Patients’ subjective initial response and the outcome of inpatient and day hospital treatment
S. Priebe a 
, K. Barnicot a, R. McCabe a, A. Kiejna b, P. Nawka c, J. Raboch d, M. Schützwohl e, T. Kallert f
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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 Europe, Social and cross-cultural psychiatry, Subjective initial response
Plan
Vol 26 - N° 7
P. 408-413 - octobre 2011 Retour au numéro
Article précédent
- Good communication in psychiatry – a conceptual review
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