Patients’ subjective initial response and the outcome of inpatient and day hospital treatment

• Published in: European psychiatry Vol. 26; no. 7; pp. 408 - 413
• Main Authors: Priebe, S, Barnicot, K, McCabe, R, Kiejna, A, Nawka, P, Raboch, J, Schützwohl, M, Kallert, T
• Format: Journal Article
• Language: English
• Published: Paris Elsevier SAS 01-10-2011; Elsevier
• Subjects: Adult; Behavioral Symptoms - diagnosis; Biological and medical sciences; Day Care, Medical - standards; Disability Evaluation; Emergency Services, Psychiatric - standards; Female; Hospitalization - statistics & numerical data; Hospitals, Psychiatric - standards; Humans; Inpatients - psychology; Internal Medicine; International Classification of Diseases; Male; Medical sciences; Mental Disorders - diagnosis; Mental Disorders - therapy; Middle Aged; Outcome Assessment, Health Care - methods; Outcome Assessment, Health Care - statistics & numerical data; Patient Acceptance of Health Care - statistics & numerical data; Patient Satisfaction - statistics & numerical data; Psychiatry; Psychiatry in Europe; Psychology. Psychoanalysis. Psychiatry; Psychopathology. Psychiatry; Social Adjustment; Social and cross-cultural psychiatry; Subjective initial response; Europe; Subjective initial response; Social and cross-cultural psychiatry; Psychiatry in Europe; Human; Ethnopsychiatry; Treatment; Day hospital; Psychiatry
• ISSN: 0924-9338; 1778-3585
• DOI: 10.1016/j.eurpsy.2010.03.009

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.