Show simple item record

AuthorWeiß, Lukasdc.contributor.author
AuthorZeeck, Almutdc.contributor.author
AuthorRottler, Editdc.contributor.author
AuthorWeiß, Heinzdc.contributor.author
AuthorHartmann, Armindc.contributor.author
Authorvon Wietersheim, Jörndc.contributor.author
Date of accession2021-06-29T06:36:28Zdc.date.accessioned
Available in OPARU since2021-06-29T06:36:28Zdc.date.available
Date of first publication2020-08-07dc.date.issued
AbstractObjective 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 31.07.2012dc.description.abstract
Languageendc.language.iso
PublisherUniversität Ulmdc.publisher
LicenseCC BY 4.0 Internationaldc.rights
Link to license texthttps://creativecommons.org/licenses/by/4.0/dc.rights.uri
Keywordmajor depressiondc.subject
Keywordtreatment guidelinedc.subject
Keywordcompliance with guidelinedc.subject
Keywordantidepressantsdc.subject
Dewey Decimal GroupDDC 610 / Medicine & healthdc.subject.ddc
MeSHDepressive disorder, Majordc.subject.mesh
MeSHDepressive disorder, Major; Drug therapydc.subject.mesh
MeSHAntidepressive agentsdc.subject.mesh
MeSHPsychotherapydc.subject.mesh
MeSHPatient compliancedc.subject.mesh
TitleFollow-Up Treatment After Inpatient Therapy of Patients With Unipolar Depression—Compliance With the Guidelines?dc.title
Resource typeWissenschaftlicher Artikeldc.type
SWORD Date2020-12-09T19:37:54Zdc.date.updated
VersionpublishedVersiondc.description.version
DOIhttp://dx.doi.org/10.18725/OPARU-38080dc.identifier.doi
URNhttp://nbn-resolving.de/urn:nbn:de:bsz:289-oparu-38142-8dc.identifier.urn
GNDDepressiondc.subject.gnd
GNDAntidepressivumdc.subject.gnd
GNDPsychotherapiedc.subject.gnd
InstitutionUKU. Klinik für Psychosomatische Medizin und Psychotherapieuulm.affiliationSpecific
Peer reviewjauulm.peerReview
DCMI TypeTextuulm.typeDCMI
DCMI TypeStillImageuulm.typeDCMI
CategoryPublikationenuulm.category
In cooperation withUniversitätsklinikum Freiburguulm.cooperation
In cooperation withRobert-Bosch-Krankenhausuulm.cooperation
DOI of original publication10.3389/fpsyt.2020.00796dc.relation1.doi
Source - Title of sourceFrontiers in Psychiatrysource.title
Source - Place of publicationFrontiers Mediasource.publisher
Source - Volume11source.volume
Source - Year2020source.year
Source - Article number796source.articleNumber
Source - eISSN1664-0640source.identifier.eissn
FundingINDEEP / Heidehofstiftung GmbH [59055.02.1-4]uulm.funding
FundingGefördert vom Ministerium für Wissenschaft, Forschung und Kunst Baden-Württemberguulm.funding
Bibliographyuulmuulm.bibliographie


Files in this item

Thumbnail

This item appears in the following Collection(s)

Show simple item record