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Predictors of premature discontinuation of outpatient treatment after discharge of patients with posttraumatic stress disorder

Authors Wang HR, Woo YS, Jun T, Bahk W

Received 26 November 2014

Accepted for publication 6 January 2015

Published 20 March 2015 Volume 2015:11 Pages 787—792


Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 3

Editor who approved publication: Professor Wai Kwong Tang

Hee Ryung Wang, Young Sup Woo, Tae-Youn Jun, Won-Myong Bahk

Department of Psychiatry, College of Medicine, The Catholic University of Korea, Seoul, Korea

Objective: This study aimed to examine the sociodemographic and disease-related variables associated with the premature discontinuation of psychiatric outpatient treatment after discharge among patients with noncombat-related posttraumatic stress disorder.
Methods: We retrospectively reviewed the medical records of patients who were discharged with a diagnosis of posttraumatic stress disorder.
Results: Fifty-five percent of subjects (57/104) prematurely discontinued outpatient treatment within 6 months of discharge. Comparing sociodemographic variables between the 6-month non-follow-up group and 6-month follow-up group, there were no variables that differed between the two groups. However, comparing disease-related variables, the 6-month follow-up group showed a longer hospitalization duration and higher Global Assessment of Function score at discharge. The logistic regression analysis showed that a shorter duration of hospitalization predicted premature discontinuation of outpatient treatment within 6 months of discharge.
Conclusion: The duration of psychiatric hospitalization for posttraumatic stress disorder appeared to influence the premature discontinuation of outpatient treatment after discharge.

Keywords: posttraumatic stress disorder, discontinuation, compliance, predictor

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