Medizinische und berufliche Rehabilitation für Menschen mit psychischen Erkrankungen: Wirkung auf Resilienz, Selbststigma und Lebensqualität. Ein Scoping Review

Zusammenfassung

Ziel

Dieser Scoping Review (ScR) untersucht die Wirkungen medizinischer und beruflicher psychiatrischer Rehabilitation auf die Resilienz, die Selbststigmatisierung und die Lebensqualität bei Erwachsenen.

Methodik

Scoping Review nach den JBI Richtlinien mit Recherchen in PubMed, PubPsych und REHABDATA sowie ergänzenden Recherchen.

Ergebnisse

Von n=1.247 gesichteten Titeln wurden n=38 Studien eingeschlossen, davon weisen n=36 (94,74%) Aussagen zu beruflichen und n=16 (42,11%) zu medizinischen Rehabilitationsangeboten auf. Die Resilienz wird durch Beziehungsaufbau und gemeinsame Entscheidungsfindung gestärkt. Die Selbststigmatisierung reduziert sich u. a. durch Peer Support und Empowerment, während sich die Lebensqualität u. a. durch Beschäftigung verbessern kann.

Schlussfolgerung

Recovery-orientierte Ansätze mit individueller Zielvereinbarung mit Rehabilitand*innen zeigen positive Effekte auf alle drei Dimensionen und unterstützen den Paradigmenwechsel zur ganzheitlichen Lebensstärkung.

Abstract

Objective

This scoping review examines the effects of medical and vocational psychiatric rehabilitation on resilience, self-stigmatization, and quality of life in adults.

Methods

Scoping review following JBI guidelines with searches in PubMed, PubPsych, and REHABDATA, plus supplementary searches.

Results

From n=1.247 titles, n=38 studies were included, of which n=36 (94,74%) address vocational rehabilitation services and n=16 (42,11%) medical ones. Resilience is strengthened through relationship building and shared decision-making. Self-stigma is reduced through peer support and empowerment, while quality of life can improve through employment.

Conclusion

Recovery-oriented approaches with individual goal setting show positive effects on all three dimensions and support the paradigm shift toward holistic life enhancement.

Schlüsselwörter

Psychiatrische Rehabilitation - Resilienz - Stigma - Lebensqualität - Teilhabe

Keywords

Psychiatric Rehabilitation - Resilience - Stigma - Quality of Life - Participation

Publication History

Received: 24 June 2025

Accepted: 03 November 2025

Article published online:
21 January 2026

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