Parnassia Bavo Group, BavoEuropoort, Westersingel 94, 3015 LC, Rotterdam, The Netherlands.
Community Ment Health J. 2010 Aug;46(4):330-6. doi: 10.1007/s10597-009-9257-9. Epub 2009 Oct 22.
In an observational study of severely mentally ill patients treated in assertive community treatment (ACT) teams, we investigated how treatment outcome was associated with demographic factors, clinical factors, and motivation for treatment. To determine psychosocial outcome, patients were routinely assessed using the Health of the Nation Outcome Scales (HoNOS). Trends over time were analyzed using a mixed model with repeated measures. The HoNOS total score was modeled as a function of treatment duration and patient-dependent covariates. Data comprised 637 assessments of 139 patients; mean duration of follow-up was 27.4 months (SD = 5.4). Substance abuse, higher age, problems with motivation, and lower educational level were associated with higher HoNOS total scores (i.e., worse outcome). To improve treatment outcome, we recommend better implementation of ACT, and also the implementation of additional programs targeting subgroups which seem to benefit less from ACT.
在一项针对接受积极社区治疗（ACT）团队治疗的严重精神疾病患者的观察性研究中，我们调查了治疗结果与人口统计学因素、临床因素和治疗动机之间的关系。为了确定心理社会结果，患者通常使用国民健康结果量表（HoNOS）进行常规评估。使用具有重复测量的混合模型分析随时间的趋势。HoNOS 总分被建模为治疗持续时间和患者相关协变量的函数。数据包括 139 名患者的 637 次评估；平均随访时间为 27.4 个月（SD=5.4）。药物滥用、年龄较大、动机问题和较低的教育水平与较高的 HoNOS 总分（即较差的结果）相关。为了改善治疗结果，我们建议更好地实施 ACT，并且还实施针对似乎从 ACT 获益较少的亚组的额外计划。
