What Influences Treatment Satisfaction in Patients with Personality Disorders? A Naturalistic Investigation in a Hospitalization Setting

Overview

Journal Ment Illn

Publisher Wiley

Specialty Psychiatry

Date 2017 Feb 21

PMID 28217274

Citations 1

Authors

Stefan Gebhardt

Martin Tobias Huber

Affiliations

Soon will be listed here.

Abstract

Treatment satisfaction of different mental disorders is still poorly understood, but of high clinical interest. Inpatients of a general psychiatric care hospital were asked to fill out questionnaires on satisfaction and clinical variables at admission and discharge. On the basis of an exploratory approach, differences in treatment satisfaction among diagnostic groups were examined by means of one-way analysis of variance. Potential associated clinical and socio-demographic variables were studied using multi/univariate tests. Patients with personality disorders (n=18) showed a significantly lower treatment satisfaction (ZUF-8, Zurich Satisfaction Questionnaire) and a slightly lower improvement of symptoms (CGI, Clinical Global Impression) and global functioning (GAF, Global Assessment of Functioning scale) than that of other diagnostic groups (n=95). Satisfaction in patients with personality disorders correlated much stronger with the symptom improvement and slightly with the functioning level than in patients without personality disorders. Interestingly, in patients with personality disorders psychopharmacological treatment in general (present versus not present) was independent from satisfaction. This exploratory investigation suggests that a lower satisfaction of patients with personality disorders in a general psychiatric hospital is mainly based on a reduced improvement of the symptoms and of the global functioning level.

Citing Articles

Crisis and acute mental health care for people who have been given a diagnosis of a 'personality disorder': a systematic review.

Maconick L, Ikhtabi S, Broeckelmann E, Pitman A, Barnicot K, Billings J BMC Psychiatry. 2023; 23(1):720.

PMID: 37798701 PMC: 10552436. DOI: 10.1186/s12888-023-05119-7.

References

Gebhardt S, Wolak A, Huber M . Patient satisfaction and clinical parameters in psychiatric inpatients--the prevailing role of symptom severity and pharmacologic disturbances. Compr Psychiatry. 2012; 54(1):53-60. DOI: 10.1016/j.comppsych.2012.03.016. View

Palmer S, Davidson K, Tyrer P, Gumley A, Tata P, Norrie J . The cost-effectiveness of cognitive behavior therapy for borderline personality disorder: results from the BOSCOT trial. J Pers Disord. 2006; 20(5):466-81. PMC: 1852260. DOI: 10.1521/pedi.2006.20.5.466. View

McHugh R, Whitton S, Peckham A, Welge J, Otto M . Patient preference for psychological vs pharmacologic treatment of psychiatric disorders: a meta-analytic review. J Clin Psychiatry. 2013; 74(6):595-602. PMC: 4156137. DOI: 10.4088/JCP.12r07757. View

Bos E, van Wel E, Appelo M, Verbraak M . A randomized controlled trial of a Dutch version of systems training for emotional predictability and problem solving for borderline personality disorder. J Nerv Ment Dis. 2010; 198(4):299-304. DOI: 10.1097/NMD.0b013e3181d619cf. View

Loew T, Nickel M, Muehlbacher M, Kaplan P, Nickel C, Kettler C . Topiramate treatment for women with borderline personality disorder: a double-blind, placebo-controlled study. J Clin Psychopharmacol. 2006; 26(1):61-6. DOI: 10.1097/01.jcp.0000195113.61291.48. View

Saunders E, Silk K . Personality trait dimensions and the pharmacological treatment of borderline personality disorder. J Clin Psychopharmacol. 2009; 29(5):461-7. DOI: 10.1097/JCP.0b013e3181b2b9f3. View

Bozzatello P, Bellino S . Combined therapy with interpersonal psychotherapy adapted for borderline personality disorder: A two-years follow-up. Psychiatry Res. 2016; 240:151-156. DOI: 10.1016/j.psychres.2016.04.014. View

Bilderbeck A, Saunders K, Price J, Goodwin G . Psychiatric assessment of mood instability: qualitative study of patient experience. Br J Psychiatry. 2013; 204(3):234-9. DOI: 10.1192/bjp.bp.113.128348. View

IsHak W, Elbau I, Ismail A, Delaloye S, Ha K, Bolotaulo N . Quality of life in borderline personality disorder. Harv Rev Psychiatry. 2013; 21(3):138-50. DOI: 10.1097/HRP.0b013e3182937116. View

10.

KELSTRUP A, Lund K, Lauritsen B, Bech P . Satisfaction with care reported by psychiatric inpatients. Relationship to diagnosis and medical treatment. Acta Psychiatr Scand. 1993; 87(6):374-9. DOI: 10.1111/j.1600-0447.1993.tb03390.x. View

11.

Hansson L . The quality of outpatient psychiatric care. A survey of patient satisfaction in a sectorised care organisation. Scand J Caring Sci. 1989; 3(2):71-82. DOI: 10.1111/j.1471-6712.1989.tb00375.x. View

12.

Stoffers J, Vollm B, Rucker G, Timmer A, Huband N, Lieb K . Pharmacological interventions for borderline personality disorder. Cochrane Database Syst Rev. 2010; (6):CD005653. PMC: 4169794. DOI: 10.1002/14651858.CD005653.pub2. View

13.

Keith R . Patient satisfaction and rehabilitation services. Arch Phys Med Rehabil. 1998; 79(9):1122-8. DOI: 10.1016/s0003-9993(98)90182-4. View

14.

Horn K, Martinsen E . [Patient satisfaction after hospitalisation in a psychiatric institution]. Tidsskr Nor Laegeforen. 2007; 127(11):1506-9. View

15.

Friedel R, Jackson W, Huston C, May R, Kirby N, Stoves A . Risperidone treatment of borderline personality disorder assessed by a borderline personality disorder-specific outcome measure: a pilot study. J Clin Psychopharmacol. 2008; 28(3):345-7. DOI: 10.1097/JCP.0b013e318173083e. View

16.

Demyttenaere K, Reines E, Lonn S, Lader M . Satisfaction with medication is correlated with outcome but not persistence in patients treated with placebo, escitalopram, or serotonin-norepinephrine reuptake inhibitors: a post hoc analysis. Prim Care Companion CNS Disord. 2011; 13(4). PMC: 3219513. DOI: 10.4088/PCC.10m01080. View

17.

Hasler G, Moergeli H, Bachmann R, Lambreva E, Buddeberg C, Schnyder U . Patient satisfaction with outpatient psychiatric treatment: the role of diagnosis, pharmacotherapy, and perceived therapeutic change. Can J Psychiatry. 2004; 49(5):315-21. DOI: 10.1177/070674370404900507. View

18.

Carter G, Willcox C, Lewin T, Conrad A, Bendit N . Hunter DBT project: randomized controlled trial of dialectical behaviour therapy in women with borderline personality disorder. Aust N Z J Psychiatry. 2010; 44(2):162-73. DOI: 10.3109/00048670903393621. View

19.

Miller J, Pilkonis P, Mulvey E . Treatment utilization and satisfaction: examining the contributions of Axis II psychopathology and the Five-Factor Model of personality. J Pers Disord. 2006; 20(4):369-87. DOI: 10.1521/pedi.2006.20.4.369. View

20.

Reiss N, Vogel F, Nill M, Graf-Morgenstern M, Finkelmeier B, Lieb K . [Treatment satisfaction of patients with borderline personality disorder in inpatient schema therapy]. Psychother Psychosom Med Psychol. 2013; 63(2):93-100. DOI: 10.1055/s-0032-1323707. View