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Collaborative care for patients with bipolar disorder: Effects on functioning and quality of life.
van der Voort, Trijntje Y G; van Meijel, Berno; Hoogendoorn, Adriaan W; Goossens, Peter J J; Beekman, Aartjan T F; Kupka, Ralph W.
Afiliación
  • van der Voort TY; VU University Medical Center, Department of Psychiatry, Amsterdam, The Netherlands; Inholland University of Applied Sciences, Department of Health, Sports & Welfare/Cluster Nursing, Research Group Mental Health Nursing, Amsterdam, The Netherlands. Electronic address: nienke.vandervoort2@inhollan
  • van Meijel B; VU University Medical Center, Department of Psychiatry, Amsterdam, The Netherlands; Inholland University of Applied Sciences, Department of Health, Sports & Welfare/Cluster Nursing, Research Group Mental Health Nursing, Amsterdam, The Netherlands; Parnassia Psychiatric Institute, Parnassia Acade
  • Hoogendoorn AW; VU University Medical Center, Department of Psychiatry, Amsterdam, The Netherlands.
  • Goossens PJ; Dimence Mental Health, Deventer, The Netherlands; Radboud University Medical Center, Nijmegen, The Netherlands; GGZVS, Institute for the Education of Clinical Nurse Specialists in Mental Health, Utrecht, The Netherlands.
  • Beekman AT; VU University Medical Center, Department of Psychiatry, Amsterdam, The Netherlands.
  • Kupka RW; VU University Medical Center, Department of Psychiatry, Amsterdam, The Netherlands; Altrecht Mental Health, Utrecht, The Netherlands.
J Affect Disord ; 179: 14-22, 2015 Jul 01.
Article en En | MEDLINE | ID: mdl-25841077
BACKGROUND: Functioning and quality of life are impaired in bipolar patients. METHODS: Collaborative Care (CC) is a multi-component intervention, provided by a multidisciplinary team, in which a nurse-care manager plays a central role. Effects on functioning and quality of life were tested in a clinical trial. We also investigated the mediating role of depression severity on these outcome variables. RESULTS: Patients randomized to CC showed more improvement in overall functioning compared to patients in the control group who obtained care as usual (CAU), with a small effect size (ES=0.3, z=-2.5, p=0.01). In the domains of autonomy and leisure time, a medium effect was found in favor of CC (autonomy: ES=0.5, z=-2.9, p=0.004; leisure-time: ES=0.4, z=-2.4, p=0.02). No differences between conditions were found in the other domains of functioning. Concerning quality of life, patients in CC improved more in the domain physical health (ES=0.4, z=2.5, p=0.01), if compared to CAU. No differences were found in overall quality of life. Half of the effects on functioning are mediated through the effects of CC on depression severity. LIMITATIONS: At baseline, differences on the main outcomes existed between conditions. Two teams stopped participation in the experimental condition after randomization. Sample size was limited. CONCLUSION: Besides effects on depressive symptoms, CC seems to have direct beneficial effects on both level of functioning and aspects of quality of life.
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Texto completo: 1 Banco de datos: MEDLINE Asunto principal: Grupo de Atención al Paciente / Calidad de Vida / Trastorno Bipolar / Autonomía Personal / Actividades Recreativas Tipo de estudio: Clinical_trials / Diagnostic_studies Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: J Affect Disord Año: 2015 Tipo del documento: Article

Texto completo: 1 Banco de datos: MEDLINE Asunto principal: Grupo de Atención al Paciente / Calidad de Vida / Trastorno Bipolar / Autonomía Personal / Actividades Recreativas Tipo de estudio: Clinical_trials / Diagnostic_studies Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: J Affect Disord Año: 2015 Tipo del documento: Article