کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
6813608 | 545648 | 2016 | 8 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Symptom change trajectories during inpatient psychotherapy in routine care and their associations with long-term outcomes
ترجمه فارسی عنوان
علائم تغییر مسیر در طول روان درمانی بستری در مراقبت معمول و ارتباط آنها با نتایج بلند مدت
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کلمات کلیدی
افسردگی، علائم تغییر مسیرها، اندازه گیری مجدد پیگیری، مدل سازی مخلوط رشد،
موضوعات مرتبط
علوم زیستی و بیوفناوری
علم عصب شناسی
روانپزشکی بیولوژیکی
چکیده انگلیسی
This study examined symptom change trajectories during inpatient psychotherapy and the association of these changes with long-term outcomes. In an observational multicenter study, weekly measurements of symptom severity were performed during inpatient treatment and 6 months after discharge. The symptom severity was measured using the 18-item scale of the Hamburg Modules for the Assessment of Psychosocial Health. The sample included 576 inpatients (mean age: 43.9 years; 77.6% female; main diagnoses: depressive (57.2%), adjustment (15.8%), anxiety (7.4%), and eating disorders (7.2%); mean treatment duration: 42.0 days). With empirically and clinically informed growth mixture models four subgroups of symptom change were revealed: gradual response (71%), early response (9%), delayed response (5%), and nonresponse (11%). Particularly low educational level, non-employment and chronic disorders were associated with unfavorable symptom courses (non- and delayed response). Long-term outcomes differed systematically across subgroups (p<0.001; η2=0.165). The patients who responded early presented the highest rates of clinically significant improvement (43.9%) from admission to follow-up. Nearly all of these patients (92.7%) showed reliable improvement. Due to the high association of symptom change trajectories with long-term outcomes, results may contribute to interventions that are tailored to the needs of patients and may foster longer lasting therapeutic effectiveness.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Psychiatry Research - Volume 238, 30 April 2016, Pages 228-235
Journal: Psychiatry Research - Volume 238, 30 April 2016, Pages 228-235
نویسندگان
Hanne Melchior, Holger Schulz, Levente Kriston, Anika Hergert, Kerstin Hofreuter-Gätgens, Corinna Bergelt, Matthias Morfeld, Uwe Koch, Birgit Watzke,