| 1. |
- Roozen, Henrik G., et al.
(författare)
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The influence of extraversion on preferences and engagement in pleasant activities in patients with substance use disorders : one size fits all?
- 2009
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Ingår i: Journal of behavior analysis in health, sports, fitness and medicine. - : Behaviour Analyst Online. - 1946-7079. ; 2:1, s. 55-66
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Tidskriftsartikel (refereegranskat)abstract
- A hallmark of the Community Reinforcement Approach (CRA) is its emphasis on getting individuals to increase their engagement in healthy old and new rewarding activities that can compete with substance use. The personality dimension extraversion seems to be an important mechanism underlying activity engagement. A median split classified 265 patients with substance use disorders as high or low on NEO-FFI extraversion scores. Group comparisons indicated that patients with low NEO-FFI extraversion scores reported lower pleasant activity levels in general, and lower intensity of social interactions in particular. The disparity between conditions as far as what they valued was relative, since both groups pinpointed a wealth of potentially pleasant activities that could play a role in achieving non-substance related positive reinforcement for sobriety.
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| 2. |
- Salize, Hans Joachim, et al.
(författare)
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Cost of treatment of schizophrenia in six European countries
- 2009
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Ingår i: Schizophrenia Research. - : Elsevier BV. - 0920-9964. ; 111:1-3, s. 70-77
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Tidskriftsartikel (refereegranskat)abstract
- Background and aims: As part of an RCT in six European sites, the direct mental health care cost for 422 patients with schizophrenia was analysed according to how total and medication costs differed across sites and which variables were likely to predict total or service-specific costs. Method: Service use was recorded continuously during a 12-month follow-up. Prescribed psychotropic medication was recorded at baseline and 12 months later. Service use data were transformed into EURO, log-transformed and analysed using linear regression models. Results: Although samples were homogeneous, large inter-site cost differences were found (annual means ranging from 2958 E in Spain up to 36978 E in Switzerland). Psychopharmacologic costs were much more constant across sites than costs for other services. Total costs were associated more with region or socio-demographic characteristics than with disorder related parameters. Conclusions: The findings confirm remarkable differences in direct costs of patients with schizophrenia across Europe. However, the relative stability of medication costs suggests a need to analyse mechanisms that influence service-specific costs for schizophrenia. (C) 2009 Elsevier B.V. All rights reserved.
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| 3. |
- Wiersma, Durk, et al.
(författare)
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Individual unmet needs for care: are they sensitive as outcome criterion for the effectiveness of mental health services interventions?
- 2009
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Ingår i: Social Psychiatry and Psychiatric Epidemiology. - : Springer Science and Business Media LLC. - 0933-7954 .- 1433-9285. ; 44:4, s. 317-324
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Tidskriftsartikel (refereegranskat)abstract
- Background Mental health interventions should demonstrate an effect on patients' functioning as well as his/her needs, in particular on unmet needs whose assessment depends on the perspective of either the patient or the clinician. However, individual met and unmet needs appear to change over time, qualitatively and quantitatively, raising questions about their sensitivity to change and about the association between level of needs and treatment. Methods Data on baseline and follow-up need assessment in community mental health services in four European countries in the context of a cluster randomised trial on a novel mental health service intervention were used, which involved 102 clinicians with key worker roles and 320 patients with schizophrenia or related psychotic disorders. Need assessment was performed with the Camberwell assessment of needs short appraisal schedule (CANSAS) among patients as well as clinicians. Focus is the sensitivity to change in unmet needs over time as well as the concordance between patient and clinician ratings and their relationship with treatment condition. Results At follow-up 294 patients (92%) had a full need assessment, while clinician rated needs were available for 302 patients (94%). Generally, the total number of met needs remained quite stable, but unmet needs decreased significantly over time, according to patients as well as to clinicians. Sensitivity to change of unmet needs is quite high: about two third of all unmet needs made a transition to no or met need, and more than half of all unmet needs at follow-up were new. Agreement between patient and clinician on unmet needs at baseline as well as follow-up was rather low, without any indication of a specific treatment effect. Conclusions Individual unmet needs appear to be quite sensitive to change over time but as yet less suitable as outcome criterion of treatment or specific interventions.
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