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

Title: Clinical judgement versus self-rating of demoralization in outpatients with a substance-use disorder:A cross-sectional study
Authors: van Tongeren, Marjolein J.; Markus, Wiebren; Stringer, Barbara; de Man, Janneke M.; de Jong, Cornelis A.J.; van Meijel, Berno
Source: van Tongeren, M J, Markus, W, Stringer, B, de Man, J M, de Jong, C A J & van Meijel, B 2022, 'Clinical judgement versus self-rating of demoralization in outpatients with a substance-use disorder : A cross-sectional study', Perspectives in psychiatric care, vol. 58, no. 3, pp. 1138-1143. https://doi.org/10.1111/ppc.12912
Publication Year: 2022
Description: 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.
Document Type: article in journal/newspaper
Language: English
ISSN: 0031-5990; 1744-6163
Relation: info:eu-repo/semantics/altIdentifier/pmid/34240425; info:eu-repo/semantics/altIdentifier/pissn/0031-5990; info:eu-repo/semantics/altIdentifier/eissn/1744-6163
DOI: 10.1111/ppc.12912
Availability: https://research.vumc.nl/en/publications/d6ef7e9d-19fc-41fb-8b1e-5aa7f016ba14; https://doi.org/10.1111/ppc.12912; https://www.scopus.com/pages/publications/85109385967
Rights: info:eu-repo/semantics/openAccess
Accession Number: edsbas.1AC12B21
Database: BASE