Axel Kobelt

Do people with mobbing experience which apply for medical rehabilitation have a peculiar personality

UNLABELLED Recently results find that victims of mobbing place themselves apart because of their personality types. This study deals with the question whether a difference between victims of mobbing and those non victims can be determined as far as depression, fear and personality type is concerned. METHODS Anonymous questionnaires including anxiety-, depression- and personalityscales were sent to 1 000 insured whose application for medical rehabilitation had been granted. RESULTS 25% of the applicants felt they had been mobbed. 60% of the victims suffered from psychic disorders. The values for depression and anxiety and the mark in the personality scale were significantly high. DISCUSSION Mobbing is a relatively common problem for patients in rehabilitation which has to be taken seriously. Although it can not be resolved which direction has to be taken by judging cause and effect. It should be checked if there is enough support during medical rehabilitation for the victims of mobbing.

Ärztliche und nichtärztliche ambulante psycho- therapeutische Versorgung im Raum Hannover Ein fach-, schulen- und geschlechts- bezogener Vergleich

ZusammenfassungVorgestellt wird das Ergebnis einer Befragung von 64 ärztlichen und 64 psychologischen (45,2%) der insgesamt 283 im Stadtgebiet Hannover niedergelassenen Psychotherapeuten. Es wird deutlich gemacht, daß sich die psychotherapeutische Versorgungssituation nicht allein durch das Verhältnis zwischen Psychotherapeuten- und Einwohnerzahl oder mittels der für die Psychotherapie aufgebrachten Arbeitszeit charakterisieren läßt. Geschlechts- und Therapieschulenzugehörigkeit der Therapeuten haben ebenso einen Einfluß auf die angegebene Wartezeit wie die Länge der Berufserfahrung, so daß eine indikationsorientierte Psychotherapieempfehlung nur schwer umzusetzen ist. Im Vergleich zu anderen Studien wird die Versorgung zu gleichen Teilen von ärztlichen und psychologischen Psychotherapeuten getragen, trotzdem ist diese in Hannover dennoch nicht gewährleistet.SummaryThe result of an investigation of 128 from 283 (45,2%) medical and psychological psychotherapists established in the city of Hannover is presented. The aim of the study is to characterize the situation of psychotherapeutical care not only by the number of psychotherapists in relation to inhabitants but also by the working time spent for psychotherapy. Besides we found gender, school of psychotherapy and professional experience as factor influencing the patients waiting time for beginning a psychotherapy. In contrast to other studies, the number of medical and psychological psychotherapists is not different, nevertheless the psychotherapeutical care in Hannover is not ensured.

Wollen psychisch erkrankte Versicherte, die eine befristete Rente wegen voller Erwerbsminderung beziehen, wieder ins Erwerbsleben eingegliedert werden?

UNLABELLED In Germany the number of invalidity pensions due to mental disorders is increasing. More than one third of these insurants do not take part in rehabilitation measures before their early retirement. Only 6 % return into their employment relationship. HYPOTHESES 1. People with mental disorders still have severe health problems after their two-year temporary leave/retirement. 2. About one third of these insurants are generally interested in being reintegrated into their jobs. 3. Their motivation for reintegration depends on their age and their individual health status. METHOD Data of all insurants (of DRV Braunschweig-Hannover) under 50 who drew a short-term benefit due to complete reduction in earning capacity in 2004 (n = 352) were collected with the help of an anonymous questionnaire (response rate = 54 %). This questionnaire compiled data on their general health status, their functional capacity and work ability, their motivation for returning to work as well as psychosocial aspects. At the same time, socio-demographic characteristics from the regional pension insurance database were analyzed. RESULTS Compared to patients treated in hospitals, those insurants who had been on a two-year temporary leave were psychologically strongly distressed. There was also a gender effect: Women in particular showed significant limitations in daily activities/routines, a higher level of anxiety and somatization. Less than 30 % of the pensioners were motivated for vocational rehabilitation in order to return to their jobs. The motivation was not dependant on the psychological load and the age but most probably on the somatization tendencies and the daily activities. DISCUSSION It seems that classic vocational rehabilitation for insurants who already receive a disability pension does not lead to a higher rate of reintegration into work. The relatively large number of insurants who want to return to their jobs implies the necessity of a special rehabilitation programme with concepts for reintegration: an individual case-management should help to continually counsel the patients and, by means of work-trial phases, prepare them for their return into their career.