Abstract:
OBJECTIVE:The study aims to assess the acceptance, chances and barriers of an online self-management program (moodgym) for depression from the perspective of experts and patients in inpatient psychiatric settings. METHODS:Paper-pencil interviews were conducted with n = 181 depressed inpatients (n = 181, pre-post-assessment after 8 weeks) and n = 31 medical experts. Two regression models were carried out to investigate factors associated with the uptake and the user acceptance of moodgym. Chances and barriers were analysed qualitatively. RESULTS:Experts and patients reported moderate to high user acceptance. 59 % (n = 107) of the patients logged in to moodgym. Factors associated with the uptake were the educational level and treatment preferences. The user acceptance was influenced by the patients' self-rated health and the frequency of using moodgym. Relevant barriers anticipated by experts were limited computer skills, difficulties in concentration and a severe course of depression. Patients highlighted the ease of use, the moodgym characters and the flexible availability. CONCLUSIONS:moodgym may represent a complementary treatment option for depressive disorders in an inpatient setting. ZIEL DER STUDIE:Erfassung der Nutzungsakzeptanz, Zugangsmöglichkeiten und -barrieren eines Online-Selbstmanagementprogramms (moodgym) für Depressionen. METHODIK:Schriftliche Befragungen von n = 181 stationär behandelten Patienten (Prä-Post-Messung, 8 Wochen) und n = 31 Experten. ERGEBNISSE:Moderate bis hohe Nutzungsakzeptanz. Relevante Zugangsbarrieren waren geringe PC-Erfahrungen, Konzentrationsschwierigkeiten und schwere Krankheitsverläufe. SCHLUSSFOLGERUNG:Erstmals konnte gezeigt werden, dass Interventionen wie moodgym einen komplementären Behandlungsbaustein in der stationären Versorgung bilden könnten.
journal_name
Psychiatr Praxjournal_title
Psychiatrische Praxisauthors
Dorow M,Stein J,Förster F,Löbner M,Franz M,Günther R,Schröder R,Sommer D,Möller D,Dekoj MC,Becker T,Riedel-Heller SGdoi
10.1055/s-0043-117049subject
Has Abstractpub_date
2018-07-01 00:00:00pages
256-262issue
5eissn
0303-4259issn
1439-0876journal_volume
45pub_type
杂志文章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::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::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:OBJECTIVE:According to the increasing number of foreign psychiatric patients in the German society, the influence of their linguistic integration on treatment characteristics is to be investigated. METHODS:With criteria of nationality and German language skills, data of 6151 in-patients was collected and statistically...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-2004-828421
更新日期:2004-11-01 00:00:00
abstract::Philippe Pinel is generally regarded as the leading con-founder of scientific psychiatry. His "chain liberation" of the insane is in this context often seen as breakbrough to an human conception of psychiatry. This article describes in two parts the historical backgrounds of Pinels activities and analyses the discipli...
journal_title:Psychiatrische Praxis
pub_type: 传,历史文章,杂志文章
doi:
更新日期:1996-01-01 00:00:00
abstract::Objective Diagnosing Attention-Deficit-Hyperactivity Disorder (ADHD) in adults requires that ADHD has already been present in childhood. However, recall of ADHD-symptoms in childhood is fallible, for example influenced by mood. Furthermore, diagnostics need a procedure to handle oblivion and judgment biases. The Essen...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-0043-100714
更新日期:2017-05-01 00:00:00
abstract::On the basis of the rules of the Hamburg Law on Aid and Protective Measures in Mental Diseases, a psychiatric emergency service operates at night and on weekends. This emergency service is called upon to decide on the need for compulsory hospitalization and to prevent the same, if possible, via therapeutic alternative...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1981-02-01 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: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
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journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/a-0883-2690
更新日期:2019-07-01 00:00:00
abstract:OBJECTIVE:In Germany, outpatient care is provided exclusively by physicians in private practice. This privilege is very strictly observed, with only a few exceptions. While psychiatric hospitals are routinely permitted to establish outpatient clinics, psychiatric departments of general hospitals, even if they serve a c...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1999-11-01 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::Misplacement of the old in psychiatry gains in special importance based on the absolute and relative increase of this population. 117 patients have been announced for admission to the psychogeriatric department of the Zwiefalten State Mental Hospital within six months. Admission of 47 patients did not happen mostly as...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1991-07-01 00:00:00
abstract::The situation of persons with mental illness, who work in workshops for the handicapped, and the problems they have to deal with, are discussed. Concepts of the psychology of work, which nearly have not been recognized in the field of vocational rehabilitation are described. In a study in several workshops the relatio...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1992-11-01 00:00:00
abstract:OBJECTIVE:Diagnoses-related clinical case grouping for an estimation of resource consumption for psychiatric inpatients analogue to the somatic medicine till now did not lead to sufficient prediction of costs. However, this is required when regarding increasing health costs from the economic perspective. METHOD:We inv...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-0029-1220355
更新日期:2009-10-01 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::In the last years there has been an increasing interest in psychiatric surveys as basis of epidemiologic studies and morbidity investigations. Numerous statistics from hospitals, from general psychiarists and general practioners have been referred to and constitute the basis for the 'Enquete zur Lage der Psychiatrie i...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1980-08-01 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::Rates of admission, duration of hospitalization, chances of discharge and legal basis of admissions are analyzed with reference to the distances between the patients' domiciles and the hospital, basing on the figures which apply to the district hospitals Gabersee in Upper Bavaria. More patients from nearby are admitte...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1978-02-01 00:00:00
abstract:OBJECTIVE:Depression is a common comorbidity of chronic pain and chronic pain represents a common additional symptom of depressed patients. The physiological basis is unknown. METHODS:We investigated the possible interrelation between autonomic dysfunction and altered pain perception in unmedicated patients (U1), afte...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-2007-970974
更新日期:2007-09-01 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::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::The case of a 32-year old man suffering from a 10-year course of schizophrenia is presented. The man's delusions include the conviction of being of the opposite sex and thus, he applied for an operational correction of his gender according to the law of transsexualism. Based on the evident problems arising from this c...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1996-09-01 00:00:00
abstract:OBJECTIVE:The aim of the present study was to clarify whether the mediation of homeless persons identified as mentally ill into the sociopsychiatric or the help-seeking system can be facilitated by a short-term intervention. METHOD:Probands with at least one psychiatric diagnosis according to ICD-10 (73 % of the sampl...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章,随机对照试验
doi:10.1055/s-2004-834688
更新日期:2006-07-01 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::Basing on a review of the literature and on own research, the authors examine the incidence rate of convulsions under neuroleptic treatment. In addition, the authors go into the neurophysiological and neuropharmacological mechanisms of the convulsive action of neuroleptics. An attempt is made to present information on...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1985-11-01 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::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:OBJECTIVE:This study reports on the evaluation of the Bern Job Coach Placement program, a supported employment intervention, in the routine operation. METHODS:Administrative data of participants from the years 2005 to 2016 were analysed in terms of integration into the general labour market and in terms of achieving a...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/a-0915-3990
更新日期:2019-09-01 00:00:00
abstract:OBJECTIVE:High utilisers of psychiatric services are defined as a group of patients showing a great amount of service use, especially inpatient care, consequently causing immense costs. There is a lack of studies investigating differences between East and West Germany. METHODS:Service use and psychopathology were exam...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-0034-1369867
更新日期:2014-10-01 00:00:00