Mental health service use by patients with dysthymic disorder: treatment use and dropout in a 7 1/2-year naturalistic follow-up study

被引:35
|
作者
McFarland, BR [1 ]
Klein, DN [1 ]
机构
[1] SUNY Stony Brook, Dept Psychol, Stony Brook, NY 11794 USA
关键词
D O I
10.1016/j.comppsych.2004.10.002
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Little is known about long-term treatment use among patients with dysthymia. This paper describes patterns of treatment use by 85 outpatients with dysthymic disorder and a comparison group of 36 outpatients with nonchronic (episodic) major depression in a naturalistic follow-up. Patients with dysthymia had higher rates of treatment use across 7 1/2 years compared with patients with episodic major depression. Baseline variables that predicted which patients with dysthymia dropped out of treatment before recovering from dysthymic disorder included age, ethnicity, Diagnostic and Statistical Manual of Mental Disorders, Revised Third Edition Axis 11 pathology as obtained from informant reports, higher self-reported autonomy, and receiving psychotherapy alone as compared to receiving a combination of psychotherapy and medication. Dysthymic disorder places a significant burden on the mental health services system, yet many outpatients with dysthymia may be receiving inadequate treatment. Younger patients, ethnic minority patients, and patients with personality disorders may be at increased risk of dropping out from treatment for depression. Combination treatments may increase treatment retention. (c) 2005 Elsevier Inc. All rights reserved.
引用
收藏
页码:246 / 253
页数:8
相关论文
共 50 条
  • [31] Specialized assertive community treatment intervention for homeless youth with first episode psychosis and substance use disorder: A 2-year follow-up study
    Dore-Gauthier, Virginie
    Miron, Jean-Philippe
    Jutras-Aswad, Dider
    Ouellet-Plannondon, Clairelaine
    Abdel-Baki, Amal
    EARLY INTERVENTION IN PSYCHIATRY, 2020, 14 (02) : 203 - 210
  • [32] Recovery and Remission in Schizophrenia Results from a Naturalistic 2-Year Follow-Up Inpatient Study
    Wolter, A.
    Preuss, U.
    Krischke, N.
    Wong, J. W.
    Langosch, J. M.
    Zimmermann, J.
    FORTSCHRITTE DER NEUROLOGIE PSYCHIATRIE, 2010, 78 (08) : 468 - 474
  • [33] Dental knowledge and dental service utilization: A 2-year follow-up study
    Amarasena, Najith
    Spencer, Andrew John
    Roberts-Thomson, Kaye F.
    Brennan, David S.
    COMMUNITY DENTISTRY AND ORAL EPIDEMIOLOGY, 2018, 46 (04) : 336 - 342
  • [34] REM sleep behavior disorder: A 2-year clinical follow-up study
    De Volder, I
    Heyde, K
    Van Gastel, A
    Cluydts, R
    SLEEP, 2003, 26 : A323 - A323
  • [35] Predictors and outcome in panic disorder: A 2-year prospective follow-up study
    Scheibe, G
    Albus, M
    PSYCHOPATHOLOGY, 1997, 30 (03) : 177 - 184
  • [36] Positive Mental Health, Stressful Life Events, and Suicide Ideation A 2-Year Follow-Up Study
    Brailovskaia, Julia
    Teismann, Tobias
    Margraf, Juergen
    CRISIS-THE JOURNAL OF CRISIS INTERVENTION AND SUICIDE PREVENTION, 2020, 41 (05) : 383 - 388
  • [37] Supervised community treatment: 2-year follow-up study in Suffolk
    Dye, Stephen
    Dannaram, Srinivas
    Loynes, Benjamin
    Dickenson, Rebecca
    PSYCHIATRIC BULLETIN, 2012, 36 (08): : 298 - 302
  • [38] WorkingMemory and Alcohol Use in At-Risk Adolescents: A 2-Year Follow-Up
    Peeters, Margot
    Monshouwer, Karin
    Janssen, Tim
    Wiers, Reinout W.
    Vollebergh, Wilma A. M.
    ALCOHOLISM-CLINICAL AND EXPERIMENTAL RESEARCH, 2014, 38 (04) : 1176 - 1183
  • [39] REDUCED HEALTHCARE RESOURCE USE IN PATIENTS WITH CHRONIC INSOMNIA AFTER TREATMENT WITH A DIGITAL THERAPEUTIC WITH 2-YEAR FOLLOW-UP
    Forma, F.
    Knight, T.
    Baik, R.
    Wallace, M.
    Malone, D.
    Xiong, X.
    Mahon, R.
    Velez, F.
    Thorndike, F.
    Maricich, Y.
    VALUE IN HEALTH, 2022, 25 (12) : S126 - S126
  • [40] Sustained use of a tool for lifestyle intervention implemented in primary health care: a 2-year follow-up
    Carlfjord, Siw
    Lindberg, Malou
    Andersson, Agneta
    JOURNAL OF EVALUATION IN CLINICAL PRACTICE, 2013, 19 (02) : 327 - 334