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

Bibliographic Data

ID15519395
AuthorsLukas Weiß (0000-0002-2174-5613, Universität Ulm), Almut Zeeck (0000-0002-8593-1175, University Medical Center Freiburg), Edit Rottler (Universität Ulm), Heinz Weiß (0000-0003-4343-5525, Robert Bosch Hospital), Armin Hartmann (0000-0002-4158-6576, University Medical Center Freiburg), Jörn von Wietersheim (0000-0001-9536-4429, Universität Ulm, corresponding author)
Year2020
Volume11
Issue1
Pages31-31
Publication date2020-08-07
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Psychiatry (JOURNAL)
Journal identifiersISSN: 1664-0640 • E-ISSN: 1664-0640
PublisherFrontiers Media (PUBLISHER • CH)
DOI10.3389/fpsyt.2020.00796
OpenAlexW3047664726
LanguageEN
Citations received1
References cited24

Objective: Until now, there is only a limited number of studies on the implementation of guidelines. Consequently, it was the objective of this study to determine how many patients with a major depression after hospital treatment were treated in compliance with the German treatment guideline and whether a deviation from the guideline resulted in a less favorable development. Methods: 502 patients were included; data was collected at admission and discharge from a psychosomatic (psychotherapeutic) hospital as well as three months and one year thereafter. By phone interviews and questionnaires, the clinical course and treatments were assessed. Results: 79.1% of the treatments complied with the guideline. 11.8% 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 outcome in relation to compliance with the guideline. Cases in which the guideline was deviated had a somewhat less severe depression. Conclusion: After a treatment in a psychosomatic hospital or day hospital, the majority of depressive patients continued to receive treatment in accordance with the German guideline and with a clear focus on psychotherapy. A deviation from the guideline did not result in a less favorable course of the illness

Compliance (psychology · Depression (economics · Intensive care medicine · Physical therapy · Psychiatry · Psychotherapist · Medicine · Mental Health Treatment and Access · Psychology · Schizophrenia research and treatment · Treatment of Major Depression

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