Cargando…

The INDDEP study: inpatient and day hospital treatment for depression – symptom course and predictors of change

BACKGROUND: Depression can be treated in an outpatient, inpatient or day hospital setting. In the German health care system, episodes of inpatient or day hospital treatment are common, but there is a lack of studies evaluating effectiveness in routine care and subgroups of patients with a good or in...

Descripción completa

Detalles Bibliográficos
Autores principales: Zeeck, Almut, Wietersheim, Joern von, Weiss, Heinz, Beutel, Manfred, Hartmann, Armin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3616996/
https://www.ncbi.nlm.nih.gov/pubmed/23531019
http://dx.doi.org/10.1186/1471-244X-13-100
_version_ 1782265202283118592
author Zeeck, Almut
Wietersheim, Joern von
Weiss, Heinz
Beutel, Manfred
Hartmann, Armin
author_facet Zeeck, Almut
Wietersheim, Joern von
Weiss, Heinz
Beutel, Manfred
Hartmann, Armin
author_sort Zeeck, Almut
collection PubMed
description BACKGROUND: Depression can be treated in an outpatient, inpatient or day hospital setting. In the German health care system, episodes of inpatient or day hospital treatment are common, but there is a lack of studies evaluating effectiveness in routine care and subgroups of patients with a good or insufficient treatment response. Our study aims at identifying prognostic and prescriptive outcome predictors as well as comparative effectiveness in psychosomatic inpatient and day hospital treatment in depression. METHODS/DESIGN: In a naturalistic study, 300 consecutive inpatient and 300 day hospital treatment episodes in seven psychosomatic hospitals in Germany will be included. Patients are assessed at four time points of measurement (admission, discharge, 3-months follow-up, 12-months follow-up) including a broad range of variables (self-report and expert ratings). First, the whole sample will be analysed to identify prognostic and prescriptive predictors of outcome (primary outcome criterion: Quick Inventory of Depressive Symptoms QIDS-total score, expert rating). Secondly, for a comparison of inpatient and day hospital treatment, samples will be matched according to known predictors of outcome. DISCUSSION: Naturalistic studies with good external validity are needed to assess treatment outcome in depression in routine care and to identify subgroups of patients with different therapeutic needs. TRIAL REGISTRATION: Current Controlled Trials ISRCTN20317064
format Online
Article
Text
id pubmed-3616996
institution National Center for Biotechnology Information
language English
publishDate 2013
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-36169962013-04-05 The INDDEP study: inpatient and day hospital treatment for depression – symptom course and predictors of change Zeeck, Almut Wietersheim, Joern von Weiss, Heinz Beutel, Manfred Hartmann, Armin BMC Psychiatry Study Protocol BACKGROUND: Depression can be treated in an outpatient, inpatient or day hospital setting. In the German health care system, episodes of inpatient or day hospital treatment are common, but there is a lack of studies evaluating effectiveness in routine care and subgroups of patients with a good or insufficient treatment response. Our study aims at identifying prognostic and prescriptive outcome predictors as well as comparative effectiveness in psychosomatic inpatient and day hospital treatment in depression. METHODS/DESIGN: In a naturalistic study, 300 consecutive inpatient and 300 day hospital treatment episodes in seven psychosomatic hospitals in Germany will be included. Patients are assessed at four time points of measurement (admission, discharge, 3-months follow-up, 12-months follow-up) including a broad range of variables (self-report and expert ratings). First, the whole sample will be analysed to identify prognostic and prescriptive predictors of outcome (primary outcome criterion: Quick Inventory of Depressive Symptoms QIDS-total score, expert rating). Secondly, for a comparison of inpatient and day hospital treatment, samples will be matched according to known predictors of outcome. DISCUSSION: Naturalistic studies with good external validity are needed to assess treatment outcome in depression in routine care and to identify subgroups of patients with different therapeutic needs. TRIAL REGISTRATION: Current Controlled Trials ISRCTN20317064 BioMed Central 2013-03-26 /pmc/articles/PMC3616996/ /pubmed/23531019 http://dx.doi.org/10.1186/1471-244X-13-100 Text en Copyright © 2013 Zeeck et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Study Protocol
Zeeck, Almut
Wietersheim, Joern von
Weiss, Heinz
Beutel, Manfred
Hartmann, Armin
The INDDEP study: inpatient and day hospital treatment for depression – symptom course and predictors of change
title The INDDEP study: inpatient and day hospital treatment for depression – symptom course and predictors of change
title_full The INDDEP study: inpatient and day hospital treatment for depression – symptom course and predictors of change
title_fullStr The INDDEP study: inpatient and day hospital treatment for depression – symptom course and predictors of change
title_full_unstemmed The INDDEP study: inpatient and day hospital treatment for depression – symptom course and predictors of change
title_short The INDDEP study: inpatient and day hospital treatment for depression – symptom course and predictors of change
title_sort inddep study: inpatient and day hospital treatment for depression – symptom course and predictors of change
topic Study Protocol
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3616996/
https://www.ncbi.nlm.nih.gov/pubmed/23531019
http://dx.doi.org/10.1186/1471-244X-13-100
work_keys_str_mv AT zeeckalmut theinddepstudyinpatientanddayhospitaltreatmentfordepressionsymptomcourseandpredictorsofchange
AT wietersheimjoernvon theinddepstudyinpatientanddayhospitaltreatmentfordepressionsymptomcourseandpredictorsofchange
AT weissheinz theinddepstudyinpatientanddayhospitaltreatmentfordepressionsymptomcourseandpredictorsofchange
AT beutelmanfred theinddepstudyinpatientanddayhospitaltreatmentfordepressionsymptomcourseandpredictorsofchange
AT hartmannarmin theinddepstudyinpatientanddayhospitaltreatmentfordepressionsymptomcourseandpredictorsofchange
AT zeeckalmut inddepstudyinpatientanddayhospitaltreatmentfordepressionsymptomcourseandpredictorsofchange
AT wietersheimjoernvon inddepstudyinpatientanddayhospitaltreatmentfordepressionsymptomcourseandpredictorsofchange
AT weissheinz inddepstudyinpatientanddayhospitaltreatmentfordepressionsymptomcourseandpredictorsofchange
AT beutelmanfred inddepstudyinpatientanddayhospitaltreatmentfordepressionsymptomcourseandpredictorsofchange
AT hartmannarmin inddepstudyinpatientanddayhospitaltreatmentfordepressionsymptomcourseandpredictorsofchange