Background
In healthy adolescents, unclear career goals and fun-oriented values increase stress and burnout risk. In those with psychosomatic illnesses, these are negative predictors of treatment outcomes. Thus, symptom-focused treatment alone is insufficient. The group program "Where am I & where do I want to go?" was developed in response.
Methods
The program, complementing inpatient therapy, consists of six double sessions. Alongside routine admission/discharge data, variables such as goals, values, stress experience, internet use, and self-esteem (90 items total) were assessed via a standardized questionnaire. Each session was also evaluated with 10 items. Data were analyzed using SPSS. 100 patients completed the program; 108 formed the control group. Participants were aged 12â18.
Results
The program was well received. Many clarified their goals and addressed personal issues such as perceived benefits of illness. The Ikigai model and goal-setting were seen as helpful. While participation did not further improve symptoms beyond general inpatient effects, participants reported significantly less treatment-related stress.
Discussion
Beyond symptom-focused groups (e.g., for depression, anxiety, eating disorders), "Where am I & where do I want to go?"was effective. Future-oriented reflection helped reduce symptom-related stress and discouraged the formation of a "patient identity." The group will be integrated into standard clinical care.