BACKGROUND: In @entity308 ( @entity4696 ), hospital treatment is an option in more severe cases or if outpatient treatment failed. Psychosomatic hospitals in Germany provide treatment programs with multimodal psychotherapy, either in an inpatient or a day hospital setting. In the context of health care research, this study aimed (1) to compare characteristics of @entity1 treated in psychosomatic day hospitals and inpatient units, (2) to compare the effectiveness of both treatment modalities. METHODS: A naturalistic design was chosen to achieve external validity. 604 consecutive @entity1 were assessed at admission, discharge and a 3-month follow-up. Primary outcome was defined as a reduction of depressive symptomatology (QIDS-C), secondary outcomes comprise overall functioning and quality of life. For a comparison of effectiveness, inpatient and day hospital samples were matched according to known predictors of outcome. RESULTS: The few differences found between the inpatient and day hospital sample were related to severity of @entity308 and @entity73 . Inpatients more often got antidepressant medication. Additionally, inpatients were treated significantly longer, due to a subgroup of @entity1 with somatic co-morbidity. There were no differences when comparing effectiveness. LIMITATIONS: When comparing treatment effectiveness, possible bias cannot be ruled out. There was no randomization or untreated control group. CONCLUSIONS: In @entity1 with a more severe @entity308 and somatic co-morbidity, inpatient treatment might be preferred as compared to day hospital treatment. However, most @entity1 can be treated in both settings.

Symptom course in inpatient and day clinic treatment of XXXX : Results from the INDDEP-Study.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity73 :: ('MESH:D003072', 'Disease') :: ['physical impairment'] @entity4696 :: ('MESH:D003865', 'Disease') :: ['MDD'] @entity308 :: ('MESH:D003866', 'Disease') :: ['depression', 'major depression']
@entity308 :: (MESH:D003866,Disease) :: ['depression']
