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Abstract: Introduction: Intensive treatment in acute day-care psychiatric units may represent an efficient alternative to inpatient care. However, there is evidence suggesting that this clinical resource may not be equally effective for every psychiatric disorder. The primary aim of this study was to explore differences between main psychiatric diagnostic groups, in the effectiveness of an acute partial hospitalization program. And, to identify predictors of treatment response. Material and methods: The study was conducted at an acute psychiatric day hospital. Clinical severity was assessed using BPRS, CGI, and the HoNOS scales. Main socio-demographic variables were also recorded. Patients were clustered into 4 wide diagnostic groups (i.e.: non-affective psychosis; bipolar; depressive; and personality disorders) to facilitate statistical analyses. Results: A total of 331 participants were recruited, 115 of whom (34.7%) were diagnosed with non-affective psychosis, 97 (28.3%) with bipolar disorder, 92 (27.8%) with affective disorder, and 27 (8.2%) with personality disorder. Patients with a diagnosis of bipolar disorder showed greater improvement in BPRS (F = 5.30; P = 0.001) and CGI (F = 8.78; P < 0.001) than those suffering from psychosis or depressive disorder. Longer length of stay in the day-hospital, and greater baseline BPRS severity, were identified as predictors of good clinical response. Thirty-day readmission rate was 3%; at long-term (6 months after discharge) only 11.8% (N = 39) of patients were re-admitted to a psychiatric hospitalization unit, and no differences were observed between diagnostic groups. Conclusions: Intensive care in an acute psychiatric day hospital is feasible and effective for patients suffering from an acute mental disorder. However, this effectiveness differs between diagnostic groups.
Fuente: Revista de Psiquiatria y Salud Mental Volume 14, Issue 1, January-March 2021, Pages 40-49
Editorial: Ediciones Doyma, S.L.
Fecha de publicación: 01/03/2021
Nº de páginas: 10
Tipo de publicación: Artículo de Revista
JAVIER VAZQUEZ BOURGON
ELSA GOMEZ RUIZ
FERNANDO HOYUELA ZATON
SALVADOR CARULLA, LUIS
MARIA ROSA AYESA ARRIOLA
DIANA TORDESILLAS GUTIERREZ
BENEDICTO CRESPO FACORRO