Clinical judgement versus self-rating of demoralization in outpatients with a substance-use disorder: A cross-sectional study

Marjolein J van Tongeren; Wiebren Markus; Barbara Stringer; Janneke M de Man; Cornelis A J de Jong; Berno van Meijel

doi:10.1111/ppc.12912

Clinical judgement versus self-rating of demoralization in outpatients with a substance-use disorder: A cross-sectional study

Marjolein J van Tongeren
, Wiebren Markus
, Barbara Stringer
, Janneke M de Man
, Cornelis A J de Jong
, Berno van Meijel^*

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

PURPOSE: To investigate the ability of case managers, working in ambulatory treatment settings specialized in addiction care, to clinically judge demoralization in substance-dependent patients.

DESIGN AND METHODS: In a cross-sectional study, clinical judgments of case managers were compared with the patients' scores on the Demoralization Scale, by calculating the sensitivity and specificity scores.

FINDINGS: Case managers identified demoralization in 85% of the cases (sensitivity), the specificity of 62% suggests that demoralization was overestimated by case managers.

PRACTICE IMPLICATIONS: Demoralization is a frequently occurring phenomenon in patients. Methods should be developed that allow professionals and patients to identify demoralization collaboratively, and to develop tailored interventions to prevent demoralization and its negative consequences.

Original language	English
Pages (from-to)	1138-1143
Number of pages	6
Journal	Perspectives in Psychiatric Care
Volume	58
Issue number	3
Early online date	8 Jul 2021
DOIs	https://doi.org/10.1111/ppc.12912
Publication status	Published - Jul 2022

Keywords

case manager
clinical judgement
demoralization
Flexible Assertive Community Treatment
Substance Use Disorders (SUD)

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10.1111/ppc.12912

Perspect Psychiatric Care - 2021 - Tongeren - Clinical judgement versus self‐rating of demoralization in outpatients with aFinal published version, 304 KBLicence: Taverne

Cite this

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title = "Clinical judgement versus self-rating of demoralization in outpatients with a substance-use disorder: A cross-sectional study",

abstract = "PURPOSE: To investigate the ability of case managers, working in ambulatory treatment settings specialized in addiction care, to clinically judge demoralization in substance-dependent patients.DESIGN AND METHODS: In a cross-sectional study, clinical judgments of case managers were compared with the patients' scores on the Demoralization Scale, by calculating the sensitivity and specificity scores.FINDINGS: Case managers identified demoralization in 85\% of the cases (sensitivity), the specificity of 62\% suggests that demoralization was overestimated by case managers.PRACTICE IMPLICATIONS: Demoralization is a frequently occurring phenomenon in patients. Methods should be developed that allow professionals and patients to identify demoralization collaboratively, and to develop tailored interventions to prevent demoralization and its negative consequences.",

keywords = "case manager, clinical judgement, demoralization, Flexible Assertive Community Treatment, Substance Use Disorders (SUD)",

author = "\{van Tongeren\}, \{Marjolein J\} and Wiebren Markus and Barbara Stringer and \{de Man\}, \{Janneke M\} and \{de Jong\}, \{Cornelis A J\} and \{van Meijel\}, Berno",

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year = "2022",

month = jul,

doi = "10.1111/ppc.12912",

language = "English",

volume = "58",

pages = "1138--1143",

journal = "Perspectives in Psychiatric Care",

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TY - JOUR

T1 - Clinical judgement versus self-rating of demoralization in outpatients with a substance-use disorder

T2 - A cross-sectional study

AU - van Tongeren, Marjolein J

AU - Markus, Wiebren

AU - Stringer, Barbara

AU - de Man, Janneke M

AU - de Jong, Cornelis A J

AU - van Meijel, Berno

PY - 2022/7

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N2 - PURPOSE: To investigate the ability of case managers, working in ambulatory treatment settings specialized in addiction care, to clinically judge demoralization in substance-dependent patients.DESIGN AND METHODS: In a cross-sectional study, clinical judgments of case managers were compared with the patients' scores on the Demoralization Scale, by calculating the sensitivity and specificity scores.FINDINGS: Case managers identified demoralization in 85% of the cases (sensitivity), the specificity of 62% suggests that demoralization was overestimated by case managers.PRACTICE IMPLICATIONS: Demoralization is a frequently occurring phenomenon in patients. Methods should be developed that allow professionals and patients to identify demoralization collaboratively, and to develop tailored interventions to prevent demoralization and its negative consequences.

AB - PURPOSE: To investigate the ability of case managers, working in ambulatory treatment settings specialized in addiction care, to clinically judge demoralization in substance-dependent patients.DESIGN AND METHODS: In a cross-sectional study, clinical judgments of case managers were compared with the patients' scores on the Demoralization Scale, by calculating the sensitivity and specificity scores.FINDINGS: Case managers identified demoralization in 85% of the cases (sensitivity), the specificity of 62% suggests that demoralization was overestimated by case managers.PRACTICE IMPLICATIONS: Demoralization is a frequently occurring phenomenon in patients. Methods should be developed that allow professionals and patients to identify demoralization collaboratively, and to develop tailored interventions to prevent demoralization and its negative consequences.

KW - case manager

KW - clinical judgement

KW - demoralization

KW - Flexible Assertive Community Treatment

KW - Substance Use Disorders (SUD)

UR - https://www.scopus.com/pages/publications/85109385967

U2 - 10.1111/ppc.12912

DO - 10.1111/ppc.12912

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SN - 0031-5990

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JO - Perspectives in Psychiatric Care

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ER -

Clinical judgement versus self-rating of demoralization in outpatients with a substance-use disorder: A cross-sectional study

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Keywords

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