scholarly journals „iFightDepression“ im stationären Setting

2021 ◽  
Author(s):  
Julian Schwarz ◽  
Nicole Mauche ◽  
Caroline Oehler ◽  
Christine Rummel-Kluge ◽  
Ulrich Hegerl ◽  
...  
Keyword(s):  
Mental Health ◽  
Affektive Störungen ◽  
Icd 10

Zusammenfassung Hintergrund E‑Mental-Health (EMH) spielt im ambulanten Versorgungssetting depressiver Störungen zunehmend eine Rolle. Ziel dieser Studie war die Implementierung und Evaluierung der Anwendbarkeit und des Nutzens des onlinebasierten Selbstmanagementprogramms „iFightDepression“ (iFD) als Zusatzangebot im Rahmen einer leitliniengerechten Behandlung auf einer Spezialstation für affektive Störungen. Methodik Es wurden insgesamt 78 stationäre PatientInnen mit einer unipolaren Depression unterschiedlichen Schweregrades (ICD-10 F32.0‑3, F33.0-3) oder einer Dysthymie (F34) rekrutiert. Die Interventionsdauer mit dem iFD-Tool belief sich vom Zeitpunkt der stationären Aufnahme bis zur Entlassung und wurde vom Stationspersonal begleitet. Die Erhebung der Symptomschwere sowie von Parametern zur Behandlungserwartung und Therapievorerfahrung erfolgte online vor der Intervention (T0), die Interventionszufriedenheit wurde unmittelbar vor der stationären Entlassung (T1) mittels eines Paper-pencil-Fragebogens erfasst. Ergebnisse Von den 78 Teilnehmenden loggten sich 42 mindestens einmal in das iFD-Tool ein. Es zeigten sich moderat hohe Erwartungswerte sowie leicht überdurchschnittliche Zufriedenheitswerte bezüglich der Behandlung. 67 % der aktiven NutzerInnen gaben an, das iFD-Tool poststationär weiter nutzen zu wollen. Wesentliche Gründe gegen die Nutzung waren eine kurze Aufenthaltsdauer, eine schwere depressive Symptomatik und fehlende Medienkompetenz. Diskussion Eine Implementierung des iFD-Tools im stationären Setting ist prinzipiell machbar und führte zu positiven Rückmeldungen seitens der NutzerInnen. Auch konnten sich die meisten aktiv an der Studie Teilnehmenden eine weitere Nutzung des iFD-Tools nach der Entlassung gut vorstellen. Allerdings weisen die insgesamt geringen Nutzungs- (42/78, 54 %) und Komplettierungsraten auf Nutzungsbarrieren hin, deren Überwindung entsprechende Anpassungen der Intervention speziell für den stationären Einsatz erforderlich machen.

Psychopharmako- und Psychotherapie bei Patienten mit minorer Depression

2011 ◽  
Vol 30 (11) ◽  
pp. 902-907
Author(s):  
P. Schönknecht ◽  
A.-K. Allgaier ◽  
V. Henkel ◽  
U. Hegerl ◽  
R. Mergl
Keyword(s):  
Affektive Störungen ◽  
Icd 10 ◽  
Dsm Iv

ZusammenfassungPatienten mit depressiven Syndromen bei starker Beeinträchtigung des psychosozialen Funktionsniveaus, die aber die nach ICD-10 oder DSM-IV-TR erforderlichen Kriterien einer depressiven Störung nur teilweise erfüllen, sind in nervenärztlichen Praxen häufig anzutreffen. Im Folgenden werden wichtige therapeutische Ansätze bei derartigen minoren Depressionen präsentiert und deren klinische Signifikanz diskutiert. Da die Evidenzbasis für eine spezifische Pharmakooder Psychotherapie unzureichend ist, kommen aktives Monitoring oder unspezifische Beratungsund Betreuungsangebote in Betracht. Spezifische Behandlungsangebote (Antidepressiva, Psychotherapie) müssen in Erwägung gezogen werden bei Suizidalität, Suizidversuchen in der Anamnese, hohem Leidensdruck, früheren depressiven Episoden, Residualsymptomatik nach majorer Depression oder positiver Familienanamnese für affektive Störungen.

The prevalence of pre-existing mental health, drug and alcohol conditions in major trauma patients

2017 ◽  
Vol 41 (3) ◽  
pp. 283 ◽  
Author(s):  
Tu Q. Nguyen ◽  
Pamela M. Simpson ◽  
Belinda J. Gabbe
Keyword(s):  
Mental Health ◽  
Medical Record ◽  
Major Trauma ◽  
Health Conditions ◽  
Trauma Patients ◽  
Discharge Data ◽  
Mental Health Conditions ◽  
Icd 10 ◽  
Record Review ◽  
Drug And Alcohol

Objective Capturing information about mental health, drug and alcohol conditions in injury datasets is important for improving understanding of injury risk and outcome. This study describes the prevalence of pre-existing mental health, drug and alcohol conditions in major trauma patients based on routine discharge data coding. Methods Data were extracted from the population-based Victorian State Trauma Registry (July 2005 to June 2013, n = 16 096). Results Seventeen percent of major trauma patients had at least one mental health condition compared with the Australian population prevalence of 21%. The prevalence of mental health conditions was similar to the Australian population prevalence in men (19% v. 18%), but lower in women (14% v. 25%) and across all age groups. Mental health conditions were more prevalent in intentional self-harm cases (56.3%) compared with unintentional (13.8%) or other intentional (31.2%) cases. Substance use disorders were more prevalent in major trauma patients than the general population (15% v. 5%), higher in men than women (17% v. 10%) and was highest in young people aged 25–34 years (24%). Conclusions Under-reporting of mental health conditions in hospital discharge data appears likely, reducing the capacity to characterise the injury population. Further validation is needed. What is known about the topic? Medical record review, routine hospital discharge data and self-report have been used by studies previously to characterise mental health, drug and alcohol conditions in injured populations, with medical record review considered the most accurate and reliance on self-report measures being considered at risk of recall bias. The use of routinely collected data sources provides an efficient and standardised method of characterising pre-existing conditions, but may underestimate the true prevalence of conditions. What does this paper add? No study to date has explored the prevalence of Abbreviated Injury Scale and International Classification of Diseases and Health Related Problems, Tenth Revision, Australian Modification (ICD-10-a.m)-coded mental health, alcohol and drug conditions in seriously injured populations. The results of this study show the incidence of mental health conditions appeared to be under-reported in major trauma patients, suggesting limitations in the use of ICD-10-a.m. to measure mental health comorbidities. What are the implications for practitioners? In order to achieve improvements in measuring mental health, drug and alcohol comorbidities, we suggest the use of a series of different diagnostic systems to be used in conjunction with ICD-10-a.m., such as medical record review and self-reporting as well as linkage to other datasets. When applied simultaneously, diagnosis and outcomes of mental health may be compared and validated across diagnostic systems and deviations in diagnoses could be more readily accounted for.

Rates of Comorbid Anxiety and Depression in Patients With Age-Related Macular Degeneration

2019 ◽  
Vol 3 (4) ◽  
pp. 211-214 ◽  
Author(s):  
Daniel Olson ◽  
Xinxin Zhang ◽  
Michael F. Ward ◽  
Patrick Le ◽  
Omar M. Ismail ◽  
...  
Keyword(s):  
Mental Health ◽  
Macular Degeneration ◽  
Patient Data ◽  
Age Related Macular Degeneration ◽  
Anxiety And Depression ◽  
Odds Ratios ◽  
Comorbid Anxiety ◽  
Age Related ◽  
Prevalence Of Depression ◽  
Icd 10

Purpose: The purpose of this article is to investigate how age-related macular degeneration (AMD) is associated with anxiety and depression. Methods: An online repository of deidentified patient data was queried to identify and retrospectively analyze patients with AMD, depression, or anxiety via ICD-9 and ICD-10 codes. Odds ratios were calculated between AMD and anxiety and depression, respectively. Results: Of the 51 019 patients analyzed in this study, 11 681 (22.9%) had depression, 8727 (17.1%) had anxiety, and 2752 (5.4%) had AMD. The prevalence of anxiety among AMD patients was 18.2%, and the prevalence of depression among AMD patients was 25.0%. The odds of a patient with AMD carrying a diagnosis of anxiety are 1.3 (95% CI 1.2, 1.5) times higher than a patient without AMD, and the odds of carrying a diagnosis of depression are also 1.3 (95% CI 1.1, 1.4) times more likely. Conclusions: Patients with AMD have increased odds of suffering from comorbid anxiety and depression. Ophthalmologists should consider mental health screens and appropriate referrals as new diagnoses of AMD are made or as the disease progresses.

scholarly journals Household poverty in people with severe mental illness in rural China: 1994–2015

BJPsych Open ◽  
2020 ◽  
Vol 6 (5) ◽  
Author(s):  
Yue-Hui Yu ◽  
Wei Luo ◽  
Man-Xi He ◽  
Xin Yang ◽  
Bo Liu ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Severe Mental Illness ◽  
Socioeconomic Development ◽  
Rural China ◽  
Work And Family ◽  
Factors Associated ◽  
Household Poverty ◽  
Poor Households ◽  
Icd 10

Background Little is known about poverty trends in people with severe mental illness (SMI) over a long time span, especially under conditions of fast socioeconomic development. Aims This study aims to unravel changes in household poverty levels among people with SMI in a fast-changing rural community in China. Method Two mental health surveys, using ICD-10, were conducted in the same six townships of Xinjin county, Chengdu, China. A total of 711 and 1042 people with SMI identified in 1994 and 2015, respectively, participated in the study. The Foster-Greer-Thorbecke poverty index was adopted to measure the changes in household poverty. These changes were decomposed into effects of growth and equity using a static decomposition method. Factors associated with household poverty in 1994 and 2015 were examined and compared by regression analyses. Results The proportion of poor households, as measured by the headcount ratio, increased significantly from 29.8% in 1994 to 39.5% in 2015. Decomposition showed that poverty in households containing people with SMI had worsened because of a redistribution effect. Factors associated with household poverty had also changed during the study period. The patient's age, ability to work and family size were of paramount significance in 2015. Conclusions This study shows that the levels of poverty faced by households containing people with SMI has become more pressing with China's fast socioeconomic development. It calls for further integration of mental health recovery and targeted antipoverty interventions for people with SMI as a development priority.

scholarly journals Sociodemographic Information, Aversive and Traumatic Events, Offence-Related Characteristics, and Mental Health of Delinquent Women in Forensic-Psychiatric Care in Switzerland

2017 ◽  
Vol 62 (12) ◽  
pp. 3815-3833 ◽  
Author(s):  
Sandy Krammer ◽  
Hedwig Eisenbarth ◽  
Carole Fallegger ◽  
Michael Liebrenz ◽  
Dorothee Klecha
Keyword(s):  
Mental Health ◽  
Psychiatric Care ◽  
Psychiatric Service ◽  
Traumatic Events ◽  
International Classification Of Diseases ◽  
Future Research ◽  
Female Prisoners ◽  
Research Areas ◽  
Icd 10 ◽  
Forensic Psychiatric

The present study describes a much understudied group—namely, female prisoners under forensic-psychiatric care in the German-speaking part of Switzerland—to improve understanding of their risks and their needs. Data were derived from internal databases of a Forensic-Psychiatric Service. Data were collected in the form of their sociodemographic characteristics, prevalence of aversive and traumatic events, type of offence committed, and mental health conditions. Based on a full-sample approach, a total of 1,571 files were analysed. Results reveal that two thirds of the participants were not in a stable relationship, more than half did not complete a school degree, and three quarters were without stable employment prior to their incarceration. Two thirds were mothers and about one third did not grow up with their parents. Almost half grew up with an alcohol abusing parent, about half experienced violence and/or neglect in childhood, and about a quarter of the cases sexual abuse. About 95% had a mental health diagnosis according to International Classification of Diseases–Version 10 (ICD-10), and the most prevalent mental and behavioural disorder was due to psychoactive substance abuse. The most frequent offence type was drug-related crimes. Women convicted for drug-related crimes were more likely to have an ICD-10 F1 disorder compared with those convicted for other crimes. Conversely, women with violent offences were less likely to suffer from ICD-10 F1 disorder than those who had committed nonviolent offences. Findings have implications for practitioners and policy makers, and contribute to the cycle of violence theory discussion. In conclusion, future research areas are suggested.

Field Trials of the 1987 Draft of Chapter V (F) of ICD-10

1988 ◽  
Vol 152 (S1) ◽  
pp. 33-37 ◽  
Author(s):  
Jack D. Burke
Keyword(s):  
Mental Health ◽  
Diagnostic Criteria ◽  
Study Design ◽  
Field Trial ◽  
Developmental Disorders ◽  
International Classification Of Diseases ◽  
Field Trials ◽  
Classification Of Diseases ◽  
Icd 10

IntroductionThis paper will review the major objectives and study design of the Field Trials of the draft chapter on Mental Behavioural and Developmental Disorders in the tenth revision of the International Classification of Diseases (ICD-10), now in preparation. The text used in this Field Trial is the Clinical Descriptions and Diagnostic Guidelines, which is more elaborate than the Short Glossary for this chapter that will be published in the main volume of ICD-10. The text for the former will be published together with the Diagnostic Criteria for Research and other parts of the WHO family of instruments relevant to mental health.

scholarly journals Pathways to psychiatric care in Eastern Europe

2005 ◽  
Vol 186 (6) ◽  
pp. 529-535 ◽  
Author(s):  
Richard Gater ◽  
Vesna Jordanova ◽  
Nadja Maric ◽  
Valbona Alikaj ◽  
Maja Bajs ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Eastern Europe ◽  
General Practitioners ◽  
Direct Access ◽  
Care Seeking ◽  
Starting Point ◽  
Icd 10 ◽  
Hospital Doctors

BackgroundThere has been almost no research into mental health services in Eastern Europe. A pathways study is a quick and useful starting point, requiring few resources.AimsTo improve understanding of prior care-seeking and treatment of new patients seen at mental health services.MethodPathways diagrams were drawn showing the routes of care-seeking for 50 new patients in eight centres. Patterns of care-seeking, durations and previous treatments were compared for ICD–10 diagnostic groups.ResultsThe diagnoses varied according to the organisation of services. Major pathways included general practitioners, direct access and hospital doctors. General practitioners have a limited role as ‘gatekeeper’ in centres in Albania, Croatia, Macedonia, Romania and Serbia–Montenegro, and rarely prescribed treatment, except sedatives, for mental disorders.ConclusionsFindings highlight areas that require attention if aspirations for community-oriented mental health care are to be realised, particularly integration of mental health into primary care.

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