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 the Mini-Mental State Exam as staging tools in a cross-sectional design. A semi-quantitative 34-item questionnaire based on the Columbia University Scale for Psychopathology was employed to assess non-cognitive symptoms as reported by caregivers. RESULTS:All patients had disturbances of affect, 95% of behavior and 71% of motivation, while 52% and 29% had delusions and hallucinations, respectively. Delusions, but not hallucinations, were correlated with verbal and physical aggressiveness. Factor analysis extracted three complex variables which accounted for 40.6 percent of the observed total variance, and which were subsequently interpreted as manifestations of agitation, burdensome behavior, and depression. Using these variables, we then identified three categories of patients: Agitated, debilitated, and depressive-anxious. Depression and anxiety were most common 3-4 years after diagnosis. Patients with Alzheimer's disease had less severe behavioral and psychotic symptoms than those with other types of dementia. Agitation, depression, and loss of competence in daily living had a greater impact on caregivers than aggression and psychotic symptoms. CONCLUSION:The non-cognitive symptom profile is related to the type of dementia, and shifts dynamically with disease progression.
journal_name
Psychiatr Praxjournal_title
Psychiatrische Praxisauthors
Rainer M,Mucke HA,Masching A,Haushofer Mkeywords:
subject
Has Abstractpub_date
1999-03-01 00:00:00pages
71-5issue
2eissn
0303-4259issn
1439-0876journal_volume
26pub_type
杂志文章abstract：:Migrants belong to the hard-to-reach group in health and preventive care. Essential criteria for the sustainable effectiveness of preventive and health promotion consist in the proper selection of target groups and successfully approaching them. The knowledge of possible barriers that make the access to preventive car...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：10.1055/s-2007-986194
更新日期：2007-10-01 00:00:00
abstract：:Providing information about the disease and the way of coping with it has a central position in therapeutic interventions with families. By giving basic knowledge about schizophrenia to relatives we developed the practical conception of the psychoeducative relatives' group (information-group), a structured program, wh...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：
更新日期：1992-05-01 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：BACKGROUND:The physical environment of mental health institutions is regarded as a therapeutic agent within the treatment. There is only little scientific evidence on the consequences of architecture and design on psychiatric patients available. METHODS:A systematic review was conducted on studies from adult mental he...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章,评审
doi：10.1055/s-0033-1360032
更新日期：2014-04-01 00:00:00
abstract：:Polish psychiatry was since its origin deeply influenced by German (Austrian) and Russian psychiatry. After the German assault Polish psychiatric patients were the first victims of mass executions, and the first to be killed by new developed "gassing" technology. Especially cruel was the fate of Jewish patients. Germa...
journal_title：Psychiatrische Praxis
pub_type： 历史文章,杂志文章
doi：10.1055/s-0034-1370066
更新日期：2014-07-01 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：OBJECTIVE:Drop-outs, respectively unplanned discharges in psychiatric therapy are often explained by so-called lack of insight into the disease or difficult circumstances of admission. We were interested in the question how often drop outs are noticed in a voluntarily day clinic setting where nearly all psychiatric dis...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：10.1055/s-2001-16874
更新日期：2001-09-01 00:00:00
abstract：OBJECTIVE:Although there is growing evidence for clinical effectiveness of crisis resolution teams (also called Home Treatment Teams) for patients with severe psychotic disorders, a lot of studies suffer from poor model fidelity, which leads to an ignorance of specific effective factors. METHODS:Here we present the im...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：10.1055/s-0034-1387633
更新日期：2016-09-01 00:00:00
abstract：OBJECTIVE:Although English is medicine's lingua franca, practising physicians in Germany express the need for articles in German. This study aimed at surveying the number and characteristics of German-language psychiatric journals in Germany. METHODS:Journals were identified by the standard handbook "Fachmedien Gesund...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：10.1055/s-0031-1276955
更新日期：2012-01-01 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：:The term "Social Psychiatry" was first used in English in 1917 by E. E. Southard. Six years before, in 1911 Max Fischer, director of Wiesloch Mental Hospital near Heidelberg employed the terms "Sozialpsychiatrie" and "Soziale Psychiatrie" in German. ...
journal_title：Psychiatrische Praxis
pub_type： 传,历史文章,杂志文章
doi：
更新日期：1995-07-01 00:00:00
abstract：:In 1939, Robert Faris and Warren Dunham published their pioneering work on "Mental disorders in urban areas". They investigated the distribution of mental disorders in Chicago. In the following decades, a number of studies using a similar design were carried out in various cities in the United States and in Europe, wh...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章,评审
doi：
更新日期：2000-07-01 00:00:00
abstract：:Patients are mostly passive utilizer of the health-care-system. They are confronted with a supply of medical service and they are allowed to show their satisfaction with it retrospectively. Our medical system has in future to develop itself from an effective perspective to an utilizer orientated medicine. Orientation ...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：
更新日期：2003-05-01 00:00:00
abstract：:Transcranial magnetic stimulation as mapping method offers the possibility to measure aspects of motor cortex excitability painlessly and non-invasively. Using this neurophysiological tool, new insights into the effects of central-acting drugs are possible. Particularly striking seems to be the potential of this appro...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：10.1055/s-2004-828492
更新日期：2005-04-01 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：: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：:The influence exercised by personality factors on the course and success of drug therapy aimed at the treatment of mental diseases, as well as the therapeutic consequences resulting therefrom, are discussed in the case of patients with schizophrenic psychoses and endogenous depressions. Over and above this, special at...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：
更新日期：1985-01-01 00:00:00
abstract：OBJECTIVE:There are highly effective treatments either in inpatient or day hospital settings available for elderly with major depression. It is important to consider some specific needs of elderly people (e. g. higher somatic comorbidities). METHODS:On the base of a large routine data set (139 307 patients in hospital...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：10.1055/s-0034-1370007
更新日期：2015-07-01 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：OBJECTIVE:This study investigates the effects of probationary work for psychiatric patients in community-based small businesses during their inpatient or day care. METHODS:Patients were evaluated for working capacity, psychopathology, motivation for work and patient satisfaction (n = 69). RESULTS:The results confirm ...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：
更新日期：2000-05-01 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：: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：:Within a controlled intervention study with schizophrenic outpatients we investigated the question of whether regular attendance at psychoeducational training for medication management has an influence on patients' illness-related behavior. The patients in the treatment group show better outcome of compliance and some...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：
更新日期：1993-07-01 00:00:00
abstract：AIM OF THE STUDY:Investigation of the perspective of medical assistants (MA) regarding their participation in behaviour-therapy oriented interventions in family practice. METHOD:15 MA (w, 39.5 years old), case managers in a general practitioner supported exercise programme for patients with panic disorder (ICD-10: F41...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：10.1055/a-1310-2389
更新日期：2020-12-03 00:00:00
abstract：:When founded about 1800, psychiatry was liable to both, philosophy and medicine, at least its liability to anthropological philosophy was accepted. After 150 years of increasingly unilateral medicalization with its fatal consequences for many patients the post war generation of psychiatrists were the first to re-estab...
journal_title：Psychiatrische Praxis
pub_type： 历史文章,杂志文章
doi：10.1055/s-0034-1369941
更新日期：2014-07-01 00:00:00
abstract：:Although there were multiple initiatives to modify course and outcome of schizophrenia by optimizing present psychopharmacologic strategies many unsolved problems still exist. There is no doubt that first generation antipsychotics reduce positive symptoms of psychosis but the impact on negative symptoms or disturbance...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：10.1055/s-2004-828473
更新日期：2004-11-01 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：: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：:Based on the evaluation of case reports of 15 inpatients treated between 1971 and 1986 who had been suffering from persistent alcoholic jealousy mania for at least three years, the psychopathological characteristics of this disease are outlined to define two types of courses of the disturbance: on the one hand, the mo...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：
更新日期：1989-09-01 00:00:00
abstract：PURPOSE:Contrary to in-patient psychiatric care, quality assurance in the area of psychiatrists in outpatient practice is hardly in use. METHODS:Neuroleptic therapy regarding the following quality criteria was examined for 6 months in an outpatient psychiatric practice: choice of neuroleptics, dosage and combination o...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：
更新日期：1998-11-01 00:00:00
