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https://www.readbyqxmd.com/read/27904636/effect-of-cognitive-behavioral-stress-management-program-on-psychosomatic-patients-quality-of-life
#1
Zahra Ghazavi, Esmat Rahimi, Mohsen Yazdani, Hamid Afshar
BACKGROUND: Level of stress and its management affects the dimensions of psychosomatic patients' quality of life (QoL), which is an important psychological issue. The present study aimed to investigate the effect of cognitive behavioral stress management program on psychosomatic patients' QoL. In cognitive behavioral method, patients discover thought and behavioral mistakes and recover them. The criterion to evaluate the success of the present study was measurement of the patients' QoL and its notable improvement after intervention...
September 2016: Iranian Journal of Nursing and Midwifery Research
https://www.readbyqxmd.com/read/27900394/-establishing-ward-independent-intensive-treatment-concept-in-a%C3%A2-psychiatric-hospital-a%C3%A2-model-project-within-the-new-german-remuneration-system
#2
M Noeker, G Juckel
Model projects according to § 64b of the Social Code V in the context of the new remuneration system in psychiatry and psychosomatics, offer great possibilities to improve the treatment of people with mental illnesses. This article presents the model project of the University Hospital Bochum, which is essentially characterized by improved transition through the internal hospital sections so that patients can be quickly transferred from inpatient and daycare sections to high frequency outpatient sections with ward-independent therapies (SUL), including outreach home treatment...
November 29, 2016: Der Nervenarzt
https://www.readbyqxmd.com/read/27896256/comparative-analysis-of-outcome-between-laparoscopic-versus-open-surgical-repair-for-vesico-vaginal-fistula
#3
Bastab Ghosh, Varun Wats, Dilip Kumar Pal
OBJECTIVE: Vesicovaginal fistula (VVF) causes detrimental psychosomatic effects on a woman. It is repaired using open abdominal as well as laparoscopic approach. Here we compare a series of open versus laparoscopic VVF repairs done at a single centre. METHODS: Retrospectively data of patients undergoing VVF repair in our department between January 2011 to December 2014 was analyzed. Patients who had a single, primary, simple VVF following a gynaecological surgery were included in the study...
November 2016: Obstetrics & Gynecology Science
https://www.readbyqxmd.com/read/27854010/-psychiatric-and-psychosomatic-day-hospitals-in-austria
#4
Janet Evans, Verena Dummer, Johann Kinzl
This paper on psychiatric and psychosomatic day hospitals in Austria first looks at the overall situation of Austrian day clinics then, in a second step, compares psychiatric and psychosomatic day hospitals. For this purpose, a questionnaire was developed and sent to all psychiatric and psychosomatic day hospitals in Austria. The first part consisted of closed questions and was used to gather and evaluate the categories: general conditions for treatment in day hospitals, tasks of day hospitals, therapeutic paradigms, indication and contraindication, diagnostics, day hospital organisation, interdisciplinary cooperation and the offering in day hospitals...
December 2016: Neuropsychiatrie: Klinik, Diagnostik, Therapie und Rehabilitation
https://www.readbyqxmd.com/read/27853872/-effects-of-psychosomatic-treatment-for-the-elderly-on-cognition-and-quality-of-life-naturalistic-study-at-the-psychosomatic-day-care-hospital-for-the-elderly-in-nuremberg
#5
Christina Wunner, Corinne Reichhart, Bernhard Strauss, Wolfgang Söllner
BACKGROUND AND OBJECTIVE: In 2006 the psychosomatic day care hospital for the treatment of acute mental illness of elderly people opened as the first clinic of its kind in Germany. The aim of the study was to determine treatment effectiveness regarding quality of life and cognition. MATERIAL AND METHODS: Designed as a naturalistic study of a population sample of 116 patients, the cognitive capacity (memory performance and cognitive speed) and the subjective quality of life were measured by the Nuremberg aging inventory (NAI) and the World Health Organization quality of life for elderly persons (WHOQOL-OLD)...
November 16, 2016: Zeitschrift Für Gerontologie und Geriatrie
https://www.readbyqxmd.com/read/27844398/proposal-for-an-update-of-the-definition-and-scope-of-behavioral-medicine
#6
Joost Dekker, Adrienne Stauder, Frank J Penedo
PURPOSE: We aim to provide an update of the definition and scope of behavioral medicine in the Charter of ISBM, as the present version was developed more than 25 years ago. METHODS: We identify issues which need clarification or updating. This leads us to propose an update of the definition and scope of behavioral medicine. RESULTS: Issues in need of clarification or updating include the scope of behavioral medicine (biobehavioral mechanisms, clinical diagnosis and intervention, and prevention and health promotion); research as an essential characteristic of all three areas of behavioral medicine; the application of behavioral medicine; the terminology of behavioral medicine as a multidisciplinary field; and the relationship and distinction between behavioral medicine, mental health, health psychology, and psychosomatic medicine...
November 14, 2016: International Journal of Behavioral Medicine
https://www.readbyqxmd.com/read/27821358/suicidality-in-patients-with-somatoform-disorder-the-speechless-expression-of-anger
#7
Nora Kämpfer, Sabine Staufenbiel, Ingo Wegener, Stefanie Rambau, Anne Sarah Urbach, Martin Mücke, Franziska Geiser, Rupert Conrad
OBJECTIVE: To identify emotion-associated risk factors for suicidality in patients with somatoform disorders. METHODS: A sample of 155 consecutive patients diagnosed with somatoform disorders at the Psychosomatic Ambulance of Bonn University Hospital filled in several questionnaires including the Symptom Checklist 90-Revised Version (SCL-90-R), the Toronto Alexithymia Scale (TAS-20), and the State Trait Anger Expression Inventory (STAXI). Our aim was to compare patients with suicide attempts to patients without suicide attempts via a MANCOVA (IV: Group; DV: SCL-90-R, TAS-20, STAXI; covariates: sex, age, depression, borderline personality disorder)...
October 17, 2016: Psychiatry Research
https://www.readbyqxmd.com/read/27799842/variations-in-the-management-of-fibromyalgia-by-physician-specialty-rheumatology-versus-primary-care
#8
Stephen L Able, Rebecca L Robinson, Kurt Kroenke, Philip Mease, David A Williams, Yi Chen, Madelaine Wohlreich, Bill H McCarberg
PURPOSE: To evaluate the effect of physician specialty regarding diagnosis and treatment of fibromyalgia (FM) and assess the clinical status of patients initiating new treatment for FM using data from Real-World Examination of Fibromyalgia: Longitudinal Evaluation of Costs and Treatments. PATIENTS AND METHODS: Outpatients from 58 sites in the United States were enrolled. Data were collected via in-office surveys and telephone interviews. Pairwise comparisons by specialty were made using chi-square, Fisher's exact tests, and Student's t-tests...
2016: Pragmat Obs Res
https://www.readbyqxmd.com/read/27759458/treatment-of-climacteric-symptoms-with-an-ammonium-succinate-based-dietary-supplement-a-randomized-double-blind-placebo-controlled-trial
#9
V E Radzinskii, I V Kuznetsova, Y B Uspenskaya, N B Repina, Y K Gusak, O M Zubova, D I Burchakov, A A Osmakova
Peri- and postmenopausal women commonly suffer from climacteric symptoms. We evaluated the effectiveness and safety of dietary supplement Amberen to relieve vasomotor and psychosomatic symptoms during the course of a 3-month, randomized, double-blind, placebo-controlled study. General clinical assessment, evaluation using the Greene climacteric test and Spielberger-Hanin test, determination of plasma levels of gonadotropins, estradiol, leptin and apolipoproteins were used to evaluate 42-60-year-old women with vasomotor and psychosomatic menopausal symptoms...
October 2016: Gynecological Endocrinology
https://www.readbyqxmd.com/read/27750358/-models-of-mental-health-care-for-vulnerable-refugees-in-the-community
#10
Julia Schellong, Franziska Epple, Kerstin Weidner, Andrea Möllering
A non-neglectable portion of people that have fled to Germany have been subjected to expulsion, violence, torture and grave human loss. In some of them, signs of secondary mental problems are obvious. In the light of the efforts at integration, these diseases must not be neglected. Outlined are the federal legal requirements and how the cost coverage, as well as the admission to health care system, is structured. Additionally, 2 exemplary regional models for psychosomatic health care are being introduced: Dresden's "Stepped Care Model for Psychologically Vulnerable Refugees" includes phased offers for prevention and treatment of acute mental crises, as well as somatoform disorders in refugees and their volunteer helpers...
October 17, 2016: Psychotherapie, Psychosomatik, Medizinische Psychologie
https://www.readbyqxmd.com/read/27729855/atypical-self-focus-effect-on-interoceptive-accuracy-in-anorexia-nervosa
#11
Olga Pollatos, Beate M Herbert, Götz Berberich, Michael Zaudig, Till Krauseneck, Manos Tsakiris
Background: Interoceptive abilities are known to be affected in anorexia nervosa (AN). Previous studies could show that private self-focus can enhance interoceptive accuracy (IAcc) in healthy participants. As body dissatisfaction is high in AN, confrontation with bodily features such as the own face might have a directly opposed effect in AN. Whether patients with AN can benefit from self-focus in their IAcc and whether this pattern changes over the time-course of cognitive behavioral therapy was investigated in this study...
2016: Frontiers in Human Neuroscience
https://www.readbyqxmd.com/read/27716162/effectiveness-of-enhanced-cognitive-behavioral-therapy-cbt-e-in-the-treatment-of-anorexia-nervosa-a-prospective-multidisciplinary-study
#12
Yngvild S Danielsen, Guro Årdal Rekkedal, Stein Frostad, Ute Kessler
BACKGROUND: Anorexia nervosa (AN) is a debilitating psychiatric disorder associated with a wide array of negative health complications and psychiatric comorbidity. Existing evidence for AN treatment in adults is weak, and no empirically supported treatment has been reliably established. The primary objective of this study is to gain knowledge about the effectiveness of enhanced cognitive behavioral therapy (CBT-E) for anorexia nervosa delivered in a public hospital setting. Baseline predictors of treatment outcome and dropout are studied...
October 5, 2016: BMC Psychiatry
https://www.readbyqxmd.com/read/27698554/a-qualitative-investigation-of-barriers-and-facilitators-of-rehabilitation-success-from-the-psychosomatic-inpatients-perspective
#13
Anna Levke Brütt, Julia Luise Magaard, Sylke Andreas, Holger Schulz
OBJECTIVE: Psychosomatic inpatient rehabilitation aims at promoting functioning in patients with mental disorders. Although generally effective, some patients do not benefit from this rehabilitation and suffer from symptoms as well as functional impairment. This study aimed to identify patient-reported factors influencing activity and participation outcomes. SUBJECT AND METHODS: Five focus groups with N=23 former psychosomatic rehabilitation inpatients were conducted...
2016: Patient Preference and Adherence
https://www.readbyqxmd.com/read/27697138/acceptance-and-commitment-group-therapy-act-g-for-health-anxiety
#14
Trine Eilenberg
Health anxiety is prevalent (5-9%) in all healthcare settings and in the general population, may have an early onset, and a poor prognosis is seen in severe cases if untreated. Research shows that health anxiety is rarely diagnosed though it causes great suffering for the individual and constitutes a substantial socio-economic burden. Studies have shown that individual cognitive behavioural therapy can relieve health anxiety, but these studies are affected by methodological problems, among others, struggling with patients declining participation, high dropout rates, and some patients not responding to the treatment...
October 2016: Danish Medical Journal
https://www.readbyqxmd.com/read/27683300/catamnesis-results-of-an-inpatient-neuro-otologic-and-psychosomatic-tinnitus-therapy-1-5-years-after-discharge
#15
H Schaaf, S Weiß, G Hesse
Treating tinnitus with the resources offered in hospitals can become necessary for patients suffering from complex tinnitus if a high symptom severity, usually accompanied by a corresponding psychosomatic comorbidity, is present. For such costly therapies, for example, the neuro-otologic psychosomatic tinnitus therapy (NPT) examined here, the long-term effect is particularly important; however, reliable catamnesis studies for inpatient treatments are not yet available. Data from 169 (from a total of 327 contacted) inpatients suffering from complex tinnitus were analysed here...
September 28, 2016: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/27651969/medial-cranial-fossa-meningioma-diagnosed-as-mixed-anxiety-disorder-with-dissociative-symptoms-and-vertigo
#16
Emin Mehmet Ceylan, Bariş Önen Ünsalver, Alper Evrensel
Meningiomas are mostly benign tumors of the meninges that may stay clinically silent or present first with psychiatric symptoms only. We present a case of medial cranial fossa meningioma that was first diagnosed as mixed anxiety disorder with dissociative symptoms and vertigo. In light of the intact neurological and vestibular system examination, our patient's vertigo and depersonalization were firstly addressed as psychosomatic symptoms of the psychiatric syndrome. Despite decreased anxiety and improved mood, dissociative symptoms and vertigo were resistant to treatment which prompted further research yielding a left hemisphere localized meningioma...
2016: Case Reports in Psychiatry
https://www.readbyqxmd.com/read/27651405/pseudoappendicitis-abdominal-pain-arising-from-thoracic-spine-dysfunction-a-forgotten-entity-and-a-reminder-of-an-important-clinical-lesson
#17
Basil Garo-Falides, Thomas William Wainwright
Acute or chronic abdominal pain can be mimicked by thoracic spine dysfunction. However, it is comparatively rare and there is frequently a delay in its diagnosis that may lead to unnecessary surgery, or the patient's symptoms being undiagnosed or labelled psychosomatic. The failure to associate thoracic spine dysfunction with abdominal pain persists, despite it being first recognised over 80 years ago. 2 recent such cases are presented. The clinical presentation and diagnostic tests are described, with clear explanation of the treatment and outcome...
2016: BMJ Case Reports
https://www.readbyqxmd.com/read/27649985/-dgppn-compass-of-participation-for-vocational-integration-of-persons-with-mental-illnesses
#18
K Stengler, J Rauschenbach, S G Riedel-Heller, T Becker, I Steinhart, G Gerlinger, I Hauth
Working and living for persons with mental illnesses are a major concern of rehabilitative psychiatry. In Germany the definition of rehabilitation for persons with mental illnesses is closely linked to different sectors of social welfare and to the strongly organized supply chain of prevention, acute treatment, rehabilitation and care. In successfully supporting people with mental health problems in terms of vocational integration, professionals face various obstacles. Besides finding the correct content, structural and organizational difficulties can also arise...
September 20, 2016: Der Nervenarzt
https://www.readbyqxmd.com/read/27629999/-attitudes-towards-using-ehealth-in-psychiatry-and-psychotherapy-a%C3%A2-pilot-survey-at-the-dgppn-congress-2014
#19
M Surmann, E M Bock, E Krey, K Burmeister, V Arolt, R Lencer
The use of modern communication and information technology in the health sector, known as eHealth, has the potential to reduce gaps in psychiatric and psychotherapeutic healthcare. In order to successfully implement eHealth it is important to assess the attitude of all stakeholders. The attitude of the patients towards eHealth has been frequently investigated but there is a lack of research on the side of the professionals. The attitude towards eHealth from the perspective of professionals has only rarely been evaluated in German-speaking countries; therefore, we carried out a survey at the German Association for Psychiatry, Psychotherapy and Psychosomatics (DGPPN) congress in 2014 that included 282 psychiatrists, neurologists and psychologists in order to explore their attitudes towards eHealth ...
September 14, 2016: Der Nervenarzt
https://www.readbyqxmd.com/read/27622255/impact-of-acne-vulgaris-on-quality-of-life-and-self-esteem
#20
Abhineetha Hosthota, Swapna Bondade, Vinay Basavaraja
The psychological impact of acne is determined by various factors including age, sex, personality, grade of disease, scarring, and environmental and ethnic background. Apart from managing the clinical manifestations of acne, clinicians also have to deal with the psychological aspects of the disease by assessing patients' quality of life (QOL) and self-esteem. These measures will aid in better management of acne patients. This study examined the relationship between acne and QOL and self-esteem. The results showed that acne severity may have a considerable adverse impact on QOL and self-esteem...
August 2016: Cutis; Cutaneous Medicine for the Practitioner
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