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SWN (subjective well-being under neuroleptics) in clinical practice

Published online by Cambridge University Press:  16 April 2020

P. Zeppegno
Affiliation:
Department of Clinical and Experimental Medicine, Institute of Psychiatry, University of Eastern Piedmont, Novara, Italy
P. Prosperini
Affiliation:
Department of Clinical and Experimental Medicine, Institute of Psychiatry, University of Eastern Piedmont, Novara, Italy
O. Allera
Affiliation:
Department of Clinical and Experimental Medicine, Institute of Psychiatry, University of Eastern Piedmont, Novara, Italy
M. Colombo
Affiliation:
Department of Clinical and Experimental Medicine, Institute of Psychiatry, University of Eastern Piedmont, Novara, Italy
A. Lombardi
Affiliation:
Department of Clinical and Experimental Medicine, Institute of Psychiatry, University of Eastern Piedmont, Novara, Italy
S. Gili
Affiliation:
Department of Clinical and Experimental Medicine, Institute of Psychiatry, University of Eastern Piedmont, Novara, Italy
E. Torre
Affiliation:
Department of Clinical and Experimental Medicine, Institute of Psychiatry, University of Eastern Piedmont, Novara, Italy

Abstract

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Objectives

To assess the use of SWN in the acute phase of psychiatric disease as a predictor of clinical outcome.

Methods

This study started in June 2009 and at the moment we have recruited 150 patients. The patients were divided into 4 groups according to their psychiatric diagnosis (schizophrenic psychosis, mood disorders, personality disorders, acute stress reaction) and each diagnostic group into three subgroups according to length of stay (T1< 7 days, T2 = 7–14 days, T3> 14 days). The subjective well-being indicators (subscales SWN: emotional regulation; self-control; mental functioning; social integration and physical functioning) and the severity of illness (CGI-S) were evaluated at admission and discharge.

Results

At discharge there is a statistically significant difference in the SWN subgroups among the four diagnostic groups except for social integration and total score with equal CGI-S scores. Schizophrenic patients and personality disorders show a subjective improvement at T2; mood disorders at T3; acute stress reactions T1 = T2. CGI shows a statistically improvement regardless of the length of stay.

Conclusions

Preliminary data suggest that SWN represents a predictor of clinical outcome and remission and together with the clinical evaluation it can help clinician to settle therapeutic programs.

Type
P03-596
Copyright
Copyright © European Psychiatric Association 2011
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