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: F41.0), were interviewed using semi-structured interview guidelines on the recruitment and interaction of/with patients, communication of the exercises and implementation in everyday practice. The interviews (n = 14) were documented, transcribed and qualitatively analysed according to Mayring. RESULTS:MA perceived their contribution to the intervention regarding recruitment and monitoring of patients through telephone contacts as positive. CONCLUSION:Strengthening the role of MAs' can help to provide targeted support for patients with mental health problems in GP care as part of a low-threshold intervention and relieve the workload on the GP. ZIEL DER STUDIE:Untersuchung der Perspektive von Medizinischen Fachangestellten (MFA) bezüglich der Mitwirkung in verhaltenstherapeutisch orientierten Interventionen in der Hausarztpraxis. METHODE:15 MFA (w, 39,5 Jahre), Case-Manager in einem hausarztpraxis-unterstützten Übungsprogramm für Patienten mit Panik- und Angststörung (ICD-10: F41.0), wurden mittels semistrukturiertem Interviewleitfaden zur Rekrutierung von und Interaktion mit Patienten, Vermittlung der Übungen und der Implementierung in den Praxisalltag befragt. Die Interviews (n = 14) wurden dokumentiert, transkribiert und inhaltsanalytisch nach Mayring qualitativ analysiert. ERGEBNISSE:MFA empfanden ihren Anteil an der Intervention im Rahmen der Rekrutierung und Bindung von Patienten ans Projekt durch Telefonkontakte als positiv. SCHLUSSFOLGERUNG:Das Einbinden der MFA kann dazu beitragen, im Rahmen einer niedrigschwelligen Intervention Patienten mit psychischen Beschwerden in der hausärztlichen Versorgung gezielt zu unterstützen und den Hausarzt zu entlasten.
journal_name
Psychiatr Praxjournal_title
Psychiatrische Praxisauthors
Blank WA,Lukaschek K,Breitbart J,Hiller TS,Brettschneider C,Margraf J,Gensichen J,für die PARADIES-Studiengruppe.doi
10.1055/a-1310-2389subject
Has Abstractpub_date
2020-12-03 00:00:00eissn
0303-4259issn
1439-0876pub_type
杂志文章abstract::Deinstitutionalization (DI) of most of the chronic long-stay patients has taken place in the last decades in Germany. However, a "residual" group of patients often remains in psychiatric hospitals, with an ongoing controversy on an appropriate type of their care (community based vs. hospital). Clinical, functional and...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-2002-32711
更新日期:2002-07-01 00:00:00
abstract:OBJECTIVE:A new questionnaire to assess subjective meaning in psychosis (SuSi) will be presented. METHODS:The questionnaire construction was based on an elaborate process (Delphi-method) involving patients, carers and professionals (trialogue). Statistical validation including factor analysis and assessment of interna...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-0030-1248424
更新日期:2010-09-01 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::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::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::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::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::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::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: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
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更新日期:2010-05-01 00:00:00
abstract::Recently, a putative functional polymorphism (-141C Ins/Del) in the 5'-flanking region of the dopamine D2 receptor was found. An association of the Ins allele with schizophrenia has been described in a Japanese sample. In the present study this association was examined in a German schizophrenia patient population. In ...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:2003-05-01 00:00:00
abstract::In this paper criteria for the assessment of the ability of psychiatric patients to give an informed consent are presented. Legal and medical aspects including jurisdiction are discussed. Some elements for a judgement of an informed consent are proposed. ...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章,评审
doi:
更新日期:1993-09-01 00:00:00
abstract:OBJECTIVE:There is some evidence that the treatment with new ("atypical") neuroleptics is associated with a higher frequency of hyperlipidemia. AIM:In this study the serum lipid levels of patients with chronic schizophrenia were investigated. METHODS:The serum lipid levels of 177 consecutively admitted schizophrenic ...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-2006-940056
更新日期:2007-07-01 00:00:00
abstract:OBJECTIVE:This study examined illness beliefs of the lay public associated with the diagnostic labels burnout and depression. METHODS:Representative population survey in Germany 2011, using unlabelled case vignettes of a person suffering from depression. Following presentation of the vignette, respondents were asked o...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-0034-1387365
更新日期:2015-11-01 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:OBJECTIVE:A comprehensive review of the present state and new approaches of patient participation in German psychiatry was conducted. METHODS:Literature search. RESULTS:Most psychiatric patients wish to be informed about their disease and treatment options and express a desire for participation in medical decisions. ...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章,评审
doi:10.1055/s-2007-986410
更新日期:2008-04-01 00:00:00
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
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journal_title:Psychiatrische Praxis
pub_type: 临床试验,杂志文章
doi:
更新日期:1992-01-01 00:00:00
abstract:OBJECTIVE:In the context of the current discussion of integrating rehabilitative elements into the (acute) treatment of patients with mental disorders, it is investigated what rehabilitative elements actually are and whether these elements are considered in existing guidelines. METHODS/RESULTS:An expert-based consensu...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-2003-814990
更新日期:2005-03-01 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::Since the 1980's psychiatric care in Spain changed considerably (Reforma psiquiátrica española). In the course of this reform, many positive results were achieved. An extensive community network of mental health centres was build up which resulted in the majority of psychiatric patients being integrated in the Spanish...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:2000-11-01 00:00:00
abstract::The efficacy of flupentixol and risperidone were compared in a randomized double-blind study in 153 chronic schizophrenic patients. Flupentixol showed to be not inferior to risperidone concerning schizophrenic negative symptoms at week 8, 16 and 24. Positive symptoms and general psychopathology improved comparably, to...
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pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:
更新日期:2003-05-01 00:00:00
abstract::We report the case of a 48-year-old female whom we examined for legal culpability. The proband was taking the dopamine agonist pramipexole as a treatment for Parkinson's disease. In temporal association, she had committed numerous shoplifting offences.While pathological gambling, excessive shopping and hypersexuality ...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-0043-100024
更新日期:2017-04-01 00:00:00
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journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-0030-1266127
更新日期:2011-08-01 00:00:00
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journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1997-01-01 00:00:00
abstract:OBJECTIVE:General and specific deficits in the recognition of facial expressed emotions of ADHD and controls were examined. METHODS:Affect recognition abilities were assessed with the FEEL-Test in a sample of 138 adults with ADHD and 40 healthy controls. RESULTS:Adults with ADHD showed deficits in recognition of the ...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-0034-1387570
更新日期:2016-05-01 00:00:00
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journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1981-08-01 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::Epileptic and diabetic patients with suicidal tendency are compared in a retrospective study, both types of patients being characterized by chronic disease and social handicaps. Both these groups are predominantly preoccupied with self-intoxication by tranquilisers and/or alcohol, whereas in the group of epileptics ex...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1989-03-01 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