Universität zu Köln

Mueller, H., Haag, I., Jessen, F., Kim, E. H., Klaus, J., Konkol, C. and Bechdolf, A. (2016). Cognitive Behavioral Therapy and Assertive Community Treatment Reduces Days in Hospital and Delays Hospital Admission in Severe Psychotic Disorders. Forschritte Neurol. Psychiatr., 84 (2). S. 76 - 83. STUTTGART: GEORG THIEME VERLAG KG. ISSN 1439-3522

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Abstract

The primary aim of this study was to assess the effectiveness of integrated home treatment (IV, i.e. intensive cognitive behavioral therapy and pharmacotherapy provided within a framework of assertive community treatment) in individuals with severe mental disorders (n=13) within the German healthcare system. A treatment-as-usual group (TAU, n = 13) was identified by propensity score matching. Symptoms (CGI), functioning (GAF) and service engagement (SES) were assessed. Quality of life (MSLQ-R) was rated by the IV patients. A reduction of days spent in hospital [IV: 2.3 (6.1); TAU: 33.6 (53.6); Z = 45; p = 0.044], time to admission (IV: 384 days 95% CI 309-459.1; TAU: 234.9 days 95% CI 127.2-342.5; log rank: Chi-square = 4.31, p < 0.05), severity of the illness (p < 0.01), positive symptoms (p < 0.001), and cognitive symptoms (p < 0.05), as well as functioning (p < 0.05) and service engagement (p < 0.05) was observed in IV patients. Despite differences on a descriptive level, differences in total admissions (IV: 15.3 %; TAU: 53.8%; odds ratio = 0.155, 95% CI 0.0243-1.00) were not significant. A methodological limitation is that symptom ratings were not performed by independent and blinded raters.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Mueller, H. UNSPECIFIED UNSPECIFIED UNSPECIFIED Haag, I. UNSPECIFIED UNSPECIFIED UNSPECIFIED Jessen, F. UNSPECIFIED UNSPECIFIED UNSPECIFIED Kim, E. H. UNSPECIFIED UNSPECIFIED UNSPECIFIED Klaus, J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Konkol, C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Bechdolf, A. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-285083
DOI:	10.1055/s-0042-102055
Journal or Publication Title:	Forschritte Neurol. Psychiatr.
Volume:	84
Number:	2
Page Range:	S. 76 - 83
Date:	2016
Publisher:	GEORG THIEME VERLAG KG
Place of Publication:	STUTTGART
ISSN:	1439-3522
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language SUBSTANCE USE DISORDERS; RELEASE ACCESS TRIAL; QUALITY-OF-LIFE; INTEGRATED CARE; PROPENSITY SCORE; HOME TREATMENT; STANDARD CARE; SCHIZOPHRENIA; GERMANY; METAANALYSIS Multiple languages Clinical Neurology; Psychiatry Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/28508