Journal ArticleDOI
Patient Characteristics Predicting Better Treatment Outcomes in Day Hospitals Compared With Inpatient Wards
Stefan Priebe,Rosemarie McCabe,Matthias Schützwohl,Andrzej Kiejna,Petr Nawka,Jiří Raboch,Ulrich Reininghaus,Duolao Wang,Thomas W. Kallert +8 more
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TLDR
Female patients and those with more education may benefit more from acute treatment in day hospitals, and more severe symptoms may be a reason for admission to acute treatment on a conventional ward rather than a day hospital.Abstract:
The study aimed to identify patient characteristics associated with differences in outcomes of acute treatment in day hospitals and conventional hospital wards. Methods: Data were from the European Day Hospital Evaluation (EDEN) (2000–2003), a multicenter randomized controlled trial comparing acute treatment in day hospitals and conventional wards in five European countries. All 880 adult patients in the EDEN study who had a diagnosis of schizophrenia, mood disorders, neurotic disorders, and behavioral syndromes (ICD-10 codes F20–F59) and complete data on baseline variables were included. Outcomes were symptom levels (Brief Psychiatric Rating Scale), subjective quality of life (Manchester Short Assessment of Quality of Life), and social disability (Groningen Social Disabilities Schedule) assessed at discharge and at three and 12 months postdischarge. Mixed- and main-effects models of interaction effects between patient characteristics and outcomes were generated. Results: Patients’ age, diagnostic category, and living status (alone or not) did not predict differences in outcomes between the two settings. However, patients with higher symptom levels at baseline experienced greater symptom improvements after treatment on a ward, and those with more years of education had greater symptom improvements after day hospital treatment. Female patients had more favorable social disability outcomes after day hospital treatment, but no difference between the two settings was found for male patients. Conclusions: More severe symptoms may be a reason for admission to acute treatment on a conventional ward rather than a day hospital. Female patients and those with more education may benefit more from acute treatment in day hospitals. (Psychiatric Services 62:278–284, 2011)read more
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Integrated mental health atlas of the Western Sydney Local Health District: gaps and recommendations
Ana Fernández,James Gillespie,Jennifer Smith-Merry,Xiaoqi Feng,Thomas Astell-Burt,Cailin Maas,Luis Salvador-Carulla +6 more
TL;DR: A critical analysis of the pattern of adult mental health care provided within the boundaries of the Western Sydney LHD using a standard, internationally validated tool to describe and classify the services is provided.
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Medical day hospital care for older people versus alternative forms of care
TL;DR: There was no strong evidence for or against day hospitals compared to other treatments overall and the outcome of death, disability, institutionalisation and improving subjective health status.
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Efficacy of an adjunctive brief psychodynamic psychotherapy to usual inpatient treatment of depression: rationale and design of a randomized controlled trial
TL;DR: This study is the first to address the issue of the economic evaluation of inpatient psychotherapy during the acute phase of a major depressive episode.
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Psychodynamic day treatment programme for patients with schizophrenia spectrum disorders: Dynamics and predictors of therapeutic change
TL;DR: Results show that a group psychodynamic programme may improve the clinical status and quality of life of patients with schizophrenia spectrum disorders and is more beneficial for patients with higher pre-treatment symptom severity and the presence of working or study activities.
Journal ArticleDOI
Associations between psychiatric symptoms and seclusion use: Clinical implications for care planning
Roland van de Sande,Eric O. Noorthoorn,Henk Nijman,André I. Wierdsma,Cees van de Staak,E.M. Hellendoorn,Niels Mulder +6 more
TL;DR: Investigating the associations between the scores of three structured observation tools and seclusion suggested that the incorporation of the Kennedy-Axis V, the BPRS, and the SDAS into standard practice might be helpful in identifying patients at high risk of seclusion.
References
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Journal ArticleDOI
Application and Results of the Manchester Short Assessment of Quality of Life (Mansa)
TL;DR: The Manchester Short Assessment of Quality of Life (MANSA) is a brief instrument for assessing quality of life focusing on satisfaction with life as a whole and with life domains and its psychometric properties appear satisfactory.
Journal Article
Training and quality assurance with the Brief Psychiatric Rating Scale: "The drift busters."
Journal ArticleDOI
Traditional reviews, meta-analyses and pooled analyses in epidemiology.
Maria Blettner,Willi Sauerbrei,Brigitte Schlehofer,Thomas Scheuchenpflug,Christine M. Friedenreich +4 more
TL;DR: For a full assessment of risk factors with a high prevalence in the general population, pooling of data will become increasingly important and future research needs to focus on the deficiencies of review methods.
Journal ArticleDOI
Effects of antipsychotic medications on psychosocial functioning in patients with chronic schizophrenia: Findings from the NIMH CATIE study
Marvin S. Swartz,Diana O. Perkins,T. Scott Stroup,Sonia M. Davis,George Capuano,Robert A. Rosenheck,Frederick W. Reimherr,Mark McGee,Richard S.E. Keefe,Joseph P. McEvoy,John K. Hsiao,Jeffrey A. Lieberman +11 more
TL;DR: All antipsychotic treatment groups in all phases made modest improvements in psychosocial functioning, and more substantial improvements would likely require more intensive adjunctive psychossocial rehabilitation interventions.
Journal ArticleDOI
Prognostic variables at intake and long-term level of function in schizophrenia.
Steven J. Siegel,Farzin Irani,Colleen M. Brensinger,Christian G. Kohler,Warren B. Bilker,J. Daniel Ragland,Stephen J. Kanes,Ruben C. Gur,Raquel E. Gur +8 more
TL;DR: Initial level of function, symptoms, sex, education, and duration of illness are all important predictors for functional outcome in patients with schizophrenia.