Abstract:
OBJECTIVE:In a cross-sectional study in 79 schizophrenic patients the quality of life (QOL) of a group of community-based patients under supervision of an outpatient unit (n = 47) and a group of long-stay patients in an inpatient rehabilitation centre in the same area (n = 32) was compared. METHODS:The patients' QOL was evaluated using the Lancashire Quality of Life Profile. Moreover psychopathology and extrapyramidal-motoric side-effects were assessed. RESULTS:Long-stay patients had a more distinct psychopathological symptomatology and more severe side-effects than community-based patients. After adjustment for psychopathology and side-effects, the subjective QOL of long-stay patients was significantly reduced in two out of eight life domains: housing and leisure activities. While psychopathology was negatively correlated with QOL, a subgroup with very marked psychopathology showed unexpectedly high QOL ratings. CONCLUSIONS:Results suggest that psychopathology is a stronger predictor of subjective QOL than side-effects and treatment setting. Patients with very distinct psychopathology probably use lower standards than others when evaluating their QOL which should be taken into consideration when analysing this type of data.
journal_name
Psychiatr Praxjournal_title
Psychiatrische Praxisauthors
Kemmler G,Meise U,Tasser A,Liensberger D,Schifferle I,Braitenberg M,Schwitzer J,Hinterhuber Hkeywords:
subject
Has Abstractpub_date
1999-01-01 00:00:00pages
9-15issue
1eissn
0303-4259issn
1439-0876journal_volume
26pub_type
杂志文章abstract::Germany, in comparison to other countries, provides a good quality of services to distinct groups of patients. But as far as total expenditure for mental health services is concerned, it belongs to the top European states. The differentiation of services since the Expert Commission to the parliament (1975) was associa...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/a-1179-4194
更新日期:2020-09-01 00:00:00
abstract::This article is intended as a contribution towards interpreting the development of psychiatric symptoms as a final result of disturbed processes of communication. We should like to point out that the importance of communication for normal and abnormal behaviour has been established both from the viewpoints of sociopsy...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1987-09-01 00:00:00
abstract:OBJECTIVE:To assess the non-cognitive symptoms in 153 consecutive dementia patients admitted to our psychiatric ward or seen at the gerontopsychiatric ambulance and Memory Clinic. METHODS:We used the Global Deterioration Scale, the Hachinski Ischaemia Score, the Hamilton Psychiatric Rating Scale for Depression, and th...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1999-03-01 00:00:00
abstract::Indirect care for gerontopsychiatric patients by means of patient-centered group discussions under the heading "How to deal with Difficult Patients" is presented as a succession of case reports concerning the progress and course of the first year of a team counselling project in a home for aged persons. The theoretica...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1987-11-01 00:00:00
abstract::Heinrich von Kleist's life was shaken repeatedly by negative life-events, finally he committed suicide in his last life-crisis (1811). His work was mostly understood as descriptions of negative life-events and failed-being. In this article it will be shown that in at least two "crises" Kleist's work can be understood ...
journal_title:Psychiatrische Praxis
pub_type: 传,历史文章,杂志文章
doi:10.1055/s-2001-15576
更新日期:2001-07-01 00:00:00
abstract::Based on legal jurisdiction, knowledge of the psychiatric-psychotherapeutic field and insight into the necessity of a new allocation of responsibilities in the overall therapeutic service of a clinic, the core areas of medical activities are defined for the first time, innovative organisational approaches to the reorg...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-0031-1276945
更新日期:2011-11-01 00:00:00
abstract::Vocational rehabilitation of mentally ill patients is now focused outside the psychiatric hospital. Three types of programmes play a major role: outpatient work therapy programmes at psychiatric hospitals, jobs in (partly) sheltered employment facilities as in companies specially adapted for employing mentally ill per...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1998-03-01 00:00:00
abstract::The presented document discusses the problems of psychological/psychiatric and emergency long term users. The author, director of the East Berlin Crisis Centre, describes the long-term patient phenomenon from different perspectives. He develops ideas to change the concept of acute intervention. The crisis intervention...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-2002-35512
更新日期:2002-11-01 00:00:00
abstract::Ten years ago an extensive behaviour therapy programme for the treatment of young opiate addicts was developed and tested, and shown through follow-ups extending over a period of two years to be successful. Some of the most important behaviour therapy procedures are introduced. A distinction is made between traditiona...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1985-05-01 00:00:00
abstract:AIM:Evaluations of clozapine treatment by relatives of schizophrenic patients were assessed as part of an exploratory study and compared with the patients' own assessment. METHOD:46 relatives of individuals suffering from schizophrenia were questioned by means of a problem-centred interview. RESULTS:In addition to th...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1999-07-01 00:00:00
abstract::This is the rare case of a woman first diagnosed with Huntington's disease at the age of 86. She was first seen at our hospital in 1999 for evaluation of dementia. Prior to her hospitalization, she had been treated with Melperone for restlessness. There was no essential psychopathology other than mild dementia (MMSE 2...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-2004-828455
更新日期:2004-11-01 00:00:00
abstract:AIM:The present contribution scrutinizes the assumption that people with a migration background (PMB) make less use of addiction services than non-migrants. METHODS:Differentiated by diagnoses, the proportions of PMB in the Statistical Report on Substance Abuse Treatment in Germany are compared to the share of PMB in ...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-0034-1387291
更新日期:2016-03-01 00:00:00
abstract::Primarily from the perspective of psychopharmacology, schizophrenic symptomatology has recently been dichotomized into "plus" and "minus" symptoms, although the role of cognitive dysfunctions has been regarded as particularly important for the diagnosis since the time of Eugen Bleuler. Many studies show that schizophr...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章,评审
doi:10.1055/s-2001-11577
更新日期:2001-03-01 00:00:00
abstract::Community care and sectorisation, specialisation and differentiation, integration of psychiatric and other medical services, crises intervention and emergency psychiatry--and patient's choice--are basic issues of the organisation of psychiatric services. They are discussed and evaluated in respect of the Region of Man...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1996-03-01 00:00:00
abstract:OBJECTIVES:This project evaluates whether a multidisciplinary consultation-liaison team with special geropsychiatric experience can help to reduce complex care problems in mentally ill nursing-home residents. METHODS:Prospective longitudinal study of patients living in 5 nursing homes in Germany, supplemented by exper...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-0031-1276836
更新日期:2012-01-01 00:00:00
abstract:OBJECTIVE AND METHOD:In this paper we report about the situation of psychotherapeutic inpatient treatment in Bavarian state mental hospitals, based on data coming from surveys in those hospitals. RESULTS AND CONCLUSION:22 State mental hospitals in Bavaria have 1217 beds for acute psychotherapy, proofed on the basis of...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-2004-828424
更新日期:2004-11-01 00:00:00
abstract::We present the theoretical basis and results of a comprehensive research project concerning the psychotherapeutic treatment of sexual offenders in an ambulant setting. The therapeutic sample (n = 86) consists of patients with the following symptoms: exhibitionism, child molestation and sexual aggressive acts towards w...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1983-09-01 00:00:00
abstract::Records of violent behaviour and its sequels gain increasing interest as a matter of quality assurance. The paper presents scales and instruments applied in psychiatric institutions until now. While problems of reliability are solved sufficiently, there are major problems of validity in the measurement of violence. To...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1998-09-01 00:00:00
abstract:OBJECTIVE:To provide an overview of empirical findings with regard to compulsive hoarding. METHODS:A systematic literature search of medical and psychological journals was conducted using PubMed. Relevant publications from the reference lists and recent books were also identified and included. RESULTS:The article rev...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章,评审
doi:10.1055/s-0029-1223364
更新日期:2010-05-01 00:00:00
abstract:OBJECTIVE:In comparison to metabolic syndrome, edema seems to be a rare occurrence in antipsychotic treatment. METHOD:In this paper, we report on two subjects with psychotic disorders who were found to have peripheral edema during olanzapine therapy. DISCUSSION:The theoretical background and the relevance of this obs...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-2008-1067420
更新日期:2009-04-01 00:00:00
abstract:UNLABELLED:The German Adaptation of the Verona Service Satisfaction Scale: An Instrument for Patients' Satisfaction with Mental Health Care. AIM:Measuring effectiveness and quality of care became an important topic in psychiatry. Considering that objective criteria were not sufficient in the past, the subjective persp...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-2001-17791
更新日期:2001-10-01 00:00:00
abstract:INTRODUCTION:Is it necessary to understand your vis a vis or is it enough to meet, to get in touch? Awareness of the different perception of reality is important. INTERINDIVIDUELL: Defined as basic requirements for getting in touch, mutual modelling and interchange were "Knowing your own world", "Being curious about th...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-2003-38550
更新日期:2003-04-01 00:00:00
abstract::In the context of discussions on the re-organisation of specialities in psychiatry and psychological therapy recent studies on the prevalence of psychogenic disorders in different psychiatric institutions are presented and compared with the communications available so far. Despite the availability of excellent psychot...
journal_title:Psychiatrische Praxis
pub_type: 社论,评审
doi:
更新日期:1997-05-01 00:00:00
abstract:OBJECTIVE:To determine the conditional factors underlying a premature termination of vocational rehabilitation programs. METHODS:123 rehabilitation participants were assessed prospectively regarding sociodemographic and psychopathological variables, level of functioning, subjective health, intellectual and work capaci...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-2005-915245
更新日期:2006-04-01 00:00:00
abstract::Huntington's Disease, a neuropsychiatric disorder with dominant inheritance and late manifestation is related to multiple psychosocial problems of the affected person, his life partner as well as their children (so-called individuals at risk). During a five years project the authors contacted 131 persons, directly and...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1996-05-01 00:00:00
abstract::Based on personal experience, the new Italian law on psychiatric hospitals and its practical application is reported. The political aspect of "new" psychiatry is critically mentioned. ...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1981-05-01 00:00:00
abstract::We report the rare case of a 19-year old man, first diagnosed with schizophrenia but finally shown to have subacute sclerosing panencephalitis (SSPE). Initial symptoms were hallucinations and negative symptoms until the onset of a seizure. Changes in the CSF, MRI, EEG and increasing neurological symptoms led to the co...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-2003-39751
更新日期:2003-05-01 00:00:00
abstract:BACKGROUND:Psychotherapy is an essential part of treating people with mental illness. However, the implementation of psychotherapeutic interventions in the field of inpatient psychiatric treatment remains well behind demand. At the same time, the use of psychotherapeutic interventions by other professional groups - suc...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/a-0801-3847
更新日期:2019-04-01 00:00:00
abstract::Objective Personal recovery as a key concept in mental health requests that people with severe mental illness need support in taking positive risks, especially from mental health nurses as key players in this context. In German-speaking countries, studies regarding positive risk-taking seem scarce. Attitude as a conce...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-0042-113093
更新日期:2017-09-01 00:00:00
abstract::As of 1.1.2002 a new documentation system (AmBADO) has been introduced to the out-patient departments of all Bavarian psychiatric clinics. With the use of this new system, practitioners are for the first time allowed to collect data concerning structure, process, and outcome parameters in this field of care. A pilot s...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-2003-39758
更新日期:2003-05-01 00:00:00