Outcomes of inpatients with severe mental illness : a naturalistic descriptive study

• Autor(a) principal: Nuernberg, Gabriela Lotin
• Data de Publicação: 2016
• Outros Autores: Baeza, Fernanda Lucia Capitanio, Fleck, Marcelo Pio de Almeida, Rocha, Neusa Sica da
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Repositório Institucional da UFRGS
• Texto Completo: http://hdl.handle.net/10183/170932
• topic: Transtornos mentais; Pacientes internados; Hospitalização; Qualidade de vida; Severe mental illness; Inpatient treatment; Psychiatric hospitalization; Quality of life

Objective: To describe and evaluate the response and predictors of remission during inpatient treatment in a psychiatric unit in a general hospital based on symptomatology, functionality, and quality of life (QoL). Methods: Patients were admitted to a psychiatric unit in a tertiary general hospital in Brazil from June 2011 to December 2013 and included in the study if they met two of the severe mental illness (SMI) criteria: Global Assessment of Functioning (GAF) p 50 and duration of service contact X 2 years. Patients were assessed by the Brief Psychiatric Rating Scale (BPRS), the Clinical Global Impression (CGI) Severity Scale , GAF, the World Health Organization Quality of Life Instrument – Abbreviated version (WHOQOL-Bref), and specific diagnostic scales. Results: A total of 239 patients were included. BPRS mean scores were 25.54611.37 at admission and 10.9668.11 at discharge (p o 0.001). Patients with manic episodes (odds ratio: 4.03; 95% confidence interval: 1.14-14.30; p = 0.03) were more likely to achieve remission (CGI p 2 at discharge) than those with depressive episodes. Mean length of stay was 28.95619.86 days. All QoL domains improved significantly in the whole sample. Conclusion: SMI patients had marked improvements in symptomatic and functional measures during psychiatric hospitalization. Patients with manic episodes had higher chance of remission according to the CGI.