Acta psychiatrica Scandinavica. Supplementum最新文献_第2页

Assessment instruments: standardization of the European Service Mapping Schedule (ESMS) in Spain. 评估工具:欧洲服务映射计划(ESMS)在西班牙的标准化。

Acta psychiatrica Scandinavica. Supplementum Pub Date : 2000-01-01

L Salvador-Carulla, C Romero, A Martinez, J M Haro, G Bustillo, A Ferreira, L Gaite, S Johnson

引用次数: 0

Venlafaxine XR in the treatment of anxiety. 文拉法辛XR治疗焦虑。

Acta psychiatrica Scandinavica. Supplementum Pub Date : 2000-01-01

D Hackett

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Amisulpride: its role in the therapeutic management of the schizophrenic patient. Introduction. 氨硫pride:其在精神分裂症患者治疗管理中的作用。介绍。

Acta psychiatrica Scandinavica. Supplementum Pub Date : 2000-01-01

G Darcourt

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Why do people with anxiety disorders become depressed? A prospective-longitudinal community study. 为什么患有焦虑症的人会变得抑郁?前瞻性纵向社区研究。

Acta psychiatrica Scandinavica. Supplementum Pub Date : 2000-01-01

H U Wittchen, R C Kessler, H Pfister, M Lieb

{"title":"Why do people with anxiety disorders become depressed? A prospective-longitudinal community study.","authors":"H U Wittchen, R C Kessler, H Pfister, M Lieb","doi":"","DOIUrl":"","url":null,"abstract":"Objective: To examine the temporal relationships of anxiety and depressive disorders, their risk factors and to explore why people with anxiety develop depression.Method: Data from an original 4-5-year prospective-longitudinal community study (N= 3,021) of adolescents and young adults with DSM-IV anxiety and depressive disorders identified with the Composite International Diagnostic Interview are used to examine risk factors, as well as course and outcome.Results: (i) Anxiety disorders, except for panic disorder, are almost always primary conditions. (ii) Over the follow-up period, rates of comorbid anxiety-depression increased substantially and resulted in increased impairment and disabilities. (iii) Predictors for first onset of 'pure' depressive and 'pure' anxiety disorders revealed recognizable differences. (iv) Baseline clinical characteristics of anxiety disorders were significantly associated with an increased risk to develop major depression over the follow-up period.Conclusion: Findings suggest that most anxiety disorders are primary disorders that substantially increase the risk for secondary depression.","PeriodicalId":75416,"journal":{"name":"Acta psychiatrica Scandinavica. Supplementum","volume":" 406","pages":"14-23"},"PeriodicalIF":0.0,"publicationDate":"2000-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21952732","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Mental health care in Piedmont: a description of its structure and components using a new technology for service assessment. 皮埃蒙特的精神保健:描述其结构和使用服务评估新技术的组成部分。

Acta psychiatrica Scandinavica. Supplementum Pub Date : 2000-01-01

C Munizza, G Tibaldi, S Cesano, R Dazzi, G Fantini, C Palazzi, E Scala, M Zuccolin

{"title":"Mental health care in Piedmont: a description of its structure and components using a new technology for service assessment.","authors":"C Munizza, G Tibaldi, S Cesano, R Dazzi, G Fantini, C Palazzi, E Scala, M Zuccolin","doi":"","DOIUrl":"","url":null,"abstract":"Objective: The northern-Italian region of Piedmont has a total population of 4.3 million. The regional territory is currently divided into 22 local health services, each serving a population not exceeding 300,000 and incorporating a Department of Mental Health. The organization of psychiatric assistance can be described as relatively stable and conforms with the standards imposed by national regulations. Drawing upon previous research experience, and with the support of the relevant regional authorities, our survey implements the methodology developed by the EPCAT team and will eventually embrace about 80% of all local health service areas in this region.Methods: The survey was preceded by a number of preliminary steps including the training of four researchers, inter-rater reliability testing (particularly for the International Classification of Mental Health Care), and the adjustment of the methodology developed by the EPCAT team to facilitate understanding and use of the instrumentation by the psychiatric professionals involved in the data collection.Results: This paper summarizes data on the structure and components of the mental health service in three areas of Piedmont, with special reference to structures funded by the National Health System.Conclusion: Overlooking the imbalances affecting both the resources available for different populations, and the operational profiles of psychiatric agencies of the same type, our data allow an assessment of the descriptive and comparative capabilities of the proposed methodology.","PeriodicalId":75416,"journal":{"name":"Acta psychiatrica Scandinavica. Supplementum","volume":"405 ","pages":"47-58"},"PeriodicalIF":0.0,"publicationDate":"2000-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21951135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

On the justification for civil commitment. 论民事承诺的正当性。

Acta psychiatrica Scandinavica. Supplementum Pub Date : 2000-01-01

G Høyer

引用次数: 0

13th International Symposium for the Psychological Treatment of Schizophrenia and other Psychoses. ISPS 2000. Stavanger 5-9 June 2000. Abstracts. 第十三届精神分裂症及其他精神病的心理治疗国际研讨会。2000年互联网服务提供商。2000年6月5日至9日。摘要。

Acta psychiatrica Scandinavica. Supplementum Pub Date : 2000-01-01

引用次数: 0

Do anxiety and depression have a common pathophysiological mechanism? 焦虑和抑郁有共同的病理生理机制吗?

Acta psychiatrica Scandinavica. Supplementum Pub Date : 2000-01-01

P Boyer

{"title":"Do anxiety and depression have a common pathophysiological mechanism?","authors":"P Boyer","doi":"","DOIUrl":"","url":null,"abstract":"Objective: To review, examine and propose a common mechanism for anxiety and depression based on modifications observed in neurotransmitter systems (mainly noradrenergic and serotonergic) and dysregulation of the hypothalamic-pituitary-adrenal (HPA) axis.Method: The relevant papers were identified by searches in Medline, Excerpta Medica, PsychLIT and other databases. The primary reports were reviewed and classified into animal and human data concerning: modifications of the monoamine receptors in anxiety and depression, pathophysiology of endocrine factors in anxiety and depression, pathophysiology of the hypothalamic-pituitary-adrenal (HPA) axis and the pathophysiology of the HPA dysregulation in anxiety and in depression. In addition, a proposed model of a neuroendocrine continuum for anxiety and depression, in which anxiety occurs first during the life course and major depressive episodes occur later, was examined.Results: Based on the available literature, increased concentrations of corticotropin-releasing factor (CRF) in the cerebrospinal fluid has been reported in both anxiety and depression. However, release of other peptides or hormones of the HPA axis is regulated differently in the two disorders. Anxiety is characterized by hypocortisolemia, supersuppression after dexamethasone and increased numbers of glucocorticoid receptors, whereas depression is characterized by hypercortisolemia, nonsuppression after dexamethasone and decreased numbers of glucocorticoid receptors. A 'neuroendocrine continuum' model is proposed to explain these differences. A general desensitization of CRF receptors at pituitary, limbic (amygdala) and cortical as well as hippocampal levels could be secondary to the loss of hippocampal inhibition resulting from hippocampal damage linked to repeated stressing events.Conclusion: The proposed hypothesis remains to be tested by examination of either the changes in receptors and neurotransmission or the mechanisms underlying the dysregulation of endocrine factors.","PeriodicalId":75416,"journal":{"name":"Acta psychiatrica Scandinavica. Supplementum","volume":" 406","pages":"24-9"},"PeriodicalIF":0.0,"publicationDate":"2000-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21952733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Rights and responsibilities of the psychiatric profession. 精神科职业的权利和责任。

Acta psychiatrica Scandinavica. Supplementum Pub Date : 2000-01-01

C Höschl, J Libiger

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The European Service Mapping Schedule (ESMS): development of an instrument for the description and classification of mental health services. 欧洲服务制图表(ESMS):制定精神卫生服务描述和分类工具。

Acta psychiatrica Scandinavica. Supplementum Pub Date : 2000-01-01

S Johnson, R Kuhlmann

{"title":"The European Service Mapping Schedule (ESMS): development of an instrument for the description and classification of mental health services.","authors":"S Johnson, R Kuhlmann","doi":"","DOIUrl":"","url":null,"abstract":"Objective: This paper describes the development of an instrument for description and classification of mental health services and for measurement of service use. Purposes to be served by the instrument include: (i) identification of gaps in the spectrum of services in a catchment area; (ii) obtaining background information which may be important to understanding why apparently similar interventions lead to different outcomes in different areas; (iii) investigating how introduction of a particular type of service influences use of other local services; and (iv) understanding the relationship between sociodemographic factors and service use.Method: The instrument was developed through meetings of an international expert panel and pilot stages in several European countries.Results: Use of the European Mapping Service Mapping Schedule (ESMS) appears feasible in several countries and allowed description and classification of the full range of services identified within each of the study catchment areas.Conclusion: The ESMS promises to fill a gap in the technology available for mental health services research. Further practical experiences of its use for a variety of purposes in a variety of settings are now needed to indicate how far the ESMS does successfully generate data which are useful to researchers and planners.","PeriodicalId":75416,"journal":{"name":"Acta psychiatrica Scandinavica. Supplementum","volume":"405 ","pages":"14-23"},"PeriodicalIF":0.0,"publicationDate":"2000-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21950652","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0