Crisis intervention response and long-term outcome: A pilot study
We investigated whether process variables (therapeutic alliance and insight) measured at the termination of crisis intervention predict long-term treatment compliance and 2-year outcome. Thirty-seven consecutive depressed psychiatric patients assigned to outpatient crisis intervention (CCI) were ass...
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| Veröffentlicht in: | Comprehensive psychiatry 1992-11, Vol.33 (6), p.388-396 |
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| container_title | Comprehensive psychiatry |
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| creator | Andreoli, A.V. Muehlebach, A. Gognalons, M. Abensur, J. Grimm, S. Frances, A.J. |
| description | We investigated whether process variables (therapeutic alliance and insight) measured at the termination of crisis intervention predict long-term treatment compliance and 2-year outcome. Thirty-seven consecutive depressed psychiatric patients assigned to outpatient crisis intervention (CCI) were assessed with both questionnaires and standardized instruments at intake, 1 week, and CCI termination (mean, 6 weeks). Thirty-one subjects (84%) were also evaluated at 1-year and 2-year follow-up. We found that working alliance and development of insight predicted positive global change and symptom improvement at 1 and 2 years' follow-up. Furthermore, the observed correlation between process measures and 2-year outcome was found to be independent of age, sex, symptoms severity at intake, improvement of symptoms at CCI termination, premorbid adjustment, DSM-III-R axis I/axis II diagnosis, and therapeutic alliance at intake. |
| doi_str_mv | 10.1016/0010-440X(92)90061-T |
| format | Article |
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Thirty-seven consecutive depressed psychiatric patients assigned to outpatient crisis intervention (CCI) were assessed with both questionnaires and standardized instruments at intake, 1 week, and CCI termination (mean, 6 weeks). Thirty-one subjects (84%) were also evaluated at 1-year and 2-year follow-up. We found that working alliance and development of insight predicted positive global change and symptom improvement at 1 and 2 years' follow-up. 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Thirty-seven consecutive depressed psychiatric patients assigned to outpatient crisis intervention (CCI) were assessed with both questionnaires and standardized instruments at intake, 1 week, and CCI termination (mean, 6 weeks). Thirty-one subjects (84%) were also evaluated at 1-year and 2-year follow-up. We found that working alliance and development of insight predicted positive global change and symptom improvement at 1 and 2 years' follow-up. Furthermore, the observed correlation between process measures and 2-year outcome was found to be independent of age, sex, symptoms severity at intake, improvement of symptoms at CCI termination, premorbid adjustment, DSM-III-R axis I/axis II diagnosis, and therapeutic alliance at intake.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Combined Modality Therapy</subject><subject>Crisis Intervention</subject><subject>Depressive Disorder - psychology</subject><subject>Depressive Disorder - therapy</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Interpersonal Relations</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Outcome and Process Assessment (Health Care)</subject><subject>Patient Compliance - psychology</subject><subject>Personality Inventory</subject><subject>Prospective Studies</subject><subject>Psychiatric Status Rating Scales</subject><subject>Psychology. 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Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Therapeutical relation and framework</topic><topic>Treatments</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Andreoli, A.V.</creatorcontrib><creatorcontrib>Muehlebach, A.</creatorcontrib><creatorcontrib>Gognalons, M.</creatorcontrib><creatorcontrib>Abensur, J.</creatorcontrib><creatorcontrib>Grimm, S.</creatorcontrib><creatorcontrib>Frances, A.J.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Comprehensive psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Andreoli, A.V.</au><au>Muehlebach, A.</au><au>Gognalons, M.</au><au>Abensur, J.</au><au>Grimm, S.</au><au>Frances, A.J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Crisis intervention response and long-term outcome: A pilot study</atitle><jtitle>Comprehensive psychiatry</jtitle><addtitle>Compr Psychiatry</addtitle><date>1992-11-01</date><risdate>1992</risdate><volume>33</volume><issue>6</issue><spage>388</spage><epage>396</epage><pages>388-396</pages><issn>0010-440X</issn><eissn>1532-8384</eissn><coden>COPYAV</coden><abstract>We investigated whether process variables (therapeutic alliance and insight) measured at the termination of crisis intervention predict long-term treatment compliance and 2-year outcome. Thirty-seven consecutive depressed psychiatric patients assigned to outpatient crisis intervention (CCI) were assessed with both questionnaires and standardized instruments at intake, 1 week, and CCI termination (mean, 6 weeks). Thirty-one subjects (84%) were also evaluated at 1-year and 2-year follow-up. We found that working alliance and development of insight predicted positive global change and symptom improvement at 1 and 2 years' follow-up. Furthermore, the observed correlation between process measures and 2-year outcome was found to be independent of age, sex, symptoms severity at intake, improvement of symptoms at CCI termination, premorbid adjustment, DSM-III-R axis I/axis II diagnosis, and therapeutic alliance at intake.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>1451452</pmid><doi>10.1016/0010-440X(92)90061-T</doi><tpages>9</tpages></addata></record> |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Adult Biological and medical sciences Combined Modality Therapy Crisis Intervention Depressive Disorder - psychology Depressive Disorder - therapy Female Follow-Up Studies Humans Interpersonal Relations Male Medical sciences Middle Aged Outcome and Process Assessment (Health Care) Patient Compliance - psychology Personality Inventory Prospective Studies Psychiatric Status Rating Scales Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Therapeutical relation and framework Treatments |
| title | Crisis intervention response and long-term outcome: A pilot study |
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