Course of life satisfaction in patients with depressive and addictive disorders after therapeutic intervention

Abstract

Background/Aim: To analyse the course of life satisfaction during the clinic stay of patients with depressive and/or addictive disorders. Methods: In a cohort study, 199 patients with depressive and addictive diseases were asked to complete a series of questionnaires at the start and the end of their psychotherapeutic treatment (on average 4.2 ± 2.3 weeks later). The questionnaires were the Brief Multidimensional Life Satisfaction Scale (BMLSS), the Positive Life Construction/Contentedness/Well-Being Scale from the ERDA (Emotional/Rational Disease Acceptance) questionnaire, Beck’s Depression Inventory and the revised Symptom Checklist (SCL-90-R). Results: The psychotherapeutic interventions improved the clinical situation of the patients and resulted in strong effects with respect to positive life construction ( d = 1.07) and moderate effects on life satisfaction ( d = 0.71). Stronger effects were noted in patients with depressive disorders ( d = 0.80) than in patients with addictive disorders ( d = 0.69). Regression analyses revealed that pre-treatment life satisfaction can be explained negatively by an escape-avoidance strategy (Escape from Illness), and positively by positive life construction. In contrast, post-treatment life satisfaction can be explained negatively by psychological distress and depression, and positively by positive life construction and living with a partner. Conclusion: The hypothesis that life satisfaction changes are associated with the clinical situation of patients was confirmed. In particular, patients with depressive disorders profited from the psychotherapeutic interventions.