Follow-Up Treatment After Inpatient Therapy of Patients With Unipolar Depression—Compliance With the Guidelines?

Erstveröffentlichung
2020-08-07Authors
Weiß, Lukas
Zeeck, Almut
Rottler, Edit
Weiß, Heinz
Hartmann, Armin
Wissenschaftlicher Artikel
Published in
Frontiers in Psychiatry ; 11 (2020). - Art.-Nr. 796. - eISSN 1664-0640
Link to original publication
https://dx.doi.org/10.3389/fpsyt.2020.00796Institutions
UKU. Klinik für Psychosomatische Medizin und PsychotherapieExternal cooperations
Universitätsklinikum FreiburgRobert-Bosch-Krankenhaus
Document version
published version (publisher's PDF)Abstract
Objective
To date, there is only a limited number of studies evaluating the implementation and effects of treatment guidelines. Therefore, this study aimed to determine how many patients diagnosed with a major depression were treated in compliance with the German treatment guideline after hospital treatment, and whether a deviation from the guideline resulted in a less favorable development.
Methods
Five hundred two patients, which originally participated in the INDDEP-study, were included. Data were collected at admission and discharge from eight different psychosomatic (psychotherapeutic) hospitals in Germany as well as 3 months and 1 year after hospital treatment. Data on depressive symptomatology were assessed by QIDS-C (clinical interviews). By phone interviews, the clinical course and the outpatient treatments were assessed. Statistical analyses compared patients who were treated in compliance with the German treatment guideline with those who were not.
Results
Seventy-nine point one percent of the outpatient treatments complied with the treatment guideline. Eleven point eight percent of the patients were treated with medication only, 60.2% with psychotherapy only, and 28.0% with a combination. There was no difference in the clinical outcome (depression) with regard to guideline compliance. Cases in which deviation from the guideline occurred (20.9%) were younger and had a less severe depressive symptomatology at admission and after hospital treatment.
Conclusion
After treatment in a psychosomatic hospital or day hospital, the majority of patients with a depressive disorder received adjacent treatment in accordance with the German guideline and with a clear focus on psychotherapy. Deviations from the guideline did not result in a less favorable course of the illness.
Clinical Trial Registration
ISRCTN20317064, retrospectively registered 31.07.2012
Publication funding
Gefördert vom Ministerium für Wissenschaft, Forschung und Kunst Baden-Württemberg
Open-Access-Förderung durch die Medizinische Fakultät der Universität Ulm
Open-Access-Förderung durch die Medizinische Fakultät der Universität Ulm
Subject headings
[GND]: Depression | Antidepressivum | Psychotherapie[MeSH]: Depressive disorder, Major | Depressive disorder, Major; Drug therapy | Antidepressive agents | Psychotherapy | Patient compliance
[Free subject headings]: major depression | treatment guideline | compliance with guideline | antidepressants
[DDC subject group]: DDC 610 / Medicine & health
Metadata
Show full item recordDOI & citation
Please use this identifier to cite or link to this item: http://dx.doi.org/10.18725/OPARU-38080
Weiß, Lukas et al. (2021): Follow-Up Treatment After Inpatient Therapy of Patients With Unipolar Depression—Compliance With the Guidelines? Open Access Repositorium der Universität Ulm und Technischen Hochschule Ulm. http://dx.doi.org/10.18725/OPARU-38080
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