Abstract:
BACKGROUND:Severe mental disorders like psychotic disorders including schizophrenia and schizoaffective disorders have a 12-month-prevalence of 2.6, bipolar disorders of 1.5% in Germany. The relapse risk is high; so many patients need intensive monitoring and lifelong treatment. A high medication adherence is essential for a successful treatment. But in practice, medication adherence is low and decreases over time. Telemedical care concepts might improve treatment and bridge gaps between in- and outpatient treatment. A telemedical care concept based on regular telephone calls and short text messages was developed. The primary objective is to assess whether regular telephone calls and text messages can improve the medication adherence of patients. Secondary objectives are the reduction of rehospitalization rates, the improvement of quality of life and of the severity of symptoms. METHODS/DESIGN:The Tecla study (Post stationary telemedical care of patients with severe psychiatric disorders) is a two-armed prospective randomized controlled trial. The participants in the intervention group receive in addition to usual care regular telephone calls every 2 weeks and weekly text messages on patient-individual topics during a 6 months period. Patients in the control group receive only regular care. Inclusion criteria are a physician-diagnosed bipolar disorder, schizoaffective disorder or schizophrenia and a signed informed consent. Exclusion criteria are planned inpatient treatments within the next 6 months and being non-reachable by phone. After 3 and 6 months both groups receive follow up assessments. DISCUSSION:The primary objective of this study is the medication adherence that is measured with the Medication Adherence Report Scale, German version (MARS-D). The MARS-D is a self-report with five items. Adherent behaviour is mostly overestimated using self-reports. The strength of the MARS-D is to detect non-adherent behaviour. The original Medication Adherence Report Scale in English language (MARS-5) was developed to encourage the patient to answer truthfully to the questions that are asked in a non-threatening and non-judgmental way to minimize social desirability bias in admitting non-adherent behaviour. TRIAL REGISTRATION:This study is registered at 2015\05\21 at the German Clinical Trials Register DRKS00008548.
journal_name
BMC Psychiatryjournal_title
BMC psychiatryauthors
Stentzel U,Grabe HJ,Strobel L,Penndorf P,Langosch J,Freyberger HJ,Hoffmann W,van den Berg Ndoi
10.1186/s12888-015-0659-7subject
Has Abstractpub_date
2015-11-04 00:00:00pages
273issn
1471-244Xpii
10.1186/s12888-015-0659-7journal_volume
15pub_type
杂志文章,多中心研究,随机对照试验相关文献
BMC Psychiatry文献大全abstract:BACKGROUND:Japan still has the highest ratio of beds devoted to psychiatric patients in the world. In 2011, in order to reduce re-hospitalization of patients who became disconnected from regular contact with outpatient medical services, the Japanese Ministry established the Japanese Outreach Model Project (JOMP). In th...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-014-0311-y
更新日期:2014-11-18 00:00:00
abstract:BACKGROUND:Despite evidence that psychological stress is an important risk factor for age-related cognitive loss, little research has directly evaluated psychological and physiological mediators of the relationship between stressful experiences and cognitive function. A key objective of the ESCAPE (Effects of Stress on...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-015-0497-7
更新日期:2015-07-03 00:00:00
abstract:BACKGROUND:Schizophrenia is a chronic mental disorder affecting more than 21 million worldwide. In Indonesia, 14.3% of households have a patient with a mental disorder, and the majority of these are in rural areas. Family members in Indonesia use repressive social measures like pasung (physical restraint and confinemen...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-019-2138-z
更新日期:2019-05-28 00:00:00
abstract:BACKGROUND:Frequent users of the psychiatric emergency service (PES) place a heavy burden upon the mental health care delivery system. The aim of this study was to identify distinct temporal or geographical patterns of PES use by these patients as potential markers for their early detection. METHODS:Diagnostic profile...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/1471-244X-7-60
更新日期:2007-10-29 00:00:00
abstract:BACKGROUND:Attention Deficit Hyperactivity Disorder (ADHD) is a genetically influenced condition although indicators of environmental risk including maternal smoking during pregnancy, low birth weight and low social class have also been found to be associated with the disorder. ADHD is a phenotypically heterogeneous di...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/1471-244X-7-26
更新日期:2007-06-20 00:00:00
abstract:UNLABELLED:Schizophrenia has been linked with intrauterine exposure to maternal stress due to bereavement, famine and major disasters. Recent evidence suggests that human vulnerability may be greatest in the first trimester of gestation and rodent experiments suggest sex specificity. We aimed to describe the consequenc...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/1471-244X-8-71
更新日期:2008-08-21 00:00:00
abstract:BACKGROUND:Family members who care for patients with severe mental illness experience emotional distress and report a higher incidence of mental illness than those in the general population. They report feeling inadequately prepared to provide the necessary practical and emotional support for these patients. The MAT tr...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-018-1669-z
更新日期:2018-03-27 00:00:00
abstract:BACKGROUND:There are no standard diagnostic criteria or interventions for internet gaming addiction (IGA) even though IGA is one of the most pervasive public health issues among youth worldwide. Internet gaming reasons or motivations have been studied as a potential predictor of IGA, but the results have been inconsist...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-020-02714-w
更新日期:2020-06-30 00:00:00
abstract:BACKGROUND:The Positive and Negative Affect Schedule (PANAS) is the most widely and frequently used scale to assess positive and negative affect. The PANAS has been validated in several languages, and it has shown excellent psychometric properties in the general population and some clinical samples, such as forensic sa...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-020-2472-1
更新日期:2020-02-10 00:00:00
abstract:BACKGROUND:The purpose of the study was to determine the effectiveness and tolerability of quetiapine as a maintenance treatment preventing against relapse or recurrence of acute mood episodes in adolescent patients diagnosed with bipolar disorder. METHODS:Consenting patients meeting DSM-IV lifetime criteria for a bip...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/1471-244X-9-4
更新日期:2009-02-06 00:00:00
abstract:BACKGROUND:Involuntary treatment for individuals who lack sufficient capacity to make informed decisions regarding treatment has been associated with increased rates of injectable antipsychotics, antipsychotic polytherapy, and/or high doses. However, little is known about non-antipsychotic psychotropic prescription, or...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-020-02661-6
更新日期:2020-06-11 00:00:00
abstract:BACKGROUND:Attention Deficit Hyperactivity Disorder (ADHD) is often comorbid with psychiatric and developmental disorders. This study aimed to investigate the prevalence of obesity and overweight among Chinese children with ADHD, and to explore which subtypes of the disorder may specifically be associated with obesity/...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/1471-244X-13-133
更新日期:2013-05-10 00:00:00
abstract:BACKGROUND:Exploration of the information and participation needs of psychiatric inpatients is an important step for the implementation of recovery-oriented mental health service. The objective of this study was to explore the information and participation needs of Chinese psychiatric inpatients in the largest psychiat...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-016-0959-6
更新日期:2016-07-12 00:00:00
abstract:BACKGROUND:The burden of substance misuse in developing countries is large and increasing, with negative consequences for physical and psychological health. Substance use disorders and psychological distress commonly co-exist, however few studies have examined this relationship in developing countries, including Nepal....
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-016-1003-6
更新日期:2016-09-08 00:00:00
abstract:BACKGROUND:Once considered to be a disorder restricted to childhood, Attention Deficit/Hyperactivity Disorder (ADHD) is now recognised to persist into adult life. However, service provision for adults with ADHD is limited. Additionally, there is little guidance or research on how best to transition young people with AD...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/1471-244X-13-186
更新日期:2013-07-10 00:00:00
abstract:BACKGROUND:Executive functioning impairment is common in substance use disorder and is a major risk factor for poor treatment outcomes, including treatment drop-out and relapse. Cognitive remediation interventions seek to improve executive functioning and offer a promising approach to increase the efficacy of alcohol a...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-019-2044-4
更新日期:2019-02-13 00:00:00
abstract:BACKGROUND:We compared the attention abilities of a group of first-episode schizophrenia (FES) patients and a group of healthy participants using the Attention Network Test (ANT), a standard procedure that estimates the functional state of three neural networks controlling the efficiency of three different attentional ...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/1471-244X-12-154
更新日期:2012-09-22 00:00:00
abstract:BACKGROUND:Intensive delivery of evidence-based treatment for posttraumatic stress disorder (PTSD) is becoming increasingly popular for overcoming barriers to treatment for veterans. Understanding how and for whom these intensive treatments work is critical for optimizing their dissemination. The goals of the current s...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-018-1816-6
更新日期:2018-07-27 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:The stimulant methylphenidate (MPH) has been a mainstay of treatment for attention-deficit/hyperactivity disorder (ADHD) for many years. Owing to the short half-life and the issues associated with multiple daily dosing of immediate-release MPH formulations, a new generation of long-acting MPH formulations ha...
journal_title:BMC psychiatry
pub_type: 杂志文章,评审
doi:10.1186/1471-244X-13-237
更新日期:2013-09-27 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:Several studies have suggested that the activity of the prefrontal cortex (PFC) and the dopamine (DA) release in the striatum has an inverse relationship. One would attribute this relationship primarily to the circuitry comprised of the glutamatergic projection from the PFC to the striatum and the GABAergic ...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/1471-244X-10-17
更新日期:2010-02-27 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:There is abundant literature on how to distinguish problem gambling (PG) from social gambling, but there are very few studies of the long-term evolution of gambling practice. As a consequence, the correlates of key state changes in the gambling trajectory are still unknown. The objective of the JEU cohort st...
journal_title:BMC psychiatry
pub_type: 临床试验,杂志文章
doi:10.1186/s12888-014-0226-7
更新日期:2014-08-20 00:00:00
abstract:BACKGROUND:Though several epidemiological surveys of psychiatric disorders have been carried out in China, only a few of them are concerned about the prevalence of psychiatric disorders in central Hunan and reveal the distribution of common psychiatric disorders and their comorbidities. METHODS:Achenbach's Child Behav...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-018-1823-7
更新日期:2018-07-28 00:00:00
abstract:BACKGROUND:Opioid maintenance treatment (OMT) is associated with reduced crime among heroin users, but little is known about how crime changes during different phases of treatment. The aim of this study was to investigate changes in criminal convictions on a day-to-day basis before and after entry or discharge from OMT...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/1471-244X-13-262
更新日期:2013-10-16 00:00:00
abstract:BACKGROUND:It is well documented that a disproportionate number of homeless adults have childhood histories of foster care placement(s). This study examines the relationship between foster care placement as a predictor of adult substance use disorders (including frequency, severity and type), mental illness, vocational...
journal_title:BMC psychiatry
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12888-015-0411-3
更新日期:2015-02-26 00:00:00
abstract:BACKGROUND:Schizophrenia is a disabling disease that impacts all major life areas. There is a growing need for meeting the challenge of disability from a perspective that extends symptomatic reduction. Therefore, this study aimed to systematically review the extent to which traditional and "third wave" cognitive - beha...
journal_title:BMC psychiatry
pub_type: 杂志文章,评审
doi:10.1186/s12888-016-0912-8
更新日期:2016-07-11 00:00:00
abstract:BACKGROUND:Numerous structurally unrelated drugs, including antipsychotics, can prolong QT interval and trigger the acquired long QT syndrome (aLQTS). All of them are thought to act at the level of KCNH2, a subunit of the potassium channel. Although the QT-prolonging drugs are proscribed in the subjects with aLQTS, the...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/1471-244X-12-220
更新日期:2012-12-05 00:00:00
abstract:BACKGROUND:In 2014 close to 10 million people living with HIV (PLWH) in sub-Saharan Africa were on highly active anti-retroviral therapy (HAART). The incidence of non-communicable diseases has increased markedly in PLWH as mortality is reduced due to use of HAART. Common mental disorders (CMD) are highly prevalent in P...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-016-0764-2
更新日期:2016-02-29 00:00:00