Abstract:
BACKGROUND:Research with persons with dementia is important to better understand the causes of dementia and to develop more effective diagnostics, therapies, and preventive measures. Advance Research Directives (ARDs) have been suggested as a possible solution to include persons with dementia in research in an ethically sound way. Little is known about how people, especially those affected by cognitive impairment, understand and regard the use of ARDs, as empirical studies are mainly conducted with healthy, non-cognitively impaired, participants. METHODS:This qualitative study, a sub-study of a larger study on the evaluation of ARDs in the context of dementia research in Germany, consists of semi-structured in-depth interviews with 24 persons with cognitive impairment. RESULTS:Our results indicate that most participants consider ARDs a valuable tool for allowing them to make their own decisions. Many would prefer to draft an ARD when they are still healthy or soon after the diagnosis of cognitive impairment. Participants suggested that the completion of ARDs can be advanced with the provision of practical support and increased dissemination of information on ARDs in society. CONCLUSION:Persons with subjective or mild cognitive impairment (SCI/MCI) suggested several motivating factors and concerns for completing an ARD. Clinicians need to be trained to accommodate patients' needs for sufficient and adequate information. Furthermore, a standardised, partly pre-formulated template could be helpful for drafting an ARD. As such tested templates are currently not yet available, this addresses the urgent need for more translational and implementation research for the use of ARDs.
journal_name
BMC Psychiatryjournal_title
BMC psychiatryauthors
Jongsma K,Perry J,Schicktanz S,Radenbach Kdoi
10.1186/s12888-020-02741-7subject
Has Abstractpub_date
2020-07-08 00:00:00pages
360issue
1issn
1471-244Xpii
10.1186/s12888-020-02741-7journal_volume
20pub_type
杂志文章相关文献
BMC Psychiatry文献大全abstract:BACKGROUND:For around a third of people with a diagnosis of schizophrenia, the condition proves to respond poorly to treatment with many typical and atypical antipsychotics. This is commonly referred to as treatment-resistant schizophrenia. Clozapine is the only antipsychotic with convincing efficacy for people whose s...
journal_title:BMC psychiatry
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12888-016-0983-6
更新日期:2016-08-05 00:00:00
abstract:BACKGROUND:Clinical evidence has long suggested there may be heterogeneity in the patterns and predictors of common mood and anxiety disorders; however, epidemiologic studies have generally treated these outcomes as homogenous entities. The objective of this study was to systematically review the epidemiologic evidence...
journal_title:BMC psychiatry
pub_type: 杂志文章,评审
doi:10.1186/1471-244X-9-31
更新日期:2009-06-01 00:00:00
abstract:BACKGROUND:Reluctance on the part of mental health professionals constitutes an important barrier to patient participation in care. In order to stimulate person-centeredness in the inpatient care of persons with psychotic illness, we developed and tested an educational intervention for hospital staff (including psychia...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-020-02871-y
更新日期:2020-11-04 00:00:00
abstract:BACKGROUND:While loneliness has been regarded as a risk to mental and physical health, there is a lack of current community data covering a broad age range. This study used a large and representative German adult sample to investigate loneliness. METHODS:Baseline data of the Gutenberg Health Study (GHS) collected betw...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-017-1262-x
更新日期:2017-03-20 00:00:00
abstract:BACKGROUND:The number of psychiatric care beds and the mean length of stay in psychiatric care beds in Japan have decreased over the past 10 years. However, as has long been indicated here and elsewhere, Japan lags behind other countries in terms of deinstitutionalization. Furthermore, the population of inpatients in p...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-020-02927-z
更新日期:2020-11-03 00:00:00
abstract:BACKGROUND:The World Health Organization (WHO) has included comorbidity between depression and a chronic disease among the 10 leading global health priorities. Although there is a high prevalence of multimorbidity, health care systems are mainly designed for the management of individual diseases. Given the difficulty i...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-019-2037-3
更新日期:2019-02-11 00:00:00
abstract:BACKGROUND:The present study investigated the reliability and validity of a Japanese version of the Internalized Stigma of Mental Illness (ISMI) scale, designed to assess internalized stigma experienced by people with mental illness. METHODS:A survey was conducted with 173 outpatients with mental illness who attended ...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-016-0825-6
更新日期:2016-04-29 00:00:00
abstract:BACKGROUND:Clinician training deficits and a low and declining autopsy rate adversely impact the quality of death certificates in the United States. Self-report and records data for the general population indicate that proximate mental and physical health of minority suicides was at least as poor as that of white suici...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/1471-244X-9-10
更新日期:2009-03-18 00:00:00
abstract:BACKGROUND:To review the prevalence and impact of generalized anxiety disorder (GAD) below the diagnostic threshold and explore its treatment needs in times of scarce healthcare resources. METHODS:A systematic literature search was conducted until January 2013 using PUBMED/MEDLINE, PSYCINFO, EMBASE and reference lists...
journal_title:BMC psychiatry
pub_type: 杂志文章,评审
doi:10.1186/1471-244X-14-128
更新日期:2014-05-01 00:00:00
abstract:BACKGROUND:While observational studies show that an active lifestyle including cognitive, physical, and social activities is associated with a reduced risk of cognitive decline and dementia, experimental evidence from corresponding training interventions is more inconsistent with less pronounced effects. The aim of thi...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-016-1018-z
更新日期:2016-09-08 00:00:00
abstract:BACKGROUND:Children of parents with a mental illness or substance use disorder (COPMI) have an increased risk of developing social-emotional problems themselves. Fear of stigmatisation or unawareness of problems prevents children and parents from understanding each other. Little is known about COPMI with mild intellect...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-015-0698-0
更新日期:2015-12-24 00:00:00
abstract:BACKGROUND:This study focuses on people with complex and severe mental health problems who require inpatient rehabilitation. The majority have a diagnosis of schizophrenia whose recovery has been delayed due to non-response to first-line treatments, cognitive impairment, negative symptoms and co-existing problems such ...
journal_title:BMC psychiatry
pub_type: 杂志文章,随机对照试验
doi:10.1186/1471-244X-13-216
更新日期:2013-08-28 00:00:00
abstract:BACKGROUND:Continuous abstinence and retention in treatment for alcohol and drug use disorders are central challenges for the treatment providers. The literature has failed to show consistent, strong predictors of retention. Predictors and treatment structure may differ across treatment modalities. In this study the st...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/1471-244X-11-81
更新日期:2011-05-12 00:00:00
abstract:BACKGROUND:Gender differences regarding psychiatric ill-health are well known in the general population. However, not much research is done on people with intellectual disability, and especially not among older people with intellectual disability. METHODS:People with intellectual disability aged 55+ years in 2012 in S...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-017-1353-8
更新日期:2017-05-22 00:00:00
abstract:BACKGROUND:Nonsuicidal self-injury (NSSI) in adolescence has been described as comorbid condition in affective or anxiety disorders, as well as borderline personality disorder (BPD) and is a risk factor for later suicide attempts. Prevalence rates of NSSI decline steeply from adolescence to young adulthood. Yet, to the...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-015-0555-1
更新日期:2015-07-18 00:00:00
abstract:BACKGROUND:There are a number of supported housing options for people with severe mental illness (SMI), but limited knowledge about residents' experiences. The aim of this study was to explore how people with SMI experienced sheltered housing consisting of both a private fully equipped apartment and a shared accommodat...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-016-0888-4
更新日期:2016-06-06 00:00:00
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:While it is recognised that depression is prevalent in Rheumatoid Arthritis (RA), recent studies have also highlighted significant levels of anxiety in RA patients. This study compared two commonly used scales, the Depression Anxiety and Stress Scale (DASS) and the Hospital Anxiety and Depression Scale (HADS...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/1471-244X-12-6
更新日期:2012-01-24 00:00:00
abstract:BACKGROUND:Suicidal ideation is common in patients suffering from panic disorder. The present study investigated rates of suicidal ideation and risk factors for suicidal ideation in a sample of primary care patients suffering from panic disorder with or without agoraphobia. METHODS:A total of N = 296 patients [n = 215...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-018-1894-5
更新日期:2018-09-24 00:00:00
abstract:BACKGROUND:Farmers are a vulnerable population for developing depression or other mental health disorders due to a variety of risk factors in their work context. Beyond face-to-face resources, preventive internet- and tele-based interventions could extend available treatment options to overcome barriers to care. The Ge...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-020-02800-z
更新日期:2020-08-27 00:00:00
abstract:BACKGROUND:Mental disorders are a leading cause of disability and early mortality. The objective of this study was to describe and compare psychosocial indicators and mental health service use among ethnoculturally-diverse Ontarians. METHODS:This is a cross-sectional analysis of the Ontario Health Study pilot investig...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-016-0759-z
更新日期:2016-02-26 00:00:00
abstract:BACKGROUND:Internet-based treatments appear to be a promising way to enhance the in vivo exposure approach, specifically in terms of acceptability and access to treatment. However, the literature on specific phobias is scarce, and, as far as we know, there are no studies on Flying Phobia (FP). This study aims to invest...
journal_title:BMC psychiatry
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12888-019-2060-4
更新日期:2019-03-06 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:Mindfulness Based Cognitive Therapy (MBCT) is an 8-week course developed for patients with relapsing depression that integrates mindfulness meditation practices and cognitive theory. Previous studies have demonstrated that non-depressed participants with a history of relapsing depression are protected from r...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/1471-244X-6-14
更新日期:2006-04-07 00:00:00
abstract:BACKGROUND:Fluid intelligence deficits affect executive functioning and social behaviors in patients with schizophrenia. To help clinicians manage fluid intelligence deficits, a psychometrically sound measure is needed. The purposes of this study were to examine the test-retest reliability and convergent validity of th...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-021-03041-4
更新日期:2021-01-13 00:00:00
abstract:BACKGROUND:Psychiatric treatment of suicidal youths is often difficult and non-compliance in treatment is a significant problem. This prospective study compared characteristics and changes in cognitive functioning, self image and psychosocial functioning among 13 to 18 year-old adolescent psychiatric inpatients with su...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/1471-244X-6-58
更新日期:2006-12-29 00:00:00
abstract:BACKGROUND:Lithium has proven suicide preventing effects in the long-term treatment of patients with affective disorders. Clinical evidence from case reports indicate that this effect may occur early on at the beginning of lithium treatment. The impact of lithium treatment on acute suicidal thoughts and/or behavior has...
journal_title:BMC psychiatry
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1186/s12888-015-0499-5
更新日期:2015-05-19 00:00:00
abstract:BACKGROUND:Koro is a culture bound syndrome, which has been reported usually from Asian countries. It has been described as an acute, brief lasting illness, which often occurs in epidemics. There is no description in literature of a chronic form of this syndrome. CASE PRESENTATION:Two sporadic cases with koro-like sym...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/1471-244X-5-34
更新日期:2005-10-12 00:00:00
abstract:BACKGROUND:Depression is the most prevalent psychiatric disorder among people living with HIV (PLWHIV) and is associated with poor quality of life, additional comorbidities, disability, unemployment, poorer therapeutic outcomes and risky behaviors. The present systematic review and meta-analysis aims to systematically ...
journal_title:BMC psychiatry
pub_type: 杂志文章,meta分析
doi:10.1186/s12888-018-1835-3
更新日期:2018-08-15 00:00:00
abstract:BACKGROUND:Despite evidence that connecting people to relevant wellbeing-related resources brings therapeutic benefit, there is limited understanding, in the context of mental health recovery, of the potential value and contribution of pet ownership to personal support networks for self-management. This study aimed to ...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-016-1111-3
更新日期:2016-12-09 00:00:00