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Psychotherapy for Chronic In- and Outpatients with Common Mental Disorders: The "Choose Change" Effectiveness Trial.
JournalArticle (Originalarbeit in einer wissenschaftlichen Zeitschrift) |
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ID |
4665118 |
Author(s) |
Gloster, Andrew T; Haller, Elisa; Villanueva, Jeanette; Block, Victoria; Benoy, Charles; Meyer, Andrea H; Brogli, Sandra; Kuhweide, Veronika; Karekla, Maria; Bader, Klaus; Walter, Marc; Lang, Undine |
Author(s) at UniBasel |
Meyer, Andrea Hans
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Year |
2023 |
Title |
Psychotherapy for Chronic In- and Outpatients with Common Mental Disorders: The "Choose Change" Effectiveness Trial. |
Journal |
Psychotherapy and psychosomatics |
Pages / Article-Number |
1-9 |
Keywords |
Anxiety and depression; Effectiveness; Routine care; Transdiagnostic; Treatment non-response |
Abstract |
Treatment non-response occurs regularly, but psychotherapy is seldom examined for such patients. Existing studies targeted single diagnoses, were relatively small, and paid little attention to treatment under real-world conditions.; The Choose Change trial tested whether psychotherapy was effective in treating chronic patients with treatment non-response in a transdiagnostic sample of common mental disorders across two variants of treatment delivery (inpatient and outpatient).; The controlled nonrandomized effectiveness trial was conducted between May 2016 and May 2021. The study took place in two psychiatric clinics with N = 200 patients (n = 108 inpatients and n = 92 outpatients). Treatment variants were integrated inpatient care versus outpatient care based on acceptance and commitment therapy (ACT) for approximately 12 weeks. Therapists delivered individualized and non-manualized ACT. Main outcome measures were symptoms (Brief Symptom Checklist [BSCL]); well-being (Mental Health Continuum-Short Form [MHC-SF]), and functioning (WHO Disability Assessment Schedule [WHO-DAS]).; Both inpatients and outpatients showed decreases in symptomatology (i.e., BSCL: d = 0.68) and increases in well-being and functioning (MHC-SF: d = 0.60 and WHO-DAS: d = 0.70), with more improvement in the inpatients during treatment. Both groups maintained gains 1 year following treatment, and the groups did not significantly differ from each other at this timepoint. Psychological flexibility moderated impact of stress on outcomes.; Psychotherapy as practiced under routine conditions is effective for a sample of patients with common mental disorders, a long history of treatment experience and burden of disease, in both inpatient and outpatient settings.; This study was registered in the ISRCTN registry on May 20, 2016, with the registration number ISRCTN11209732. |
ISSN/ISBN |
1423-0348 |
Full Text on edoc |
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Digital Object Identifier DOI |
10.1159/000529411 |
PubMed ID |
http://www.ncbi.nlm.nih.gov/pubmed/37023742 |
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02/05/2024
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