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Research and advances in psychiatry最新文献

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Advances in Treatment for Personality Disorders 人格障碍的治疗进展
Pub Date : 2018-07-07 DOI: 10.1007/978-3-319-70554-5_19
R. Biskin, J. Paris
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引用次数: 1
Economic Recession and Mental Health: An Analysis 经济衰退与心理健康:分析
Pub Date : 2018-07-07 DOI: 10.1007/978-3-319-70554-5_39
A. Shrivastava, P. Lodha, A. Sousa, Nikate Singh
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引用次数: 6
Family Inclusive Therapeutic Interventions 家庭包容性治疗干预
Pub Date : 2018-07-07 DOI: 10.1007/978-3-319-70554-5_11
A. Wilson, S. Ibrahim, M. Clerici, E. D. Giacomo, G. Keitner
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引用次数: 1
Preventive Psychiatry as the Basis of an Undergraduate Medical Curriculum 预防精神病学作为本科医学课程的基础
Pub Date : 2018-07-07 DOI: 10.1007/978-3-319-70554-5_34
N. Christodoulou
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引用次数: 0
Institutionalization, Deinstitutionalization, and the Penrose Hypothesis 制度化、去制度化和彭罗斯假说
Pub Date : 2018-07-07 DOI: 10.1007/978-3-319-70554-5_12
A. Mundt, N. Konrad
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引用次数: 8
Neurobiology of Schizophrenia: Electrophysiological Indices 精神分裂症的神经生物学:电生理指标
Pub Date : 2018-07-07 DOI: 10.1007/978-3-319-70554-5_27
M. Koukkou, T. Koenig, A. Bänninger, K. Rieger, L. Diaz Hernandez, Y. Higuchi, T. Sumiyoshi, A. Vignapiano, G. Giordano, A. Amodio, A. Mucci
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引用次数: 6
Co-morbidity in the Severely Mentally Ill: Cardiometabolic Risk Factors, Prevention and Intervention 严重精神疾病的合并症:心脏代谢危险因素、预防和干预
Pub Date : 2018-07-07 DOI: 10.1007/978-3-319-70554-5_5
H. Millar, I. Salloum, M. Abou-Saleh
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引用次数: 0
Psychoneuroendocrinology of Resilience: An Overview 心理神经内分泌弹性:概述
Pub Date : 2018-07-07 DOI: 10.1007/978-3-319-70554-5_28
A. Sousa, A. Shrivastava, C. Nemeroff
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引用次数: 0
Trends in Schizophrenia Diagnosis and Treatment 精神分裂症的诊断和治疗趋势
Pub Date : 2018-07-07 DOI: 10.1007/978-3-319-70554-5_35
W. Gaebel, M. Riesbeck, V. Larach, P. Falkai, J. Zielasek
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引用次数: 4
A cluster randomized controlled trial of two task-shifting depression care models on depression alleviation and antidepressant response among HIV clients in Uganda. 两种任务转移抑郁护理模式对乌干达艾滋病毒客户的抑郁缓解和抗抑郁反应的集群随机对照试验。
Pub Date : 2016-01-01
Glenn Wagner, Bonnie Ghosh-Dastidar, Victoria Ngo, Eric Robinson, Seggane Musisi, Peter Glick, Akena Dickens

Background: depression is common among people living with HIV, but rarely diagnosed and treated in sub-Saharan Africa, in part due to the paucity of mental health professionals. Task-shifting approaches have been used to address this barrier. We compared the effects of two task-shifting models of depression care on depression alleviation and antidepressant response.

Methods: we conducted a cluster randomized controlled trial of two task-shifting models to facilitating depression care delivered by trained medical providers, one that utilized a structured protocol (protocolized) and one that relied on the judgment of trained providers (clinical acumen), in 10 HIV clinics in Uganda. A sample of 1252 clients (640 at protocolized clinics, 612 at clinical acumen clinics) who had screened positive for potential depression on the 2-item Patient Health Questionnaire (PHQ-2) were enrolled and followed for 12 months. Interviewer-administered 9-item PHQ (PHQ-9) data from the research surveys, and provider administrations to clients treated with antidepressant therapy, were examined. Linear probability regression analyses were conducted using a wild cluster bootstrap to control for clustering.

Results: among the whole sample (regardless of treatment status), rates of depression alleviation (PHQ-9<5) at month 12 were equivalent in the protocolized (75%) and clinical acumen (77%) arms, in an intention-to-treat analysis. Similarly, among the 415 participants who received antidepressant care, rates of treatment response (PHQ-9<5) at the last provider administered PHQ-9 (average of 8 months into treatment) were equivalent between the protocolized (65%) and clinical acumen (69%) arms; rate of improvement over the course of treatment was also equivalent.

Conclusions: nurses can provide quality depression care to HIV clients, regardless of whether treatment is guided by a structured protocol or clinical acumen, in the context of appropriate training and ongoing supervision support.

背景:抑郁症在艾滋病毒感染者中很常见,但在撒哈拉以南非洲很少得到诊断和治疗,部分原因是缺乏精神卫生专业人员。任务转移方法已被用于解决这一障碍。我们比较了两种任务转移模式对抑郁缓解和抗抑郁反应的影响。方法:我们对两种任务转移模型进行了一项随机对照试验,以促进由训练有素的医疗提供者提供的抑郁症护理,一种使用结构化协议(协议化),另一种依赖于训练有素的提供者的判断(临床敏悟性),在乌干达的10个艾滋病毒诊所。在2项患者健康问卷(PHQ-2)中筛查出潜在抑郁症阳性的1252名患者(640名在协议诊所,612名在临床敏锐诊所)被纳入研究并随访12个月。访谈者提供的9项PHQ (PHQ-9)数据来自研究调查,以及提供者对接受抗抑郁治疗的客户的管理进行了检查。线性概率回归分析使用野生聚类自举来控制聚类。结果:在整个样本中(无论治疗状态),抑郁缓解率(phq -9)。结论:护士可以为HIV客户提供高质量的抑郁护理,无论治疗是否由结构化协议或临床智慧指导,在适当的培训和持续的监督支持的背景下。
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引用次数: 0
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Research and advances in psychiatry
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