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首页> 外文期刊>BMC Psychiatry >Effectiveness of inpatient versus outpatient complex treatment programs in depressive disorders: a quasi-experimental study under naturalistic conditions
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Effectiveness of inpatient versus outpatient complex treatment programs in depressive disorders: a quasi-experimental study under naturalistic conditions

机译：住院患者与门诊复杂治疗方案在抑郁症中的有效性：自然条件下的准实验研究

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BACKGROUND:Due to long waiting periods for outpatient psychotherapy and the high resource requirements of inpatient treatment, there is a need for alternative treatment programs for patients with depressive disorders. Thus, we investigated the effectiveness of the "Bielefeld Outpatient Intensive Treatment Program of Depression" (BID) in comparison with a typical inpatient treatment program by using a prospective quasi-experimental observational study. We assumed (i) that both complex programs are effective in pre-post analyses after 6 weeks and (ii) that inpatient treatment is more effective compared with the outpatient program.METHODS:Four hundred patients with depressive psychopathology - a majority with depressive episodes (ICD-10 F3X) - took part in the BID and 193 in the inpatient program. Different self- (i.e., BDI) and expert measures (i.e., MADRS) of psychopathology at baseline (t1) and 6 weeks later (t2) were applied to examine treatment effects.RESULTS:Treatment effects were high in separate analyses of both groups with Cohen's d ranging from 1.10 to 1.76., while ANOVA comparative analyses did not reveal any significant differences between both treatment settings nor did a set of independent covariates analyzed here. Response rates of BDI (p?=?.002) and MADRS (p?=?.001) were higher in the outpatient group. Results indicate BID not to be inferior compared to an inpatient program, although diverging pathways to treatment, higher rates of clinical recurrent depressive disorders and severe episodes as well as lower rates of employment and partnership in the inpatient treatment group have to be considered.CONCLUSION:Outpatient intensive treatment programs may represent a solution for patients needing more than a treatment session once per week but less than a complex inpatient or day clinic program.
机译：背景：由于门诊心理治疗的漫长等待时间和住院治疗的高资源要求，需要对抑郁症患者进行替代治疗方案。因此，我们通过使用预期准实验性观察研究，调查了与典型的住院治疗计划相比，“Bielefeld门诊密集型治疗计划”（BID）的有效性与典型的内实验性观察研究相比。我们假设（i）两种复杂的程序在6周和（ii）与门诊计划相比，住院治疗比较术后的预先分析。 ICD-10 F3x） - 参加了住院计划的投标和193。应用基线（T1）和6周后精神病理学的不同的自我（即，Madrs）（T2）进行检查治疗效果。结果：治疗效果在两组的单独分析中均高科恩的D从1.10到1.76。，而Anova比较分析没有透露治疗环境之间的任何显着差异，也没有在此分析一组独立的协变量。在门诊基团中，BDI（P？= 002）和MADRS（P？=Δ.001）的响应率较高。结果表明，与住院计划相比，差价与住院计划相比，虽然治疗途径，临床复发性抑郁症和严重事件的发散率较高，但必须考虑在内部治疗组中的较低的就业率和伙伴关系。结论：门诊密集型治疗计划可以代表每周一次需要超过治疗会议但不到复杂的住院病人或日诊所计划的患者的解决方案。

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