Clinical judgement versus self‐rating of demoralization in outpatients with a substance‐use disorder: A cross‐sectional study. Issue 3 (8th July 2021)

• Record Type: Journal Article
• Authors: van Tongeren, Marjolein J.; Markus, Wiebren; Stringer, Barbara; de Man, Janneke M.; de Jong, Cornelis A.J.; van Meijel, Berno
• Is Part Of: Perspectives in psychiatric care. Volume 58:Issue 3(2022)
• Page Start: 1138
• Page End: 1143
• Publication Date: 2021-07-08
• Subjects: case manager -- clinical judgement -- demoralization -- Flexible Assertive Community Treatment -- Substance Use Disorders (SUD); Psychiatric nursing -- Periodicals; Psychiatric nursing -- Research -- Periodicals; 616.890231
• DOI: 10.1111/ppc.12912
• Languages: English
• ISSNs: 0031-5990

Abstract

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.