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Designing a Measurement Feedback System for Personality Disorders: Should Outcome Monitoring be Based on Symptom Severity or Personality Functioning?
van Geffen, Marieke; Eeren, Hester V; Hutsebaut, Joost; Wilde, Odette Brand-de.
Afiliación
  • van Geffen M; De Viersprong, Beeklaan 2, 4661 EP, Halsteren, The Netherlands. marieke.van.geffen@deviersprong.nl.
  • Eeren HV; Department of Management Studies, Radboud University Nijmegen, Postbus 9108, 6500 HK, Nijmegen, The Netherlands. marieke.van.geffen@deviersprong.nl.
  • Hutsebaut J; Department of Psychiatry, Section Medical Psychology and Psychotherapy, Erasmus MC, PO box 2040, 3000 CA, Rotterdam, The Netherlands.
  • Wilde OB; De Viersprong, Beeklaan 2, 4661 EP, Halsteren, The Netherlands.
Adm Policy Ment Health ; 2024 Aug 06.
Article en En | MEDLINE | ID: mdl-39105971
ABSTRACT
Measurement feedback systems (MFS) providing insight in treatment progress can improve mental healthcare outcomes. However, there is no uniform measurement feedback system that could be used to measure treatment progress for personality disorders (PD). This study compared two types of

measures:

a generic measure for symptom severity (Brief Symptom Index, BSI) and a specific measure for personality functioning (Severity Indices of Personality Problems, SIPP) at different points in time in order to provide insight in the most suitable measuring moment for a MFS for PD. This study is conducted in a sample of 996 Dutch PD patients (mean age 33.51 (SD 10.42), 73.1% female). Symptom severity and personality functioning were assessed before and multiple times during treatment, using a timespan of 24 months. Outcomes were examined over time using multilevel modeling. Symptom severity (generic measure) and personality functioning (specific measure) improved equally after 24 months. However, during these 24 months, different patterns of change were observed for symptom severity compared to severity of personality problems. In general, symptom severity decreased most during the 1st months of treatment, whereas personality functioning improved only after 6 months of treatment. A generic instrument of symptom severity is able to measure early changes in symptom distress but may not be able to measure longer term changes in personality functioning. The authors discuss policy implications for benchmarking using specific measures in the treatment of personality disorders.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Adm Policy Ment Health Asunto de la revista: PSICOLOGIA / SAUDE PUBLICA / SERVICOS DE SAUDE Año: 2024 Tipo del documento: Article País de afiliación: Países Bajos Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Adm Policy Ment Health Asunto de la revista: PSICOLOGIA / SAUDE PUBLICA / SERVICOS DE SAUDE Año: 2024 Tipo del documento: Article País de afiliación: Países Bajos Pais de publicación: Estados Unidos