More than one way to change: a study of course heterogeneity during and after short-term psychiatric in-patient treatment |
| |
Authors: | Gude T Havik O E |
| |
Institution: | Department of Behavioural Sciences in Medicine, University of Oslo, Norway,;Research Institute, Modum Bads Nervesanatorium, Norway,;Department of Clinical Psychology, University of Bergen, Norway |
| |
Abstract: | This study describes differences in course and outcome, defined by GSI (SCL-90) at admission, discharge, and one‐year follow‐up, in 458 patients receiving in‐patient treatment for long‐standing symptom and/or personality disorders. A K-mean cluster analysis identified seven subgroups of patients, representing four clinical distinct, meaningful patterns of change: early improvement, late improvement, relapsing after discharge, and a severe chronic course. Main findings: the subgroups had unique correlates among socio-demographic, diagnostic, and treatment-related characteristics. One of the relapsing groups had a high rate of Cluster C personality disorders, whereas the other had low participation in the anxiety programme. The group with severe chronic course showed occupational maladjustment and high number of both Axis I and II disorders. Implications: anxiety patients should participate in anxiety-treatment programmes, Cluster C patients should be followed and monitored for relapse, and severe chronic patients should be offered specialised treatment for their co‐existing substance abuse and/or eating disorders. |
| |
Keywords: | Cluster analysis disease course anxiety disorders personality disorders prognostic factors |
本文献已被 PubMed 等数据库收录! |
|