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Anticipated Benefits of Care (ABC): psychometrics and predictive value in psychiatric disorders

  • D. Warden (a1), M. H. Trivedi (a1), T. J. Carmody (a1), J. K. Gollan (a2), T. M. Kashner (a1), L. Lind (a3), M. L. Crismon (a4) and A. J. Rush (a5)
  • DOI: http://dx.doi.org/10.1017/S003329170999136X
  • Published online: 29 September 2009
Abstract
Background

Attitudes and expectations about treatment have been associated with symptomatic outcomes, adherence and utilization in patients with psychiatric disorders. No measure of patients' anticipated benefits of treatment on domains of everyday functioning has previously been available.

Method

The Anticipated Benefits of Care (ABC) is a new, 10-item questionnaire used to measure patient expectations about the impact of treatment on domains of everyday functioning. The ABC was collected at baseline in adult out-patients with major depressive disorder (MDD) (n=528), bipolar disorder (n=395) and schizophrenia (n=447) in the Texas Medication Algorithm Project (TMAP). Psychometric properties of the ABC were assessed, and the association of ABC scores with treatment response at 3 months was evaluated.

Results

Evaluation of the ABC's internal consistency yielded Cronbach's α of 0.90–0.92 for patients across disorders. Factor analysis showed that the ABC was unidimensional for all patients and for patients with each disorder. For patients with MDD, lower anticipated benefits of treatment was associated with less symptom improvement and lower odds of treatment response [odds ratio (OR) 0.72, 95% confidence interval (CI) 0.57–0.87, p=0.0011]. There was no association between ABC and symptom improvement or treatment response for patients with bipolar disorder or schizophrenia, possibly because these patients had modest benefits with treatment.

Conclusions

The ABC is the first self-report that measures patient expectations about the benefits of treatment on everyday functioning, filling an important gap in available assessments of attitudes and expectations about treatment. The ABC is simple, easy to use, and has acceptable psychometric properties for use in research or clinical settings.

Copyright
Corresponding author
*Address for correspondence: D. Warden, Ph.D., M.B.A., Department of Psychiatry, The University of Texas Southwestern Medical Center at Dallas, 5323 Harry Hines Blvd, Dallas, TX75390-9119, USA. (Email: Diane.Warden@UTSouthwestern.edu)
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This list contains references from the content that can be linked to their source. For a full set of references and notes please see the PDF or HTML where available.

J Adams , J Scott (2000). Predicting medication adherence in severe mental disorders. Acta Psychiatrica Scandinavica 101, 119124.

JE Aikens , DE Nease Jr., MS Klinkman (2008). Explaining patients' beliefs about the necessity and harmfulness of antidepressants. Annals of Family Medicine 6, 2329.

J Alvidrez (1999). Ethnic variations in mental health attitudes and service use among low-income African American, Latina, and European American young women. Community Mental Health Journal 35, 515530.

R Andersen , LA Aday (1978). Access to medical care in the U.S.: realized and potential. Medical Care 16, 533546.

RM Andersen (1995). Revisiting the behavioral model and access to medical care: does it matter? Journal of Health and Social Behavior 36, 110.

DM Anglin , PM Alberti , BG Link , JC Phelan (2008). Racial differences in beliefs about the effectiveness and necessity of mental health treatment. American Journal of Community Psychology 42, 1724.

MH Becker , DP Haefner , SV Kasl , JP Kirscht , LA Maiman , IM Rosenstock (1977). Selected psychosocial models and correlates of individual health-related behaviors. Medical Care 15 (5 Suppl.), 2746.

C Brown , DR Battista , R Bruehlman , SS Sereika , ME Thase , J Dunbar-Jacob (2005). Beliefs about antidepressant medications in primary care patients: relationship to self-reported adherence. Medical Care 43, 12031207.

LJ Cronbach (1951). Coefficient alpha and the internal structure of tests. Psychometrika 16, 297334.

GJ Devilly , TD Borkovec (2000). Psychometric properties of the credibility/expectancy questionnaire. Journal of Behavior Therapy and Experimental Psychiatry 31, 7386.

P Enck , F Benedetti , M Schedlowski (2008). New insights into the placebo and nocebo responses. Neuron 59, 195206.

LJ Finney , RJ Iannotti (2001). The impact of family history of breast cancer on women's health beliefs, salience of breast cancer family history, and degree of involvement in breast cancer issues. Women & Health 33, 1528.

M Fournier , D de Ridder , J Bensing (2002). Optimism and adaptation to chronic disease: the role of optimism in relation to self-care options of type 1 diabetes mellitus, rheumatoid arthritis and multiple sclerosis. British Journal of Health Psychology 7, 409432.

BA Gaudiano , IW Miller (2006). Patients' expectancies, the alliance in pharmacotherapy, and treatment outcomes in bipolar disorder. Journal of Consulting and Clinical Psychology 74, 671676.

DA Gilbert , KZ Altshuler , WV Rago , SP Shon , ML Crismon , MG Toprac , AJ Rush (1998). Texas Medication Algorithm Project: definitions, rationale, and methods to develop medication algorithms. Journal of Clinical Psychiatry 59, 345351.

P Girardi , M Pompili , M Innamorati , M Mancini , G Serafini , L Mazzarini , A Del Casale , R Tatarelli , RJ Baldessarini (2009). Duloxetine in acute major depression: review of comparisons to placebo and standard antidepressants using dissimilar methods. Human Psychopharmacology 24, 177190.

ET Gortner , JK Gollan , KS Dobson , NS Jacobson (1998). Cognitive-behavioral treatment for depression: relapse prevention. Journal of Consulting and Clinical Psychology 66, 377384.

JL Horn (1965). An empirical comparison of various methods for estimating common factor scores. Educational and Psychological Measurement 25, 313322.

R Horne , J Weinman (1999). Patients' beliefs about prescribed medicines and their role in adherence to treatment in chronic physical illness. Journal of Psychosomatic Research 47, 555567.

RH Howland (2008). Understanding the placebo effect. Part 2: Underlying psychological and neurobiological processes. Journal of Psychosocial Nursing and Mental Health Services 46, 1518.

NK Janz , MH Becker (1984). The Health Belief Model: a decade later. Health Education Quarterly 11, 147.

HV Krell , AF Leuchter , M Morgan , IA Cook , M Abrams (2004). Subject expectations of treatment effectiveness and outcome of treatment with an experimental antidepressant. Journal of Clinical Psychiatry 65, 11741179.

S Leucht , D Arbter , RR Engel , W Kissling , JM Davis (2009). How effective are second-generation antipsychotic drugs? A meta-analysis of placebo-controlled trials. Molecular Psychiatry 14, 429447.

PJ Martin , KE Guhr , ML Hunter , NJ Acree (1977 a). Therapists' expectancies and patients' improvement in treatment: the shape of the link. Psychological Reports 40, 443453.

PJ Martin , JE Moore , AL Sterne , CJ Lindsey (1977 b). Patients' expectancies and hospital outcome. Journal of Clinical Psychology 33, 254258.

DM McFarland (2003). Cervical cancer and Pap smear screening in Botswana: knowledge and perceptions. International Nursing Review 50, 167175.

M Meana , T Bunston , U George , L Wells , W Rosser (2001). Influences on breast cancer screening behaviors in Tamil immigrant women 50 years old and over. Ethnicity and Health 6, 179188.

AL Miller , ML Crismon , AJ Rush , J Chiles , TM Kashner , M Toprac , T Carmody , M Biggs , K Shores-Wilson , J Chiles , B Witte , C Bow-Thomas , DI Velligan , M Trivedi , T Suppes , S Shon (2004). The Texas Medication Algorithm Project: clinical results for schizophrenia. Schizophrenia Bulletin 30, 627647.

KJ Petrie , LA Jago , DA Devcich (2007). The role of illness perceptions in patients with medical conditions. Current Opinion in Psychiatry 20, 163167.

WI Petro-Nustas (2001). Factors associated with mammography utilization among Jordanian women. Journal of Transcultural Nursing 12, 284291.

IM Rosenstock (1966). Why people use health services. The Milbank Memorial Fund Quarterly 44, 91–127.

IM Rosenstock (1974). Historical origins of the health belief model. Health Education Monographs 2, 238335.

AJ Rush , TJ Carmody , PE Reimitz (2000). The Inventory of Depressive Symptomatology (IDS): clinician (IDS-C) and self-report (IDS-SR) ratings of depressive symptoms. International Journal of Methods in Psychiatric Research 9, 4559.

AJ Rush , ML Crismon , TM Kashner , MG Toprac , TJ Carmody , MH Trivedi , T Suppes , AL Miller , MM Biggs , K Shores-Wilson , BP Witte , SP Shon , WV Rago , KZ Altshuler (2003). Texas Medication Algorithm Project, phase 3 (TMAP-3): rationale and study design. Journal of Clinical Psychiatry 64, 357369.

AJ Rush , WV Rago , ML Crismon , MG Toprac , SP Shon , T Suppes , AL Miller , MH Trivedi , AC Swann , MM Biggs , K Shores-Wilson , TM Kashner , T Pigott , JA Chiles , DA Gilbert , KZ Altshuler (1999). Medication treatment for the severely and persistently mentally ill: the Texas Medication Algorithm Project. Journal of Clinical Psychiatry 60, 284291.

F Samejima (1997). Graded response model. In Handbook of Modern Item Response Theory (ed. W. van Linden and R. K. Hambleton ), pp. 85–100. Springer-Verlag: New York.

T Suppes , AJ Rush , EB Dennehy , ML Crismon , TM Kashner , MG Toprac , TJ Carmody , ES Brown , MM Biggs , K Shores-Wilson , BP Witte , MH Trivedi , AL Miller , KZ Altshuler , SP Shon (2003). Texas Medication Algorithm Project, phase 3 (TMAP-3): clinical results for patients with a history of mania. Journal of Clinical Psychiatry 64, 370382.

R Sysko , BT Walsh (2007). A systematic review of placebo response in studies of bipolar mania. Journal of Clinical Psychiatry 68, 12131217.

MH Trivedi , AJ Rush , ML Crismon , TM Kashner , MG Toprac , TJ Carmody , T Key , MM Biggs , K Shores-Wilson , B Witte , T Suppes , AL Miller , KZ Altshuler , SP Shon (2004 a). Clinical results for patients with major depressive disorder in the Texas Medication Algorithm Project. Archives of General Psychiatry 61, 669680.

MH Trivedi , AJ Rush , HM Ibrahim , TJ Carmody , MM Biggs , T Suppes , ML Crismon , K Shores-Wilson , MG Toprac , EB Dennehy , B Witte , TM Kashner (2004 b). The Inventory of Depressive Symptomatology, Clinician Rating (IDS-C) and Self-Report (IDS-SR), and the Quick Inventory of Depressive Symptomatology, Clinician Rating (QIDS-C) and Self-Report (QIDS-SR) in public sector patients with mood disorders: a psychometric evaluation. Psychological Medicine 34, 7382.

MH Trivedi , AJ Rush , SR Wisniewski , D Warden , W McKinney , M Downing , SR Berman , A Farabaugh , JF Luther , AA Nierenberg , JA Callan , HA Sackeim (2006). Factors associated with health-related quality of life among outpatients with major depressive disorder: a STAR*D report. Journal of Clinical Psychiatry 67, 185195.

J Ventura , K Nuechterlein , K Subotnik , E Gilbert (1995). Symptom dimensions in recent-onset schizophrenia: the 24-item expanded BPRS. Schizophrenia Research 15, 22.

D Warden , MH Trivedi , SR Wisniewski , IM Lesser , J Mitchell , GK Balasubramani , M Fava , K Shores-Wilson , D Stegman , AJE Rush (2009). Identifying risk for attrition during treatment for depression. Psychotherapy and Psychosomatics 78, 372379.

J Weinman , KJ Petrie , R Moss-Morris , R Horne (1996). The Illness Perception Questionnaire: a new method for assessing the cognitive representation of illness. Psychology and Health 11, 431435.

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