Psychiatric Quarterly, Vol. 76, No. 1, Spring 2005 (
PSYCHOTHERAPY IN A DAY CLINIC:
RESULTS OF A 1.5 YEAR FOLLOW-UP
Almut Zeeck, M.D., Armin Hartmann, Ph.D.,
and Klaus Kuhn
Objective: In a prospective, naturalistic 1.5 year follow-up study of N = 114
consecutively admitted day clinic patients efﬁcacy of the program and predic-
tors of outcome are evaluated. Methods: Patients had severe neurotic distur-
bances and personality disorders. Interviews and questionnaires (SCL-90-R,
EDI) were used for evaluation at admission, discharge and follow-up. Results:
From 79.8% of the patients information could be obtained. In the main diagnos-
tic categories between 30 to 50% of the patients showed complete remissions at
follow-up. Patients at least kept improvements at follow-up. The rating of the
“transition phase” after discharge was predictive for outcome. The group of pa-
tients that rated this phase as difﬁcult showed higher levels of psychopathology
at admission. Conclusions: It is possible to treat severely disturbed patients in
a psychotherapeutic day clinic with good and lasting effects. A more disturbed
group of patients needs special help to cope with the transition into the outpa-
KEY WORDS: day clinic; psychotherapy; follow-up; partial hospitalization.
All authors are afﬁliated with the Department of Psychosomatic Medicine and
Psychotherapy, University of Freiburg, Germany.
Address correspondence to Almut Zeeck, M.D., Dept. Psychotherapy and Psychosomatic
Medicine University of Freiburg, Hauptstrasse 8, D-79104 Freiburg, Germany; e-mail:
2005 Springer Science+Business Media, Inc.