[Healthier after Psychotherapy? Analysis of Claims Data (Lower Saxony, Germany) on Sickness Absence Duration before and after Outpatient Psychotherapy]. / Gesünder nach der Psychotherapie? Sekundärdatenanalyse der Arbeitsunfähigkeitszeiten vor und nach ambulanter Verhaltenstherapie, tiefenpsychologisch fundierter und analytischer Psychotherapie.
Psychother Psychosom Med Psychol
; 68(8): 337-345, 2018 Aug.
Article
en De
| MEDLINE
| ID: mdl-29165722
INTRODUCTION: In employed populations sickness absence can be used as a good indicator of health status. In the present study, it was examined how periods of sickness absence are developing within one year before and after psychotherapy under comparison of three types of psychotherapy (behavior therapy, psychodynamic psychotherapy, and psychoanalysis), all fully covered by statutory health insurance. METHODS AND DATA: The analyses were performed with pseudonymized claims data from the AOK Niedersachsen, a statutory health insurance (N=2,900,065 insured). Certified sickness absences before and after psychotherapy were examined for 9,916 patients. Parallelized controls were used to build a comparison of the length of sickness absences. Analyses were performed separately for women and for men. RESULTS: Within one year before starting psychotherapy, patients had longer sickness absences than controls on average. There was a reduction in the length of sickness absence of 20 days (median) within one year before to 12 days (median) within one year after the psychotherapy. The obtained differences between types of psychotherapy were considerable. DISCUSSION: Differences in terms of sickness absences may in part be explained by socio-demographic differences. Patients who underwent psychoanalysis were younger and had higher educational levels. However, it remains unclear why the differences of sickness absence periods were that high. It has to be discussed whether self-selection of patients with better health into psychoanalysis had occurred. CONCLUSIONS: Patients undergoing psychoanalysis differ from patients who underwent other types of psychotherapy in terms of their duration of sickness absence as well as socio-demographic profile. Thus, due to differences in the composition of patients future research in psychotherapy will have to differentiate by type of psychotherapy.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Psicoterapia
/
Estado de Salud
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Ausencia por Enfermedad
Aspecto:
Determinantes_sociais_saude
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Equity_inequality
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Patient_preference
Límite:
Adult
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Female
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Humans
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Male
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Middle aged
País/Región como asunto:
Europa
Idioma:
De
Revista:
Psychother Psychosom Med Psychol
Año:
2018
Tipo del documento:
Article
Pais de publicación:
Alemania