Unter welchen Bedingungen bleibt eine stationäre Depressionsbehandlung erfolglos?

Standard

Unter welchen Bedingungen bleibt eine stationäre Depressionsbehandlung erfolglos? / Hölzel, Lars; Wolff, Alessa von; Kriston, Levente; Härter, Martin.

In: PSYCHIAT PRAX, Vol. 37, No. 1, 01.2010, p. 27-33.

Research output: SCORING: Contribution to journalSCORING: Journal articleResearchpeer-review

Harvard

APA

Vancouver

Bibtex

@article{42113ac24ae44e5ba232a11ad8e16dcd,
title = "Unter welchen Bedingungen bleibt eine station{\"a}re Depressionsbehandlung erfolglos?",
abstract = "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.",
keywords = "Adolescent, Adult, Aged, Aged, 80 and over, Antidepressive Agents, Comorbidity, Depressive Disorder, Major, Disability Evaluation, Female, Humans, Male, Middle Aged, Multivariate Analysis, Outcome and Process Assessment (Health Care), Patient Admission, Patient Compliance, Personality Inventory, Psychotherapy, Recurrence, Treatment Failure, Young Adult",
author = "Lars H{\"o}lzel and Wolff, {Alessa von} and Levente Kriston and Martin H{\"a}rter",
note = "Georg Thieme Verlag KG Stuttgart, New York.",
year = "2010",
month = jan,
doi = "10.1055/s-0029-1223348",
language = "Deutsch",
volume = "37",
pages = "27--33",
journal = "PSYCHIAT PRAX",
issn = "0303-4259",
publisher = "Georg Thieme Verlag KG",
number = "1",

}

RIS

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 -