Psycho-social medicine最新文献_第9页

The psychosocial evaluation of medically-ill inpatients - accordance between mental disorders and self-rated psychosocial distress. 住院病人的心理社会评估——精神障碍与自评心理社会困扰之间的一致性。

Psycho-social medicine Pub Date : 2005-12-15

Kurt Fritzsche, Thorsten Burger, Armin Hartmann, Matthias Nübling, Claudia Spahn

{"title":"The psychosocial evaluation of medically-ill inpatients - accordance between mental disorders and self-rated psychosocial distress.","authors":"Kurt Fritzsche, Thorsten Burger, Armin Hartmann, Matthias Nübling, Claudia Spahn","doi":"","DOIUrl":"","url":null,"abstract":"Background: Both psychometric questionnaires and structured psychodiagnostic interviews are used to identify medically-ill inpatients requiring psychotherapeutic treatment. The study examines the accordance between the diagnosis of a mental disorder (ICD-10) and self-rated psychosocial distress of unselected inpatients within the framework of a psychosomatic liaison service.Methods: Of n=532 consecutive patients hospitalized in five departments of the University Hospital Freiburg, n=357 patients underwent a structured psychodiagnostic interview (Mini-DIPS) to obtain diagnoses according to ICD-10 F. Psychosocial distress (HADS), somatoform symptoms (SOMS-2 J), quality of life (EDLQ) and coping strategies (FQCI) were evaluated by self-rating questionnaires.Results: A mental disorder requiring treatment was diagnosed in 44% of the patients. Predictors for the diagnosis of a mental disorder were the depression subscale of the HADS, the frequency of somatoform symptoms and depressive coping. The greatest accordance between mental disorders and screening instruments was found for the depression subscale of the HADS at a cut-off 8+. The area under the curve (AUC) was 0.75. With a specificity of 87% and a sensitivity of 53%, nearly half of all mental disorders requiring treatment were not identified by the HADS, especially in patients with neurotic, stress-related and somatoform disorders (F4), most of them cancer patients with adjustment disorders.Conclusions: Case selection by the HADS is successfull in disorders, where depressive symptoms are prevalent. For F4-diagnoses a lower cut-off of 6+ is recommended. The importance of a clinical interview is underlined. Other screening procedures, specific for the general hospital population, are discussed.","PeriodicalId":88305,"journal":{"name":"Psycho-social medicine","volume":"2 ","pages":"Doc11"},"PeriodicalIF":0.0,"publicationDate":"2005-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/1b/9b/PSM-02-11.PMC2736493.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28465183","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Differences in body image between anorexics and in-vitro-fertilization patients - a study with Body Grid. 厌食症患者和体外受精患者身体形象的差异——身体网格研究。

Psycho-social medicine Pub Date : 2005-11-16

Ada Borkenhagen, Burghard F Klapp, Frank Schoeneich, Elmar Brähler

{"title":"Differences in body image between anorexics and in-vitro-fertilization patients - a study with Body Grid.","authors":"Ada Borkenhagen, Burghard F Klapp, Frank Schoeneich, Elmar Brähler","doi":"","DOIUrl":"","url":null,"abstract":"Objectives: The purpose of the investigation was to explore the body image disturbance of anorexics and in-vitro-fertilization patients (IvF-patients) with Body Grid and Body Identity Plot.Methods: The paper reports on an empirical study conducted with 32 anorexic patients and 30 IvF-patients. The structure of the body image was derived from the Body Grid, an idiographic approach following the Role Repertory Grid developed by George A. Kelly [17]. The representation of the body image and the degree of body-acceptance is represented graphically.Results: By the Body Grid and Body Identity Plot measures we were able to identify important differences in body image between anorexics and IvF-patients.Conclusion: The tendencies of dissociation in the body image of anorexics which we found must be seen in the sense of a specific body image disturbance which differs significantly from the body-experience profile of IvF-patients. With the grid approach it was possible to elicit the inner structure of body image and determine the acceptance of the body and integration of single body parts.","PeriodicalId":88305,"journal":{"name":"Psycho-social medicine","volume":"2 ","pages":"Doc10"},"PeriodicalIF":0.0,"publicationDate":"2005-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/28/23/PSM-02-10.PMC2736489.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28391783","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Posttraumatic stress disorders and extent of psychosocial impairments five years after a traffic accident. 交通事故五年后创伤后应激障碍和心理社会障碍程度。

Psycho-social medicine Pub Date : 2005-09-14

Jürgen Barth, Stephanie Kopfmann, Elisabeth Nyberg, Jörg Angenendt, Ulrich Frommberger

{"title":"Posttraumatic stress disorders and extent of psychosocial impairments five years after a traffic accident.","authors":"Jürgen Barth, Stephanie Kopfmann, Elisabeth Nyberg, Jörg Angenendt, Ulrich Frommberger","doi":"","DOIUrl":"","url":null,"abstract":"This five year long-term follow-up study estimated the prevalence of Posttraumatic Stress Disorder (PTSD) and other mental health problems in traffic accident victims. 70 patients were invited for a personal interview to assess mental disorders (DIA-X), depression (BDI), mental distress (SCL-90-R), and psychosocial (SDS) and physical impairments at least five years after their first admission to a university hospital (Department of Traumatology). Prevalence of PTSD was 10%, and another 14.2% of the patients also had a partial PTSD. Other mental disorders had a lower prevalence (7.2%). Patients with PTSD did not differ in sociodemographic characteristics from patients without PTSD. PTSD patients were more depressed and showed more general psychological distress. Furthermore, PTSD was associated with impairments in job, social interaction, and leisure activities. Persistent medical and mental problems correlated highly with PTSD. Implications for secondary prevention of persistent mental health problems of traffic accident patients are discussed in their connection with PTSD.","PeriodicalId":88305,"journal":{"name":"Psycho-social medicine","volume":"2 ","pages":"Doc09"},"PeriodicalIF":0.0,"publicationDate":"2005-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/71/5d/PSM-02-09.PMC2736498.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28465188","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A multivariate time-series approach to marital interaction. 婚姻互动的多元时间序列方法。

Psycho-social medicine Pub Date : 2005-08-02

Jörg Kupfer, Burkhard Brosig, Elmar Brähler

{"title":"A multivariate time-series approach to marital interaction.","authors":"Jörg Kupfer, Burkhard Brosig, Elmar Brähler","doi":"","DOIUrl":"","url":null,"abstract":"Time-series analysis (TSA) is frequently used in order to clarify complex structures of mutually interacting panel data. The method helps in understanding how the course of a dependent variable is predicted by independent time-series with no time lag, as well as by previous observations of that dependent variable (autocorrelation) and of independent variables (cross-correlation).The study analyzes the marital interaction of a married couple under clinical conditions over a period of 144 days by means of TSA. The data were collected within a course of couple therapy. The male partner was affected by a severe condition of atopic dermatitis and the woman suffered from bulimia nervosa.Each of the partners completed a mood questionnaire and a body symptom checklist. After the determination of auto- and cross-correlations between and within the parallel data sets, multivariate time-series models were specified. Mutual and individual patterns of emotional reactions explained 14% (skin) and 33% (bulimia) of the total variance in both dependent variables (adj. R(2), p<0.0001 for the multivariate models).The question was discussed whether multivariate TSA-models represent a suitable approach to the empirical exploration of clinical marital interaction.","PeriodicalId":88305,"journal":{"name":"Psycho-social medicine","volume":"2 ","pages":"Doc08"},"PeriodicalIF":0.0,"publicationDate":"2005-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d6/2d/PSM-02-08.PMC2736496.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28465186","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Biopsychosocial predictors of fatigue in quiescent and mild ulcerative colitis - an explorative study. 静止期和轻度溃疡性结肠炎患者疲劳的生物心理社会预测因素--一项探索性研究。

Psycho-social medicine Pub Date : 2005-06-27

Winfried Häuser, Andreas Stallmach, Rueya-Daniela Kocalevent, Matthias Rose, Herbert Fliege

引用次数: 0

Personality, illness perceptions, and lung function (FEV1) in 50 patients after lung transplantation. 50 名肺部移植患者的性格、疾病认知和肺功能（FEV1）。

Psycho-social medicine Pub Date : 2005-04-27

Lutz Goetzmann, Eberhard Scheuer, Rahel Naef, Richard Klaghofer, Erich W Russi, Claus Buddeberg, Annette Boehler

{"title":"Personality, illness perceptions, and lung function (FEV1) in 50 patients after lung transplantation.","authors":"Lutz Goetzmann, Eberhard Scheuer, Rahel Naef, Richard Klaghofer, Erich W Russi, Claus Buddeberg, Annette Boehler","doi":"","DOIUrl":"","url":null,"abstract":"Objective: After lung transplantation little attention has been devoted to patient's personality and illness perceptions, although the importance of illness perceptions (e.g. to the psychosocial status of health) as well as the relationship between personality and illness perceptions is well-known from other areas of medicine.Methods: Fifty patients more than one year after lung transplantation were surveyed by the NEO Five-Factor Inventory (NEO-FFI) as well as the \"control\" and \"consequences\" scales of the Illness Perception Questionnaire (IPQ). Medical data included the diagnoses of the underlying lung diseases and the pulmonary graft function as measured by the forced expiratory volume in one second (FEV(1)).Results: In our patients, mean values of the personality factors \"extraversion\" (p=.003), \"openness to experiences\" (p<.001), \"agreeableness\" (p=.035), and \"conscientiousness\" (p<.001) were significantly higher compared to the normal population. \"Openness to experiences\" correlated positively and \"neuroticism\" negatively with the illness perception \"control\". There was no correlation between illness perceptions and lung function.Conclusion: In lung transplant recipients, personality traits are more relevant to illness perceptions (\"control\") than current graft function.","PeriodicalId":88305,"journal":{"name":"Psycho-social medicine","volume":"2 ","pages":"Doc06"},"PeriodicalIF":0.0,"publicationDate":"2005-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a5/46/PSM-02-06.PMC2736488.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28391782","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

On psychobiology in psychoanalysis - salivary cortisol and secretory IgA as psychoanalytic process parameters. 精神分析中的心理生物学——唾液皮质醇和分泌型IgA作为精神分析过程参数。

Psycho-social medicine Pub Date : 2005-03-31

Sebastian Euler, Heinrich Schimpf, Jürgen Hennig, Burkhard Brosig

引用次数: 0

Inpatient psychotherapeutic treatment for cardiac patients with depression in Germany - short term results. 住院心理治疗的心脏病人抑郁症在德国-短期结果。

Psycho-social medicine Pub Date : 2005-03-23

Jürgen Barth, Juliane Paul, Martin Härter, Jürgen Bengel

{"title":"Inpatient psychotherapeutic treatment for cardiac patients with depression in Germany - short term results.","authors":"Jürgen Barth, Juliane Paul, Martin Härter, Jürgen Bengel","doi":"","DOIUrl":"","url":null,"abstract":"Unlabelled: The purpose of the PROTeCD(Psychotherapeutic Resource-Orientated Treatment for Cardiac Patients with Depression)-study was to develop and to evaluate a brief psychotherapeutic intervention for rehabilitation in-patients with coronary heart disease (CHD) and depressive disorders. In three cardiac rehabilitation hospitals all patients were screened for mental distress at admission. Patients generally stay for 3 to 4 weeks before being referred to outpatient care.Method: Those patients with elevated distress were interviewed for mental disorders and took part in the baseline-assessment. Patients diagnosed with a depressive disorder at baseline were randomised into the intervention or the usual care group. Efficacy was assessed at discharge from hospital (short-term). 59 subjects with CHD and co-morbid depressive disorder were randomised into the trial - 27 into the intervention group (IG) and 32 into the usual care group (UC). Patients in the intervention group received 4 to 6 individual psychotherapeutic sessions of 50 minutes each, including patient education and cognitive-behavioural treatment of depression. Outcome measures were depressive and anxiety symptoms in self report and interview.Results: There was no significant difference between intervention and usual care group in this short-term reduction of depressive symptoms, mental distress and anxiety. However, at discharge the patients still suffer from an increased level of distress compared to the recommended cut off scores of the assessment scales.Conclusion: Multimodal inpatient rehabilitation reduces depressive and anxiety symptoms in depressed CHD patients in short term independently of an additional psychotherapeutic intervention.","PeriodicalId":88305,"journal":{"name":"Psycho-social medicine","volume":"2 ","pages":"Doc04"},"PeriodicalIF":0.0,"publicationDate":"2005-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a6/9f/PSM-02-04.PMC2736492.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28465182","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Prevalence of somatoform pain complaints in the German population. 德国人口中躯体形式疼痛主诉的流行率。

Psycho-social medicine Pub Date : 2005-03-21

Aike Hessel, Manfred Beutel, Michael Geyer, Jörg Schumacher, Elmar Brähler

引用次数: 0

Social capital and self-rated health in 21 European countries. 21个欧洲国家的社会资本和自评健康状况。

Psycho-social medicine Pub Date : 2005-02-23

Olaf von dem Knesebeck, Nico Dragano, Johannes Siegrist

{"title":"Social capital and self-rated health in 21 European countries.","authors":"Olaf von dem Knesebeck, Nico Dragano, Johannes Siegrist","doi":"","DOIUrl":"","url":null,"abstract":"Study objective: The aim of this paper is to explore the association between social capital and self-rated health in different European countries.Methods: For the cross sectional, comparative analyses data from 21 European countries were used. 40,856 people aged 15 years and older were personally interviewed in 2003 (European Social Survey). Perceptions of social trust, and membership, participation and voluntary work in civic organisations were used as social capital indicators. Analyses are conducted on an aggregate level (country) and on an individual level.Main results: Results indicate comparatively low levels of social capital in East and South European countries. Countries with low levels of social capital have a high percentage of residents reporting poor health. Social capital is significantly associated with self-rated health in most of the European countries on the individual level after accounting for gender and age. However, additional adjustment for socio-economic status results in a decrease of the associations between activities in voluntary organisations and health. Further adjustment for social contacts and emotional support results in only minor changes of the associations.Conclusions: Analyses reveal strong correlations between social capital and self-rated health in a number of European countries on the aggregate level. Associations on the individual level are weaker in East and South European countries. Moreover, association of self-rated health with perceptions of social trust seems to be more consistent than with activities in voluntary organisations.","PeriodicalId":88305,"journal":{"name":"Psycho-social medicine","volume":"2 ","pages":"Doc02"},"PeriodicalIF":0.0,"publicationDate":"2005-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ef/11/PSM-02-02.PMC2736491.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28465181","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0