The effectiveness of psychodynamic/psychological, psychopharmacological and combination treatment in a routine psychiatric outpatient setting in Sweden.
Publikation/Tidskrift/Serie: Oral presentation at the, 39th Annual meeting, Barcelona, Spain. Society for Psychotherapy Research.
Dokumenttyp: Konferensbidrag: abstract
Ytterligare information: Background: Most outcome studies regarding psychological or psychopharmacological treatment are efficacy studies (RCT) with highly selected diagnostic patient samples and skilled expert therapists. Conversely, this study compared the effectiveness of psychological, psychopharmacological and combination treatment in a natural, routine psychiatric outpatient unit where the treatment the patient received was determined by normal routines at the unit and performed by a variety of staff, representative of a routine psychiatric outpatient unit. Method: Newly admitted patients were diagnosed according to the ICD-10 and completed questionnaires regarding symptoms (BSI) and interpersonal problems (IIP) at the beginning and termination of their treatment. The time for the latest follow-up was set to 18 months. Results: The results showed that the patients improved substantially and there was a significant treatment effect for all treatment conditions in almost all outcome variables. Further, all three treatment forms were equally efficacious, no indication of any differential effect was found. However, the combination group used significantly more treatment sessions than the other two groups where no differences were found. Conclusion: The results indicate that the patients were offered, and achieved what they required to reach a positive outcome. It was evident that the patients improved, but it was also evident that many patients still had substantial problems after the completed treatment. In a time with limited resources, it appears the treatments are determined by responsiveness and regulatory processes of both the staff and patients, and that the patients acquire what they need to accomplish a good enough level of outcome.
- combination treatment
Oral presentation at the, 39th Annual meeting, Barcelona, Spain. Society for Psychotherapy Research.