OBJECTIVES: Are there typical patterns of outpatient psychotherapy among depressed patients? What characterizes patients with different patterns? METHODS: We examined N= 548 patients with primary depressive disorders using a naturalistic design. Using a latent-state-mixture model and depression measures at baseline, therapy end and 1-year follow-up we found a total of five patterns. Subgroups were compared with respect to sociodemographic and treatment-related variables. RESULTS: Responders with moderate depressive symptoms at baseline and responders with severe symptoms at baseline were most common (54% and 25% of the sample, respectively) compared to late responders (9 %), small-response patients (9 %) and recidivists (4 %). Patterns of change were related to symptom intensity at baseline and ratings of perceived helpfulness at the end of treatment. CONCLUSIONS: Since psychometric scales better predicted change pattern than sociodemographic characteristics, primary and secondary diagnoses, psychometric assessments and feedback systems could be a useful supplement to traditional quality assurance procedures.
OBJECTIVES: Are there typical patterns of outpatient psychotherapy among depressedpatients? What characterizes patients with different patterns? METHODS: We examined N= 548 patients with primary depressive disorders using a naturalistic design. Using a latent-state-mixture model and depression measures at baseline, therapy end and 1-year follow-up we found a total of five patterns. Subgroups were compared with respect to sociodemographic and treatment-related variables. RESULTS: Responders with moderate depressive symptoms at baseline and responders with severe symptoms at baseline were most common (54% and 25% of the sample, respectively) compared to late responders (9 %), small-response patients (9 %) and recidivists (4 %). Patterns of change were related to symptom intensity at baseline and ratings of perceived helpfulness at the end of treatment. CONCLUSIONS: Since psychometric scales better predicted change pattern than sociodemographic characteristics, primary and secondary diagnoses, psychometric assessments and feedback systems could be a useful supplement to traditional quality assurance procedures.
Entities:
Keywords:
Depression; Latent-State-Mixture Model; Outpatient Psychotherapy; Patterns of Change
Authors: Uwe Altmann; Anna Zimmermann; Helmut A Kirchmann; Dietmar Kramer; Andrea Fembacher; Ellen Bruckmayer; Irmgard Pfaffinger; Fritz von Heymann; Emma Auch; Rolf Steyer; Bernhard M Strauss Journal: Front Psychiatry Date: 2016-06-13 Impact factor: 4.157
Authors: Uwe Altmann; Désirée Thielemann; Anna Zimmermann; Andrés Steffanowski; Ellen Bruckmeier; Irmgard Pfaffinger; Andrea Fembacher; Bernhard Strauß Journal: Front Psychol Date: 2018-05-16