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Coping strategies, hope, and treatment efficacy in pharmacoresistant inpatients with neurotic spectrum disorders.

Ociskova M, Prasko J, Kamaradova D, Grambal A, Kasalova P, Sigmundova Z, Latalova K, Vrbova K - Neuropsychiatr Dis Treat (2015)

Bottom Line: The mean scores for all scales measuring the severity of the disorders (BAI, BDI-II, subjective and objective CGI) significantly decreased during the treatment.Multiple regression was used to find out which factors were the most significant predictors of the therapeutic outcomes.According to our results, a group of patients with a primary neurotic disorder, who prefer the use of maladaptive coping strategies, feel hopelessness, and have tendencies to dissociate, showed poor response to treatment.

View Article: PubMed Central - PubMed

Affiliation: Department of Psychology, Faculty of Arts, Palacky University Olomouc, University Hospital Olomouc, Olomouc, Czech Republic ; Department of Psychiatry, Faculty of Medicine and Dentistry, Palacky University Olomouc, University Hospital Olomouc, Olomouc, Czech Republic.

ABSTRACT

Background: Approximately 30%-60% of patients with neurotic spectrum disorders remain symptomatic despite treatment. Identifying the predictors of good response to psychiatric and psychotherapeutic treatment may be useful for increasing treatment efficacy in neurotic patients. The objective of this study was to investigate the influence of hope, coping strategies, and dissociation on the treatment response of this group of patients.

Methods: Pharmacoresistant patients, who underwent a 6-week psychotherapeutic program, were enrolled in the study. All patients completed the Clinical Global Impression (CGI) - both objective and subjective forms, Beck Anxiety Inventory (BAI), and Beck Depression Inventory (BDI)-II at baseline and after 6 weeks. The COPE Inventory, the Adult Dispositional Hope Scale (ADHS), and the Dissociative Experiences Scale (DES) were completed at the start of the treatment.

Results: Seventy-six patients completed the study. The mean scores for all scales measuring the severity of the disorders (BAI, BDI-II, subjective and objective CGI) significantly decreased during the treatment. Several subscores of the COPE Inventory, the overall score of ADHS, and the overall score of DES significantly correlated with the treatment outcome. Multiple regression was used to find out which factors were the most significant predictors of the therapeutic outcomes. The most important predictors of the treatment response were the overall levels of hope and dissociation.

Conclusion: According to our results, a group of patients with a primary neurotic disorder, who prefer the use of maladaptive coping strategies, feel hopelessness, and have tendencies to dissociate, showed poor response to treatment.

No MeSH data available.


Related in: MedlinePlus

The mean overall scores on the scales at the beginning and end of treatment.Abbreviations: BAI, Beck Anxiety Inventory; BDI-II, Beck Depression Inventory, second edition; df, degrees of freedom; objCGI, objective Clinical Global Impression; subjCGI, subjective Clinical Global Impression.
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f1-ndt-11-1191: The mean overall scores on the scales at the beginning and end of treatment.Abbreviations: BAI, Beck Anxiety Inventory; BDI-II, Beck Depression Inventory, second edition; df, degrees of freedom; objCGI, objective Clinical Global Impression; subjCGI, subjective Clinical Global Impression.

Mentions: The mean scores for all scales measuring the severity of the disorder (BAI, BDI-II, subjCGI, and objCGI) significantly decreased after the treatment (Figure 1).


Coping strategies, hope, and treatment efficacy in pharmacoresistant inpatients with neurotic spectrum disorders.

Ociskova M, Prasko J, Kamaradova D, Grambal A, Kasalova P, Sigmundova Z, Latalova K, Vrbova K - Neuropsychiatr Dis Treat (2015)

The mean overall scores on the scales at the beginning and end of treatment.Abbreviations: BAI, Beck Anxiety Inventory; BDI-II, Beck Depression Inventory, second edition; df, degrees of freedom; objCGI, objective Clinical Global Impression; subjCGI, subjective Clinical Global Impression.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4440432&req=5

f1-ndt-11-1191: The mean overall scores on the scales at the beginning and end of treatment.Abbreviations: BAI, Beck Anxiety Inventory; BDI-II, Beck Depression Inventory, second edition; df, degrees of freedom; objCGI, objective Clinical Global Impression; subjCGI, subjective Clinical Global Impression.
Mentions: The mean scores for all scales measuring the severity of the disorder (BAI, BDI-II, subjCGI, and objCGI) significantly decreased after the treatment (Figure 1).

Bottom Line: The mean scores for all scales measuring the severity of the disorders (BAI, BDI-II, subjective and objective CGI) significantly decreased during the treatment.Multiple regression was used to find out which factors were the most significant predictors of the therapeutic outcomes.According to our results, a group of patients with a primary neurotic disorder, who prefer the use of maladaptive coping strategies, feel hopelessness, and have tendencies to dissociate, showed poor response to treatment.

View Article: PubMed Central - PubMed

Affiliation: Department of Psychology, Faculty of Arts, Palacky University Olomouc, University Hospital Olomouc, Olomouc, Czech Republic ; Department of Psychiatry, Faculty of Medicine and Dentistry, Palacky University Olomouc, University Hospital Olomouc, Olomouc, Czech Republic.

ABSTRACT

Background: Approximately 30%-60% of patients with neurotic spectrum disorders remain symptomatic despite treatment. Identifying the predictors of good response to psychiatric and psychotherapeutic treatment may be useful for increasing treatment efficacy in neurotic patients. The objective of this study was to investigate the influence of hope, coping strategies, and dissociation on the treatment response of this group of patients.

Methods: Pharmacoresistant patients, who underwent a 6-week psychotherapeutic program, were enrolled in the study. All patients completed the Clinical Global Impression (CGI) - both objective and subjective forms, Beck Anxiety Inventory (BAI), and Beck Depression Inventory (BDI)-II at baseline and after 6 weeks. The COPE Inventory, the Adult Dispositional Hope Scale (ADHS), and the Dissociative Experiences Scale (DES) were completed at the start of the treatment.

Results: Seventy-six patients completed the study. The mean scores for all scales measuring the severity of the disorders (BAI, BDI-II, subjective and objective CGI) significantly decreased during the treatment. Several subscores of the COPE Inventory, the overall score of ADHS, and the overall score of DES significantly correlated with the treatment outcome. Multiple regression was used to find out which factors were the most significant predictors of the therapeutic outcomes. The most important predictors of the treatment response were the overall levels of hope and dissociation.

Conclusion: According to our results, a group of patients with a primary neurotic disorder, who prefer the use of maladaptive coping strategies, feel hopelessness, and have tendencies to dissociate, showed poor response to treatment.

No MeSH data available.


Related in: MedlinePlus