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Christian Labenz, Ahmed Madisch, Joachim Labenz
BACKGROUND: About 5% of all GP consultations are made for symptoms of functional dyspepsia. The definition of functional dyspepsia is in a state of flux, pathophysiology is poorly understood, and current diagnostic and therapeutic algorithms are not available. AIM: Evaluation of the frequency and the practical procedure in the diagnosis and therapy of functional dyspepsia in German GP surgeries. METHOD: Family physicians working in Germany (general practitioners, primary care internists) were contacted via postal survey...
March 2019: MMW Fortschritte der Medizin
Dietrich Munz, Alessa Jansen, Carolin Böhmig
There is a broad variety of digital applications available that may enhance psychotherapeutic treatment and potentially lead to enhanced care of mentally ill patients, yet these applications cannot replace psychotherapeutic treatment. Among them are videoconferencing technologies, which allow psychotherapists and their patients to communicate over long distances. Beside this, internet-based treatment programs and health-apps are available for prevention and treatment of mental disorders. The following article describes chances and risks related to the use of digital applications in the care of mentally ill patients...
March 2019: Fortschritte der Neurologie-Psychiatrie
Jan Philipp Klein, Christine Knaevelsrud, Martin Bohus, David Daniel Ebert, Gabriel Gerlinger, Kristina Günther, Corinna Jacobi, Margrit Löbner, Steffi G Riedel-Heller, Julia Sander, Ulrich Sprick, Iris Hauth
Numerous self-management interventions have proven to be efficacious in the treatment of a number of mental disorders in randomized trials. However, these interventions have not yet reached clinical routine everywhere. Among other things, this is due to the fact that, in addition to the evidence-based interventions, other interventions are offered that have never been scientifically investigated, and in some cases, do not even rely on evidence-based methods of psychotherapy. The present quality criteria, developed by the two professional associations DGPs and DGPPN, are intended to help patients, practitioners and decision-makers in the health care sector to identify safe and efficacious interventions...
March 2019: Fortschritte der Neurologie-Psychiatrie
Christina Samel, Christian Albus, Ralf Tebest, Kristin Forster, Markus Lüngen, Alexander Niecke, Holger Pfaff, Klaus M Peters
Upcoming challenges in providing care for thalidomide impaired individuals Abstract. BACKGROUND: Between 1957 and 1962 an approximate 5000 children were born in Germany with severe birth defects as their mothers took the substance Thalidomide during pregnancy as a sedative and effective relief from morning sickness. OBJECTIVE: The aim of this study was to describe the care and assistance needed by the individuals impaired by Thalidomide and indicate upcoming challenges...
March 19, 2019: Pflege
Begum Maitra
The basic assumptions of psychotherapy must necessarily reflect the cultural orientations and dilemmas of the western societies, and historical periods, in which these originated. This paper considers how the racialised biases of that period, namely, the era of European domination built upon the conquest, colonisation and enslavement of non-European peoples, may linger in psychotherapeutic training and practice today. This not only limits the potential usefulness of the discipline in the multicultural populations of the west, but also risks it being read as covert neo-colonialism in the 'non-west'...
April 2019: Journal of Analytical Psychology
Fabrice Kwiatkowski, Mathilde Gay-Bellile, Pascal Dessenne, Claire Laquet, Véronique Boussion, Marie Béguinot, Marie-Françoise Petit, Anne-Sophie Grémeau, Céline Verlet, Charlotte Chaptal, Marilyn Broult, Sylvie Jouvency, Martine Duclos, Yves-Jean Bignon
Background: In families with high risk of hereditary breast/ovarian cancer (HBOC), women before age 30 do not yet undergo clinical screening, but they are exposed to contradictory information from diverse sources. They may be presented with surgical prevention options at a key moment of their identity construction, the start of a marital relationship and/or at the onset of procreation projects. We tested an original psychoeducational intervention to help these women better cope with these difficult issues...
2019: Hereditary Cancer in Clinical Practice
Eric M Plakun
This column differentiates the role of psychotherapist from the role of advocate for our patients. It introduces and provides an overview of areas worthy of advocacy efforts that are encapsulated as Four Freedoms that are inalienable rights of those struggling with the burden of mental disorders: freedom from stigma, freedom from dehumanizing treatment, freedom to pursue recovery, and freedom of access to effective, medically necessary treatment.
March 2019: Journal of Psychiatric Practice
Camila de Araujo Reinert, Clarice Kowacs
The ubiquitous nature of the internet and of online social networking has created new opportunities but also challenges for the psychotherapist. Former notions of anonymity and privacy are now infeasible as a result of massive information sharing through electronic media. The clinical repercussions of these changes are being extensively debated, but issues involving patient privacy and anonymity have not been sufficiently explored. Although several aspects of the impact of the internet on therapeutic setting-such as the need for psychotherapists to exercise caution when making personal information available online-have been addressed in the literature, there has been comparatively little discussion on psychotherapists seeking information about their patients on the internet, a phenomenon known as "patient-targeted googling" (PTG)...
2019: Psychodynamic Psychiatry
Andre Pittig, Roxana Kotter, Jürgen Hoyer
Exposure-based interventions are a core ingredient of evidence-based cognitive-behavioral treatment (CBT) for anxiety disorders, posttraumatic stress disorder (PTSD), and obsessive-compulsive disorder (OCD). However, previous research has documented that exposure is rarely utilized in routine care, highlighting an ongoing lack of dissemination. The present study examined barriers for the dissemination of exposure from the perspective of behavioral psychotherapists working in outpatient routine care (N = 684)...
March 2019: Behavior Therapy
Marcus Gumpert, Jens-Peter Reese
INTRODUCTION: Since 1 January 2004, all physicians, psychotherapists and medical care centres on contracts with statutory healthcare in Germany are obliged according to § 135a section 2, no. 2 of the Fifth Social Security Statute Book to introduce and develop an intra-institutional quality management system. Thus, physicians are faced with the question of which quality management system is best suited to their own practice. METHODS: A total of 24 medical practices were chosen by random sampling...
February 26, 2019: Das Gesundheitswesen
Berit Libutzki, Saskia Ludwig, Melanie May, Rasmus Højbjerg Jacobsen, Andreas Reif, Catharina A Hartman
BACKGROUND: ADHD is a highly prevalent disease in childhood which often persists into adulthood, then co-occurring with common adult conditions. Especially for adult ADHD, little is known about the costs of ADHD and the additional costs of comorbid conditions. AIMS: To determine medical costs of ADHD and costs of comorbidities (mood, anxiety and substance use disorders, obesity), including their co-occurrence rates, stratified by age and gender. METHOD: Claims data from a German Statutory Health Insurance database with approximately four million member-records per year were analysed...
February 22, 2019: European Psychiatry: the Journal of the Association of European Psychiatrists
Antonio Andreoli, Yvonne Burnand, Laura Frambati, Donna Manning, Allen Frances
The authors present the results from a 3-year follow-up among 170 patients who had participated in the original randomized study, which consisted of three treatment conditions: (a) 3-month abandonment psychotherapy (AP) delivered by certified psychotherapists, (b) AP delivered by nurses, and (c) treatment as usual in a psychiatric crisis center. All subjects were recruited at the emergency room after a suicide attempt and met diagnostic criteria for borderline personality disorder and major depression. Psychotic symptoms, bipolar disorder, and mental retardation were exclusion criteria...
February 20, 2019: Journal of Personality Disorders
Johanna Nordheim, Andreas Häusler, Sevil Yasar, Ralf Suhr, Adelheid Kuhlmey, Michael Rapp, Paul Gellert
BACKGROUND: Psychosocial interventions may improve the quality of life of both people with dementia (PWD) and their family caregivers. However, research is inconclusive and focused primarily on the quality of life of either the PWD or the caregiver, rather than on both. OBJECTIVE: Our aim was to evaluate the effect of couple-based interdisciplinary psychosocial intervention in patients with mild-to-moderate dementia on quality of life of both partners. METHODS: 108 community-dwelling PWD and their caregiving partners were enrolled in this pragmatic randomized controlled trial...
February 11, 2019: Journal of Alzheimer's Disease: JAD
Sebastian Schindler, Ria Vormbrock, Johanna Kissler
Recent findings suggest that communicative context affects the timing and magnitude of emotion effects in word processing. In particular, social attributions seem to be one important source of plasticity for the processing of affectively charged language. Here, we investigate the timing and magnitude of ERP responses toward positive, neutral, and negative trait adjectives during the anticipation of putative socio-evaluative feedback from different senders (human and computer) varying in predictability. In the first experiment, during word presentation participants could not anticipate whether a human or a randomly acting computer sender was about to give feedback...
2019: Frontiers in Psychology
Marcus Gumpert, Jens-Peter Reese
BACKGROUND: Since 1 January 2004, all physicians, psychotherapists, and medical care centers that are under contract to statutory healthcare in Germany are obliged, according to § 135a Section 2 of the Fifth Social Security Statute Book, to introduce an intra-institutional quality management system. METHODS: A total of 24 medical practices were chosen through random sampling. In total, there were 12 family physicians and specialist practices each and eight practices each per quality management system...
February 2, 2019: International Journal of Environmental Research and Public Health
Adriana Rodriguez, Laura Terrones, Lauren Brookman-Frazee, Jennifer Regan, Ashley Smith, Anna S Lau
Community mental health services are increasingly embracing evidence-based interventions (EBIs), and the professional workforce is diversifying to meet the needs of historically underserved groups. As such, it is increasingly important to understand how psychotherapist cultural factors may be associated with attitudes toward EBIs. The use of standardized assessments within routine progress monitoring is a cornerstone of EBIs, yet therapist attitudes remain an obstacle to implementation. The current study examines the associations between therapist cultural identity and attitudes toward and use of routine progress monitoring...
February 4, 2019: Psychological Services
Y Joel Wong, Munyi Shea, Shu-Yi Wang, Jacks Cheng
This article reports the development and psychometric properties of the 12-item Encouragement Character Strength Scale (ECSS), a measure of the character strength of encouragement using diverse samples (e.g., noncollege adults, Latinx-majority college students, and psychotherapists). The encouragement character strength is the enjoyment and perceived ability to express affirmations to motivate others. This character strength is relevant to counseling psychology because of the latter's historical embrace of human strengths and encouragement's importance in many counseling psychology applications, such as psychotherapy and supervision...
February 4, 2019: Journal of Counseling Psychology
David B Bekelman, Christopher E Knoepke, Carolyn Turvey
OBJECTIVE: In seriously ill cardiac patients, several psychotherapy efficacy studies demonstrate little to no reduction in depression or improvement in quality of life, and little is known about how to improve psychotherapies to best address the range of patient needs. An interpersonal and behavioral activation psychotherapy was a key component of the Collaborative Care to Alleviate Symptoms and Adjust to Illness (CASA) multisite randomized clinical trial. Although depressive symptoms did improve in the CASA trial, questions remain about how best to tailor psychotherapies to the needs of seriously ill patient populations...
January 31, 2019: Palliative & Supportive Care
Daria Piacentino, Massimo Pasquini, Gabriele Sani, Chiara Chetoni, Simone Cappelletti, Georgios D Kotzalidis
This brief review deals with the various issues that contributed to the creation of the new Diagnostic and Statistical Manual condition of hoarding disorder (HD) and attempts at reviewing its pharmacotherapy. It appears that after the newly founded diagnosis appeared in the literature as an autonomous entity, distinct from obsessive-compulsive disorder, drug trials are not being conducted and the disorder is left in the hands of psychotherapists, who on their part, report fair results in some core dimensions of HD...
January 24, 2019: Current Neuropharmacology
Laura Broemer, Peter Esser, Susan Koranyi, Michael Friedrich, Katja Leuteritz, Susanne Wiegand, Andreas Dietz, Andreas Boehm, Friedemann Pabst, Bernhard M Strauß, Orlando Guntinas-Lichius, Anja Mehnert
INTRODUCTION: Despite high distress the majority of head and neck cancer patients does not use any psycho-oncological counselling or psychotherapeutic support. Additionally, patients with head and neck cancer have an increased risk of not returning to work compared to other cancer patients. Therefore, we have developed a group intervention program which aims at improving work ability in patients with head and neck cancer as well as their quality of life, self-efficacy and psychological well-being...
January 24, 2019: Laryngo- Rhino- Otologie
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