{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T16:22:46Z","timestamp":1783441366887,"version":"3.54.6"},"reference-count":28,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2023,6,6]],"date-time":"2023-06-06T00:00:00Z","timestamp":1686009600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychol."],"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>Multidimensional pediatric-psychosomatic inpatient treatment should be considered a highly relevant concept in the German healthcare system. This treatment concept has been successfully integrated to support youth with mental disorders and patients with chronic somatic conditions. Studies on treatment impact and empirical evidence of pediatric-psychosomatic inpatient therapies are rare, despite their clinical significance. Therefore, the study aims to provide initial indications of what constitutes to enhanced treatment effectiveness by comparing two different pediatric-psychosomatic inpatient treatment concepts. The clinics are comparable regarding the treated disorders, which include: dissociative, mood, and somatoform disorders, and psychological factors associated with chronic somatic conditions. Multidimensional treatment in both clinics include components of individual and family therapy, along with group-, art-, music-, creative-, and physio-therapy. Both clinics differed regarding their treatment philosophy in which; Clinic A practiced psychodynamic behavioral elements more strongly, while Clinic B rooted itself more strongly with psychoanalysis and family-dynamic practices.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Each clinic recruited 25 patients for the study. They completed two questionnaires both at admission and discharge, which measured general behavioral and emotional problems (YSR); and, respectively, difficulties in emotion perception and processing (TAS-26). The effectiveness of the treatment was examined by conducting one-sample <jats:italic>t<\/jats:italic>-test and effect sizes for each clinic. To obtain information on differentiating treatment effects, mixed ANOVAs were calculated. For estimating its influence, the treatment duration was taken into account as a covariate calculating an ANCOVA.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In both settings, treatment effects can be observed regarding internalizing problems. For alexithymia, no effects were seen in Clinic B, while in Clinic A, there was a significant reduction. When comparing both clinics, the ANOVAs showed significant interaction effects displaying advantages for Clinic A in the reduction of internalizing, total behavioral problems and alexithymia. Taking into account the treatment duration as a covariate, those effects level out. Significant differences between the clinics were no longer statistically detectable.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>The present study provides substantial preliminary indications on the effectiveness of multidimensional pediatric-psychosomatic inpatient therapy, which seems suitable for alleviating the general symptom burden and problems by identifying and processing emotions. Furthermore, the results indicate that an extended treatment duration may contribute to more pronounced effects.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpsyg.2023.1022409","type":"journal-article","created":{"date-parts":[[2023,6,6]],"date-time":"2023-06-06T16:32:57Z","timestamp":1686069177000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":4,"title":["Evaluation of multidimensional pediatric-psychosomatic inpatient therapy: a pilot study comparing two treatment modalities"],"prefix":"10.3389","volume":"14","author":[{"given":"Tim","family":"Botschek","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maximilian","family":"Monninger","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dennis","family":"Sch\u00e4fer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rabia","family":"Cevik","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K\u00fcbra","family":"Memis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ulrike","family":"M\u00fcller","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martina","family":"Monninger","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Burkhard","family":"Brosig","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2023,6,6]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"294","DOI":"10.1186\/1471-244X-13-294","article-title":"Resistance to treatment and change in anorexia nervosa: a clinical overview","volume":"13","author":"Abbate-Daga","year":"2013","journal-title":"BMC Psychiatry"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"23","DOI":"10.1016\/0022-3999(94)90005-1","article-title":"The twenty-item Toronto alexithymia scale\u2014I. Item selection and cross-validation of the factor structure","volume":"38","author":"Bagby","year":"","journal-title":"J. Psychosom. Res."},{"key":"ref3","doi-asserted-by":"publisher","first-page":"33","DOI":"10.1016\/0022-3999(94)90006-X","article-title":"The twenty item Toronto alexithymia scale: II. Convergent, discriminant and concurrent validity","volume":"38","author":"Bagby","year":"","journal-title":"J. Psychosom. Res."},{"key":"ref4","doi-asserted-by":"publisher","first-page":"25","DOI":"10.21706\/ka-29-1-25","article-title":"Analytische Psychosomatik in der Kinderklinik \u2013 Konzept und erste Ergebnisse einer Stationsgr\u00fcndung","volume":"29","author":"B\u00fcttner","year":"2021","journal-title":"Kinderanalyse"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"521","DOI":"10.1007\/s11126-020-09715-8","article-title":"Alexithymic traits and somatic symptoms in children and adolescents: a screening approach to explore the mediation role of depression","volume":"91","author":"Cerutti","year":"2020","journal-title":"Psychiatry Q."},{"key":"ref6","volume-title":"Statistical power analysis for the behavioral sciences","author":"Cohen","year":"1988"},{"key":"ref7","unstructured":"2022"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"55","DOI":"10.13133\/2724-2943\/17231","article-title":"From emotional mutual to self-regulation in attention deficit\/hyperactivity disorder: a pilot study on a sample of preschool-age children and their parents","volume":"37","author":"Di Trani","year":"2020","journal-title":"Psychol. Hub"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"47","DOI":"10.13133\/1974-4854\/16690","article-title":"The Italian version of the alexithymia questionnaire for children (AQC): factor structure and reliability","volume":"35","author":"Di Trani","year":"2018","journal-title":"Rassegna di Psicologia"},{"key":"ref10","article-title":"Deutsche schulalter-formen der child behavior checklist","volume-title":"CBCL\/6-18R-TRF\/6-18R-YSR\/11-18R; Elternfragebogen \u00fcber das Verhalten von Kindern und Jugendlichen (CBCL\/6-18R), Lehrerfragebogen \u00fcber das Verhalten von Kindern und Jugendlichen (TRF\/6-18R), Fragebogen f\u00fcr Jugendliche (YSR\/11-18R)","author":"D\u00f6pfner","year":"2014"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"745","DOI":"10.1037\/cou0000608","article-title":"Does practice really make perfect? A longitudinal analysis of the relationship between therapist experience and therapy outcome: a replication of Goldberg, Rousmaniere, et al. (2016)","volume":"69","author":"Germer","year":"2022","journal-title":"J. Couns. Psychol."},{"key":"ref12","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s10194-016-0675-0","article-title":"Migraine in childhood: biobehavioural or psychosomatic disorder?","volume":"17","author":"Guidetti","year":"2016","journal-title":"J. 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Psychiatry"},{"key":"ref17","first-page":"80","article-title":"Strukturqualit\u00e4t in der p\u00e4diatrischen Psychosomatik","volume":"9","author":"Meister","year":"2013","journal-title":"Monatsschr. Kinderheilkd."},{"key":"ref18","first-page":"26","article-title":"Affect and fantasy in patients with psychosomatic disorders","volume-title":"Modern trends in psychosomatic medicine","author":"Nemiah","year":"1970"},{"key":"ref19","first-page":"270","article-title":"Process and outcome in psychotherapy: Noch einmal","volume-title":"Handbook of psychotherapy and behavior change","author":"Orlinksy","year":"1994"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"575","DOI":"10.1007\/s00787-021-01889-1","article-title":"Quality of life and mental health in children and adolescents during the first year of the COVID-19 pandemic: results of a two-wave nationwide population-based study","volume":"32","author":"Ravens-Sieberer","year":"2013","journal-title":"Eur. Child Adolesc. 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Res."},{"key":"ref25","doi-asserted-by":"publisher","first-page":"520","DOI":"10.4414\/smw.2008.12108","article-title":"Length of stay by ICD-based diagnostic groups as basis for the remuneration of psychiatric inpatient care in Switzerland?","volume":"138","author":"Warnke","year":"2008","journal-title":"Swiss Med. Wkly."},{"key":"ref26","volume-title":"The ICD-10 classification of mental and behavioural disorders: clinical descriptions and diagnostic guidelines","year":"1992"},{"key":"ref27","volume-title":"Evaluation der p\u00e4diatrisch-psychosomatischen Komplextherapie [dissertation]","author":"Zessin","year":"2017"},{"key":"ref28","doi-asserted-by":"publisher","first-page":"127","DOI":"10.1016\/S0140-6736(13)61746-8","article-title":"Focal psychodynamic therapy, cognitive behaviour therapy, and optimised treatment as usual in outpatients with anorexia nervosa (ANTOP study): randomised controlled trial","volume":"383","author":"Zipfel","year":"2014","journal-title":"Lancet"}],"container-title":["Frontiers in Psychology"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyg.2023.1022409\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,6,6]],"date-time":"2023-06-06T16:33:09Z","timestamp":1686069189000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyg.2023.1022409\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,6,6]]},"references-count":28,"alternative-id":["10.3389\/fpsyg.2023.1022409"],"URL":"https:\/\/doi.org\/10.3389\/fpsyg.2023.1022409","relation":{},"ISSN":["1664-1078"],"issn-type":[{"value":"1664-1078","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,6,6]]},"article-number":"1022409"}}