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 of additional psychopharmacological medications. RESULTS:13 different neuroleptics were prescribed to 147 schizophrenic patients, most frequently haloperidol and clozapin. 31% of these patients (n = 147) fell below the dosage recommendations for maintenance therapy. The most frequent psychopharmacological combinations were the combination of two neuroleptics (30%), the combination with lithium or carbamazepin (28%) and the combination with antidepressants (23%). CONCLUSION:Standardised treatment suggestions as guidelines are valuable for psychiatrists in an outpatients setting. In some cases it is necessary to develop individual treatment strategies that vary from the usual treatment standards.
journal_name
Psychiatr Praxjournal_title
Psychiatrische Praxisauthors
Haberfellner EM,Rittmannsberger Hsubject
Has Abstractpub_date
1998-11-01 00:00:00pages
284-5issue
6eissn
0303-4259issn
1439-0876journal_volume
25pub_type
杂志文章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::Based on retrospective investigation using hospital records of 44 schizophrenic patients of a rehabilitation department, who committed suicide between 1966 and 1986, the paper discusses demographic and psychological features of schizophrenic suicide in comparison with international literature. Subjects who committed s...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1989-07-01 00:00:00
abstract::Following the agreement on the splitting of the burden of cost to be borne by the Federal German national health and pension insurance schemes, the cost of treatment of addicts has been divided between the relevant bodies. This division of cost has developed into an obstacle especially to the development of curative t...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1984-01-01 00:00:00
abstract::Within the process of individual psychotherapy the author stresses the importance of understanding the initial everyday life view of "what is about being sick" for to establish a working, and cooperative setting. Thus, a three step procedure has been developed to guide the patient to a self responsible attitude toward...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1988-01-01 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::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:OBJECTIVE:Based on the Obsessive Compulsive Drinking Scale (OCDS) we developed and validated the Mannheimer Craving Scale (MaCS) for quantitative measurements of craving across different substances and suitable for multiple substance abuse. METHODS:The MaCS questionnaire measures obsessive-compulsive symptoms in the c...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-2008-1067546
更新日期:2009-03-01 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::It was the establishing of associations of parents and friends of mentally handicapped persons that started, above all in the 50's and 60's, in many countries direct and intensive endeavours for the improvement of their social situation. In this context the major goals are the normalisation of their living conditions ...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1981-08-01 00:00:00
abstract::156 patients from two psychiatric hospitals were asked about their expectations and wishes regarding their further medical care and treatment immediately prior to their discharge. Answers were analyzed according to age, sex and diagnoses. This is contrasted by the suggestions of the medical staff, which seems to be in...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1984-05-01 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::Qualitative research methods give an opportunity to investigate the everyday reality of dealing with and understanding of chronic mental illness as a social reality in local context. By the reconstruction of the perspective of the mentally ill, their relatives and their professional caregivers we analyze the cultural ...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1995-05-01 00:00:00
abstract::Changes in the provision of psychiatric services within the last decennials are probably best understood if the impact of national socialism on clinical psychiatry is regarded. Many psychiatrists took part in the "Aktion T4" the organised killing of their patients, at least they did not resist campaigns directed to ki...
journal_title:Psychiatrische Praxis
pub_type: 历史文章,杂志文章
doi:10.1055/s-2004-828483
更新日期:2004-11-01 00:00:00
abstract:OBJECTIVE:Due to increasing health care expenditures the discussion about advantages and disadvantages of new methods for resource allocation in mental health care has been intensified. A promising model is the Regional Budget for Mental Health Care, which is currently being examined in Schleswig-Holstein. The present ...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-2004-834736
更新日期:2005-05-01 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 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 present the theoretical basis and results of a comprehensive research project concerning the psychotherapeutic treatment of sexual offenders in an ambulant setting. The therapeutic sample (n = 86) consists of patients with the following symptoms: exhibitionism, child molestation and sexual aggressive acts towards w...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1983-09-01 00:00:00
abstract:OBJECTIVE:In a cross-sectional study in 79 schizophrenic patients the quality of life (QOL) of a group of community-based patients under supervision of an outpatient unit (n = 47) and a group of long-stay patients in an inpatient rehabilitation centre in the same area (n = 32) was compared. METHODS:The patients' QOL w...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1999-01-01 00:00:00
abstract:BACKGROUND:Aggression management trainings for staff have been implemented in many organizations of mental health care and disability care. The efficacy of such programmes has rarely been analysed. METHODS:A systematic review was conducted which contains all published evaluation studies on aggression management traini...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章,评审
doi:10.1055/s-2006-940063
更新日期:2007-01-01 00:00:00
abstract:OBJECTIVE AND METHOD:An overview on neurobiological findings of violence is given: We present 1. neurochemical findings, 2. genetical aspects, 3. neuroanatomical correlates and 4. a functional network of violence. Even if specific neurobiological findings have not been found, impulsive violence is closely linked to ser...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-2004-828431
更新日期:2004-11-01 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::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::Using a questionnaire the therapists of the Psychiatric Hospital in Ravensburg Weissenau were requested for information on the suicidality and symptomato-logy of their patients. This was done to assess the acute and chronic suicidality prevalent in a psychiatric hospital. The number of acute and chronic suicidal patie...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1990-07-01 00:00:00
abstract:OBJECTIVE:To determine the conditional factors underlying a premature termination of vocational rehabilitation programs. METHODS:123 rehabilitation participants were assessed prospectively regarding sociodemographic and psychopathological variables, level of functioning, subjective health, intellectual and work capaci...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-2005-915245
更新日期:2006-04-01 00:00:00
abstract:OBJECTIVE:There are only some reports about discharge letters addressed to patients. By a case report benefits and potential of letters to patients should be shown. METHOD:The presented case report describes the hospital stay of a 19 year old patient suffering from schizophrenia. RESULTS:The case report indicates tha...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-2005-866986
更新日期:2006-09-01 00:00:00
abstract::An increase of intoxications in persons using psychoactive plants and mushrooms can be observed. Mainly adolescents are experimenting with this group of plants for its hallucinogenic effects and easy and cheap availability. A case of a toxic psychosis with hallucinations, disturbances of orientation and psychomotoric ...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-2003-39490
更新日期:2003-05-01 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: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::The present case study is a report on computer-based training approach in a male patient suffering from the de-Grouchy syndrome I (with a characteristic chromosomal deletion pattern), who along with psychotic symptoms displayed neuropsychological deficits. Participating in a well-established intervention programme aim...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1998-05-01 00:00:00
abstract:OBJECTIVE:Improvement of depression treatment by health insurance based case-management. Criteria of improvement were a higher treatment rate of patients suffering from affective disorders or depression by psychiatrists or psychotherapists than by general practitioners or family doctors and sickness fund payments. MET...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-0033-1349557
更新日期:2014-11-01 00:00:00