Marie-Elena Neustädter1,2, Kristina Adorjan3, Nadja Kistner3, Mirjam Glaser3, Ira Hummel3, Sebastian von Saldern3, Ulrich Palm3, Sandra Dehning4, Oliver Pogarell5, Susanne Karch5. 1. Klinik für Psychiatrie und Psychotherapie der Universität München, München, Deutschland. Marie.Neustaedter@med.uni-muenchen.de. 2. Abteilung für Klinische Psychologie und Psychophysiologie, Klinik für Psychiatrie und Psychotherapie der Universität München, Nußbaumstraße 7, 80336, München, Deutschland. Marie.Neustaedter@med.uni-muenchen.de. 3. Klinik für Psychiatrie und Psychotherapie der Universität München, München, Deutschland. 4. Klinik und Poliklinik für Kinder- und Jugendpsychiatrie, Psychosomatik und Psychotherapie der Universität München, München, Deutschland. 5. Klinik für Psychiatrie und Psychotherapie, Klinikum der Universität München, München, Deutschland.
Abstract
BACKGROUND: In the day clinic of the Department of Psychiatry and Psychotherapy of the LMU Munich, a multimodal therapy concept is offered. The goals of treatment are, in addition to the reduction of symptoms, an expansion of everyday life skills and the professional and social reintegration of patients. METHOD: The effectiveness of the therapeutic work was evaluated over a period of just under 3 years. Both the therapist and the patients themselves assessed the success of the treatment. RESULTS: Subjective measures: The affective (BDI: 17.45 at the beginning vs. 9.38 at the end) and the anxiety symptoms (STAI: 49.51 at the beginning vs. 42.11 at the end) decreased. The quality of life (WHOQOL-Bref: 40.96 at the beginning vs. 62.50 at the end) increased. Performance (COPM: 3.81 at start vs. 6.91 at end) and satisfaction with it (COPM: 3.48 at start vs. 7.08 at end) improved. Physician's judgment: The global assessment of functioning (GAF: start of therapy 54.91 vs. end of therapy 68.14) and the clinical global impression (CGI: start of therapy 4.48 vs. treatment end 3.03) showed an improvement. All results were significant. CONCLUSION: The day clinic's treatment concept seems to work comprehensively, both in patients with depressive disorder and in patients with schizophrenic disease.
BACKGROUND: In the day clinic of the Department of Psychiatry and Psychotherapy of the LMU Munich, a multimodal therapy concept is offered. The goals of treatment are, in addition to the reduction of symptoms, an expansion of everyday life skills and the professional and social reintegration of patients. METHOD: The effectiveness of the therapeutic work was evaluated over a period of just under 3 years. Both the therapist and the patients themselves assessed the success of the treatment. RESULTS: Subjective measures: The affective (BDI: 17.45 at the beginning vs. 9.38 at the end) and the anxiety symptoms (STAI: 49.51 at the beginning vs. 42.11 at the end) decreased. The quality of life (WHOQOL-Bref: 40.96 at the beginning vs. 62.50 at the end) increased. Performance (COPM: 3.81 at start vs. 6.91 at end) and satisfaction with it (COPM: 3.48 at start vs. 7.08 at end) improved. Physician's judgment: The global assessment of functioning (GAF: start of therapy 54.91 vs. end of therapy 68.14) and the clinical global impression (CGI: start of therapy 4.48 vs. treatment end 3.03) showed an improvement. All results were significant. CONCLUSION: The day clinic's treatment concept seems to work comprehensively, both in patients with depressive disorder and in patients with schizophrenic disease.
Entities:
Keywords:
day clinic; depressive disorder; quality of life; subjective well-being
Authors: Kristina Adorjan; Oliver Pogarell; Lisa Pröbstl; Mike Rüb; Hauke Felix Wiegand; Oliver Tüscher; Klaus Lieb; Michael Wassiliwizky; Gabriel Gerlinger; Andreas Heinz; Peter Falkai Journal: Nervenarzt Date: 2021-05-18 Impact factor: 1.214