{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T23:06:21Z","timestamp":1779231981759,"version":"3.51.4"},"reference-count":48,"publisher":"Georg Thieme Verlag KG","issue":"05","license":[{"start":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T00:00:00Z","timestamp":1769472000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psychother Psychosom Med Psychol"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:p>Seit langem ist der grunds\u00e4tzliche Zusammenhang zwischen Arbeitslosigkeit\n                        (ALO) und gesundheitlichen Beeintr\u00e4chtigungen bekannt. Dabei stellen sich\n                        Fragen nach den h\u00e4ufigsten Erkrankungen unter Menschen in ALO sowie darauf\n                        basierende (etwaige) Leistungseinbu\u00dfen. Ziel der Studie ist es, die 20\n                        h\u00e4ufigsten Erkrankungen von im \u00c4rztlichen Dienst (\u00c4D) der Bundesagentur f\u00fcr\n                        Arbeit (BA) untersuchten Menschen in ALO darzustellen sowie (etwaige) darauf\n                        basierende Leistungseinbu\u00dfen f\u00fcr den (allgemeinen) Arbeitsmarkt und weitere\n                        assoziierte Faktoren zu analysieren.<\/jats:p>\n                  <jats:p>F\u00fcr die vorliegende mehrj\u00e4hrige Querschnittsstudie (2016\u20132021) wurden die 20\n                        h\u00e4ufigsten Erkrankungen\/ Diagnosen aller (n=4\u2009249\u2009028) sozialmedizinischer\n                        Begutachtungen des \u00c4D der BA mit den jeweiligen Erst- und Zweitdiagnosen auf\n                        der Basis von ICD-10-Codes sowie damit assoziierte Faktoren (Geschlecht,\n                        Alter, Leistungsbild) aus Datenbanken des \u00c4D analysiert. Zur Analyse der\n                        Daten wurde neben deskriptiver Statistik bin\u00e4re logistische Regression\n                        genutzt.<\/jats:p>\n                  <jats:p>Von den j\u00e4hrlich rund 500\u2009000 im \u00c4D begutachteten KundInnen erhielten nahezu\n                        alle (2016: 90,1%; 2021: 99,5%) eine Erstdiagnose. Von den 20 h\u00e4ufigsten\n                        Diagnosen stammt die H\u00e4lfte aus dem Bereich der psychischen Erkrankungen. Am\n                        h\u00e4ufigsten wurden depressive Episoden (n=416\u2009531; 10,2%), rezidivierend\n                        depressive St\u00f6rungen (n=415\u2009651; 10,1%) und (andere) Angstst\u00f6rungen\n                        (n=169\u2009112; 4,6%) diagnostiziert. Bei den nicht-psychiatrischen St\u00f6rungen\n                        belegen R\u00fcckenschmerzen (n=243\u2009389; 6,6%), essentielle Hypertonien\n                        (n=146\u2009316; 4,0%) und (sonstige) Bandscheibensch\u00e4den (n=91\u2009861; 2,2%) die\n                        ersten drei Pl\u00e4tze. Alter und Geschlecht differieren je nach Erkrankung\n                        signifikant. Insgesamt wurden 33,9% aller begutachteten Personen als\n                        leistungsunf\u00e4hig (&lt;3 Std.\/Tag) eingestuft, wobei psychische Erkrankungen\n                        den h\u00e4ufigsten Grund daf\u00fcr darstellen, dabei am h\u00e4ufigsten mit 63,6%\n                        Schizophrenien.<\/jats:p>\n                  <jats:p>Psychische Erkrankungen sind unter von ALO betroffenen Menschen besonders\n                        h\u00e4ufig. Dies sollte bei der \u00e4rztlichen Versorgung sowie der\n                        Arbeitsmarktintegration Beachtung finden. Die Vernetzung von\n                        arbeitsmarktlichen und gesundheitlichen und insbesondere psychiatrischen\n                        Hilfen scheint sinnvoll, um psychische Erkrankungen und ALO m\u00f6glichst rasch\n                        und nachhaltig zu \u00fcberwinden. Stichworte: Arbeitslosigkeit, Erkrankungen,\n                        Epidemiologie, Leistungsunf\u00e4higkeit, Langzeitarbeitslosigkeit<\/jats:p>","DOI":"10.1055\/a-2763-8046","type":"journal-article","created":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T23:31:54Z","timestamp":1769556714000},"page":"185-193","source":"Crossref","is-referenced-by-count":0,"title":["Erkrankungspr\u00e4valenzen und Leistungsunf\u00e4higkeit von Menschen in\n                    Arbeitslosigkeit in Deutschland"],"prefix":"10.1055","volume":"76","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-6120-6856","authenticated-orcid":false,"given":"Andreas Guenter","family":"Franke","sequence":"additional","affiliation":[{"name":"Fachbereich Beratungswissenschaften, Hochschule der Bundesagentur f\u00fcr\n                    Arbeit, Mannheim"},{"name":"Fachbereich Beratungswissenschaften, Hochschule der Bundesagentur f\u00fcr\n                    Arbeit, Mannheim"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kirsi","family":"Manz","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr H\u00e4matologie, H\u00e4mostaseologie, Onkologie und\n                    Stammzellentransplantation, Medizinische Hochschule Hannover"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Norbert","family":"Scherbaum","sequence":"additional","affiliation":[{"name":"LVR-Universit\u00e4tsklinik Essen, Klinik f\u00fcr Psychiatrie und\n                    Psychotherapie, Medizinische Fakult\u00e4t, Universit\u00e4t Duisburg-Essen,\n                    Essen"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5986-9788","authenticated-orcid":false,"given":"Claudia","family":"Pieper","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Medizinische Informatik, Biometrie und Epidemiologie,\n                    Universit\u00e4tsklinikum Essen"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patrik","family":"Roser","sequence":"additional","affiliation":[{"name":"LVR-Universit\u00e4tsklinik Essen, Klinik f\u00fcr Psychiatrie und\n                    Psychotherapie, Medizinische Fakult\u00e4t, Universit\u00e4t Duisburg-Essen,\n                    Essen"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gabriele","family":"Lotz-Metz","sequence":"additional","affiliation":[{"name":"\u00c4rztlicher Dienst, Bundesagentur f\u00fcr Arbeit, N\u00fcrnberg"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2026,1,27]]},"reference":[{"key":"ref1","volume-title":"Die Arbeitslosen von Marienthal. 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