Effectiveness of the implementation of guidelines for anxiety disorders in specialized mental health care

M. K. van Dijk; D. B. Oosterbaan; M. J. P. M. Verbraak; A. W. Hoogendoorn; B. W. J. H. Penninx; A. J. L. M. van Balkom

doi:10.1111/acps.12338

journal article Sep 22, 2014

Effectiveness of the implementation of guidelines for anxiety disorders in specialized mental health care

M. K. van Dijk D. B. Oosterbaan M. J. P. M. Verbraak A. W. Hoogendoorn B. W. J. H. Penninx A. J. L. M. van Balkom

Acta Psychiatrica Scandinavica Vol. 132 No. 1 pp. 69-80 · Wiley

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Abstract

ObjectiveTo examine the effect of implementing anxiety disorders guidelines on guideline adherence and patient outcomes in specialized mental health care.MethodA treatment setting in which guidelines were implemented (intervention condition) was compared with one in which guidelines were only disseminated (control condition).ResultsOf 61.7% of 81 intervention‐condition patients received treatment according to the guidelines vs. 40.6% of 69 control‐condition patients (P = 0.01). At 1‐year follow‐up, intervention‐condition patients showed a greater decrease in anxiety symptoms (d = 0.48, P < 0.05); higher percentages of response (52.6% vs. 33.8%; P = 0.025) and remission (33.3% vs.16.9%; P = 0.026); and a greater decrease in the rate of phobic avoidance (d = 0.34, P < 0.05). At 2‐year follow‐up, control‐condition patients had experienced a longer period of treatment, which had eroded most of these differences, except for phobic avoidance.ConclusionSystematic guideline implementation results in earlier gains and shorter treatment times.

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Details

Published: Sep 22, 2014
Vol/Issue: 132(1)
Pages: 69-80
License: View

Authors

M

M. K. van Dijk

HSK Group Arnhem and Department of Psychiatry VU University Medical Centre and GGZinGeest Amsterdam the Netherlands

D

D. B. Oosterbaan

Department of Psychiatry UMC St. Radboud and Pro Persona Overwaal Nijmegen the Netherlands

M

M. J. P. M. Verbraak

Behavioural Science Institute Radboud University Nijmegen and HSK Group Arnhem the Netherlands

A

A. W. Hoogendoorn

Department of Psychiatry and EMGO+ Institute for Health and Care Research VU University Medical Centre and GGZinGeest Amsterdam the Netherlands

B

B. W. J. H. Penninx

Department of Psychiatry and EMGO+ Institute for Health and Care Research VU University Medical Centre and GGZinGeest Amsterdam the Netherlands

A

A. J. L. M. van Balkom

Department of Psychiatry and EMGO+ Institute for Health and Care Research VU University Medical Centre and GGZinGeest Amsterdam the Netherlands

Cite This Article

M. K. van Dijk, D. B. Oosterbaan, M. J. P. M. Verbraak, et al. (2014). Effectiveness of the implementation of guidelines for anxiety disorders in specialized mental health care. Acta Psychiatrica Scandinavica, 132(1), 69-80. https://doi.org/10.1111/acps.12338

Effectiveness of the implementation of guidelines for anxiety disorders in specialized mental health care

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