Abstract:
:Compliance is an ancient topic subjected to intense recent scrutiny as a result of scientific and social changes which focus on lifestyle adjustment to chronic illness and emphasize increasing patient involvement in self-care. Difficulties in definition, measurement and research design as well as the complexity of the problems contribute to conflicting findings and a lack of consensus about determinants of compliance. Five conceptual models have been studied but only a few positive and negative factors have been consistently identified, perhaps because outcome is often influenced by subtle attitudes, beliefs and quality of life considerations. Management involves both education and a variety of interventions that range from simple single strategies to complex multimodal approaches in which the patient's role may vary from being a passive participant of professional supervision to complete autonomy and self-care.
journal_name
Psychother Psychosomjournal_title
Psychotherapy and psychosomaticsauthors
Blackwell Bdoi
10.1159/000288624subject
Has Abstractpub_date
1992-01-01 00:00:00pages
161-9issue
3-4eissn
0033-3190issn
1423-0348journal_volume
58pub_type
杂志文章,评审abstract:BACKGROUND:Concerns about the risk-benefit ratio of treatment with antidepressants in the light of recent evidence pointing to a risk of suicide induction during the course of treatment with antidepressants. These concerns have led to a series of recent studies exploring national rates of suicide and correlating these ...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000112884
更新日期:2008-01-01 00:00:00
abstract::A review of some recent studies on the psychosomatic aspects of hyperprolactinemia is presented. Women seem to be more prone to suffer from the behavioral effects of prolactin than males. Women with hyperprolactinemic amenorrhea rated themselves significantly more hostile, more depressed and more anxious than women wi...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000287773
更新日期:1983-01-01 00:00:00
abstract::The purpose of this investigation was to measure alexithymia in 90 newly abstinent alcoholism treatment candidates and to examine the relationship between alexithymia and depressive symptoms. Subjects completed the Schalling-Sifneos Personality Scale (SSPS) and the Beck Depression Inventory (BDI) at the time of applic...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000288065
更新日期:1988-01-01 00:00:00
abstract::The relationship between depressed mood and alexithymia, measured by the Toronto Alexithymia Scale (TAS) was investigated in a group of psychiatric inpatients (n = 81) and outpatients (n = 97). In both cohorts correlations between the TAS and obsessoid personality style were significant when controlled for mood. The o...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000288373
更新日期:1990-01-01 00:00:00
abstract::The purpose of this paper is to reflect on and to compare various psychoanalytic models which are used in the conceptualisation of the processes occurring in small psychotherapeutic groups. Three tendencies are roughly differentiated: (1) the tendency to analyse the individual patient in the group (Slavson, Wolfson an...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000287440
更新日期:1980-01-01 00:00:00
abstract::Physiological parameters were studied over 4.5 months in normal high-school girls. One group frequently practised autogenic training (AT) whereas the other (control) did not. After 4.5 months the physiology of the AT, but not the control group had changed to some extent. The mean increase in finger skin temperature in...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000286991
更新日期:1976-01-01 00:00:00
abstract::The author describes the development of the research activity at a psychiatric clinic near Oslo, Modum Bads Nervesanatorium, a psychotherpeutic-oriented institution treating patients with neuroses, substance abuse and character disorders. In 1985 an institute for clinical research was built as an independent unit with...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000288367
更新日期:1990-01-01 00:00:00
abstract::A retrospective chart review of 600 general hospital patients, of whom 200 had been admitted to a medical-psychiatric unit, 200 to a conventional psychiatric unit and 200 to medical-surgical units, and for whom psychiatric consultation had been requested, disclosed significant differences in the patient populations of...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000287879
更新日期:1985-01-01 00:00:00
abstract::Many child and adolescent psychotherapists are asked to work in specialized institutions (where the children are either interns or externs), with children presenting behaviour problems, learning difficulties, mental handicap or important psychosocial problems. They learn through diverse treatment forms, or parent acco...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000288344
更新日期:1990-01-01 00:00:00
abstract:BACKGROUND:Modern communication technologies offer novel opportunities for the provision of stepped care for patients with mental disorders. This study investigated the effectiveness of group therapy delivered through an Internet chat following inpatient treatment. The main goal of the program was to reduce the risk of...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000101500
更新日期:2007-01-01 00:00:00
abstract:BACKGROUND:Attention models view attention as having at least two components: endogenous attention defined as executive and directed by voluntary acts, and exogenous attention defined as automatic and directed by external stimulation. METHODS:Three studies (2 of our own) were designed to evaluate the decline of these ...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000116607
更新日期:2008-01-01 00:00:00
abstract:BACKGROUND:Deficits in emotion regulation skills are possible factors maintaining major depressive disorder (MDD). Therefore, the aim of the study was to test whether integrating a systematic emotion regulation training (ERT) enhances the efficacy of routine inpatient cognitive behavioral therapy (CBT) for MDD. METHOD...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,随机对照试验
doi:10.1159/000348448
更新日期:2013-01-01 00:00:00
abstract::Results are reported from an investigation on job strains in dialysis nurses and needs for psychosocial staff training. 174 dialysis nurses in the Federal Republic of Germany answered the clinical questionnaire, which was distributed in cooperation with the German section of the EDTNA. Although the majority emphasized...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000288149
更新日期:1989-01-01 00:00:00
abstract::All patients with physical illness have an underlying fantasy concerning why they became sick. This fantasy can be elicited by the consulting psychiatrist and the treating physician. The meaning of the fantasy is consistent with the psychodynamic theory of human behavior. Also, once the fantasy is understood, it can b...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000287738
更新日期:1983-01-01 00:00:00
abstract::Prevailing reports on psychological prediction of renal graft integration are rare, mostly based on case studies. Focusing on patients' expectations from the transplantation process before grafting, we investigate the influence of psychological data and statements on the final transplantation results. In the whole gro...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000287899
更新日期:1985-01-01 00:00:00
abstract::The studies described in this paper provide evidence for the importance of social factors in determining the response of the hypothalamic-pituitary-adrenal (H-P-A) system to stress. The presence of familiar social partners can reduce or eliminate the cortisol response to either loss of a significant social relationshi...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000288677
更新日期:1993-01-01 00:00:00
abstract:BACKGROUND:Guided Internet-based cognitive behavior therapy (ICBT) has been tested in many trials and found to be effective in the treatment of anxiety and mood disorders. Generalized anxiety disorder (GAD) has also been treated with ICBT, but there are no controlled trials on guided Internet-based psychodynamic treatm...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,随机对照试验
doi:10.1159/000339371
更新日期:2012-01-01 00:00:00
abstract::Cognitive therapy includes a variety of methods. There are two main schools, a currently predominant American one, and an earlier European one. They give different emphasis to the concept of the evolution of human cognition. There is agreement on the particular significance of surmounting absolutist thinking. ...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000288357
更新日期:1990-01-01 00:00:00
abstract:BACKGROUND:Families can have considerable influence on the health of a patient with a chronic physical disease, and attempts have been made to optimise treatment by involving family members. This meta-analysis aimed to systematically assess the effects of family-oriented interventions on adults with chronic physical di...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,meta分析
doi:10.1159/000286958
更新日期:2010-01-01 00:00:00
abstract:BACKGROUND:In an exploratory study, we used a novel computerized battery of neuropsychological tests of attention to assess residual cognitive impairment in marijuana users. METHODS:We compared 25 college students who were heavy marijuana smokers (who had smoked a median of 29 days in the last 30 days) with 30 student...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000289132
更新日期:1997-01-01 00:00:00
abstract:BACKGROUND:The consultation-liaison (C-L) psychiatrist is in an opportune position to undertake the tasks of education, training and assessment of performance as regards future physicians, psychiatrists, specialists in other branches and nurses. This paper describes the education and training programme in the Psychiatr...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000012397
更新日期:2000-07-01 00:00:00
abstract::Phobic patients have been shown to be, on average, more hypnotizable than others. The essence of the phobic experience is not unlike that of the event of hypnosis, and the phobic experience might be a spontaneously occurring panic-filled trance-like or dissociative experience. This dissociation is viewed as a maladapt...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000287509
更新日期:1981-01-01 00:00:00
abstract::The consultation-liaison service at Yale features integrated teams of psychiatrists, social workers, and clinical nurse specialists working together in both consultation and outpatient settings. The model is based on the tenets that (1) comprehensive evaluation of patients is essential for effective treatment; (2) rol...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000288036
更新日期:1987-01-01 00:00:00
abstract:BACKGROUND:Insufficient response to monotreatment for depression is a common phenomenon in clinical practice. Even so, evidence indicating how to proceed in such cases is sparse. METHODS:This study looks at the second phase of a sequential treatment algorithm, in which 103 outpatients with moderately severe depression...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,随机对照试验
doi:10.1159/000341177
更新日期:2013-01-01 00:00:00
abstract::Patients with hyperprolactinemia often present with emotional difficulties. These occasionally persist even after successful treatment. Insight into the roots of their diseased state makes a difference in the handling of all cases, but becomes crucial in the not-so-rare situations in which the normalization of hormona...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,评审
doi:10.1159/000012273
更新日期:1998-01-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:The effectiveness of brief psychotherapy is established, but criteria for the selection of patients remain elusive. This study examines the usefulness of some widely used criteria for the selection of patients for brief psychodynamic therapy (BPT). METHODS:A checklist of 39 criteria often use...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000012332
更新日期:1999-01-01 00:00:00
abstract::Placebo effects are often attributed to clinical interactions and contextual factors that affect expectations of the patient about the treatment and result in symptom changes. The prevailing conceptualization consists of an undifferentiated placebo response that needs to be minimized in controlled investigations and m...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000480038
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:Following remission of an anxiety disorder or a depressive disorder, antidepressants are frequently discontinued and in the case of symptom occurrence reinstated. Reinstatement of antidepressants seems less effective in some patients, but an overview is lacking. This systematic review aimed to provide insigh...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,评审
doi:10.1159/000491550
更新日期:2018-01-01 00:00:00
abstract:BACKGROUND:Clinicians and researchers synthesize data from randomized controlled trials (RCTs) of antidepressants to make conclusions about the efficacy of medications for depression. All treatments include nonspecific factors in addition to the specific effects of drugs, and study design may influence patient outcomes...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000209348
更新日期:2009-01-01 00:00:00
abstract:BACKGROUND:Depression after acute coronary syndrome (ACS) is associated with worse cardiac outcomes. This systematic review evaluated whether depressed ACS patients are at differential risk depending on the recurrence and timing of onset of depressive episodes. METHODS:MEDLINE, EMBASE and PsycINFO were searched from i...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,评审
doi:10.1159/000322633
更新日期:2011-01-01 00:00:00