Efficacy of Aftercare Services for People With Severe Mental Disorders in Iran: A Randomized Controlled Trial
Objectives:This study aimed to determine whether aftercare services reduced the number of rehospitalizations and length of hospital stay among patients with severe mental disorders.Methods:A total of 120 patients with schizophrenia and schizoaffective or bipolar disorder between the ages of 15 and 6...
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| Veröffentlicht in: | Psychiatric services (Washington, D.C.) D.C.), 2015-04, Vol.66 (4), p.373-380 |
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| creator | Ghadiri Vasfi, Mohammad Moradi-Lakeh, Maziar Esmaeili, Nazanin Soleimani, Naser Hajebi, Ahmad |
| description | Objectives:This study aimed to determine whether aftercare services reduced the number of rehospitalizations and length of hospital stay among patients with severe mental disorders.Methods:A total of 120 patients with schizophrenia and schizoaffective or bipolar disorder between the ages of 15 and 65 were recruited from 2010 to 2012 for a randomized controlled trial. The participants were followed up for 20 months after discharge from a university-affiliated hospital in Tehran, Iran. The selection procedure was random sampling. Sixty patients received aftercare services, which included treatment follow-up, family psychoeducation, and patient social skills training, and 60 patients received treatment as usual. Number of hospitalizations and length of hospital stay were primary outcome measures, and severity of psychopathology and severity of illness were secondary outcome measures. The quantitative primary and secondary outcomes measures were compared by using repeated-measures analysis.Results:Three members of the control group did not complete the study. The cumulative number of hospitalizations during the follow-up period was 55 for the control group and 26 for the intervention group. Length of stay was significantly greater in the control group compared with the intervention group (rate ratio=2.38, 95% confidence interval=2.17–2.62). Psychopathology was less severe in the intervention group compared with the control group (p |
| doi_str_mv | 10.1176/appi.ps.201400111 |
| format | Article |
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The participants were followed up for 20 months after discharge from a university-affiliated hospital in Tehran, Iran. The selection procedure was random sampling. Sixty patients received aftercare services, which included treatment follow-up, family psychoeducation, and patient social skills training, and 60 patients received treatment as usual. Number of hospitalizations and length of hospital stay were primary outcome measures, and severity of psychopathology and severity of illness were secondary outcome measures. The quantitative primary and secondary outcomes measures were compared by using repeated-measures analysis.Results:Three members of the control group did not complete the study. The cumulative number of hospitalizations during the follow-up period was 55 for the control group and 26 for the intervention group. Length of stay was significantly greater in the control group compared with the intervention group (rate ratio=2.38, 95% confidence interval=2.17–2.62). Psychopathology was less severe in the intervention group compared with the control group (p<.001).Conclusions:Aftercare services are efficacious for reducing both the need for rehospitalization and the severity of psychopathology.</description><identifier>ISSN: 1075-2730</identifier><identifier>EISSN: 1557-9700</identifier><identifier>DOI: 10.1176/appi.ps.201400111</identifier><identifier>PMID: 25828982</identifier><language>eng</language><publisher>United States: American Psychiatric Association</publisher><subject>Adolescent ; Adult ; Aftercare - methods ; Aftercare - psychology ; Aftercare - statistics & numerical data ; Aged ; Bipolar Disorder - therapy ; Clinical trials ; Confidence intervals ; Female ; Follow-Up Studies ; Hospitalization ; Humans ; Intervention ; Iran ; Length of Stay - statistics & numerical data ; Male ; Mental disorders ; Middle Aged ; Patient Readmission - statistics & numerical data ; Psychotic Disorders - therapy ; Quality of Life - psychology ; Schizophrenia - therapy ; Social skills ; Treatment Outcome ; Young Adult</subject><ispartof>Psychiatric services (Washington, D.C.), 2015-04, Vol.66 (4), p.373-380</ispartof><rights>Copyright © 2015 by the American Psychiatric Association 2015</rights><rights>Copyright American Psychiatric Publishing, Inc. Apr 1, 2015</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-a368t-7899074a502db23943a73e85c9a56f4e0ac5204a68c4418861868428c4f26a903</citedby><cites>FETCH-LOGICAL-a368t-7899074a502db23943a73e85c9a56f4e0ac5204a68c4418861868428c4f26a903</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://psychiatryonline.org/doi/epdf/10.1176/appi.ps.201400111$$EPDF$$P50$$Gappi$$H</linktopdf><linktohtml>$$Uhttps://psychiatryonline.org/doi/full/10.1176/appi.ps.201400111$$EHTML$$P50$$Gappi$$H</linktohtml><link.rule.ids>314,776,780,2842,21605,21606,21607,27901,27902,77763,77768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25828982$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ghadiri Vasfi, Mohammad</creatorcontrib><creatorcontrib>Moradi-Lakeh, Maziar</creatorcontrib><creatorcontrib>Esmaeili, Nazanin</creatorcontrib><creatorcontrib>Soleimani, Naser</creatorcontrib><creatorcontrib>Hajebi, Ahmad</creatorcontrib><title>Efficacy of Aftercare Services for People With Severe Mental Disorders in Iran: A Randomized Controlled Trial</title><title>Psychiatric services (Washington, D.C.)</title><addtitle>Psychiatr Serv</addtitle><description>Objectives:This study aimed to determine whether aftercare services reduced the number of rehospitalizations and length of hospital stay among patients with severe mental disorders.Methods:A total of 120 patients with schizophrenia and schizoaffective or bipolar disorder between the ages of 15 and 65 were recruited from 2010 to 2012 for a randomized controlled trial. The participants were followed up for 20 months after discharge from a university-affiliated hospital in Tehran, Iran. The selection procedure was random sampling. Sixty patients received aftercare services, which included treatment follow-up, family psychoeducation, and patient social skills training, and 60 patients received treatment as usual. Number of hospitalizations and length of hospital stay were primary outcome measures, and severity of psychopathology and severity of illness were secondary outcome measures. The quantitative primary and secondary outcomes measures were compared by using repeated-measures analysis.Results:Three members of the control group did not complete the study. The cumulative number of hospitalizations during the follow-up period was 55 for the control group and 26 for the intervention group. Length of stay was significantly greater in the control group compared with the intervention group (rate ratio=2.38, 95% confidence interval=2.17–2.62). Psychopathology was less severe in the intervention group compared with the control group (p<.001).Conclusions:Aftercare services are efficacious for reducing both the need for rehospitalization and the severity of psychopathology.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aftercare - methods</subject><subject>Aftercare - psychology</subject><subject>Aftercare - statistics & numerical data</subject><subject>Aged</subject><subject>Bipolar Disorder - therapy</subject><subject>Clinical trials</subject><subject>Confidence intervals</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Intervention</subject><subject>Iran</subject><subject>Length of Stay - statistics & numerical data</subject><subject>Male</subject><subject>Mental disorders</subject><subject>Middle Aged</subject><subject>Patient Readmission - statistics & numerical data</subject><subject>Psychotic Disorders - therapy</subject><subject>Quality of Life - psychology</subject><subject>Schizophrenia - therapy</subject><subject>Social skills</subject><subject>Treatment Outcome</subject><subject>Young Adult</subject><issn>1075-2730</issn><issn>1557-9700</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kV9rFTEQxYNYbK1-AF8k4IsvezvJ5q9vl9taCxVFKz4uaXaCKbubNdlbaD-9aW9tQfBpZpjfORNyCHnDYMWYVkdunuNqLisOTAAwxp6RAyalbqwGeF570LLhuoV98rKUK6iMZuoF2efScGMNPyDjSQjRO39DU6DrsGD2LiP9jvk6eiw0pEy_YpoHpD_j8qsurrHuP-O0uIEex5Jyj7nQONGz7KYPdE2_ualPY7zFnm7StOQ0DLW9yNENr8hecEPB1w_1kPz4eHKx-dScfzk926zPG9cqszTaWAtaOAm8v-StFa3TLRrprZMqCATnJQfhlPFCMGMUM8oIXqfAlbPQHpL3O985p99bLEs3xuJxGNyEaVs6ppQVEqRqK_ruH_QqbfNUX1cpLYRWFlil2I7yOZWSMXRzjqPLNx2D7i6L7i6Lbi7dYxZV8_bBeXs5Yv-o-Pv5FVjtgHvt09n_Ov4Bpm6Syg</recordid><startdate>20150401</startdate><enddate>20150401</enddate><creator>Ghadiri Vasfi, Mohammad</creator><creator>Moradi-Lakeh, Maziar</creator><creator>Esmaeili, Nazanin</creator><creator>Soleimani, Naser</creator><creator>Hajebi, Ahmad</creator><general>American Psychiatric Association</general><general>American Psychiatric Publishing, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>20150401</creationdate><title>Efficacy of Aftercare Services for People With Severe Mental Disorders in Iran: A Randomized Controlled Trial</title><author>Ghadiri Vasfi, Mohammad ; Moradi-Lakeh, Maziar ; Esmaeili, Nazanin ; Soleimani, Naser ; Hajebi, Ahmad</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a368t-7899074a502db23943a73e85c9a56f4e0ac5204a68c4418861868428c4f26a903</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aftercare - methods</topic><topic>Aftercare - psychology</topic><topic>Aftercare - statistics & numerical data</topic><topic>Aged</topic><topic>Bipolar Disorder - therapy</topic><topic>Clinical trials</topic><topic>Confidence intervals</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Hospitalization</topic><topic>Humans</topic><topic>Intervention</topic><topic>Iran</topic><topic>Length of Stay - statistics & numerical data</topic><topic>Male</topic><topic>Mental disorders</topic><topic>Middle Aged</topic><topic>Patient Readmission - statistics & numerical data</topic><topic>Psychotic Disorders - therapy</topic><topic>Quality of Life - psychology</topic><topic>Schizophrenia - therapy</topic><topic>Social skills</topic><topic>Treatment Outcome</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ghadiri Vasfi, Mohammad</creatorcontrib><creatorcontrib>Moradi-Lakeh, Maziar</creatorcontrib><creatorcontrib>Esmaeili, Nazanin</creatorcontrib><creatorcontrib>Soleimani, Naser</creatorcontrib><creatorcontrib>Hajebi, Ahmad</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Psychiatric services (Washington, D.C.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ghadiri Vasfi, Mohammad</au><au>Moradi-Lakeh, Maziar</au><au>Esmaeili, Nazanin</au><au>Soleimani, Naser</au><au>Hajebi, Ahmad</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Efficacy of Aftercare Services for People With Severe Mental Disorders in Iran: A Randomized Controlled Trial</atitle><jtitle>Psychiatric services (Washington, D.C.)</jtitle><addtitle>Psychiatr Serv</addtitle><date>2015-04-01</date><risdate>2015</risdate><volume>66</volume><issue>4</issue><spage>373</spage><epage>380</epage><pages>373-380</pages><issn>1075-2730</issn><eissn>1557-9700</eissn><abstract>Objectives:This study aimed to determine whether aftercare services reduced the number of rehospitalizations and length of hospital stay among patients with severe mental disorders.Methods:A total of 120 patients with schizophrenia and schizoaffective or bipolar disorder between the ages of 15 and 65 were recruited from 2010 to 2012 for a randomized controlled trial. The participants were followed up for 20 months after discharge from a university-affiliated hospital in Tehran, Iran. The selection procedure was random sampling. Sixty patients received aftercare services, which included treatment follow-up, family psychoeducation, and patient social skills training, and 60 patients received treatment as usual. Number of hospitalizations and length of hospital stay were primary outcome measures, and severity of psychopathology and severity of illness were secondary outcome measures. The quantitative primary and secondary outcomes measures were compared by using repeated-measures analysis.Results:Three members of the control group did not complete the study. The cumulative number of hospitalizations during the follow-up period was 55 for the control group and 26 for the intervention group. Length of stay was significantly greater in the control group compared with the intervention group (rate ratio=2.38, 95% confidence interval=2.17–2.62). Psychopathology was less severe in the intervention group compared with the control group (p<.001).Conclusions:Aftercare services are efficacious for reducing both the need for rehospitalization and the severity of psychopathology.</abstract><cop>United States</cop><pub>American Psychiatric Association</pub><pmid>25828982</pmid><doi>10.1176/appi.ps.201400111</doi><tpages>8</tpages></addata></record> |
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| source | MEDLINE; American Psychiatric Publishing Journals (1997-Present); Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Adolescent Adult Aftercare - methods Aftercare - psychology Aftercare - statistics & numerical data Aged Bipolar Disorder - therapy Clinical trials Confidence intervals Female Follow-Up Studies Hospitalization Humans Intervention Iran Length of Stay - statistics & numerical data Male Mental disorders Middle Aged Patient Readmission - statistics & numerical data Psychotic Disorders - therapy Quality of Life - psychology Schizophrenia - therapy Social skills Treatment Outcome Young Adult |
| title | Efficacy of Aftercare Services for People With Severe Mental Disorders in Iran: A Randomized Controlled Trial |
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