{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T18:51:04Z","timestamp":1778871064379,"version":"3.51.4"},"reference-count":33,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rehabilitation (Stuttg)"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>\n          Ziel der Studie Die besondere Relevanz psychischer St\u00f6rungen f\u00fcr\n                    Gesellschaft und Wirtschaft zeigt sich in der Betrachtung der beruflichen\n                    Teilhabe. Das Ziel unserer Studie ist, basierend auf repr\u00e4sentativen\n                    Routinedaten der Rentenversicherung, die Gruppe der Rehabilitand*innen einer\n                    psychosomatischen Rehabilitation aus dem Jahr 2017 anhand ausgew\u00e4hlter Merkmale\n                    zu beschreiben, die Return to Work (RTW)-Quoten sowie die individuellen Verl\u00e4ufe\n                    nach der Rehabilitation zu betrachten und m\u00f6gliche Einflussfaktoren zu\n                    identifizieren.<\/jats:p><jats:p>\n          Methodik Berufliche Teilhabe wurde sowohl \u00fcber eine monatliche\n                    Zustandsvariable bis 24 Monate nach der Rehabilitation als auch als Quote aller\n                    Personen, die nach 12 oder 24 Monaten im Erhebungsmonat und den 3 vorhergehenden\n                    Monaten sozialversicherungspflichtig besch\u00e4ftigt waren, operationalisiert. F\u00fcr\n                    die Analyse der Einflussfaktoren auf stabile berufliche Teilhabe wurden multiple\n                    logistische Regressionsmodelle mit schrittweisem Einschluss, getrennt f\u00fcr die\n                    Quoten nach 12 und 24 Monaten, kalkuliert.<\/jats:p><jats:p>\n          Ergebnisse Insgesamt wurden 122\u2009623 Datens\u00e4tze in die Analyse einbezogen\n                    (darunter Depressive Episode (DE): n=28\u2009497, 23,2%, Rezidivierende depressive\n                    St\u00f6rungen (RD): n=42\u2009573, 34,7%; Reaktionen auf schwere Belastungen und\n                    Anpassungsst\u00f6rungen (BR): n=19\u2009122, 15,6%; Angstst\u00f6rungen (AS): n=9716, 7,9% und\n                    Somatoforme St\u00f6rungen (SO): n=8564, 7,0%). Das Durchschnittsalter lag bei 50\n                    Jahren, 64% waren weiblich. Es zeigten sich unterschiedliche Verl\u00e4ufe je nach\n                    Indikation, mit stabilen Besch\u00e4ftigungsquoten nach 12 Monaten von 69% bei der\n                    Gruppe BR; 62% DE; 61% SE; 57% RD bis zu 52% SO. Einflussfaktoren auf stabile\n                    Besch\u00e4ftigung nach einem Jahr waren die Dauer der Arbeitsunf\u00e4higkeit im Jahr vor\n                    der Rehabilitation, die Existenz eines Besch\u00e4ftigungsverh\u00e4ltnisses, sowie ein\n                    hohes Einkommen.<\/jats:p><jats:p>\n          Schlussfolgerung Da sich die relevanten Ver\u00e4nderungen in den ersten 6\n                    Monaten nach der Rehabilitation zeigten, sollten weitere\n                    Unterst\u00fctzungsleistungen von Menschen mit psychischen Erkrankungen nach einer\n                    medizinischen Rehabilitation m\u00f6glichst fr\u00fch nach dieser ansetzen.<\/jats:p>","DOI":"10.1055\/a-2446-7055","type":"journal-article","created":{"date-parts":[[2024,12,12]],"date-time":"2024-12-12T23:57:33Z","timestamp":1734047853000},"page":"13-24","source":"Crossref","is-referenced-by-count":6,"title":["Berufliche Teilhabe nach medizinischer Rehabilitation aufgrund\n                    psychischer Erkrankungen: Repr\u00e4sentative Analysen auf Basis der\n                    Routinedaten der Deutschen Rentenversicherung"],"prefix":"10.1055","volume":"64","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-4692-5696","authenticated-orcid":false,"given":"Marco","family":"Streibelt","sequence":"additional","affiliation":[{"name":"Dezernat Reha-Wissenschaften, Deutsche Rentenversicherung Bund,\n                    Berlin"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claudia","family":"Matthies","sequence":"additional","affiliation":[{"name":"Dezernat Reha-Wissenschaften, Deutsche Rentenversicherung Bund,\n                    Berlin"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pia","family":"Zollmann","sequence":"additional","affiliation":[{"name":"Dezernat Reha-Wissenschaften, Deutsche Rentenversicherung Bund,\n                    Berlin"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2024,12,12]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"137","DOI":"10.1016\/S2215-0366(21)00395-3","article-title":"Global, regional, and national burden of 12 mental disorders in 204 countries\n                    and territories, 1990\u20132019: a systematic analysis for the Global Burden of\n                    Disease Study 2019","volume":"9","author":"GBD 2019 Mental Disorders\n                        Collaborators","year":"2022","journal-title":"The Lancet Psychiatry"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"77","DOI":"10.1007\/s00115-013-3961-y","article-title":"Psychische St\u00f6rungen in der Allgemeinbev\u00f6lkerung","volume":"85","author":"F Jacobi","year":"2014","journal-title":"Der Nervenarzt"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"128","DOI":"10.1007\/s00103-018-2867-z","article-title":"Healthcare epidemiology of mental disorders: Why is the prevalence not declining\n                    despite growing provision of care?","volume":"62","author":"J Thom","year":"2019","journal-title":"Bundesgesundheitsblatt Gesundheitsforschung\n                    Gesundheitsschutz"},{"key":"ref5","volume-title":"aQua \u2013 Institut f\u00fcr angewandte Qualit\u00e4tsf\u00f6rderung und Forschung im\n                    Gesundheitswesen GmbH G\u00f6ttingen. Gesundheitsreport 2021 \u2013 Arbeitsunf\u00e4higkeiten.\n                    In: Techniker Krankenkasse ed, 20 Jahre Gesundheitsberichterstattung der TK","author":"T Grobe","year":"2021"},{"key":"ref6","volume-title":"Rentenversicherung in Zeitreihen In: Deutsche Rentenversicherung Bund ed","author":"Deutsche Rentenversicherung Bund","year":"2021"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1787\/a0815d0f-en","volume-title":"Fitter Minds, Fitter Jobs -From Awareness to Change in Integrated Mental Health,\n                    Skills and Work Policies Paris","author":"OECD","year":"2021"},{"key":"ref8","volume-title":"Reha-Bericht 2021. 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