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Is duration of psychological treatment for depression related to return into treatment?

PURPOSE: There is increasing pressure on mental health providers to reduce the duration of treatments, while retaining level of quality and effectiveness. The risk is that the population is underserved and therefore needs new treatment episodes. The primary aim of this study was to investigate wheth...

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Autores principales: Boerema, A. M., Cuijpers, P., Beekman, A. T. F., Hellenthal, A., Voorrips, L., van Straten, A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5101270/
https://www.ncbi.nlm.nih.gov/pubmed/27448572
http://dx.doi.org/10.1007/s00127-016-1267-7
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author Boerema, A. M.
Cuijpers, P.
Beekman, A. T. F.
Hellenthal, A.
Voorrips, L.
van Straten, A.
author_facet Boerema, A. M.
Cuijpers, P.
Beekman, A. T. F.
Hellenthal, A.
Voorrips, L.
van Straten, A.
author_sort Boerema, A. M.
collection PubMed
description PURPOSE: There is increasing pressure on mental health providers to reduce the duration of treatments, while retaining level of quality and effectiveness. The risk is that the population is underserved and therefore needs new treatment episodes. The primary aim of this study was to investigate whether duration of treatment and return into mental health care were related. METHODS: This study examined Dutch patients with an initial treatment episode in 2009 or 2010 in specialized mental health settings for depressive disorder (N = 85,754). Follow-up data about treatment episodes were available up until 2013. The data set included demographic (age, gender), and clinical factors (comorbidity with other DSM-IV Axis; scores on the ‘Global Assessment of Functioning’). Cox regression analyses were used to assess whether duration of treatment and relapse into mental health care were related. RESULTS: The majority of patients did not return into mental health care (86 %). Patients with a shorter duration of treatment (5–250 min; 251–500 min and 751–1000 min) were slightly more likely to return (reference group: >1000 min) (HR 1.19 95 % CI 1.13–1.26; HR 1.11 95 % CI 1.06–1.17; HR 1.18 95 % CI 1.11–1.25), adjusted for demographic and clinical variables. CONCLUSIONS: The results suggest that a longer duration of treatment may prevent return into mental health care in some groups. However, because of the design of the study, no causal inference can be drawn. Further research, preferably in a RCT, is needed to determine whether the trend towards lower intensity treatments is associated with repeated mental health care use.
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spelling pubmed-51012702016-11-21 Is duration of psychological treatment for depression related to return into treatment? Boerema, A. M. Cuijpers, P. Beekman, A. T. F. Hellenthal, A. Voorrips, L. van Straten, A. Soc Psychiatry Psychiatr Epidemiol Original Paper PURPOSE: There is increasing pressure on mental health providers to reduce the duration of treatments, while retaining level of quality and effectiveness. The risk is that the population is underserved and therefore needs new treatment episodes. The primary aim of this study was to investigate whether duration of treatment and return into mental health care were related. METHODS: This study examined Dutch patients with an initial treatment episode in 2009 or 2010 in specialized mental health settings for depressive disorder (N = 85,754). Follow-up data about treatment episodes were available up until 2013. The data set included demographic (age, gender), and clinical factors (comorbidity with other DSM-IV Axis; scores on the ‘Global Assessment of Functioning’). Cox regression analyses were used to assess whether duration of treatment and relapse into mental health care were related. RESULTS: The majority of patients did not return into mental health care (86 %). Patients with a shorter duration of treatment (5–250 min; 251–500 min and 751–1000 min) were slightly more likely to return (reference group: >1000 min) (HR 1.19 95 % CI 1.13–1.26; HR 1.11 95 % CI 1.06–1.17; HR 1.18 95 % CI 1.11–1.25), adjusted for demographic and clinical variables. CONCLUSIONS: The results suggest that a longer duration of treatment may prevent return into mental health care in some groups. However, because of the design of the study, no causal inference can be drawn. Further research, preferably in a RCT, is needed to determine whether the trend towards lower intensity treatments is associated with repeated mental health care use. Springer Berlin Heidelberg 2016-07-23 2016 /pmc/articles/PMC5101270/ /pubmed/27448572 http://dx.doi.org/10.1007/s00127-016-1267-7 Text en © The Author(s) 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Original Paper
Boerema, A. M.
Cuijpers, P.
Beekman, A. T. F.
Hellenthal, A.
Voorrips, L.
van Straten, A.
Is duration of psychological treatment for depression related to return into treatment?
title Is duration of psychological treatment for depression related to return into treatment?
title_full Is duration of psychological treatment for depression related to return into treatment?
title_fullStr Is duration of psychological treatment for depression related to return into treatment?
title_full_unstemmed Is duration of psychological treatment for depression related to return into treatment?
title_short Is duration of psychological treatment for depression related to return into treatment?
title_sort is duration of psychological treatment for depression related to return into treatment?
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5101270/
https://www.ncbi.nlm.nih.gov/pubmed/27448572
http://dx.doi.org/10.1007/s00127-016-1267-7
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