Deteriorated and unchanged patients in psychological treatment in Swedish primary care and psychiatry
2016 (English)In: Nordic Journal of Psychiatry, ISSN 0803-9488, E-ISSN 1502-4725, Vol. 70, no 1, 16-23 p.Article in journal (Refereed) PublishedText
Background: Despite substantial effect sizes for psychological therapy among different diagnosis groups and in different treatment contexts, many studies show that a large proportion of patients do not attain reliable improvement and a substantial portion are worse off after treatment. Previous studies suggest that patients in psychiatry may have worse outcome than patients in primary care. Aims: In this practice-based study of psychological treatment in Swedish primary care and adult psychiatry, the proportions of patients who did not improve and who deteriorated were assessed. Methods: Proportions of reliably improved, unchanged, and reliably deteriorated patients among 840 patients in primary care and 317 patients in specialist psychiatry were assessed by self-ratings using the Clinical Outcomes in Routine Evaluation - Outcome Measure (CORE-OM). Results: More than half of the patients did not change reliably. About 2% of the patients in primary care and 7% in psychiatry deteriorated. Multilevel analyses of the data from primary care indicated that there were no therapist effects. Conclusions: The results emphasize the importance of monitoring treatment continuously in order to increase results for patients who do not improve.
Place, publisher, year, edition, pages
TAYLOR & FRANCIS LTD , 2016. Vol. 70, no 1, 16-23 p.
Adult specialist psychiatry; Deteriorated; Primary care; Treatment outcome; Unchanged
IdentifiersURN: urn:nbn:se:liu:diva-124092DOI: 10.3109/08039488.2015.1028438ISI: 000365719100003PubMedID: 25994483OAI: oai:DiVA.org:liu-124092DiVA: diva2:897217