Abstract
Treatment satisfaction of different mental disorders is still poorly understood, but of high clinical interest. Inpatients of a general psychiatric care hospital were asked to fill out questionnaires on satisfaction and clinical variables at admission and discharge. On the basis of an exploratory approach, differences in treatment satisfaction among diagnostic groups were examined by means of one-way analysis of variance. Potential associated clinical and socio-demographic variables were studied using multi/univariate tests. Patients with personality disorders (n=18) showed a significantly lower treatment satisfaction (ZUF-8, Zurich Satisfaction Questionnaire) and a slightly lower improvement of symptoms (CGI, Clinical Global Impression) and global functioning (GAF, Global Assessment of Functioning scale) than that of other diagnostic groups (n=95). Satisfaction in patients with personality disorders correlated much stronger with the symptom improvement and slightly with the functioning level than in patients without personality disorders. Interestingly, in patients with personality disorders psychopharmacological treatment in general (present versus not present) was independent from satisfaction. This exploratory investigation suggests that a lower satisfaction of patients with personality disorders in a general psychiatric hospital is mainly based on a reduced improvement of the symptoms and of the global functioning level.
Highlights
A slightly lower improvement of symptoms m (CGI, Clinical Global Impression) and global functioning (GAF, Global Assessment of m Functioning scale) than that of other diagnoso tic groups (n=95)
In an older study pharmacotherapy itself was not related to patient satisfaction, but patients who perceived improvements in pharmacotherapy as one of the most important treatment outcomes were less satisfied than others.[2]
The variables age, sex and education seem to have no relevant influence on satisfaction, whereas race in case of minority groups, patients in mental health care, psychiatric diagnosis, chronicity of illness, poor prognosis, Patient satisfaction with treatment is more matic improvement on the depressive symp- compulsorily detained patients obviously show and more recognized as one of the worthiest toms,[8] a comparable result was found in anoth- lower satisfaction levels.[11] parameters of treatment success and has a er study.[5]
Summary
Four main calculations were performed: First, differences in ZUF-8 total score between the diagnostic groups were examined using Oneway ANOVA analysis with post-hoc-tests (Scheffé). The diagnostic groups F5 and F7 were excluded from the analysis because the group contained no more than one patient. In a second analysis a t-test on the ZUF-8 tify the main impact of these dependent variables on the differences between the two patient groups. To elucidate the improvement in both patient groups, a longitudinal analysis on CGI part 1 at admission to discharge was conducted for each group separately (Student’s t-test for dependent samples). All P-values were two-tailed; 0.05 was the significance level. A correction for multiple testing was not included because of the exploratory nature of our study. The data were analyzed using Statistical Package of the Social Sciences (SPSS 21.0 for Windows) software
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