Feedback-informed treatment in emergency psychiatry; a randomised controlled trial

Autor: Robert A. Schoevers, Jaap Peen, Flip Jan van Oenen, Jack Dekker, Irene Visch, Suzy Schipper, Rien Van
Přispěvatelé: Interdisciplinary Centre Psychopathology and Emotion regulation (ICPE), Perceptual and Cognitive Neuroscience (PCN), Clinical Cognitive Neuropsychiatry Research Program (CCNP)
Jazyk: angličtina
Předmět:
Adult
Male
Research design
050103 clinical psychology
medicine.medical_specialty
Efficacy
medicine.medical_treatment
Crisis intervention
CLINICAL SUPPORT TOOLS
law.invention
03 medical and health sciences
0302 clinical medicine
Randomized controlled trial
law
CLIENT FEEDBACK
TREATMENT FAILURE
PSYCHOTHERAPY
Humans
Medicine
0501 psychology and cognitive sciences
Randomised controlled trial
RISK
OUTCOMES
Emergency Services
Psychiatric
business.industry
Mental Disorders
Outcome monitoring
05 social sciences
PATIENT PROGRESS INFORMATION
Repeated measures design
Biofeedback
Psychology
Middle Aged
CARE
Mental health
030227 psychiatry
Distress
Psychiatry and Mental health
Mental Health
Research Design
Physical therapy
Patient feedback
Female
Emergency psychiatry
THERAPISTS
business
Psychosocial
SYSTEM
Research Article
Zdroj: BMC Psychiatry, 16:110. BMC
BMC Psychiatry
ISSN: 1471-244X
DOI: 10.1186/s12888-016-0811-z
Popis: Background Immediate patient feedback has been shown to improve outcomes for patients in mild distress but it is unclear whether psychiatric patients in severe distress benefit equally from feedback. This study investigates the efficacy of an immediate feedback instrument in the treatment of patients with acute and severe psychosocial or psychiatric problems referred in the middle of a crisis. Methods A naturalistic mixed diagnosis sample of patients (N = 370) at a Psychiatric Emergency Centre was randomised to a Treatment-as-Usual (TAU) or a Feedback (FB) condition. In the FB condition, feedback on patient progress was provided on a session-by-session basis to both therapists and patients. Outcomes of the two treatment conditions were compared using repeated measures MANCOVA, Last Observation Carried Forward and multilevel analysis. Results After 3 months, symptom improvement in FB (ES 0.60) did not significantly differ from TAU (ES 0.71) (p = 0.505). After 6 weeks, FB patients (ES 0.31) actually improved less than TAU patients (0.56) (p = 0.019). Conclusions Patients with psychiatric problems and severe distress seeking emergency psychiatric help did not benefit from direct feedback. Trial registration Dutch Trial Register, NTR3168, date of registration 1-9-2009 Electronic supplementary material The online version of this article (doi:10.1186/s12888-016-0811-z) contains supplementary material, which is available to authorized users.
Databáze: OpenAIRE
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