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Juan Valdés-Stauber, Sabine Krämer, Susanne Bachthaler
BACKGROUND: The effectiveness of the inpatient psychosomatic treatment has been documented in various settings. The question of the sustainability of the improvement achieved as well as the prognostic factors is of interest for public health. OBJECTIVE: Primary outcome variables reflect the stability or change in the clinical status of patients one year after the discharge from the inpatient psychosomatic treatment. Secondary outcome variables reflect differences in utilization of medical services between the year before and after admission...
December 12, 2018: Fortschritte der Neurologie-Psychiatrie
Charlotte Jaite, Antje Pfeiffer, Ernst Pfeiffer, Claudia Thurn, Tobias Bierbaum, Sibylle Maria Winter, Ulrike Lehmkuhl, Harriet Salbach
BACKGROUND: The current study investigates determinants of treatment evaluation by adolescent outpatients with anorexia nervosa (AN) and the accordance with their parents' and psychotherapists' evaluation. SAMPLING AND METHODS: The sample included 50 female adolescent outpatients (mean age: 16.9 ± 1.8) with AN (DSM-IV). They were randomly assigned to either cognitive-behavior therapy (CBT) or dialectical-behavior therapy (DBT). Before (T1) and after treatment (T2) diagnostic interviews as well as self-report questionnaires were administered measuring eating disorder-specific and general psychopathology...
November 29, 2018: Eating and Weight Disorders: EWD
Kerem Böge, Eric Hahn, Tien Duc Cao, Lukas Marian Fuchs, Lara Kim Martensen, Georg Schomerus, Michael Dettling, Matthias Angermeyer, Van Tuan Nguyen, Thi Minh Tam Ta
Background: In Vietnam, the mental health care infrastructure is on the verge of transformation with an increase in the demand for access to adequate and effective mental health care services. Public attitudes towards mental illness, as well as corresponding treatment options influence help-seeking behaviors of patients and caregivers, affecting the course of their treatment. This study assesses attitudes towards treatment options for depression and schizophrenia, as the two most common psychiatric disorders in Vietnam, accounting for at least 75% of all psychiatric inpatients...
2018: International Journal of Mental Health Systems
Marcus Gumpert, Jens-Peter Reese
INTRODUCTION: According to Sect. 135a (2) of the Fifth Book of the German Social Code (SGB V), all physicians, psychotherapists and medical care centers are obliged to introduce an intra-institutional quality management system (QM system). The legislator instructed the Federal Joint Committee (G-BA) to develop basic requirements in a quality management guideline (QM-RL). Factor analysis was used to examine whether individual quality categories had a significant influence on the scores of QM systems...
November 21, 2018: Zeitschrift Für Evidenz, Fortbildung und Qualität Im Gesundheitswesen
Elizabeth Edginton, Rebecca Walwyn, Maureen Twiddy, Alex Wright-Hughes, Sandy Tubeuf, Sadie Reed, Alix Smith, Laura Stubbs, Jacqueline Birtwistle, Sarah Jane Abraham, Lynda Ellis, Nick Midgley, Tom Hughes, Paul Wallis, David Cottrell
BACKGROUND: Parenting programmes are recommended for conduct disorders in 5-11 year olds, but ineffective for 25-33%. A feasibility trial was needed to determine whether a confirmatory trial of second-line, manualised short-term psychoanalytic child psychotherapy (mPCP) versus treatment as usual (TaU) is practicable. METHOD: This was a two-arm, pragmatic, parallel-group, multi-centre, individually-randomised controlled feasibility trial with blinded outcome assessment...
November 14, 2018: Journal of Child and Adolescent Mental Health
Beat Hulliger, Martin Sterchi
For admission to statutory health insurance, it is common in Switzerland that health care providers negotiate prices for health care services directly with health insurers. Once they agree upon a price, they must submit the resulting price to the Federal Office of Public Health (FOPH), which can then authorize it. Swiss law requires the prices in health care to be based on empirical data. There has been little research on how to derive such a price for health care from empirical data and which data should be used...
November 13, 2018: Health Economics Review
Nina Schulze, Silja C Reuter, Isabelle Kuchler, Britta Reinke, Lena Hinkelmann, Saskia Stöckigt, Hanna Siemoneit, Peter Tonn
BACKGROUND: Although the use of e-mental health interventions and their evaluation is already well advanced in countries such as the United States and Australia, research in this area is still in the early stages in Germany. Moreover, existing programs are used only to a small extent by patients, although physicians and therapists generally have a positive attitude toward their use. To help promote the use of online interventions in the future, an analysis of the differences in opinions and attitudes toward e-mental health interventions between health care professionals and nonprofessionals is necessary...
November 9, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
Olivier Laverdière, Jean Descôteaux, Thalie Beaulieu-Tremblay, Valérie Simard
OBJECTIVE: Attachment theory is of great relevance to psychotherapy process and outcome. The labor-intensive and time-consuming nature of attachment codification impedes its widespread use in clinical practice. The Attachment Questionnaire (AQ), a clinician-rated instrument, was developed to address these limitations. However, the status of validation of the AQ remains preliminary. The objective of this study is to further validate the AQ by evaluating its factor structure and convergent validity...
October 28, 2018: Journal of Clinical Psychology
T Deffner, G Michels, A Nojack, I Rößler, D Stierle, M Sydlik, S Teufert, U Ullmann, V von Bassewitz, K Wicklein
The relatively high rates of mental stress among critically ill patients and their relatives implies the necessity of conceptually and financially embedded psychological care in intensive care units (ICUs). Professional associations also recommend the involvement of psychological professionals and screening of mental symptoms in critically ill patients. Intensive care medicine psychologists and psychotherapists take this as an opportunity to describe the content and goals of psychological care. Task areas are care for patients and relatives as well as staff support...
October 26, 2018: Medizinische Klinik, Intensivmedizin und Notfallmedizin
F Vallières, R Ceannt, F Daccache, R Abou Daher, J Sleiman, B Gilmore, S Byrne, M Shevlin, J Murphy, P Hyland
OBJECTIVE: Support for ICD-11 post-traumatic stress disorder (PTSD) and complex PTSD (CPTSD) is growing; however, few studies include refugees or examine the clinical utility of PTSD/CPTSD classifications. This study sought to provide the first evaluations of (i) the factor structure of ICD-11 PTSD/CPTSD amongst refugees in the Middle East; and (ii) the clinical utility of the International Trauma Questionnaire (ITQ) to identify PTSD/CPTSD in a humanitarian context. METHOD: Participants were 112 treatment-seeking Syrian refugees living in Lebanon...
December 2018: Acta Psychiatrica Scandinavica
Radosław Słopień
Premature ovarian insufficiency (POI) and related oestrogen deficiency is a cause of many psychological symptoms, including: depression, psychological tension, anxiety, mood lability, loss of libido, feelings of loss of femininity and attractiveness, and decreased self- and sexual esteem. Distress related to POI diagnosis may be even more confusing when POI is diagnosed in relation to serious health complications such as cancer, due to surgery or chemotherapy. Every case of POI requires coordinated medical advice with special attendance of a gynaecological endocrinologist, psychotherapist, and sometimes even a psychiatrist...
September 2018: Przeglad Menopauzalny, Menopause Review
Carlos Blanco, John C Markowitz, David J Hellerstein, Arthur M Nezu, Melanie Wall, Mark Olfson, Ying Chen, Jon Levenson, Maika Onishi, Cindy Varona, Mayumi Okuda, Dawn L Hershman
PURPOSE: Breast cancer (BC) is a risk factor for major depressive disorder (MDD), yet little research has tested the efficacy of different psychotherapies for depressed women with BC. This study, the largest to date, compared outcomes of three evidence-based, 12-week therapies in treating major depressive disorder among women with breast cancer. METHODS: This randomized trial compared interpersonal psychotherapy (IPT), problem solving therapy (PST), and brief supportive psychotherapy (BSP)...
October 20, 2018: Breast Cancer Research and Treatment
Michael J Lambert, Jason L Whipple, Maria Kleinstäuber
This systematic review and meta-analysis examines the impact of measuring, monitoring, and feeding back information on client progress to clinicians while they deliver psychotherapy. It considers the effects of the 2 most frequently studied routine outcome monitoring (ROM) practices: The Partners for Change Outcome Management System and the Outcome Questionnaire System. Like other ROM practices, they typify attempts to enhance routine care by assisting psychotherapists in recognizing problematic treatment response and increasing collaboration between therapist and client to overcome poor treatment response...
December 2018: Psychotherapy
Jan Philipp Klein, Andrea Hauer, Thomas Berger, Eva Fassbinder, Ulrich Schweiger, Gitta Jacob
Introduction: Borderline Personality Disorder (BPD) is a prevalent condition that is often under-treated. This is partly because very few psychotherapists offer treatment for this disabling disorder. Internet-based self-management interventions could contribute to reducing the treatment gap but-mainly due to safety concerns-these have never been tested for BPD in controlled trials. Methods: Patients with BPD will be recruited primarily via the internet and randomized to two groups: care as usual (CAU) alone) or the self-management intervention priovi ® in addition to CAU...
2018: Frontiers in Psychiatry
Franziska Kühne, Hannah Lesser, Franziska Petri, Florian Weck
PURPOSE: The acquisition of skills is essential to the conceptualization of cognitive-behavioural therapy. Yet, what experiences are encountered and what skills actually learned during therapy, and whether patients and therapists have concurrent views hereof, remains poorly understood. METHOD: An explorative pilot study with semi-structured, corresponding interview guides was conducted. Pilot data from our outpatient unit were transcribed and content-analyzed following current guidelines...
December 2018: International Journal of Qualitative Studies on Health and Well-being
Saskia Scholten, Julia Velten, Maja Kintscher, Anita Pataki, Jürgen Margraf
Unprofessional psychotherapy damages its otherwise good standing. For that reason, a public discussion about malpractice and unethical psychotherapist behavior is oftentimes missing even though addressing the topic openly could illustrate its rarity and promote a professional handling of psychotherapeutic misconduct. In the presented study, qualitative content analysis was conducted to analyze malpractice claims that were sent to the Psychotherapeutic Chamber of North Rhine-Westphalia (Germany) in 2011 and 2012...
September 2018: Psychotherapie, Psychosomatik, Medizinische Psychologie
James Paul Pandarakalam
Guidelines for the management of treatment-resistant depression (TRD) do not meet the criteria of evidence-based medicine and better-quality research is required to inform clinical practice. Current treatments of resistant depression remains largely empirical. There are no bench-mark antidepressants. Clear and justifiable rationale should be followed while initiating new treatment strategies; systematic planning and careful monitoring of progress implemented while new treatment components are added. Biological psychiatrists should give due importance to the non-biological aspects of depression and psychotherapists should not overlook the biological correlates...
September 2018: Psychiatria Danubina
Katarina Kornaros, Sofia Zwedberg, Eva Nissen, Björn Salomonsson
Background: There is a considerable prevalence of and an increasing attention to emotional problems in families with infants. Yet, knowledge is scant of how to create efficient and accessible mental health services for this population. The study qualitatively explored public health nurses' conceptions of a clinical project, in which psychotherapists provided short-term consultations and supervisions for nurses at Child Health Centres in Stockholm. Methods: In-depth interviews with fifteen nurses...
2018: BMC Nursing
Joël Vos, Diego Vitali
ABSTRACTObjective:Many psychotherapists speak with clients about meaning in life. Meaning is an neutral evidence-based term for a subjective sense of purpose, values, understanding, self-worth, action-directed goals, and self-regulation. Since little is known about its effectiveness, our study aimed to determine the effects of meaning-centered therapies (MCTs) on improving quality of life and reducing psychological stress. METHOD: Independent researchers selected and scored articles in multiple languages in multiple search engines...
October 2018: Palliative & Supportive Care
Vicky Mesrie, Marc J Diener, Adam Clark
Clinical supervision is often considered to be one of the important tasks in training psychotherapists. The present study investigated the relation between trainees' attachment to their supervisors and trainees' perceptions of their own counseling self-efficacy (CSE), as potentially moderated by trainee level of experience. Results indicated that trainees with greater avoidant attachment to their supervisors demonstrated lower levels of CSE. Although the results of the moderator analyses were not statistically significant, levels of avoidance significantly predicted levels of CSE even when controlling for level of experience, whereas levels of anxiety were not found to significantly predict levels of CSE...
September 2018: Psychotherapy
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