The Efficacy of Specific Treatment Methods

This study examines the role played by individual characteristics and specific treatment methods in the evolution of hospitalized patients with coronavirus disease 2019 (COVID-19), through the lens of an observational study performed in a comparative approach between the first and second waves of coronavirus pandemic in Romania. The research endeavor is configured on a two-fold approach, including a detailed observation of the evolution of 274 hospitalized patients with COVID-19 (145 in the first wave and 129 in the second wave of infection) according to specific treatment methods applied and patients’ individual features, as well as an econometric (quantitative) analysis through structural equation modeling and Gaussian graphical models designed to acknowledge the correlations and causal relationship between all considered coordinates. The main results highlight that the specific treatment methods applied had a positive influence on the evolution of COVID-19 patients, particularly in the second wave of coronavirus pandemic. In case of the first wave of COVID-19 infection, GGM results entail that there is a strong positive correlation between the evolution of the patients and the COVID-19 disease form, which is further positively correlated with the treatment scheme. The evolution of the patients is strongly and inversely correlated with the symptomatology and the ICU hospitalization. Moreover, the disease form is strongly and inversely correlated with oxygen saturation and the residence of patients (urban/rural). The symptomatology at first appearance also strongly depends on the age of the patients (positive correlation) and of the fact that the patient is a smoker or non-smoker and has other comorbidities. Age and gender are also important credentials that shape the disease degree and patient evolution in responding to treatment as well, our study attesting strong interconnections between these coordinates, the form of disease, symptomatology and overall evolution of the patients.

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Issues of Concern in Sexology

Klinička psihologija ◽

10.21465/2016-kp-op-0088 ◽

2016 ◽

Vol 9 (1) ◽

pp. 112-112

Author(s):

E. Almås ◽

Keyword(s):

Literature Search ◽

Psychological Treatment ◽

Specific Treatment ◽

Sex Therapy ◽

Evidence Base ◽

Sexual Problems ◽

Personal Relationships ◽

Comprehensive Treatment ◽

Treatment Methods ◽

Market Driven

Objective: This presentation deal with issues of concern in sexology, as they have appeared in sexological publications in the period between 2001 and 2010. Examples are concerns about evidence base; on one side there is concern that there are so few randomized and controlled studies addressing psychological approaches and sex therapy in itself. On the other hand, there is concern that sexual problems are too complex to fit into standardized manuals, and that such simplifications cannot give justice to the complexity of sexual problems as they are embedded in culture and personal relationships. Another issue of concern is the fragmentation of sexology, due to market driven forces that restrict funding to biomedical ways of treatment, leaving more complex, but also more comprehensive treatment methods without funding. It is for example of concern that the number of AASECT certified sex therapists dropped from 928 in 1987 to 392 in 2002. Design and Method: These issues will be addressed based on a systematic literature search for publications on psychological treatment of sexual problems between 2001 and 2010. Results: A total of 261 publications were found, 49 of these concerned therapy as such. Among these, 38 addressed specific treatment methods, and 11 addressed different topics of discussion. This presentation will analyze the 11 articles and the concerns that are discussed. Conclusions: One of the aims is to pinpoint and highlight important issues for the development of better treatment for sexual problems.

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A multicentre randomized controlled trial on trans-generational attention deficit/hyperactivity disorder (ADHD) in mothers and children (AIMAC): an exploratory analysis of predictors and moderators of treatment outcome

Zeitschrift für Kinder- und Jugendpsychiatrie und Psychotherapie ◽

10.1024/1422-4917/a000602 ◽

2019 ◽

Vol 47 (1) ◽

pp. 49-65 ◽

Cited By ~ 3

Author(s):

Charlotte Jaite ◽

Betteke Maria van Noort ◽

Timo D. Vloet ◽

Erika Graf ◽

Viola Kappel ◽

...

Keyword(s):

Treatment Outcome ◽

Primary Outcome ◽

Controlled Trial ◽

Specific Treatment ◽

Externalizing Symptoms ◽

Control Treatment ◽

Comorbid Depression ◽

Adhd Treatment ◽

Mothers And Children ◽

Maternal Adhd

Abstract. Objective: We examined predictors and moderators of treatment outcome in mothers and children diagnosed with ADHD in a large multicentre RCT. Method: In total, 144 mother-child dyads with ADHD were randomly assigned to either a maternal ADHD treatment (group psychotherapy and open methylphenidate medication, TG) or to a control treatment (individual counselling without psycho- or pharmacotherapy, CG). After maternal ADHD treatment, parent-child training (PCT) for all mother-child dyads was added. The final analysis set was based on 123 dyads with completed primary outcome assessments (TG: n = 67, CG: n = 56). The primary outcome was the change in each child’s externalizing symptoms. Multiple linear regression analyses were performed. Results: The severity of the child’s externalizing problem behaviour in the family at baseline predicted more externalizing symptoms in the child after PCT, independent of maternal treatment. When mothers had a comorbid depression, TG children showed more externalizing symptoms after PCT than CG children of depressive mothers. No differences between the treatment arms were seen in the mothers without comorbid depression. Conclusions: Severely impaired mothers with ADHD and depressive disorder are likely to need additional disorder-specific treatment for their comorbid psychiatric disorders to effectively transfer the contents of the PCT to the home situation (CCTISRCTN73911400).

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