Abstract:
:The question addressed to in this paper is whether severely mentally ill patients are treated differently in a community mental health service without the back-up of a mental hospital (south-Verona, Italy) compared with an institution-based system in which mental hospitals, although highly modernized, are still predominant (Groningen, The Netherlands). Using the psychiatric case-registers in both areas, the patterns of care in 2 years of follow-up of schizophrenic patients were constructed. Survival analysis was used to analyse in-, day- and out-patient episodes of care. Three-quarters of the Groningen and half of the south-Verona patients experienced at least one episode of hospitalization; 20% of the Groningen and 5% of the south-Verona patients were long-stay patients at the end of the observation period. The south-Verona patients had more episodes of in-patient and especially of day-patient and out-patient care. Cox's regression showed that the duration of episodes controlled for the history of events and sociodemographic characteristics, was significantly shorter in south-Verona. One of the main conclusion was that hospitalizations for the severely mental ill are also needed in a community-based system of care, supporting the assumption of a 'bed-rock' of mental illness. However, the south-Verona community mental health service seems to be able to reduce the duration of hospitalizations considerably.
journal_name
Psychol Medjournal_title
Psychological medicineauthors
Sytema S,Micciolo R,Tansella Mdoi
10.1017/s0033291700033754subject
Has Abstractpub_date
1996-01-01 00:00:00pages
109-19issue
1eissn
0033-2917issn
1469-8978journal_volume
26pub_type
杂志文章abstract::Levinger & Clarke (1961) found that subjects tended to forget more word associations to emotional rather than neutral words. Kline (1981) regarded this study as providing 'irrefutable evidence for the Freudian concept of repression'. On the other hand, results from Kleinsmith & Kaplan (1964) suggested that this effect...
journal_title:Psychological medicine
pub_type: 杂志文章
doi:10.1017/s0033291700017669
更新日期:1990-05-01 00:00:00
abstract:BACKGROUND:Research on the subject of insight has been hampered by difficulties in definition and reliable measurement. METHODS:We compared several rating scales to measure insight on a group of 33 psychotic patients as well as assessing patients' psychopathology, clinical characteristics and cognitive functioning. R...
journal_title:Psychological medicine
pub_type: 杂志文章
doi:10.1017/s0033291797006296
更新日期:1998-03-01 00:00:00
abstract:BACKGROUND:Although alcohol use disorder (AUD) is associated with future risk for psychosocial dysfunction, the degree to which this arises from a direct causal effect of AUD on functioning v. from correlated risk factors (also known as confounders) is less clearly established. METHOD:AUD was assessed from Swedish med...
journal_title:Psychological medicine
pub_type: 杂志文章
doi:10.1017/S0033291716003032
更新日期:2017-04-01 00:00:00
abstract::Forty-eight couples with a presenting problem of female sexual unresponsiveness were treated in a controlled study using a balanced factorial design. The factors varied in this design were medication (testosterone or placebo), treatment frequency (weekly or monthly sessions), and the number of therapists involved (one...
journal_title:Psychological medicine
pub_type: 临床试验,杂志文章
doi:10.1017/s0033291700050091
更新日期:1983-02-01 00:00:00
abstract::In this study it was possible to prove the Werther effect in suicides after watching fictional models for the first time. A twice-broadcast (1981, 1982) six-episode weekly serial showing the railway suicide of a 19-year-old male student provided a quasi-experimental ABABA design to investigate differential effects of ...
journal_title:Psychological medicine
pub_type: 杂志文章
doi:10.1017/s0033291700008345
更新日期:1988-08-01 00:00:00
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journal_title:Psychological medicine
pub_type: 杂志文章
doi:10.1017/s0033291700009909
更新日期:1988-11-01 00:00:00
abstract::Long-stay patients who were discharged from Friern and Claybury hospitals during the 6-year period between September 1985 and August 1991 were followed up for at least 1 year and the details of all readmissions were recorded. Of the 615 hospital leavers, some 178 (29%) were readmitted at some time during the follow-up...
journal_title:Psychological medicine
pub_type: 杂志文章
doi:10.1017/s0033291700035595
更新日期:1996-05-01 00:00:00
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journal_title:Psychological medicine
pub_type: 杂志文章
doi:10.1017/S0033291717001556
更新日期:2018-01-01 00:00:00
abstract:BACKGROUND:Neurocognitive dysfunction in schizophrenia (SZ), bipolar (BD) and related disorders represents a core feature of these illnesses, possibly a marker of underlying pathophysiology. Substantial overlap in domains of neuropsychological deficits has been reported among these disorders after illness onset. Howeve...
journal_title:Psychological medicine
pub_type: 杂志文章,评审
doi:10.1017/S0033291710001042
更新日期:2011-02-01 00:00:00
abstract:BACKGROUND:The rate of binocular rivalry has been reported to be slower in subjects with bipolar disorder than in controls when tested with drifting, vertical and horizontal gratings of high spatial frequency. METHOD:Here we assess the rate of binocular rivalry with stationary, vertical and horizontal gratings of low ...
journal_title:Psychological medicine
pub_type: 杂志文章
doi:10.1017/s0033291703007475
更新日期:2003-05-01 00:00:00
abstract:BACKGROUND:Cigarette smoking is associated with worse cognition and decreased cortical volume and thickness in healthy cohorts. Chronic cigarette smoking is prevalent in schizophrenia spectrum disorders (SSD), but the effects of smoking status on the brain and cognition in SSD are not clear. This study aimed to underst...
journal_title:Psychological medicine
pub_type: 杂志文章
doi:10.1017/S0033291720005152
更新日期:2021-01-14 00:00:00
abstract:BACKGROUND:Resting pulse is robustly and inversely associated with the risk for externalizing disorders and may be positively associated with internalizing disorders. We know little about the causal nature of these associations. METHODS:We examined resting pulse at conscription examination in 369 301 males born 1960-8...
journal_title:Psychological medicine
pub_type: 杂志文章
doi:10.1017/S0033291720000549
更新日期:2020-03-24 00:00:00
abstract:BACKGROUND:Puberty moderates genetic influences on disordered eating attitudes and behaviors, with little genetic influence before puberty but large (50%) genetic effects during and after puberty. To date, however, nothing is known about the mechanisms that underlie these effects. Estradiol is a particularly promising ...
journal_title:Psychological medicine
pub_type: 杂志文章
doi:10.1017/S0033291709992236
更新日期:2010-10-01 00:00:00
abstract:BACKGROUND:We studied whether heterogeneous profiles of cognitive function are relevant to survival in patients with early Alzheimer's disease. METHODS:CAMCOG subscales of cognitive function were used as predictors of survival, together with gender in 157 consecutively referred patients with early Alzheimer's disease....
journal_title:Psychological medicine
pub_type: 杂志文章
doi:10.1017/s0033291798007375
更新日期:1999-03-01 00:00:00
abstract:BACKGROUND:Intrusive memories of traumatic events are a core feature of post-traumatic stress disorder but little is known about the neurobiological formation of intrusions. The aim of this study was to determine whether the activity of the noradrenergic system during an intrusion-inducing stressor would influence subs...
journal_title:Psychological medicine
pub_type: 杂志文章,随机对照试验
doi:10.1017/S0033291716001379
更新日期:2016-09-01 00:00:00
abstract::Belief in free will has been a mainstay in philosophy throughout history, grounded in large part in our intuitive sense that we consciously control our actions and could have done otherwise. However, psychology and psychiatry have long sought to uncover mechanistic explanations for human behavior that challenge the no...
journal_title:Psychological medicine
pub_type: 杂志文章,评审
doi:10.1017/S0033291713002985
更新日期:2014-09-01 00:00:00
abstract::Experts have raised concerns that oxytocin for labor induction and augmentation may have detrimental effects on the neurodevelopment of children. To investigate whether there is the reason for concern, we reviewed and evaluated the available evidence by searching databases with no language or date restrictions up to 9...
journal_title:Psychological medicine
pub_type: 杂志文章,meta分析
doi:10.1017/S0033291718003021
更新日期:2019-04-01 00:00:00
abstract:BACKGROUND:Belief inflexibility is a thinking style observed in patients with schizophrenia, in which patients tend to refute evidence that runs counter to their prior beliefs. This bias has been related to a dominance of prior expectations (prior beliefs) over incoming sensory evidence. In this study we investigated t...
journal_title:Psychological medicine
pub_type: 杂志文章
doi:10.1017/S0033291712000384
更新日期:2012-11-01 00:00:00
abstract:BACKGROUND:Continuity of care is considered by patients and clinicians an essential feature of good quality care in long-term disorders, yet there is general agreement that it is a complex concept. Most policies emphasize it and encourage systems to promote it. Despite this, there is no accepted definition or measure a...
journal_title:Psychological medicine
pub_type: 杂志文章
doi:10.1017/S0033291708003747
更新日期:2009-02-01 00:00:00
abstract:BACKGROUND:Mental health morbidity in post-conflict settings is high. Nevertheless, randomized controlled trials of psychotherapy on site are rare. Our aim was to integrate rigorous research procedures into a humanitarian programme and test the efficacy of resource activation (ROTATE) in treating post-traumatic stress ...
journal_title:Psychological medicine
pub_type: 杂志文章,随机对照试验
doi:10.1017/S0033291716002592
更新日期:2017-02-01 00:00:00
abstract:BACKGROUND:The COVID-19 pandemic has had a range of negative social and economic effects that may contribute to a rise in mental health problems. In this observational population-based study, we examined longitudinal changes in the prevalence of mental health problems from before to during the COVID-19 crisis and ident...
journal_title:Psychological medicine
pub_type: 杂志文章
doi:10.1017/S0033291720004432
更新日期:2020-11-13 00:00:00
abstract:BACKGROUND:Three cognitive constructs are risk factors for eating disorders: undue influence of weight and shape, concern about weight and shape, and body dissatisfaction (BD). Undue influence, a diagnostic criterion for eating disorders, is postulated to be closely associated with self-esteem whereas BD is postulated ...
journal_title:Psychological medicine
pub_type: 杂志文章
doi:10.1017/S0033291710001066
更新日期:2011-04-01 00:00:00
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journal_title:Psychological medicine
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doi:10.1017/S0033291715000860
更新日期:2015-10-01 00:00:00
abstract:BACKGROUND:Although specific phobia is highly prevalent, associated with impairment, and an important risk factor for the development of other mental disorders, cross-national epidemiological data are scarce, especially from low- and middle-income countries. This paper presents epidemiological data from 22 low-, lower-...
journal_title:Psychological medicine
pub_type: 杂志文章
doi:10.1017/S0033291717000174
更新日期:2017-07-01 00:00:00
abstract:BACKGROUND:Depressive disorders are known to often be chronic and recurrent both in the general population and in psychiatric settings. However, despite its importance for public health and services, the outcome of depression in primary care is not well known. METHOD:In The Vantaa Primary Care Depression Study (PC-VDS...
journal_title:Psychological medicine
pub_type: 杂志文章
doi:10.1017/S0033291709005182
更新日期:2009-10-01 00:00:00
abstract:BACKGROUND:A number of scales are used to estimate the severity of depression. However, differences between self-report and clinician rating, multi-dimensionality and different weighting of individual symptoms in summed scores may affect the validity of measurement. In this study we examined and integrated the psychome...
journal_title:Psychological medicine
pub_type: 杂志文章
doi:10.1017/S0033291707001730
更新日期:2008-02-01 00:00:00
abstract:BACKGROUND:Social anxiety disorder (SAD) is surprisingly prevalent among people with psychosis and exerts significant impact on social disability. The processes that underlie its development remain unclear. The aim of this study was to investigate the relationship between shame cognitions arising from a stigmatizing ps...
journal_title:Psychological medicine
pub_type: 杂志文章
doi:10.1017/S0033291712001146
更新日期:2013-01-01 00:00:00
abstract:BACKGROUND:Multiple studies have found Conscientiousness to be protective against dementia. The purpose of this study is to identify which specific aspects, or facets, of Conscientiousness are most protective against cognitive impairment and whether these associations are moderated by demographic factors and/or genetic...
journal_title:Psychological medicine
pub_type: 杂志文章
doi:10.1017/S0033291717002306
更新日期:2018-04-01 00:00:00
abstract:BACKGROUND:Schizophrenia (SZ) is a complex disorder characterized by a range of behavioral and cognitive symptoms as well as structural and functional alterations in multiple cortical and subcortical structures. SZ is associated with reduced functional network connectivity involving core regions such as the anterior ci...
journal_title:Psychological medicine
pub_type: 杂志文章
doi:10.1017/S0033291720000859
更新日期:2020-04-24 00:00:00
abstract::One hundred and sixteen working-class housewives, part-time and full-time employees were compared on a range of well-being measures in three different lifestages. A group of factory employees was contrasted with a 'mixed occupation' group for a comparison of type of employment. The general contention that the associat...
journal_title:Psychological medicine
pub_type: 杂志文章
doi:10.1017/s0033291700034978
更新日期:1995-07-01 00:00:00