Outcomes of inpatients with severe mental illness: a naturalistic descriptive study
Objective: To describe and evaluate the response and predictors of remission during inpatient treatment in a psychiatric unit in a general hospital based on symptomatology, functionality, and quality of life (QoL). Methods: Patients were admitted to a psychiatric unit in a tertiary general hospital...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Associação Brasileira de Psiquiatria (ABP)
2016-01-01
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| Series: | Brazilian Journal of Psychiatry |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-44462016005005101&lng=en&tlng=en |
| _version_ | 1818384184254660608 |
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| author | Gabriela L. Nuernberg Fernanda L. Baeza Marcelo P. Fleck Neusa S. Rocha |
| author_facet | Gabriela L. Nuernberg Fernanda L. Baeza Marcelo P. Fleck Neusa S. Rocha |
| author_sort | Gabriela L. Nuernberg |
| collection | DOAJ |
| description | Objective: To describe and evaluate the response and predictors of remission during inpatient treatment in a psychiatric unit in a general hospital based on symptomatology, functionality, and quality of life (QoL). Methods: Patients were admitted to a psychiatric unit in a tertiary general hospital in Brazil from June 2011 to December 2013 and included in the study if they met two of the severe mental illness (SMI) criteria: Global Assessment of Functioning (GAF) ≤ 50 and duration of service contact ≥ 2 years. Patients were assessed by the Brief Psychiatric Rating Scale (BPRS), the Clinical Global Impression (CGI) Severity Scale , GAF, the World Health Organization Quality of Life Instrument – Abbreviated version (WHOQOL-Bref), and specific diagnostic scales. Results: A total of 239 patients were included. BPRS mean scores were 25.54±11.37 at admission and 10.96±8.11 at discharge (p < 0.001). Patients with manic episodes (odds ratio: 4.03; 95% confidence interval: 1.14-14.30; p = 0.03) were more likely to achieve remission (CGI ≤ 2 at discharge) than those with depressive episodes. Mean length of stay was 28.95±19.86 days. All QoL domains improved significantly in the whole sample. Conclusion: SMI patients had marked improvements in symptomatic and functional measures during psychiatric hospitalization. Patients with manic episodes had higher chance of remission according to the CGI. |
| first_indexed | 2024-12-14T03:18:13Z |
| format | Article |
| id | doaj.art-332c8a01c5a549cbb66e2f85b09b785f |
| institution | Directory Open Access Journal |
| issn | 1809-452X |
| language | English |
| last_indexed | 2024-12-14T03:18:13Z |
| publishDate | 2016-01-01 |
| publisher | Associação Brasileira de Psiquiatria (ABP) |
| record_format | Article |
| series | Brazilian Journal of Psychiatry |
| spelling | doaj.art-332c8a01c5a549cbb66e2f85b09b785f2022-12-21T23:19:05ZengAssociação Brasileira de Psiquiatria (ABP)Brazilian Journal of Psychiatry1809-452X2016-01-01010.1590/1516-4446-2014-1643S1516-44462016005005101Outcomes of inpatients with severe mental illness: a naturalistic descriptive studyGabriela L. NuernbergFernanda L. BaezaMarcelo P. FleckNeusa S. RochaObjective: To describe and evaluate the response and predictors of remission during inpatient treatment in a psychiatric unit in a general hospital based on symptomatology, functionality, and quality of life (QoL). Methods: Patients were admitted to a psychiatric unit in a tertiary general hospital in Brazil from June 2011 to December 2013 and included in the study if they met two of the severe mental illness (SMI) criteria: Global Assessment of Functioning (GAF) ≤ 50 and duration of service contact ≥ 2 years. Patients were assessed by the Brief Psychiatric Rating Scale (BPRS), the Clinical Global Impression (CGI) Severity Scale , GAF, the World Health Organization Quality of Life Instrument – Abbreviated version (WHOQOL-Bref), and specific diagnostic scales. Results: A total of 239 patients were included. BPRS mean scores were 25.54±11.37 at admission and 10.96±8.11 at discharge (p < 0.001). Patients with manic episodes (odds ratio: 4.03; 95% confidence interval: 1.14-14.30; p = 0.03) were more likely to achieve remission (CGI ≤ 2 at discharge) than those with depressive episodes. Mean length of stay was 28.95±19.86 days. All QoL domains improved significantly in the whole sample. Conclusion: SMI patients had marked improvements in symptomatic and functional measures during psychiatric hospitalization. Patients with manic episodes had higher chance of remission according to the CGI.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-44462016005005101&lng=en&tlng=enSevere mental illnessinpatient treatmentpsychiatric hospitalizationquality of life |
| spellingShingle | Gabriela L. Nuernberg Fernanda L. Baeza Marcelo P. Fleck Neusa S. Rocha Outcomes of inpatients with severe mental illness: a naturalistic descriptive study Brazilian Journal of Psychiatry Severe mental illness inpatient treatment psychiatric hospitalization quality of life |
| title | Outcomes of inpatients with severe mental illness: a naturalistic descriptive study |
| title_full | Outcomes of inpatients with severe mental illness: a naturalistic descriptive study |
| title_fullStr | Outcomes of inpatients with severe mental illness: a naturalistic descriptive study |
| title_full_unstemmed | Outcomes of inpatients with severe mental illness: a naturalistic descriptive study |
| title_short | Outcomes of inpatients with severe mental illness: a naturalistic descriptive study |
| title_sort | outcomes of inpatients with severe mental illness a naturalistic descriptive study |
| topic | Severe mental illness inpatient treatment psychiatric hospitalization quality of life |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-44462016005005101&lng=en&tlng=en |
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