Unter welchen Bedingungen bleibt eine stationäre Depressionsbehandlung erfolglos?
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Unter welchen Bedingungen bleibt eine stationäre Depressionsbehandlung erfolglos? / Hölzel, Lars; Wolff, Alessa von; Kriston, Levente; Härter, Martin.
in: PSYCHIAT PRAX, Jahrgang 37, Nr. 1, 01.2010, S. 27-33.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Unter welchen Bedingungen bleibt eine stationäre Depressionsbehandlung erfolglos?
AU - Hölzel, Lars
AU - Wolff, Alessa von
AU - Kriston, Levente
AU - Härter, Martin
N1 - Georg Thieme Verlag KG Stuttgart, New York.
PY - 2010/1
Y1 - 2010/1
N2 - OBJECTIVE: The aim of this study was to identify predictors of non-response in inpatient depression treatment by means of routinely collected data from 10 psychiatric clinics.METHODS: Evaluation was carried out through univariate analyses first; subsequently a model was developed by means of multivariate analyses.RESULTS: About one third (31.5 %) of the 511 patients included in the study was classified as non-responder. Concerning patient level, psychic comorbidity, severity of depression symptoms and serious impairment of lifestyle as indication for hospitalisation have an impact on treatment outcome. In contrast, socio-demographic characteristics are not suitable as predictors. On the level of process characteristics, psychotherapy and patient compliance to medication enhanced the chance of profiting from inpatient treatment.CONCLUSIONS: The results can be integrated into a well interpretable model of the current inpatient depression treatment. Non-response is not yet sufficiently predictable through routine data.
AB - OBJECTIVE: The aim of this study was to identify predictors of non-response in inpatient depression treatment by means of routinely collected data from 10 psychiatric clinics.METHODS: Evaluation was carried out through univariate analyses first; subsequently a model was developed by means of multivariate analyses.RESULTS: About one third (31.5 %) of the 511 patients included in the study was classified as non-responder. Concerning patient level, psychic comorbidity, severity of depression symptoms and serious impairment of lifestyle as indication for hospitalisation have an impact on treatment outcome. In contrast, socio-demographic characteristics are not suitable as predictors. On the level of process characteristics, psychotherapy and patient compliance to medication enhanced the chance of profiting from inpatient treatment.CONCLUSIONS: The results can be integrated into a well interpretable model of the current inpatient depression treatment. Non-response is not yet sufficiently predictable through routine data.
KW - Adolescent
KW - Adult
KW - Aged
KW - Aged, 80 and over
KW - Antidepressive Agents
KW - Comorbidity
KW - Depressive Disorder, Major
KW - Disability Evaluation
KW - Female
KW - Humans
KW - Male
KW - Middle Aged
KW - Multivariate Analysis
KW - Outcome and Process Assessment (Health Care)
KW - Patient Admission
KW - Patient Compliance
KW - Personality Inventory
KW - Psychotherapy
KW - Recurrence
KW - Treatment Failure
KW - Young Adult
U2 - 10.1055/s-0029-1223348
DO - 10.1055/s-0029-1223348
M3 - SCORING: Zeitschriftenaufsatz
C2 - 19823968
VL - 37
SP - 27
EP - 33
JO - PSYCHIAT PRAX
JF - PSYCHIAT PRAX
SN - 0303-4259
IS - 1
ER -