslage von Diabetes-Patienten mit psychischen\n Komorbidit\u00e4ten in Deutschland analysiert werden.<\/jats:p>\n Methodik In einem diabetologischen Terti\u00e4rzentrum wurden 240 konsekutiv\n behandelte Patienten mit Typ-1- oder Typ-2-Diabetes quer- und l\u00e4ngsschnittlich\n untersucht. Nach einer Screening- und Diagnostikuntersuchung wurden 94 Patienten\n mit einer psychischen Komorbidit\u00e4t in die Studie eingeschlossen. Anschlie\u00dfend\n trafen die Patienten im Rahmen einer standardisierten partizipativen\n Entscheidungsfindung eine Behandlungsentscheidung hinsichtlich einer Behandlung\n ihrer psychischen St\u00f6rung. In der 6-Monats-Katamnese gaben 77 der 94 Patienten\n (81,9%) Auskunft \u00fcber die Umsetzung ihrer Behandlungsentscheidung sowie der\n damit verbundenen H\u00fcrden.<\/jats:p>\n Ergebnisse 39,2% der untersuchten Patienten mit Diabetes wiesen eine\n psychische St\u00f6rung auf. Von diesen befanden sich bereits 44,2% in medikament\u00f6ser\n oder psychotherapeutischer Behandlung. Nach Ablauf der sechs Monate konnten\n 46,8% der Patienten ihre Therapieentscheidungen umsetzen. Nur 7,1% erhielten\n trotz ihrer Bem\u00fchungen keine Behandlung. Die 6-Monats-Katamnese zeigte eine\n signifikante Verringerung der diabetesbezogenen Belastung (PAID; p<0,05) und\n ein gesteigertes psychisches Wohlbefinden in allen Untergruppen \u2013 unabh\u00e4ngig von\n der Initiierung einer Therapie (WHO-5; p<0,05).<\/jats:p>\n Diskussion Entgegen der weitverbreiteten Vorstellung einer\n psychotherapeutischen Unterversorgung von psychisch erkrankten Patienten mit\n Diabetes, konnte diese Annahme in dieser Untersuchung nicht best\u00e4tigt werden.\n Schlussfolgerung: Die Gleichsetzung der H\u00e4ufigkeit psychischer St\u00f6rungen mit\n einem Bedarf an psychotherapeutischer und\/oder psychopharmakologischer\n Behandlung, ohne die spezifischen Behandlungsbed\u00fcrfnisse der Patienten zu\n ber\u00fccksichtigen, kann eine \u00dcbersch\u00e4tzung des Versorgungsbedarfs zur Folge\n haben.<\/jats:p>","DOI":"10.1055\/a-2401-5152","type":"journal-article","created":{"date-parts":[[2024,10,24]],"date-time":"2024-10-24T22:55:09Z","timestamp":1729810509000},"page":"446-453","source":"Crossref","is-referenced-by-count":0,"title":["Patienten mit Diabetes mellitus und komorbider psychischer St\u00f6rung \u2013\n besteht eine psychotherapeutische Unterversorgung?\u2009\u2013 Ergebnisse der\n DiMPS-Studie"],"prefix":"10.1055","volume":"74","author":[{"given":"Bonnie","family":"R\u00f6hrig","sequence":"additional","affiliation":[{"name":"Zentrum f\u00fcr Psychotherapie Wiesbaden MVZ GmbH, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frank","family":"Petrak","sequence":"additional","affiliation":[{"name":"Zentrum f\u00fcr Psychotherapie Wiesbaden MVZ GmbH, Germany"},{"name":"Klinik f\u00fcr Psychosomatische Medizin und Psychotherapie,\n LWL-Universit\u00e4tsklinikum Bochum der Ruhr-Universit\u00e4t Bochum, Bochum,\n Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alina","family":"Bartel","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Psychosomatische Medizin und Psychotherapie,\n LWL-Universit\u00e4tsklinikum Bochum der Ruhr-Universit\u00e4t Bochum, Bochum,\n Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Verena","family":"Hagena","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Psychosomatische Medizin und Psychotherapie,\n LWL-Universit\u00e4tsklinikum Bochum der Ruhr-Universit\u00e4t Bochum, Bochum,\n Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jan","family":"Dieris-Hirche","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Psychosomatische Medizin und Psychotherapie,\n LWL-Universit\u00e4tsklinikum Bochum der Ruhr-Universit\u00e4t Bochum, Bochum,\n Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juris M.","family":"Meier","sequence":"additional","affiliation":[{"name":"St. Josef Hospital, Klinikum der Ruhr-Universit\u00e4t Bochum, Diabetes\n Center Bochum\/Hattingen, Bochum, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephan","family":"Herpertz","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Psychosomatische Medizin und Psychotherapie,\n LWL-Universit\u00e4tsklinikum Bochum der Ruhr-Universit\u00e4t Bochum, Bochum,\n Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2024,10,24]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"961","DOI":"10.1111\/dme.14042","article-title":"Prevalence of comorbid major depressive disorder in Type 2 diabetes: a\n meta-analysis of comparative and epidemiological studies","volume":"36","author":"F Wang","year":"2019","journal-title":"Diabet 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