Abstract:
OBJECTIVE:Patients from opioid maintenance treatment (OMT) may taper off from opioids during rehab treatment. It is investigated whether this option improves treatment outcomes in particular for those patients who are affected by psychiatric or somatic comorbidity, or by social problems. METHODS:Multicenter study with 4 rehab units. Patient characteristics and treatment outcomes were collected retrospectively. There were n = 227 patients who were admitted to treatment while still receiving OMT, and n = 156 who were opioid free. RESULTS:With regard to regular completion of rehab treatment, an interaction was observed between status at admission and diagnosis of affective, neurotic and anxiety disorders, and between status and previous rehab treatment experience. If admitted in an abstinent status, patients who had never entered rehab, and patients with affective or anxiety disorders showed decreased regular completion rates, while they showed increased completion rates if tapered off during treatment. There was no interaction between initial status and acute life crisis (release from prison, homelessness), somatic diagnoses, or number of stabilizing social factors. CONCLUSION:Admission while still receiving opiate maintenance could be helpful for patients with psychiatric comorbidity and for patients who had previously been reluctant to enter rehab treatment. :ZIEL: Es wird untersucht, ob opiatabhängige Patienten mit gesundheitlichen und sozialen Zusatzbelastungen von einer stationären Drogen-Reha davon profitieren, dass eine bestehende Substitution zunächst fortgeführt wird. METHODIK:Multizentrische Studie in 4 Fachkliniken mit 227 bei Aufnahme substituierten und 156 bei Aufnahme opioidfreien Patienten. ERGEBNISSE:Patienten ohne Reha-Erfahrung und solche mit affektiven und Angststörungen zeigten in der abstinenzbasierten Behandlung geminderte Erfolgsraten, in der initial substituierten Gruppe dagegen erhöhte. SCHLUSSFOLGERUNG:Für Patienten mit besonderen psychischen Belastungen bzw. für solche, die rein abstinenzbasierte Rehabilitationsbehandlungen nicht beginnen wollten, kann die Aufnahme unter Substitution ein Vorteil sein.
journal_name
Psychiatr Praxjournal_title
Psychiatrische Praxisauthors
Kuhlmann T,Specka M,Rhode A,Post Y,Pietras M,Funke W,Feugmann K,Scherbaum Ndoi
10.1055/a-0883-2690subject
Has Abstractpub_date
2019-07-01 00:00:00pages
281-286issue
5eissn
0303-4259issn
1439-0876journal_volume
46pub_type
杂志文章abstract::A rehabilitation programme at the University Clinic of Social Psychiatry, Berne, is described. The facility includes a half-way house and sheltered home in a suburb, where 20 psychiatric long-stay patients are trained for an independent life in the community. In a follow-up study 80 patients, mostly chronic schizophre...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1988-05-01 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 purpose of this study was to develop a behavioral rehabilitation program for patients with long-term nonspecific symptoms following craniocerebral trauma. In 47 patients we analyzed symptoms typical of "illness behavior" (e.g. complaining tendency, depression, irritability, psychosomatic pain, problems in job perf...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1977-11-01 00:00:00
abstract::The article reports on a catamnestic examination of patients of a crisis intervention center at a general hospital, conducted during the period from 1.5.1977 to 31.5.1978. A total of 560 admissions was recorded comprising 492 patients. Examination was carried out via an open questionnaire, plus data taken from the hos...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1980-08-01 00:00:00
abstract::Since community mental health care started public attitudes towards mentally ill and mental health care had been development to an important influencing factor in planning mental health care and in rehabilitation of patients. This paper describes the historical development of research in public attitudes in psychiatry...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章,评审
doi:
更新日期:1995-03-01 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::The report describes the inpatient and out-patient treatment facilities for alcoholics in a defined catchment area and the experience gathered by the initiation of out-patient group therapy for a group of alcoholics at the general community hospital in Offenbach/Main. The goal of the group therapy at the hospital was ...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1994-01-01 00:00:00
abstract:OBJECTIVE:Theoretical background and first results of a vocational rehabilitation program for unemployed persons with chronic psychiatric disabilities will be presented. The aim of the program is job-placement in the regular labour market. METHODS:After a 3-month preparatory period the participants were given the poss...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-2002-22041
更新日期:2002-03-01 00:00:00
abstract::One of the highest rates of suicide occur in German-speaking countries and particularly in Saxonia. There are grounds for the assumption that the fact has been caused by a careful recording of suicides in this country since 1829. The paper describes the development of rates of suicide and the changes of the suicidal m...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1994-09-01 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:OBJECTIVE:ECT is an effective and safe therapy with fast response for depressive disorders. Nevertheless it's mostly used for therapy resistance. In antidepressive treatments fast response may be related with antidepressive efficacy. We studied, if earlier ECT could result in a shorter hospital stay period after the tr...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-0030-1248600
更新日期:2011-02-01 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:INTRODUCTION:Delirium tremens and withdrawal seizures are serious complications of an alcohol withdrawal syndrome. This review presents the diagnostic procedures required in case of the occurrence of a withdrawal seizure and delirium tremens as well as possible treatment options including prophylactic medication regime...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章,评审
doi:10.1055/s-0030-1248443
更新日期:2010-09-01 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: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:INTRODUCTION:Attachment theory yields empirical constructs for development of human self, personality and cognition. Insecure attachment strategies were associated with various psychiatric disorders. METHOD:We investigated distribution of attachment styles in 368 adult alcoholics of German descent with or without pers...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-2004-828447
更新日期:2004-11-01 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::13 patients with major depressive disorder, who responded well to the reversible MAO-A-inhibitor moclobemide after unsuccessful initial treatment with tri- or tetracyclic antidepressants were monitored under naturalistic outpatient therapy conditions with moclobemide plasma level control for an average of 7.4 months. ...
journal_title:Psychiatrische Praxis
pub_type: 临床试验,杂志文章
doi:
更新日期:1989-08-01 00:00:00
abstract:OBJECTIVE:In order to develop gender-sensitive services, there is a need to better understand coping among men with depression. The study aims to analyze the meaning of gender- and work-related roles for illness theories and coping among men with depression. METHODS:Based on a latent class analysis of three types of m...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/a-1043-8126
更新日期:2020-03-01 00:00:00
abstract::A random sample of patients (n = 43) had been investigated to detect any difference in response of bright light therapy in lithium-treated inpatients (n = 18) suffering from depression. Only 27% of the lithium-based inpatients respond to bright light therapy, but 73% of patients respond who were not treated with lithi...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1997-07-01 00:00:00
abstract:OBJECTIVE:The study aims to investigate organized and ritual child sexual abuse (i. e. networking perpetrator groups with ideological frameworks). METHODS:A qualitative content analysis was conducted on 33 reports by victims and contemporary witnesses. Inductive categories were formed with regard to the question, whic...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/a-1123-3064
更新日期:2020-07-01 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::The conditions determining statutory offences as represented by indictable sex offences, have been amended and revised by the 4th Penal Reform Law of the Federal German Penal Code, in 1973, under the heading "Indictable Offences against Sexual Self-Determination". This heading, which is meant to convey a programme, ho...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1983-05-01 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 The aim of the present study was to assess the health care situation and barriers to support minor children of mentally ill parents from the perspective of adult psychiatry in Germany. Methods Based on the German Hospital Register mental health practitioners of all psychiatric clinics in Germany were asked t...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-0042-115824
更新日期:2017-10-01 00:00:00
abstract::The new activities of nurses working in the field of psychiatry, resulting from the realisation of sociopsychiatric and sociotherapeutic concepts, have led to an expansion of the "job description" of the nursing personnel. Intensive measures for additinal training and continuing education will have to be taken to acqu...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1979-11-01 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:OBJECTIVE:A systematic review on empirical results of studies that assess Quality of Life (QoL) in schizophrenic patients. METHOD:A systematic overview of the literature is provided with focus on schizophrenic patients under deprived living conditions. RESULTS:No consistent relationships are found between objective l...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章,评审
doi:10.1055/s-2006-940194
更新日期:2006-10-01 00:00:00
abstract::Despite of the frequency of depressive disorders among the population, forensic aspects of depression are rare and usually focussed on suicidal behaviour, especially the so-called homicide-suicide (homicide followed by suicide). Today therapeutic strategies are seen in the first stage of dealing with depressed homicid...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章,评审
doi:
更新日期:1997-11-01 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