Short-term outcome of mental health care was assessed in a multidimensional perspective using graphical chain models, a new multivariate method that analyses the relationship between variables conditionally, i.e. taking into account the effect of antecedent and intervening variables.
GAF, BPRS, DAS (at baseline and after 6 months), LQL and VSSS (at follow-up only) were administered to 194 patients attending the South-Verona community-based mental health service.
Direct costs in the interval were also calculated.
Graphical chain models were used to analyse :
(1) the associations between predictors (psychopathology, disability, functioning, assessed at baseline) ;
(2) the effects of predictors on costs ;
and (3) the effect of predictors and costs on outcomes (psychopathology, disability, functioning, quality of life and service satisfaction) as well as their correlation.
Psychopathology, disability and functioning scores at baseline predicted the corresponding scores at 6-month follow-up, with greater improvement in the more severely ill.
Higher psychopathology and poorer functioning at baseline predicted higher costs and, in turn, costs predicted poorer functioning at follow-up.
Psychopathology, disability and functioning, which were highly correlated ; and the dyad service satisfaction and quality of life. (...)
Mots-clés Pascal : Prédiction, Evolution, Service santé, Santé mentale, Coût financement, Qualité vie, Italie, Europe, Analyse multivariable, Homme
Mots-clés Pascal anglais : Prediction, Evolution, Health service, Mental health, Financing cost, Quality of life, Italy, Europe, Multivariate analysis, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0043263
Code Inist : 002B18H05B. Création : 31/05/1999.