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Nützen Behandlungsempfehlungen in psychiatrischen versicherungsrechtlichen Gutachten? - Treatment Recommendations in Psychiatric Disability Insurance Expertises: Are they Helpful?

Nussbaum, C. and Riecher-Rössler, A. and Grize, L. and Apfel, T.. (2008) Nützen Behandlungsempfehlungen in psychiatrischen versicherungsrechtlichen Gutachten? - Treatment Recommendations in Psychiatric Disability Insurance Expertises: Are they Helpful? Fortschritte der Neurologie, Psychiatrie, 76 (3). pp. 160-165.

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Abstract

BACKGROUND: In recent years the total number of people drawing a pension - especially for psychiatric reasons - from Switzerland's Federal Disability Insurance ("IV") has been steadily climbing. As we have revealed in earlier studies of persons applying for a disability pension for psychiatric reasons only 64 % had received psychiatric treatment and only 20 % adequate drug treatment . HYPOTHESIS: In this study we examined whether, treatment recommendations given by medical experts were followed and if so, how successfully. METHODS: In 40 patients who had got a psychiatric expertise in 2004 at the Psychiatric Outpatient Department, University of Basel, on behalf of the Swiss Disability Insurance, a 1-year follow-up was done and the results were compared. RESULTS: At reassessment significantly more patients (58 %) were in psychiatric-psychotherapeutic treatment than at first assessment (32 %). The recommended drug treatments were fully complied with in only 43 % of the cases; the recommended psychotherapy in only 9 % of the cases; and recommended in-patient treatment at a psychiatric hospital in only 14 % of the cases. During the time between evaluations, the seriousness of the condition had altered in a number of cases: in 33 % the condition had noticeably improved (e. g. from severe to mild depression) or was no longer present, and in 9 % the condition had worsened (e. g. from mild to severe depression). No significant relationship was found between compliance (full, partial or no implementation of recommended treatments) and change in illness severity. Partnership has been identified as the factor with the strongest influence on illness severity: in subjects who were married or living with a partner illness course was much better than in subjects without a stable partnership.
Faculties and Departments:03 Faculty of Medicine > Bereich Psychiatrie (Klinik) > Erwachsenenpsychiatrie UPK > Erwachsenenpsychiatrie (Riecher-Rössler)
03 Faculty of Medicine > Departement Klinische Forschung > Bereich Psychiatrie (Klinik) > Erwachsenenpsychiatrie UPK > Erwachsenenpsychiatrie (Riecher-Rössler)
UniBasel Contributors:Riecher-Rössler, Anita
Item Type:Article, refereed
Article Subtype:Research Article
Publisher:Georg Thieme
ISSN:0720-4299
Note:Publication type according to Uni Basel Research Database: Journal article
Language:German
Identification Number:
Last Modified:18 Sep 2017 10:15
Deposited On:23 May 2014 08:33

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