The effectiveness of adhering to clinical-practice guidelines for anxiety disorders in secondary mental health care: the results of a cohort study in the Netherlands

Journal of Evaluation in Clinical Practice
Maarten K van DijkAnton J L M van Balkom

Abstract

While studies into the implementation of clinical practice guidelines for mental health care are scarce, studies on the effectiveness of implementing practice guidelines for anxiety disorders appear to be entirely non-existent. To examine whether adherence to anxiety disorder clinical practice guidelines in secondary mental health care yields superior treatment results than non-adherence. A closed-cohort study of 181 outpatients with an anxiety disorder or hypochondriasis who were treated in a routine mental health setting. Preceding the inclusion of these 181 patients, a start was made on the implementation of the Dutch national multidisciplinary practice guidelines for anxiety disorders. Patients were asked to complete several questionnaires before the start of treatment and again 1 year later. The medical records of these patients were reviewed to assess guideline adherence. Ultimately, adherence or non-adherence to the different treatment algorithms described in the guidelines was related to changes in the severity of psychiatric symptomatology, psychiatric functioning, general well-being and satisfaction with treatment. Compared with patients whose treatment did not adhere to the guidelines, those whose treatment adhered t...Continue Reading

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Citations

Sep 20, 2012·BMC Pregnancy and Childbirth·Mary CarolanCheryl Steele
May 6, 2019·Psychometrika·Steffi PohlMatthias von Davier
Nov 19, 2014·Evidence-based Child Health : a Cochrane Review Journal·Olabisi OduwoleEkong E Udoh
Jun 7, 2019·European Radiology·Jonathan RichenbergIvo G Schoots

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