Title: Factors influencing patients’ recovery and the efficacy of a psychosocial post-discharge intervention : post hoc analysis of a randomized controlled trial
Authors : Hengartner, Michael Pascal
Passalacqua, Silvia
Heim, Gisela
Andreae, Andreas
Rössler, Wulf
von Wyl, Agnes
Published in : Social Psychiatry and Psychiatric Epidemiology
Volume(Issue) : 51
Issue : 12
Pages : 1667
Pages to: 1677
Publisher / Ed. Institution : Springer Medizin
Issue Date: Dec-2016
Language : Englisch / English
Subject (DDC) : 362: Gesundheits- und Sozialdienste
616.89: Psychische Störungen, klinische Psychologie, Psychiatrie
Abstract: Purpose: The aim of this post hoc analysis was to examine self-reported recovery following a post-discharge intervention and to focus on the moderators of this intervention programme. Methods: RCT using parallel group block randomisation, including 151 patients with ≤3 hospitalisations within the last 3 years, a GAF score ≤60, and aged 18–64 years, assessed at two psychiatric hospitals from Zurich, Switzerland, between September 2011 and February 2014. In the present study, the main outcome was the OQ-45 as assessed prior to discharge from the index hospitalisation and at 12-month follow-up. Participants received either the post-discharge intervention provided by a social worker or treatment as usual (TAU). Results: Patients in the intervention group showed substantially less recovery over the 12-month observation period than controls (d = 0.44). In the TAU group, 15.6 % remained clinically impaired at 12-month follow-up as opposed to 48.1 % in the intervention group (p = 0.001). Among participants in the intervention group, an interdisciplinary meeting of significant network members was associated with less recovery (d = 0.46). Involuntary index admission (d = 0.42) and high educational degree (d = 0.52) were significant moderators of the intervention. Both factors related to less recovery over time in the intervention group relative to TAU. Conclusions: According to the OQ-45, this psychosocial post-discharge intervention revealed an unintended negative effect on self-reported recovery over time. Specifically, the meeting of significant network members related to a moderate deteriorating effect, suggesting that the involvement of some carers, relatives, or friends may cause harm to the patient. Considering with reservation pending replication, these findings could have important implications for brief interventions targeted at patients’ social networks.
Departement: Angewandte Psychologie
Publication type: Beitrag in wissenschaftlicher Zeitschrift / Article in scientific Journal
DOI : 10.1007/s00127-016-1282-8
ISSN: 0933-7954
URI: https://digitalcollection.zhaw.ch/handle/11475/2258
Appears in Collections:Publikationen Angewandte Psychologie

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