Beneficial effect of brief intensive cognitive behavioural therapy-based psychiatric aftercare for early discharged non-psychotic patients

TY - JOUR

T1 - Beneficial effect of brief intensive cognitive behavioural therapy-based psychiatric aftercare for early discharged non-psychotic patients

AU - Arnfred, Sidse Marie

AU - Nilsson, Maria

AU - Larsen, Jens Knud

PY - 2013/3

Y1 - 2013/3

N2 - INTRODUCTION: In Denmark, following psychiatric emer gency admission, patients with depression, anxiety or per sonality disorders are discharged as early as possible due to pressure on psychiatric beds. However, the receiving out patient units frequently have waiting time. The design of a brief, cognitivebased psychiatric aftercare service and the early treatment results are presented. MATERIAL AND METHODS: This was a descriptive study of symptom levels before and after the individual therapy part of a new aftercare programme. The initial new intensive aftercare consisted of psychiatric consultations, telephone outreach and individual cognitive behavioural therapy based therapy twice a week, in total five times. Focus was on collaborative goal setting and nextofkin participation. Selfratings (WHO5 WellBeing Scale (WHO5); Becks De pression InventoryII (BDI)) were obtained at the first day and at end of individual therapy. RESULTS: The selfratings at discharge showed a high BDI rating in the patient sample (mean = 32.0 (standard devi ation (SD): 11.9, n = 105)), and much lower wellbeing at discharge than previously seen in a comparable Danish set ting (mean WHO5 at onset = 5.6 (SD: 4.8, n = 102)). Ratings improved by the end of the individual therapy (i.e. WHO5 = 8.3 (SD: 5.6; n = 102); BDI = 26.1 (SD: 12.3; n = 105)). CONCLUSION: Symptom reduction was evident in the first period after discharge, and the patients were satisfied with the contents and format of the service. However, the re sults are preliminary as we lack data from a comparable pa tient group receiving no treatment or treatment as usual. FUNDING: not relevant. TRIAL REGISTRATION: Danish Data Protection Agency, The Capital Region 2007-58-0015.

AB - INTRODUCTION: In Denmark, following psychiatric emer gency admission, patients with depression, anxiety or per sonality disorders are discharged as early as possible due to pressure on psychiatric beds. However, the receiving out patient units frequently have waiting time. The design of a brief, cognitivebased psychiatric aftercare service and the early treatment results are presented. MATERIAL AND METHODS: This was a descriptive study of symptom levels before and after the individual therapy part of a new aftercare programme. The initial new intensive aftercare consisted of psychiatric consultations, telephone outreach and individual cognitive behavioural therapy based therapy twice a week, in total five times. Focus was on collaborative goal setting and nextofkin participation. Selfratings (WHO5 WellBeing Scale (WHO5); Becks De pression InventoryII (BDI)) were obtained at the first day and at end of individual therapy. RESULTS: The selfratings at discharge showed a high BDI rating in the patient sample (mean = 32.0 (standard devi ation (SD): 11.9, n = 105)), and much lower wellbeing at discharge than previously seen in a comparable Danish set ting (mean WHO5 at onset = 5.6 (SD: 4.8, n = 102)). Ratings improved by the end of the individual therapy (i.e. WHO5 = 8.3 (SD: 5.6; n = 102); BDI = 26.1 (SD: 12.3; n = 105)). CONCLUSION: Symptom reduction was evident in the first period after discharge, and the patients were satisfied with the contents and format of the service. However, the re sults are preliminary as we lack data from a comparable pa tient group receiving no treatment or treatment as usual. FUNDING: not relevant. TRIAL REGISTRATION: Danish Data Protection Agency, The Capital Region 2007-58-0015.

M3 - Journal article

SN - 2245-1919

VL - 60

SP - 1

EP - 5

JO - Danish Medical Journal

JF - Danish Medical Journal

IS - 3

M1 - A4584

ER -