Psychiatric or Mood Diseases or Conditions
Conditions
Keywords
psychotherapy, depression, anxiety, surgical patients
Brief summary
The major purpose of this study is to determine whether psychotherapeutic contacts for surgical patients with psychological distress are an effective treatment during the postoperative period to improve the rate of treatment participation in subsequent psychosocial treatment programs.
Detailed description
The primary objective of this study is to investigate the efficacy of psychotherapeutic contacts that aim at motivating and supporting surgical patients with psychiatric disorders in participating in subsequent psychosocial treatment options like psycho- and addiction therapy (RCT). The secondary objective is to investigate whether preoperatively assessed psychosocial factors are associated with surgical outcomes (preoperative computer-assisted self assessment). The Bridging Intervention in Anesthesiology (BRIA) has been designed as a feasible treatment option to reach patients from all surgical fields. Implemented in the preoperative anesthesiological assessment clinic this therapy program comprises two major elements: (1) A computer assisted self assessment of social, lifestyle and psychological factors including a comprehensive battery of psychiatric screening tests; (2) Psychotherapeutic contacts with the objective to motivate patients with psychiatric disorders and support them in participating in subsequent psychosocial treatment programs. The self assessment will be offered to all adult surgical patients of the preoperative anesthesiological assessment clinic during inclusion period (current 5104 patients). Data on surgical outcomes will be collected prospectively during a 6-month-follow-up, and regression analyses will be performed to determine the extent of associations between psychosocial factors and outcomes. Patients with clinically relevant psychological distress (i.e. scoring above the cut-off of one of applied standardized screening questionnaires) will be offered to participate in the RCT on the psychotherapy part of BRIA (220 patients). Data on primary and secondary outcomes will be collected 6 months and 24 months, respectively, after baseline assessment.
Interventions
BEHAVIORALpsychotherapeutic contacts
psychotherapeutic contacts during inpatient hospital stay and up to 3 months outpatient appointments after discharge
Sponsors
Charite University, Berlin, Germany
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Inclusion and
Exclusion criteria
for participating at the preoperative computer-assisted self assessment were defined as follows: Inclusion criteria: * Written informed consent to participate in the first part of study after having been properly instructed * patient of the preoperative anesthesiological assessment clinic * age ≥18 years.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| participation in psychosocial therapy | six months after baseline assessment | rate of patients who participate in succeeding outpatient or inpatient psychosocial treatment (psychotherapy, addiction therapy) |
Secondary
| Measure | Time frame |
|---|---|
| psychiatric distress | 6 months after baseline assessment |
Countries
Germany
Outcome results
None listed