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Báo cáo y học: " Dual diagnosis clients’ treatment satisfaction - a systematic review"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Dual diagnosis clients’ treatment satisfaction - a systematic review | Schulte et al. BMC Psychiatry 2011 11 64 http www.biomedcentral.com 1471-244X 11 64 BMC Psychiatry RESEARCH ARTICLE Open Access Dual diagnosis clients treatment satisfaction - a systematic review Sabrina J Schulte1 Petra S Meier2 and John Stirling3 Abstract Background The aim of this systematic review is to synthesize existing evidence about treatment satisfaction among clients with substance misuse and mental health co-morbidity dual diagnoses DD . Methods We examined satisfaction with treatment received variations in satisfaction levels by type of treatment intervention and by diagnosis i.e. DD clients vs. single diagnosis clients and the influence of factors other than treatment type on satisfaction. Peer-reviewed studies published in English since 1970 were identified by searching electronic databases using pre-defined search strings. Results Across the 27 studies that met inclusion criteria high average satisfaction scores were found. In most studies integrated DD treatment yielded greater client satisfaction than standard treatment without explicit DD focus. In standard treatment without DD focus DD clients tended to be less satisfied than single diagnosis clients. Whilst the evidence base on client and treatment variables related to satisfaction is small it suggested client demographics and symptom severity to be unrelated to treatment satisfaction. However satisfaction tended to be linked to other treatment process and outcome variables. Findings are limited in that many studies had very small sample sizes did not use validated satisfaction instruments and may not have controlled for potential confounders. A framework for further research in this important area is discussed. Conclusions High satisfaction levels with current treatment provision especially among those in integrated treatment should enhance therapeutic optimism among practitioners dealing with DD clients. Keywords Dual diagnosis co-morbidity integrated treatment mental illness satisfaction .