Advance directives based on cognitive therapy: a way to overcome coercion related problems

Details

Serval ID
serval:BIB_AFCBA8F0B069
Type
Article: article from journal or magazin.
Collection
Publications
Title
Advance directives based on cognitive therapy: a way to overcome coercion related problems
Journal
Patient Education and Counseling
Author(s)
Khazaal Yasser, Chatton Anne, Pasandin Natalia, Zullino Daniele, Preisig Martin
ISSN
0738-3991
Publication state
Published
Issued date
2009
Peer-reviewed
Oui
Volume
74
Number
1
Pages
35-38
Language
english
Notes
SAPHIRID:70790
Abstract
OBJECTIVE: Mental health advance directives (ADs) are potentially useful for bipolar patients due to the episodic characteristic of their disease. The aim of the present study is to evaluate the impact of advance directives based on cognitive therapy (ADBCT) on the number and duration of hospitalizations as well as compulsory admissions and seclusion procedures. METHOD: Charts of all treatment non-adherent patients and committed patients who wrote their ADs following an ADBCT intervention within a 24 months period prior to the beginning of the study were included. Number and duration of psychiatric hospitalizations for a mood or a psychotic episode as well as compulsory admissions and seclusion procedures were recorded for each patient 2 years before ADBCT and during a follow-up period of at least 24 months. RESULTS: The number of hospitalizations, the number of compulsory admission procedures and the number of days spent in psychiatric hospital reduced significantly after ADCBT in comparison to the 2 years who preceded this intervention. CONCLUSION: This retrospective data suggest that ADBCT is effective for patients with compliance and coercion problems. However, these results need to be confirmed in randomized controlled trials. PRACTICE IMPLICATIONS: ADBCT seems to be a useful approach for treatment-non-adherent and previously coerced patients.
Pubmed
Web of science
Create date
15/12/2008 12:51
Last modification date
20/08/2019 16:19
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