Treatment Outcomes and Costs at Specialized Centers for the Treatment of PTSD After the War in Former Yugoslavia
Само за регистроване кориснике
2010
Аутори
Priebe, StefanJanković-Gavrilović, Jelena
Matanov, Aleksandra
Francisković, Tanja
Knežević, Goran
Ljubotina, Damir
Mehmedbasić, Alma Bravo
Schuetzwohl, Matthias
Чланак у часопису (Објављена верзија)
Метаподаци
Приказ свих података о документуАпстракт
Objective: Posttraumatic stress disorder (PTSD) is a frequent consequence of war experience, and specialized centers have been established in some war-affected areas to provide treatment. This study assessed treatment costs and outcomes in such centers in former Yugoslavia. Methods: An observational study was conducted in four specialized treatment centers (in Serbia, Croatia, and Bosnia-Herzegovina). A total of 526 consecutive adult patients with war-related PTSD were assessed at the beginning of treatment, and 463 met inclusion criteria, including a diagnosis of PTSD on the Clinician-Administered PTSD Scale for DSM-IV (CAPS). For most patients seven years had elapsed between the traumatic experience and treatment at the specialized center. Service costs were also assessed. Outcomes measured at one year were the presence of a PTSD diagnosis and severity of symptoms as indicated by the CAPS score and subjective quality of life as measured by the Manchester Short Assessment of Quality o...f Life. Results: At 12 months 380 (82%) patients were followed up, and 325 (86%) met criteria for PTSD. Symptoms and quality of life showed overall small but statistically significant improvements. Treatment costs for patients with and without PTSD at 12 months did not significantly differ ((sic)307 and (sic)284, respectively). Conclusions: The recovery rate among patients treated in specialized centers for war-related PTSD several years after the war was poor (14%), and symptom improvements were small. The recovery rate was not linked to service costs. Improving recovery rates might require different treatment methods or different service models. (Psychiatric Services 61:598-604, 2010)
Извор:
Psychiatric Services, 2010, 61, 6, 598-604Издавач:
- American Psychiatric Association
Финансирање / пројекти:
- European Commission Joint Research Centre [ICA2-CT-2002-10002]
DOI: 10.1176/ps.2010.61.6.598
ISSN: 1075-2730
PubMed: 20513683
WoS: 000278165100011
Scopus: 2-s2.0-77953226165
Институција/група
Psihologija / PsychologyTY - JOUR AU - Priebe, Stefan AU - Janković-Gavrilović, Jelena AU - Matanov, Aleksandra AU - Francisković, Tanja AU - Knežević, Goran AU - Ljubotina, Damir AU - Mehmedbasić, Alma Bravo AU - Schuetzwohl, Matthias PY - 2010 UR - http://reff.f.bg.ac.rs/handle/123456789/1131 AB - Objective: Posttraumatic stress disorder (PTSD) is a frequent consequence of war experience, and specialized centers have been established in some war-affected areas to provide treatment. This study assessed treatment costs and outcomes in such centers in former Yugoslavia. Methods: An observational study was conducted in four specialized treatment centers (in Serbia, Croatia, and Bosnia-Herzegovina). A total of 526 consecutive adult patients with war-related PTSD were assessed at the beginning of treatment, and 463 met inclusion criteria, including a diagnosis of PTSD on the Clinician-Administered PTSD Scale for DSM-IV (CAPS). For most patients seven years had elapsed between the traumatic experience and treatment at the specialized center. Service costs were also assessed. Outcomes measured at one year were the presence of a PTSD diagnosis and severity of symptoms as indicated by the CAPS score and subjective quality of life as measured by the Manchester Short Assessment of Quality of Life. Results: At 12 months 380 (82%) patients were followed up, and 325 (86%) met criteria for PTSD. Symptoms and quality of life showed overall small but statistically significant improvements. Treatment costs for patients with and without PTSD at 12 months did not significantly differ ((sic)307 and (sic)284, respectively). Conclusions: The recovery rate among patients treated in specialized centers for war-related PTSD several years after the war was poor (14%), and symptom improvements were small. The recovery rate was not linked to service costs. Improving recovery rates might require different treatment methods or different service models. (Psychiatric Services 61:598-604, 2010) PB - American Psychiatric Association T2 - Psychiatric Services T1 - Treatment Outcomes and Costs at Specialized Centers for the Treatment of PTSD After the War in Former Yugoslavia EP - 604 IS - 6 SP - 598 VL - 61 DO - 10.1176/ps.2010.61.6.598 ER -
@article{ author = "Priebe, Stefan and Janković-Gavrilović, Jelena and Matanov, Aleksandra and Francisković, Tanja and Knežević, Goran and Ljubotina, Damir and Mehmedbasić, Alma Bravo and Schuetzwohl, Matthias", year = "2010", abstract = "Objective: Posttraumatic stress disorder (PTSD) is a frequent consequence of war experience, and specialized centers have been established in some war-affected areas to provide treatment. This study assessed treatment costs and outcomes in such centers in former Yugoslavia. Methods: An observational study was conducted in four specialized treatment centers (in Serbia, Croatia, and Bosnia-Herzegovina). A total of 526 consecutive adult patients with war-related PTSD were assessed at the beginning of treatment, and 463 met inclusion criteria, including a diagnosis of PTSD on the Clinician-Administered PTSD Scale for DSM-IV (CAPS). For most patients seven years had elapsed between the traumatic experience and treatment at the specialized center. Service costs were also assessed. Outcomes measured at one year were the presence of a PTSD diagnosis and severity of symptoms as indicated by the CAPS score and subjective quality of life as measured by the Manchester Short Assessment of Quality of Life. Results: At 12 months 380 (82%) patients were followed up, and 325 (86%) met criteria for PTSD. Symptoms and quality of life showed overall small but statistically significant improvements. Treatment costs for patients with and without PTSD at 12 months did not significantly differ ((sic)307 and (sic)284, respectively). Conclusions: The recovery rate among patients treated in specialized centers for war-related PTSD several years after the war was poor (14%), and symptom improvements were small. The recovery rate was not linked to service costs. Improving recovery rates might require different treatment methods or different service models. (Psychiatric Services 61:598-604, 2010)", publisher = "American Psychiatric Association", journal = "Psychiatric Services", title = "Treatment Outcomes and Costs at Specialized Centers for the Treatment of PTSD After the War in Former Yugoslavia", pages = "604-598", number = "6", volume = "61", doi = "10.1176/ps.2010.61.6.598" }
Priebe, S., Janković-Gavrilović, J., Matanov, A., Francisković, T., Knežević, G., Ljubotina, D., Mehmedbasić, A. B.,& Schuetzwohl, M.. (2010). Treatment Outcomes and Costs at Specialized Centers for the Treatment of PTSD After the War in Former Yugoslavia. in Psychiatric Services American Psychiatric Association., 61(6), 598-604. https://doi.org/10.1176/ps.2010.61.6.598
Priebe S, Janković-Gavrilović J, Matanov A, Francisković T, Knežević G, Ljubotina D, Mehmedbasić AB, Schuetzwohl M. Treatment Outcomes and Costs at Specialized Centers for the Treatment of PTSD After the War in Former Yugoslavia. in Psychiatric Services. 2010;61(6):598-604. doi:10.1176/ps.2010.61.6.598 .
Priebe, Stefan, Janković-Gavrilović, Jelena, Matanov, Aleksandra, Francisković, Tanja, Knežević, Goran, Ljubotina, Damir, Mehmedbasić, Alma Bravo, Schuetzwohl, Matthias, "Treatment Outcomes and Costs at Specialized Centers for the Treatment of PTSD After the War in Former Yugoslavia" in Psychiatric Services, 61, no. 6 (2010):598-604, https://doi.org/10.1176/ps.2010.61.6.598 . .