Abstract:
BACKGROUND:Structured psychotherapy is recommended as the preferred treatment of personality disorders. A substantial group of patients, however, has no access to these therapies or does not benefit. For those patients who have no (longer) access to psychotherapy a Collaborative Care Program (CCP) is developed. Collaborative Care originated in somatic health care to increase shared decision making and to enhance self management skills of chronic patients. Nurses have a prominent position in CCP's as they are responsible for optimal continuity and coordination of care. The aim of the CCP is to improve quality of life and self management skills, and reduce destructive behaviour and other manifestations of the personality disorder. METHODS/DESIGN:Quantitative and qualitative data are combined in a comparative multiple case study. This makes it possible to test the feasibility of the CCP, and also provides insight into the preliminary outcomes of CCP. Two treatment conditions will be compared, one in which the CCP is provided, the other in which Care as Usual is offered. In both conditions 16 patients will be included. The perspectives of patients, their informal carers and nurses are integrated in this study. Data (questionnaires, documents, and interviews) will be collected among these three groups of participants. The process of treatment and care within both research conditions is described with qualitative research methods. Additional quantitative data provide insight in the preliminary results of the CCP compared to CAU. With a stepped analysis plan the 'black box' of the application of the program will be revealed in order to understand which characteristics and influencing factors are indicative for positive or negative outcomes. DISCUSSION:The present study is, as to the best of our knowledge, the first to examine Collaborative Care for patients with severe personality disorders receiving outpatient mental health care. With the chosen design we want to examine how and which elements of the CC Program could contribute to a better quality of life for the patients. TRIAL REGISTRATION:Netherlands Trial Register (NTR): NTR2763.
journal_name
BMC Psychiatryjournal_title
BMC psychiatryauthors
Stringer B,van Meijel B,Koekkoek B,Kerkhof A,Beekman Adoi
10.1186/1471-244X-11-102subject
Has Abstractpub_date
2011-06-24 00:00:00pages
102issn
1471-244Xpii
1471-244X-11-102journal_volume
11pub_type
杂志文章相关文献
BMC Psychiatry文献大全abstract:BACKGROUND:Escitalopram is licensed for use at doses up to 20 mg but is used clinically at higher doses. There is limited published data at higher doses and none in the treatment of Major Depressive Disorder (MDD). METHODS:This open-label, pilot study was designed to investigate the efficacy, safety and tolerability o...
journal_title:BMC psychiatry
pub_type: 临床试验,杂志文章
doi:10.1186/1471-244X-11-42
更新日期:2011-03-16 00:00:00
abstract:BACKGROUND:Understanding of depression among Vietnamese people living with HIV (PLWH) is limited. This longitudinal study examines changes in depressive symptoms and identifies its correlates among people living with HIV under antiretroviral therapy at An Hoa Clinic. METHODS:People living with HIV ≥18 years and underg...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-016-1170-5
更新日期:2017-01-21 00:00:00
abstract:BACKGROUND:Functional neuroimaging techniques are widely used to elucidate changes in brain activity, and various questionnaires are used to investigate psychopathological features in patients with eating disorders (ED). It is well known that social skills and interpersonal difficulties are strongly associated with the...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/1471-244X-14-173
更新日期:2014-06-12 00:00:00
abstract:BACKGROUND:Measuring satisfaction with treatment has proved useful to ascertain the treatment features that are most important to the patients, and to explain increased treatment compliance. However, there are few studies that relate satisfaction to other clinical or self-perceived health status indicators. Recent stud...
journal_title:BMC psychiatry
pub_type: 杂志文章,多中心研究
doi:10.1186/1471-244X-13-65
更新日期:2013-02-20 00:00:00
abstract:BACKGROUND:When a person is in severe distress, people in their social network can potentially take action to reduce the person's suicide risk. The present study used data from a community survey to examine whether people who had received training in how to assist a person at risk of suicide had higher quality intentio...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-018-1722-y
更新日期:2018-05-18 00:00:00
abstract:BACKGROUND:Among patients with treatment-resistant schizophrenia (TRS), some exhibited further clozapine resistance (CR). This study aimed to investigate whether greater severity of treatment resistance in schizophrenia is associated with greater impairments in sustained attention. METHODS:Patients with a DSM-IV-defin...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-019-2204-6
更新日期:2019-07-12 00:00:00
abstract:BACKGROUND:While physical health has improved considerably over recent decades in Finland, the disease burden of mental health, especially that of depression, has become increasingly demanding. However, we lack long-term data on the natural course of subjective well-being in the general population. The aim of this stud...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/1471-244X-5-4
更新日期:2005-01-18 00:00:00
abstract:BACKGROUND:Mental health literacy has received increasing attention as a useful strategy to promote early identification of mental disorders, reduce stigma and enhance help-seeking behaviors. However, despite the abundance of research on mental health literacy interventions, there is the absence of evaluations of curre...
journal_title:BMC psychiatry
pub_type: 杂志文章,评审
doi:10.1186/s12888-015-0681-9
更新日期:2015-11-17 00:00:00
abstract:BACKGROUND:Widespread cortical gray matter alternations in people with schizophrenia are correlated with both psychotic symptoms and cognitive/behavioral abnormalities, including the impairments of exploratory eye movement (EEM). Particularly, the loss of gray matter density is specifically related to deficits of the r...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-018-1806-8
更新日期:2018-07-13 00:00:00
abstract:BACKGROUND:With a rapidly ageing population and increasing life expectancy, programs directed at improving the mental health and quality of life (QOL) of older persons are extremely important. This issue may be particularly relevant in the aged-care residential sector, where very high rates of depression and poor QOL a...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/1471-244X-13-249
更新日期:2013-10-08 00:00:00
abstract:INTRODUCTION:Orthorexia nervosa (ON) is characterized by an obsession with healthy eating, which may lead to severe physical, psychological and social disorders. It is particularly important to research this problem in populations that do not receive clinical care in order to improve early detection and treatment. OBJ...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-018-1943-0
更新日期:2018-11-13 00:00:00
abstract:BACKGROUND:Weight gain is commonly observed during psychotropic treatments for chronic forms of severe mental illness and is most rapid during the early treatment phases. All formats of behavioural weight intervention programmes have suggested that weight gain can be prevented or reversed in some patients. There is no ...
journal_title:BMC psychiatry
pub_type: 杂志文章,多中心研究
doi:10.1186/1471-244X-8-76
更新日期:2008-09-15 00:00:00
abstract:INTRODUCTION:Research has shown that eating disorder (ED) patients who abuse substances demonstrate worse ED symptomatology and poorer outcomes than those with EDs alone, including increased general medical complications and psychopathology, longer recovery times, poorer functional outcomes and higher relapse rates. Th...
journal_title:BMC psychiatry
pub_type: 杂志文章,评审
doi:10.1186/1471-244X-13-289
更新日期:2013-11-07 00:00:00
abstract:BACKGROUND:Drug-induced eosinophilic myocarditis is a life-threatening and frequently overlooked condition. The prevalence of myocarditis in clozapine-treated patients may be as high as 3 %. An association between olanzapine and myocarditis has not previously been described, but given the chemical similarity between ol...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-016-0776-y
更新日期:2016-03-17 00:00:00
abstract:BACKGROUND:Adherence to antidepressant treatment is essential for the effective management of patients with major depressive disorder. Adherence to medication is a dynamic decision-making process, and pharmacists play an important role in improving adherence to antidepressant treatment in different settings within the ...
journal_title:BMC psychiatry
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12888-015-0605-8
更新日期:2015-09-16 00:00:00
abstract:BACKGROUND:Depression is a commonly occurring disorder linked to diminished role functioning and quality of life. The development of treatments that overcome barriers to accessing treatment remains an important area of clinical research as most people delay or do not receive treatment at an appropriate time. The workpl...
journal_title:BMC psychiatry
pub_type: 杂志文章,多中心研究
doi:10.1186/s12888-018-1752-5
更新日期:2018-06-01 00:00:00
abstract:BACKGROUND:Adolescent suicidal behavior may consist of different symptoms, including suicidal ideation, suicidal planning and suicidal attempts. Adolescent substance use behavior may contribute to adolescent suicidal behavior. However, research on the relationships between specific substance use and individual suicidal...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-017-1546-1
更新日期:2017-12-08 00:00:00
abstract:BACKGROUND:Limited knowledge exists to inform the selection and introduction of locally relevant, feasible, and effective mental health interventions in diverse socio-cultural contexts and health systems. We examined stakeholders' perspectives on mental health-related priorities, help-seeking behaviors, and existing re...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-018-1626-x
更新日期:2018-02-07 00:00:00
abstract:BACKGROUND:Relative to physical health conditions such as cardiovascular disease, little is known about risk factors that predict the prevalence of depression. The present study investigates the expected effects of a reduction of these risks over time, using the decision tree method favoured in assessing cardiovascular...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/1471-244X-9-75
更新日期:2009-11-22 00:00:00
abstract:BACKGROUND:There is limited knowledge about how environmental factors affect the course of bipolar disorder (BD). Cannabis has been proposed as a potential risk factor for poorer course of illness, but the role of cannabis use has not been studied in a first treatment BD I sample. METHODS:The present study examines th...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-015-0389-x
更新日期:2015-02-05 00:00:00
abstract:BACKGROUND:Self-report instruments for the assessment of depressive symptoms in patients with psychotic disorders are scarce. The Quick Inventory of Depressive Symptoms (QIDS-SR16) may be a useful self-report instrument, but has received little attention in this field. This paper aimed to test the psychometric properti...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-014-0247-2
更新日期:2014-09-03 00:00:00
abstract:BACKGROUND:Relative to intentional memory encoding, which quickly declines in Mild Cognitive Impairment (MCI) and Alzheimer's disease (AD), incidental memory for emotional stimuli appears to deteriorate more slowly. We hypothesised that tests of incidental emotional memory may inform on different aspects of cognitive d...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/1471-244X-13-76
更新日期:2013-03-06 00:00:00
abstract:BACKGROUND:Schizophrenia is a chronic mental health disorder associated with increased hospital admissions and excessive utilization of outpatient services and long-term care. This analysis examined health care resource utilization from a 24-month observational study of patients with schizophrenia initiated on risperid...
journal_title:BMC psychiatry
pub_type: 临床试验,杂志文章,多中心研究
doi:10.1186/1471-244X-11-168
更新日期:2011-10-14 00:00:00
abstract:BACKGROUND:The reliability of the subjective statements reports on disturbed night sleep and alertness in the daytime was assessed by their correlation to the objective indicators in patients with mild depression. METHOD:Among patients with depression, altogether 28 patients with insomnia were examined. Their answers ...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/1471-244X-4-14
更新日期:2004-05-26 00:00:00
abstract:BACKGROUND:Epidemiological reports about dementia and Alzheimer's disease (AD) in elderly people from developing countries are scarce. Therefore, we sought to determine the prevalences of dementia and AD in a population of nursing home residents and senior center attendees of Durango City, Mexico, and to determine whet...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/1471-244X-4-3
更新日期:2004-02-18 00:00:00
abstract:BACKGROUND:Up to 60% of children with Attention-Deficit/Hyperactivity Disorder (ADHD) meet diagnostic criteria for at least one anxiety disorder, including Social, Generalized and/or Separation Disorder. Anxiety in children with ADHD has been shown to be associated with poorer child and family functioning. Small pilot ...
journal_title:BMC psychiatry
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12888-019-2276-3
更新日期:2019-11-13 00:00:00
abstract:BACKGROUND:Mental distress is a major public health problem which includes anxiety, depression and somatic symptoms such as sleeping problems, fatigue and headache. University students are consistently reported to have higher levels of mental distress compared to the general population. Although university students wit...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-020-2448-1
更新日期:2020-01-29 00:00:00
abstract:BACKGROUND:Increasing numbers of programs are addressing the specific needs of homeless people with schizophrenia in terms of access to housing, healthcare, basic human rights and other domains. Although quality of life scales are being used to evaluate such programs, few instruments have been validated for people with...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-017-1227-0
更新日期:2017-02-17 00:00:00
abstract:BACKGROUND:Cognitive tests currently used in healthcare and research settings do not account for bias in performance that arises due to cultural context. At present there are no universally accepted steps or minimum criteria for culturally adapting cognitive tests. We propose a methodology for developing specific guide...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-020-02893-6
更新日期:2020-10-06 00:00:00
abstract:BACKGROUND:Depression is common among people with diabetes, negatively affecting quality of life, treatment adherence and diabetes outcomes. In routine clinical care, diabetes patients have limited access to mental health services and depression therefore often remains untreated. Web-based therapy could potentially be ...
journal_title:BMC psychiatry
pub_type: 杂志文章,随机对照试验
doi:10.1186/1471-244X-8-9
更新日期:2008-02-19 00:00:00