{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,18]],"date-time":"2025-10-18T00:38:15Z","timestamp":1760747895141,"version":"build-2065373602"},"reference-count":30,"publisher":"Georg Thieme Verlag KG","issue":"05","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rehabilitation (Stuttg)"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Ob Menschen eine Absicht in die Tat umsetzen, z.\u2009B. die R\u00fcckkehr in die\n                        Arbeit nach psychosomatischer Rehabilitation, h\u00e4ngt u.\u2009a. von\n                        Handlungskontrollstrategien ab. Die aktuelle Handlungs-(HO) oder\n                        Lageorientierung (LO) bzw. die Affektregulation bedingt die\n                        Strategieeffizienz. Das Modellprojekt Reha-Integrativ fokussierte bei\n                        doppelter Psychotherapiedosis auf die Behandlung hemmender Kontextfaktoren,\n                        da diese die Behandlung psychischer Symptome in der psychosomatischen Reha\n                        oft erschweren. In der randomisierten Kontrollgruppenstudie mit\n                        Messwiederholung interessierte, ob die Therapiedosis einen Effekt auf die\n                        Selbstregulation und die subjektive Beeintr\u00e4chtigung durch Kontextfaktoren\n                        hatte und der Zusammenhang von Handlungskontrolle, Kontextfaktoren und Dosis\n                        mit (un-)mittelbarem Reha-Erfolg. 483 Rehabilitanden, davon 48% Frauen, im\n                        Alter von 18-64 Jahren, die zwischen 2020-22 eine psychosomatische\n                        Rehabilitation im Rehazentrum Oberharz absolvierten, wurden untersucht.<\/jats:p><jats:p>Die intraindividuellen Ver\u00e4nderungen (Handlungskontrollstil, Beeintr\u00e4chtigung\n                        durch Kontextfaktoren, Depressionsschwere) wurden durch den Reliable Change\n                        Index abgebildet. Beitrags- und Krankengeldbezugszeiten wurden kalendergenau\n                        1 Jahr nach der Reha den Konten der Deutschen Rentenversicherung\n                        Braunschweig-Hannover entnommen und Regressionen und Moderatoranalysen nach\n                        Hayes gerechnet.<\/jats:p><jats:p>Die mittlere Zunahme der HO bei Entlassung fiel im Jahr nach der Reha nicht\n                        unter den Ausgangswert. Deskriptiv zeigte sich ein R\u00fcckgang der Depression\n                        und der subjektiven Kontextbeeintr\u00e4chtigung. Die Regressionen zeigten einen\n                        schwachen Dosiseffekt f\u00fcr HO bei Entlassung, aber nicht 1 Jahr nach der Reha\n                        und nicht f\u00fcr die Beeintr\u00e4chtigung durch Kontextfaktoren. Die\n                        Moderatoranalysen ergaben einen mittleren Effekt von LO bei Aufnahme f\u00fcr\n                        Depressionsreduktion. HO profitierten schwach von der Dosiserh\u00f6hung. HO und\n                        geringe Beeintr\u00e4chtigung durch Kontextfaktoren bei Entlassung zeigten einen\n                        mittleren Zusammenhang mit mehr Beitrags- und weniger\n                        Krankengeldbezugsmonaten. LO bedingte bei hoher Beeintr\u00e4chtigung durch\n                        Kontextfaktoren 3 Beitragsmonate weniger und 1,8 Krankengeldbezugsmonate\n                        mehr bei schwacher Effektst\u00e4rke.<\/jats:p><jats:p>Im Einklang mit der Handlungskontrolltheorie verweisen die Ergebnisse auf die\n                        Bedeutung individueller Unterschiede volitionaler Aspekte und subjektiver\n                        Kontextbeeintr\u00e4chtigung in Bezug auf den (un-)mittelbaren Reha-Erfolg.\n                        Volitionale Unterschiede und die F\u00f6rderung der Selbstregulationskompetenzen\n                        sollten im therapeutischen Setting psychosomatischer Reha und im\n                        personalisierten Fallmanagement mehr Ber\u00fccksichtigung finden.<\/jats:p>","DOI":"10.1055\/a-2618-2586","type":"journal-article","created":{"date-parts":[[2025,8,19]],"date-time":"2025-08-19T22:59:31Z","timestamp":1755644371000},"page":"259-269","source":"Crossref","is-referenced-by-count":0,"title":["In welchem Zusammenhang stehen Therapiedosis, Handlungskontrollstil,\n                    subjektive Beeintr\u00e4chtigung durch Kontextfaktoren und Reha-Erfolg nach\n                    psychosomatischer Rehabilitation?"],"prefix":"10.1055","volume":"64","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9090-5756","authenticated-orcid":false,"given":"Kirsten","family":"Rotter","sequence":"additional","affiliation":[{"name":"Referat Rehastrategie, Deutsche Rentenversicherung\n                    Braunschweig-Hannover, Laatzen"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bernhard","family":"Koch","sequence":"additional","affiliation":[{"name":"Rehazentrum Oberharz, Clausthal-Zellerfeld"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexandra","family":"Lambrecht","sequence":"additional","affiliation":[{"name":"Klinische Psychologie und Psychotherapie, Universit\u00e4t\n                    Hildesheim"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Axel","family":"Kobelt-Poenicke","sequence":"additional","affiliation":[{"name":"Referat Rehastrategie, Deutsche Rentenversicherung\n                    Braunschweig-Hannover, Laatzen"},{"name":"Klinische Psychologie und Psychotherapie, Universit\u00e4t\n                    Hildesheim"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,8,19]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"95","DOI":"10.1055\/s-0029-1214411","article-title":"\u201cWer profitiert?\u201d\u2013 Patientenmerkmale als Erfolgspr\u00e4diktoren in der\n                    psychosomatischen Rehabilitation","volume":"48","author":"J Oster","year":"2009","journal-title":"Rehabilitation"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.5167\/uzh-97740","article-title":"Volitionale Kompetenzen als Pr\u00e4diktoren des Therapieerfolgs von Psychotherapien\n                    und psychosomatischer Rehabilitation","author":"S Forstmeier","year":"2004","journal-title":"Pabst Science Publishers"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"256","DOI":"10.1055\/s-0043-118196","article-title":"Die Bedeutung von Arbeitsmotivation f\u00fcr den Reha-Erfolg","volume":"57","author":"F Kessemeier","year":"2018","journal-title":"Rehabilitation"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"381","DOI":"10.1055\/s-0042-119897","article-title":"Evaluation von Kontextfaktoren in der psychosomatischen Rehabilitation","volume":"55","author":"N I B\u00fclau","year":"2016","journal-title":"Rehabilitation"},{"volume-title":"Einf\u00fchrung in die ICF. 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