| dc.description.abstract | Research shows that being respectful of the patient's needs, values and preferences during treatment, is associated with positive treatment outcomes. The use of individual outcome measures and the use of patient’s psychological profile at the start of treatment, are expected to promote the effect of this patient-centered care. The aim of this study was to investigate the differential outcomes on both generic and individual measures among five psychological profiles of patients with severe somatoform disorder (SFD). Participants were 249 patients receiving multidisciplinary treatment for severe SFD. Pre- and posttreatment psychopathology (BSI), somatic symptoms (LKV), and mental and physical functioning (RAND-36) scores were used as generic outcome measures. Posttreatment evaluation files of 115 participants were rated to get individual outcome measures. In accordance with former research, maladaptive, adaptive, active, limiting, and inflexible profiles were identified. All profiles showed different outcomes on the generic and individual outcome measures. The maladaptive and adaptive profile showed less improvement on the individual and the generic measures than the inflexible, limiting, and active profiles. The maladaptive profile also predicted worse social, physical, and psychological outcomes on the individual measures. These findings indicate that psychological profiles can be useful in predicting treatment outcomes and show the value of individual outcome measures in addition to generic outcome measures in people with severe SFD. These insights might give clinically meaningful direction in delivering patient-centered care. | |
