Prädiktoren für den psychopathologischen Entlassungsbefund bei akutpsychiatrischer, tagesklinischer und vollstationärer Behandlung

Schützwohl, Matthias; Koch, Rainer; Kallert, Thomas W.

doi:10.1055/s-2004-834757

Cited by 5 publications

(2 citation statements)

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“…Our study showed a significant relationship between the level of depressive symptoms ad admission and therapy outcome. This is in accordance with other studies also showing a higher benefit for depressed patients (2, 10, 21, 22).…”

Section: Discussionsupporting

confidence: 93%

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Perceived Psychotherapist's Empathy and Therapy Motivation as Determinants of Long-Term Therapy Success—Results of a Cohort Study of Short Term Psychodynamic Inpatient Psychotherapy

et al. 2018

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Objective: Outcome predictors and determinants for treatment outcome of inpatient psychotherapy will be assessed in a follow-up-study. Sociodemographic factors and the level of depressiveness at admission, the perceived psychotherapist's empathy rated by patients and the therapy motivation as possible moderators of treatment outcome (reduction of depressive symptoms) are analyzed.Methods: In a cohort study, the outcome of inpatient multimodal psychotherapy was examined with Beck-Depression-Inventory (BDI) at admission (T1), discharge (T2) and at follow-up (1–3 years after treatment) (T3). Inclusion criteria were: Inpatient psychotherapy between 2007 and 2010 with a duration of at least 1 week and complete data set. The influence on therapy success of (1) sociodemographic factors, (2) the perceived psychotherapist's empathy rated by patients using the Consultation and Relational Empathy Measure (CARE), and (3) the therapy motivation of the patients rated by therapists are examined by means of correlation analysis, distribution comparisons and subsequently logistic regression.Results: Ninety-two (64 females, average age 39 yrs.) of 182 eligible patients participated in the follow-up survey. Duration of inpatient psychotherapy lasted 8.7 weeks ± 3.6 [min. 1, max. 33 weeks]. The perceived psychotherapist's empathy, therapy motivation, education level and depression at baseline had a significant impact on therapy success. Gender, age, and partnership were not significant. The length between discharge and follow-up had no influence on the results. Based on these variables a multiple logistic regression explained 42% of the variation (goodness-of-fit).Conclusion: Due to the shown relevance of the psychotherapist's empathy perceived by patients and the therapy motivation of patients for therapy success, both factors should be considered already at the beginning of the therapy. Consequently, they should be recognized in the context of postgraduate training and education.

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Section: Discussionsupporting

confidence: 93%

“…A number of studies have shown that patients who are depressed are significantly more likely to benefit from inpatient psychotherapy (2, 10, 21, 22). Patients with depressive disorder showed better therapy success than patients with other non-somatic diseases (6).…”

Section: Introductionmentioning

confidence: 99%

Perceived Psychotherapist's Empathy and Therapy Motivation as Determinants of Long-Term Therapy Success—Results of a Cohort Study of Short Term Psychodynamic Inpatient Psychotherapy

et al. 2018

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Erfassung der sozialen Ungleichheit in empirischen Untersuchungen

et al. 2007

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Forschung zur Versorgung von Patienten mit psychischen Störungen

Luppa

Luck

Heinrich

et al. 2008

Zeitschrift für Psychiatrie, Psychologie und Psychotherapie

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Über Häufigkeit und Inhalt neuerer deutschsprachiger Arbeiten zur psychiatrischen und psychotherapeutischen Versorgungsforschung sowie den Einbezug ökonomischer Evaluationen ist wenig bekannt. Zur Beurteilung des Forschungsstandes in diesem Bereich wurden alle Originalarbeiten der Zeitschrift für Psychosomatische Medizin und Psychotherapie sowie der Psychiatrischen Praxis der Jahre 2006 und 2007 hinsichtlich ihres Beitrages zur psychiatrischen und psychotherapeutischen Versorgungsforschung sowie zur Versorgungsökonomie ausgewertet. Die Hälfte der erschienenen Originalarbeiten konnte der Versorgungsforschung zugeordnet werden. 85 % dieser Arbeiten beschäftigten sich mit der Beschreibung und Analyse der Versorgungssituation sowie mit der Evaluation von Versorgungskonzepten im Alltag. Drei Viertel der Arbeiten konnten den Teildisziplinen Bedarfs-, Inanspruchnahmeforschung und Versorgungsepidemiologie zugeordnet werden. Unter den Studien zur Versorgungsforschung fanden sich fünf gesundheitsökonomische Analysen (10 %), die in der Mehrheit Kostenstudien waren. Im Vergleich mit früheren Analysen zeigt sich ein anhaltend starkes Interesse an versorgungsbezogenen Fragestellungen im Bereich der psychiatrischen und psychotherapeutischen Versorgungsforschung. Jedoch wurde ein Mangel an Publikationen zur Entwicklung und Implementierung neuer Konzepte in der Versorgung deutlich.

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Prädiktoren für den psychopathologischen Entlassungsbefund bei akutpsychiatrischer, tagesklinischer und vollstationärer Behandlung

Abstract: Given the explorative character of the present study, further prospective studies are needed in order to cross-validate findings on the potential criteria for allocating acute mentally ill either to day-hospital or inpatient treatment.

Cited by 5 publications

References 3 publications

Perceived Psychotherapist's Empathy and Therapy Motivation as Determinants of Long-Term Therapy Success—Results of a Cohort Study of Short Term Psychodynamic Inpatient Psychotherapy

Perceived Psychotherapist's Empathy and Therapy Motivation as Determinants of Long-Term Therapy Success—Results of a Cohort Study of Short Term Psychodynamic Inpatient Psychotherapy

Erfassung der sozialen Ungleichheit in empirischen Untersuchungen

Forschung zur Versorgung von Patienten mit psychischen Störungen

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