Association of treatment satisfaction and psychopathological sub-syndromes among involuntary patients with psychotic disorders
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Previous research has shown a link between treatment satisfaction and global psychopathology in different groups of psychiatric patients. However, neither the relationship between treatment satisfaction and the sub-syndromes of global psychopathology nor their temporal ordering have been explored.
Participants admitted involuntarily to psychiatric wards in the UK and diagnosed with psychotic disorders (N = 232) were included. Treatment satisfaction and psychopathological sub-syndromes (i.e., manic excitement, anxiety-depression, negative symptoms, positive symptoms) were measured within 1 week and at 1 month after admission.
Repeated measures ANOVAs showed that higher treatment satisfaction is associated with lower scores on the manic excitement, anxiety-depression and positive symptom sub-syndromes, while no significant association was found for negative symptoms. However, cross-lagged panel analyses showed that treatment satisfaction predicted change only in positive symptoms while none of the paths from the relevant sub-syndromes to treatment satisfaction was significant.
Treatment satisfaction can be regarded as an antecedent of changes in positive symptoms only. These results underline the importance of examining psychopathological sub-syndromes separately as they may relate differentially to other important correlates of psychoses.
KeywordsTreatment satisfaction BPRS sub-syndromes Psychoses
We are grateful to all interviewed patients and staff of participating trusts. Funding for this study was provided by Policy Research Programme of the Department of Health, UK (Commission no. 0230072). The views expressed in the publication are those of the authors and not necessarily those of the Department of Health, who had no further role in study design, collection, analysis and interpretation of data, in the writing of the report; and in the decision to submit the paper for publication.
Conflict of interest statement
All authors declare that they have no conflicts of interest.
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