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Deteriorated and unchanged patients in psychological treatment in Swedish primary care and psychiatry

Overview of attention for article published in Nordic Journal of Psychiatry, May 2015
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  • Above-average Attention Score compared to outputs of the same age (53rd percentile)
  • Above-average Attention Score compared to outputs of the same age and source (63rd percentile)

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3 X users

Citations

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20 Mendeley
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Title
Deteriorated and unchanged patients in psychological treatment in Swedish primary care and psychiatry
Published in
Nordic Journal of Psychiatry, May 2015
DOI 10.3109/08039488.2015.1028438
Pubmed ID
Authors

Jakob Mechler, Rolf Holmqvist

Abstract

Despite substantial effect sizes for psychological therapy among different diagnosis groups and in different treatment contexts, many studies show that a large proportion of patients do not attain reliable improvement and a substantial portion are worse off after treatment. Previous studies suggest that patients in psychiatry may have worse outcome than patients in primary care. In this practice-based study of psychological treatment in Swedish primary care and adult psychiatry, the proportions of patients who did not improve and who deteriorated were assessed. Proportions of reliably improved, unchanged, and reliably deteriorated patients among 840 patients in primary care and 317 patients in specialist psychiatry were assessed by self-ratings using the Clinical Outcomes in Routine Evaluation - Outcome Measure (CORE-OM). More than half of the patients did not change reliably. About 2% of the patients in primary care and 7% in psychiatry deteriorated. Multilevel analyses of the data from primary care indicated that there were no therapist effects. The results emphasize the importance of monitoring treatment continuously in order to increase results for patients who do not improve.

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X Demographics

The data shown below were collected from the profiles of 3 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 20 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Spain 1 5%
Sweden 1 5%
Unknown 18 90%

Demographic breakdown

Readers by professional status Count As %
Student > Master 5 25%
Student > Doctoral Student 3 15%
Student > Ph. D. Student 3 15%
Researcher 2 10%
Student > Bachelor 2 10%
Other 3 15%
Unknown 2 10%
Readers by discipline Count As %
Psychology 14 70%
Medicine and Dentistry 3 15%
Neuroscience 1 5%
Unknown 2 10%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 3. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 10 May 2016.
All research outputs
#13,800,317
of 23,850,698 outputs
Outputs from Nordic Journal of Psychiatry
#376
of 749 outputs
Outputs of similar age
#125,086
of 269,418 outputs
Outputs of similar age from Nordic Journal of Psychiatry
#8
of 19 outputs
Altmetric has tracked 23,850,698 research outputs across all sources so far. This one is in the 41st percentile – i.e., 41% of other outputs scored the same or lower than it.
So far Altmetric has tracked 749 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 5.2. This one is in the 49th percentile – i.e., 49% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 269,418 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 53% of its contemporaries.
We're also able to compare this research output to 19 others from the same source and published within six weeks on either side of this one. This one has gotten more attention than average, scoring higher than 63% of its contemporaries.