Crisis intervention response and long-term outcome: A pilot study

We investigated whether process variables (therapeutic alliance and insight) measured at the termination of crisis intervention predict long-term treatment compliance and 2-year outcome. Thirty-seven consecutive depressed psychiatric patients assigned to outpatient crisis intervention (CCI) were ass...

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Bibliographic Details
Published in:Comprehensive psychiatry 1992-11, Vol.33 (6), p.388-396
Main Authors: Andreoli, A.V., Muehlebach, A., Gognalons, M., Abensur, J., Grimm, S., Frances, A.J.
Format: Article
Language:English
Subjects:
Adult
Biological and medical sciences
Combined Modality Therapy
Crisis Intervention
Depressive Disorder - psychology
Depressive Disorder - therapy
Female
Follow-Up Studies
Humans
Interpersonal Relations
Male
Medical sciences
Middle Aged
Outcome and Process Assessment (Health Care)
Patient Compliance - psychology
Personality Inventory
Prospective Studies
Psychiatric Status Rating Scales
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Therapeutical relation and framework
Treatments
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Summary:We investigated whether process variables (therapeutic alliance and insight) measured at the termination of crisis intervention predict long-term treatment compliance and 2-year outcome. Thirty-seven consecutive depressed psychiatric patients assigned to outpatient crisis intervention (CCI) were assessed with both questionnaires and standardized instruments at intake, 1 week, and CCI termination (mean, 6 weeks). Thirty-one subjects (84%) were also evaluated at 1-year and 2-year follow-up. We found that working alliance and development of insight predicted positive global change and symptom improvement at 1 and 2 years' follow-up. Furthermore, the observed correlation between process measures and 2-year outcome was found to be independent of age, sex, symptoms severity at intake, improvement of symptoms at CCI termination, premorbid adjustment, DSM-III-R axis I/axis II diagnosis, and therapeutic alliance at intake.
ISSN:0010-440X
1532-8384
DOI:10.1016/0010-440X(92)90061-T