Previous Mental Health Service Utilization and Change in Clients' Depressive Symptoms

Autor/inn/en	Boswell, James F.; McAleavey, Andrew A.; Castonguay, Louis G.; Hayes, Jeffrey A.; Locke, Benjamin D.
Titel	Previous Mental Health Service Utilization and Change in Clients' Depressive Symptoms
Quelle	In: Journal of Counseling Psychology, 59 (2012) 3, S.368-378 (11 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0022-0167
DOI	10.1037/a0028078
Schlagwörter	Health Services; Counseling Services; Depression (Psychology); Probability; Guidance Centers; Severity (of Disability); Structural Equation Models; Symptoms (Individual Disorders); Incidence; Outcomes of Treatment; College Students; Measures (Individuals); Psychiatric Hospitals; Drug Therapy; Mental Health + Suchen Sie Ihr Suchwort? Health service; Gesundheitsdienst; Gesundheitswesen; Wahrscheinlichkeitsrechnung; Wahrscheinlichkeitstheorie; Guidance center; Counseling center; Counseling centers; Beratungsstelle; Schweregrad; Psychiatrische Symptomatik; Vorkommen; Collegestudent; Messdaten; Phsychiatric institution; Psychiatrische Einrichtung; Psychohygiene
Abstract	Although a potentially important factor in case conceptualization and treatment planning, the impact of previous treatment on subsequent counseling response has received little empirical attention. Using archival data, this study aimed to (a) report the prevalence of previous treatment utilization in a counseling population, (b) examine potential differences in symptom severity by treatment history, and (c) test whether the rate of change in symptoms over a course of counseling is moderated by previous treatment utilization, when also accounting for initial severity. A sample of 1,262 college students presenting for treatment in university/college counseling centers across the United States provided information on previous treatment history and completed the Counseling Center Assessment of Psychological Symptoms, administered at intake and up to 4 additional time points, with an average of 3-5 weeks between assessments. Data from the 13-item Depression subscale were used for the present study. Half the clients reported previous counseling, one third psychotropic medication, and one tenth psychiatric hospitalization. Previous treatment was associated with increased baseline depressive symptom severity. Results from latent growth curve models showed that previous counseling and medication correlated with a slower rate of symptom response, and previous counseling reduced the probability of being labeled a treatment responder. Previous counseling remained a significant predictor of counseling response when controlling for baseline severity. Hypothesized mechanisms through which previous treatment experience impacts subsequent treatment response remain largely theoretical and should be the focus of future research. (Contains 2 figures, 3 tables, and 2 footnotes.) (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10