Abstract:
:Anxiety, depressive and somatoform disorders are highly prevalent in primary care. Managing these disorders is time-consuming and requires strong commitment on behalf of the general practitioners (GPs). Furthermore, the resources for the management of these patients are limited by the increasing workload in primary care practices, especially in the German health care system. In order to address the SMADS-study within psychenet - the Hamburg Network for Mental Health (NCT01726387) implements and evaluates a complex, low-threshold, nurse-led intervention using a goal-oriented set of case management and counseling techniques to promote self-management in these patients. This paper investigates the association of the patients' motivation for change and their perceived self-efficacy, the primary outcome - to get to know whether the intervention will target the appropriate population.
journal_name
Psychiatr Praxjournal_title
Psychiatrische Praxisauthors
Zimmermann T,Puschmann E,Porzelt S,Ebersbach M,Ernst A,Thomsen P,Scherer Mdoi
10.1055/s-0034-1387686subject
Has Abstractpub_date
2015-07-01 00:00:00pages
S44-8eissn
0303-4259issn
1439-0876journal_volume
42 Suppl 1pub_type
临床试验,杂志文章,多中心研究abstract::In the controversy about severely chronic mental patients, who still reside in the psychiatric hospital after decades of deinstitutionalization, their quality of life (QoL) has become a main topic. On the basis of a critique of the dominant, mere standardized approach to QoL this method is compared with a qualitative ...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-2002-34034
更新日期:2002-09-01 00:00:00
abstract:OBJECTIVE:Estimates for the proportion of involuntary admissions and coercive measures applied in general mental health care and in residential care for the elderly were developed. Sector-specific rates and quotas for Germany as a whole and for the sixteen Federal States were calculated, and the change of these indicat...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-2006-952010
更新日期:2007-04-01 00:00:00
abstract::In a total sample of 141 mentally retarded adults the quality of social relationships was assessed by the newly developed "Interview for Social Support in Mentally Retarded Adults". Severely mentally retarded persons have close and intimate relationships to a consistently lesser extent than mildly retarded persons. Th...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1993-05-01 00:00:00
abstract::We report the case of a 62-year-old woman with parkinson's disease and depression. Her symptoms included episodes of flushing, palpitations and hypertension, giving rise to the suspicion of the existence of a phaeochromocytoma. The levels of adrenaline and vanillymandelic acid in the urine were moderately elevated, th...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:2003-05-01 00:00:00
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::Despite the compelling evidence for a strong heritability of schizophrenia, the aetiology and genetic underpinnings of this disabling disease still remain unclear. Reasonable explanations for current problems in identifying candidate genes for schizophrenia are the complexity of its genetic background as well as the h...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-2004-828480
更新日期:2004-11-01 00:00:00
abstract:OBJECTIVE:According to results of the latest research, the state of knowledge of the German population regarding depressive disorders has improved during the last years. The question arises to what extent the print media have contributed to this development. METHOD:All editions of three German dailies--Sueddeutsche Ze...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-2003-43244
更新日期:2003-10-01 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: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::A therapeutic dwelling community (TDC) which has been in existence for more than 3 years, is described in respect to its history of origin and development outside existing psychiatric institutions or facilities. After having been confronted with the unsatisfactory follow-up care of a group of relatively young, in most...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1980-05-01 00:00:00
abstract:OBJECTIVE:To provide information about occurrence and patterns of geriatric morbidity and need for long-term care in patients newly diagnosed with dementia compared to controls without dementia. METHODS:An analysis of administrative data was conducted to compare the geriatric outpatient diagnoses and the patterns of c...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-0032-1305010
更新日期:2012-07-01 00:00:00
abstract::Manic disorders and bipolar psychoses have long been underdiagnosed in child and adolescent psychiatry. Scientific research has been rare as well. In particular in adolescence and young adulthood bipolar disorders are not easy to diagnose. Therefore these disorders should be included in differential diagnosis as resea...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章,评审
doi:10.1055/s-2005-915327
更新日期:2006-03-01 00:00:00
abstract::In-patient suicide research in Germany during the 70 (th) and 80 (th) years of the last century found an overall increase of in-patient suicides in psychiatric hospitals. Nowadays, more differentiated discussions of the problem are recommended. ...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-2003-39742
更新日期:2003-05-01 00:00:00
abstract:OBJECTIVE:The "Center of Epidemiologic Studies - Depression scale" (CES-D) is a well-known screening tool for depression. Until now the criterion validity of the German version of the CES-D was not investigated in a sample of the adult general population. METHODS:508 study participants of the Austrian general populati...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/a-0584-9803
更新日期:2018-11-01 00:00:00
abstract::Retrospectively 20% of more than 200 patients with myasthenia gravis reported being initially diagnosed as having a psychiatric disorder. Younger women are significantly most at risk of a psychiatric misdiagnosis whereas men are more often subject to somatic misdiagnoses. The sample's mean duration of the disease was ...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1992-09-01 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::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::It is unfortunate that mental patients with long-term hospitalisation patterns are still necessarily scheduled for long-term stay in mental hospitals and institutions designed for the care and treatment of psychiatric cases, since such institutions are characterized by a rather sterile, low-stimulation atmosphere unde...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1987-05-01 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::The increasing employment of graduates in psychology (Diplom-Psychologen) in psychiatric hospitals not only expands therapeutical facilities as a result of cooperation between psychologists and physicians; it also entails structural re-organisation both formally and in terms of contents, of behavioural rituals which h...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1980-05-01 00:00:00
abstract:OBJECTIVE:The importance of causal attribution for Turkish and German patients with a psychotic disorder for the diagnostic process was examined. METHODS:Within a controlled clinical study Turkish and German patients were interviewed regarding their concepts of cause of illness. RESULTS:There was no difference betwee...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-2005-866923
更新日期:2006-01-01 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: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::The authors give an actual survey about suicides and suicide rates in Germany, Bavaria and Upper Frankonia. Their special interest are significant trends in the last years. These trends will be shown and shortly described. ...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:2003-05-01 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::Several studies [5,6] on the prevalence of psychiatric disorders among migrants describe a higher rate of schizophrenic disorders. Other studies [2,3] as well as DSM-IV [1] point out that affective disorders with psychotic symptoms can be misdiagnosed as schizophrenic or schizoaffective disorders. We report on a patie...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1998-07-01 00:00:00
abstract:OBJECTIVE:To report about existing evidence of effectiveness of home treatment for severely mentally ill adults and implementation in Germany. METHODS:Systematic electronic and manual literature search. RESULTS:Compared to standard care, home treatment was equally or more efficacious with respect to general state of ...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章,评审
doi:10.1055/s-0030-1248598
更新日期:2011-04-01 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::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:OBJECTIVE:Interdisciplinary analysis of the consequences of laws and legal practice for mental health conditions of asylum seekers and psychiatric care. METHODS:Based on the case study of a Kurdish woman with complex trauma-related psychiatric disorder, who had been in psychiatric hospital care for 25 months, the lega...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-0035-1552730
更新日期:2016-04-01 00:00:00