Psychotherapy in a Day Clinic: Results of a 1.5 Year Follow-Up

Psychotherapy in a Day Clinic: Results of a 1.5 Year Follow-Up Objective: In a prospective, naturalistic 1.5 year follow-up study of N = 114 consecutively admitted day clinic patients efficacy of the program and predictors of outcome are evaluated. Methods: Patients had severe neurotic disturbances and personality disorders. Interviews and questionnaires (SCL-90-R, EDI) were used for evaluation at admission, discharge and follow-up. Results: From 79.8% of the patients information could be obtained. In the main diagnostic categories between 30 to 50% of the patients showed complete remissions at follow-up. Patients at least kept improvements at follow-up. The rating of the “transition phase” after discharge was predictive for outcome. The group of patients that rated this phase as difficult showed higher levels of psychopathology at admission. Conclusions: It is possible to treat severely disturbed patients in a psychotherapeutic day clinic with good and lasting effects. A more disturbed group of patients needs special help to cope with the transition into the outpatient situation. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Psychiatric Quarterly Springer Journals

Psychotherapy in a Day Clinic: Results of a 1.5 Year Follow-Up

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Publisher
Kluwer Academic Publishers-Plenum Publishers
Copyright
Copyright © 2005 by Springer Science+Business Media, Inc.
Subject
Medicine & Public Health; Psychiatry; Public Health; Sociology, general
ISSN
0033-2720
eISSN
1573-6709
D.O.I.
10.1007/s11089-005-5577-z
Publisher site
See Article on Publisher Site

Abstract

Objective: In a prospective, naturalistic 1.5 year follow-up study of N = 114 consecutively admitted day clinic patients efficacy of the program and predictors of outcome are evaluated. Methods: Patients had severe neurotic disturbances and personality disorders. Interviews and questionnaires (SCL-90-R, EDI) were used for evaluation at admission, discharge and follow-up. Results: From 79.8% of the patients information could be obtained. In the main diagnostic categories between 30 to 50% of the patients showed complete remissions at follow-up. Patients at least kept improvements at follow-up. The rating of the “transition phase” after discharge was predictive for outcome. The group of patients that rated this phase as difficult showed higher levels of psychopathology at admission. Conclusions: It is possible to treat severely disturbed patients in a psychotherapeutic day clinic with good and lasting effects. A more disturbed group of patients needs special help to cope with the transition into the outpatient situation.

Journal

Psychiatric QuarterlySpringer Journals

Published: Jan 1, 2005

References

  • Day clinic or inpatient care for severe bulimia nervosa?
    Zeeck, A; Herzog, T; Hartmann, A
  • Evaluation of a day treatment programme for eating disorders
    Gerlinghoff, M; Backmund, H; Franzen, U

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