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Predictors of Premature Treatment Discontinuation After Discharge in Posttraumatic Stress Disorder

Published online by Cambridge University Press:  15 April 2020

K. Lee
Affiliation:
Psychiatry, College of Medicine Dongguk University, Gyeongju, Korea
M. Kim
Affiliation:
Psychiatry, Jeju National University Hospital, Jeju, Korea
W. Bahk
Affiliation:
Psychiatry, Yeouido St. Mary's Hospital, Seoul, Korea
D. Jon
Affiliation:
Psychiatry, Sacred Heart Hospital College of Medicine Hallym University, Anyang, Korea
Y. Kwon
Affiliation:
Psychiatry, Department of Psychiatry College of Medicine Soonchunhuang University, Cheonan, Korea
S. Lee
Affiliation:
Psychiatry, Wonkwang University School of Medicine, Iksan, Korea
B. Yoon
Affiliation:
Psychiatry, Naju National Hospital, Naju, Korea
W. Kim
Affiliation:
Psychiatry, Inje University Seoul Paik Hospital, Seoul, Korea
J. Seo
Affiliation:
Psychiatry, Konkuk University Chungju Hospital School of Medicine Konkuk University, Chungju, Korea

Abstract

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Introduction

Despite the advance in pharmacotherapy for posttraumatic stress disorder (PTSD), poor treatment adherence to pharmacotherapy for PTSD is a critical issue.

Objectives

We intended to evaluate the predictors of premature discontinuation of psychiatric outpatient treatment after discharge for noncombat-related PTSD.

Aims

This study aimed to examine the sociodemographic and disease-related variables associated with the premature discontinuation of psychiatric outpatient treatment after discharge among patients with non-combat-related posttraumatic stress disorder.

Methods

We retrospectively reviewed the medical records of patients who were discharged with a diagnosis of posttraumatic stress disorder.

Results

Fifty-five percent of subjects prematurely discontinued outpatient treatment within 6 months of discharge. Comparing sociodemographic variables between the 6-month non-follow-up group and 6-month follow-up group, there were no variables that differed between the two groups. However, comparing disease-related variables, the 6-month follow-up group showed a longer hospitalization duration and higher Global Assessment of Function score at discharge. The logistic regression analysis showed that a shorter duration of hospitalization predicted premature discontinuation of outpatient treatment within 6 months of discharge.

Conclusions

The duration of psychiatric hospitalization for posttraumatic stress disorder appeared to influence the premature discontinuation of outpatient treatment after discharge.

Type
Article: 1547
Copyright
Copyright © European Psychiatric Association 2015
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