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Patients’ subjective initial response and the outcome of inpatient and day hospital treatment

Published online by Cambridge University Press:  16 April 2020

S. Priebe ,
K. Barnicot ,
R. McCabe ,
A. Kiejna ,
P. Nawka ,
J. Raboch ,
M. Schützwohl  and
T. Kallert
S. Priebe*
Affiliation:
Unit for Social and Community Psychiatry, Queen Mary University of London, Academic Unit, Cherry Tree Lane, Glen Road, Plaistow, E13 8SP, United Kingdom
K. Barnicot
Affiliation:
Unit for Social and Community Psychiatry, Queen Mary University of London, Academic Unit, Cherry Tree Lane, Glen Road, Plaistow, E13 8SP, United Kingdom
R. McCabe
Affiliation:
Unit for Social and Community Psychiatry, Queen Mary University of London, Academic Unit, Cherry Tree Lane, Glen Road, Plaistow, E13 8SP, United Kingdom
A. Kiejna
Affiliation:
Department of Psychiatry, Wroclaw Medical University, L. Pasteura str. 10, 50-367Wroclaw, Poland
P. Nawka
Affiliation:
Psychiatric Outpatient Clinic, Hopfgartenstr,16, D-01307Dresden, Germany
J. Raboch
Affiliation:
Department of Psychiatry, Charles University in Prague, 1st Faculty of Medicine and General Teaching Hospital, Ke Karlovu 11, 12000 Praha 2, Czech Republic
M. Schützwohl
Affiliation:
Technische Universität Dresden, Department of Psychiatry and Psychotherapy, Fetscherstraβe 74, 01307Dresden, Germany
T. Kallert
Affiliation:
Department of Psychiatry, Psychosomatic Medicine and Psychotherapy, Park Hospital Leipzig, Morawitzstraβe 2, 04289Leipzig, Germany
*
⁎Corresponding author. Tel.: +44 20 7540 6755; fax: +44 20 7540 2976. E-mail address: [email protected] (S. Priebe).
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Abstract

Objective

This study aimed to establish whether psychiatric patients’ subjective initial response (SIR) to hospital and day hospital treatment predicts outcomes over a one-year follow-up period.

Method

We analysed data from 765 patients who were randomised to acute psychiatric treatment in a hospital or day hospital. SIR was assessed on day 3 after admission. Outcomes were psychiatric symptom levels and social disability at discharge, and at 3 and 12 months after discharge.

Results

After controlling for socio-demographic and clinical characteristics, a more positive SIR was significantly associated with lower symptom levels at discharge and 3 months after discharge and lower social disability at 3 months and 12 months after discharge.

Conclusion

SIR can predict outcomes of complex interventions over a one-year period. Patients’ initial views of acute hospital and day treatment should be elicited and considered as important.

Keywords

Psychiatry in EuropeSocial and cross-cultural psychiatrySubjective initial response
Type
Original article
Information
European Psychiatry , Volume 26 , Issue 7 , October 2011 , pp. 408 - 413
Copyright
Copyright © European Psychiatric Association 2010

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