[The burden on relatives of acute mentally ill within the first four weeks of day hospital and inpatient treatment. Results from a randomized controlled trial].
OBJECTIVE
To assess the burden on relatives as well as their mental well-being within the context of a randomized controlled trial on the effectiveness of acute psychiatric day hospital treatment as compared to inpatient treatment.


METHODS
The study was conducted at the Department of Psychiatry and Psychotherapy, Dresden University of Technology. A sample of 95 relatives was assessed at admission and after four weeks of treatment using the Involvement Evaluation Questionnaire (IEQ) and the General Health Questionnaire (GHQ-28), the period to be rated being the last four weeks prior to assessment.


RESULTS
Relatives reported a mean level of burden, which for both settings decreased during the first four weeks of treatment. With respect to this period, burden on relatives of day hospital patients did not differ from that on relatives of inpatients. The relatives' mental well-being was markedly impaired, and only that of the inpatients' relatives did slightly improve during treatment.


CONCLUSIONS
Treating acute mentally ill as day hospital patients does not result in greater burden on relatives compared to treating them as inpatients. Independently from treatment setting, relatives of psychiatric patients should be actively approached and offered information, coping strategies, and help. Further research should include qualitative methods.
Schützwohl
Matthias
M
Klinik und Poliklinik für Psychiatrie und Psychotherapie, Universitätsklinikum Carl Gustav Carus der TU Dresden, Fetscherstrasse 34, 01307 Dresden, Germany. Matthias.Schuetzwohl@mailbox.tu-dresden.de
Glöckner
Matthias
M
Matthes
Christiane
C
Eichler
Tilly
T
Kallert
Thomas
T
D000208:Acute Disease; D000328:Adult; D017028:Caregivers / Q000523:psychology*; D017281:Cost of Illness; D003631:Day Care, Medical; D005260:Female; D005858:Germany; D006801:Humans; D008297:Male; D008875:Middle Aged; D010343:Patient Admission; D011567:Psychiatric Department, Hospital; D011618:Psychotic Disorders / Q000523:psychology / Q000628:therapy*; D012944:Social Support; D012949:Social Work, Psychiatric; D011795:Surveys and Questionnaires; D016896:Treatment Outcome