197,199 research outputs found
Italian social psychiatry research: What gets published in peer reviewed journals?
No full textPublisher version: http://journals.cambridge.org/action/displayAbstract?fromPage=online&aid=8264025&fulltextType=RA&fileId=S1121189X0000231
Understanding psychiatric institutionalization: a conceptual review
Full text linkThis is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited
Effectiveness of structured patient-clinician communication with a solution focused approach (DIALOG+) in community treatment of patients with psychosis - a cluster randomised controlled trial
No full textBackgroundLarge numbers of patients with psychosis have regular meetings with key clinicians in the community. There is little evidence on how these meetings should be conducted to be therapeutically effective. DIALOG, a computer mediated procedure, was shown to improve outcomes in a European multi-centre trial. DIALOG structures the patient-clinician communication and makes it patient-centred, but does not guide clinicians as to how to respond to patients’ concerns. DIALOG has been further developed into DIALOG+, which uses advanced software and, additionally, provides a four step approach - based on a solution focused model - for addressing patients’ concerns. We designed a cluster randomised controlled trial to test the effectiveness of DIALOG+ in improving treatment outcomes of patients with psychosis in the community.Methods/designKey workers are recruited from community mental health teams in East London and randomly allocated to either the intervention or control group. Out of their case loads, we identify patients with schizophrenia (F 20–29) and a moderate or lower level of subjective quality of life (MANSA score <5), who are treated according to the allocation of their key workers. Key workers in the intervention group are trained in using DIALOG+ and use it with each patient over a six-month period. Control patients rate their satisfaction with life and treatment on a tablet to control for the effect of regular ratings and the use of modern technology. We are recruiting up to 42 key workers to reach a total sample size of 180 patients. Clinical and social outcomes including costs are assessed after 3, 6 and 12 months. Primary outcome is subjective quality-of-life at 6 months.DiscussionThe trial aims to evaluate the effectiveness of a novel intervention (DIALOG+) which uses modern technology to support routine patient-clinician meetings in community care, makes the communication patient centred and guides patients and clinicians to address concerns. DIALOG+ is a generic and widely applicable intervention. If shown as effective, it can be used to improve outcomes of community care on a large scale, ensuring that routine encounters are therapeutically effective. DIALOG+ can also be implemented across services at relatively low additional costs
Friends and Symptom Dimensions in Patients with Psychosis: A Pooled Analysis
Full text linkPMCID: PMC3503760This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited
Subjective quality of life in war-affected populations
Full text linkPMCID: PMC3716711This is an Open Access article distributed under the terms of the Creative
Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and
reproduction in any medium, provided the original work is properly cited
Morale of mental health professionals in Community Mental Health Services of a Northern Italian Province.
No full textPublisher version: http://journals.cambridge.org/action/displayJournal?jid=EPSAIMS: To explore morale of psychiatrists and psychiatric nurses working in Community Mental Health Centres (CMHC) in an Italian Province, and identify influential factors. METHODS: Thirty psychiatrists and 30 nurses working in CMHCs in Modena completed questionnaires on burnout, team identity and job satisfaction. They also answered open questions about different aspects of their work. Answers were subjected to content analysis. Regression analyses were used to identify factors that predicted morale across groups. RESULTS: Psychiatrists had higher scores on emotional exhaustion and depersonalisation. There were no significant differences between the two groups in job satisfaction and job or role perception. Professionals reported positive relationships with patients as the most enjoyable aspects of their job, whilst team conflicts and high workloads were seen as most difficult to cope with. Multivariate analyses showed that being a psychiatrist and perceiving team conflicts as a main cause of pressure in the job predicted higher burnout. CONCLUSIONS: Simple open questions coupled with quantitative measures appear a promising tool to investigate morale of mental health professionals and identify factors determining morale. Research, training and service development should focus on relationship aspects both with patients and within teams to reduce burnout in CMHCs
Actin bundles cross-linked with α -actinin studied by nanobeam X-ray diffraction
No full textWe have performed scanning nano-beam small-angle X-ray scattering (nano-SAXS) experiments on in vitro-formed actin filaments cross-linked with -actinin. The experimental method combines a high resolution in reciprocal space with a real space resolution as given by the spot-size of the nano-focused X-ray beam, and opens up new opportunities to study local super-molecular structures of actin filaments. In this first proof-of-concept, we show that the local orientation of actin bundles formed by the cross-linking can be visualized by the X-ray darkfield maps. The filament bundles give rise to highly anisotropic diffraction patterns showing distinct streaks perpendicular to the bundle axes. Interestingly, some diffraction patterns exhibit a fine structure in the form of intensity modulations allowing for a more detailed analysis of the order within the bundles. A first empirical quantification of these modulations is included in the present work
Revisiting the socioeconomic determinants of exclusive breastfeeding practices: evidence from Eastern Indonesia
No full textThis paper attempts to fill several important research gaps on the
socioeconomic determinants of exclusive breastfeeding practices. In contrast
to previous studies that have focused on the timely initiation and duration of breastfeeding, this article examines exclusive breastfeeding practices. Using data on 1138 children from the Indonesian Family Life Survey East 2012, we revisited to what extent mothers’ education levels and work in nontraditional sectors influence exclusive breastfeeding patterns. Furthermore,
we investigated to what extent health-care demand and supply factors influence exclusive breastfeeding practices. Controlling for a wide range of individual, household, and community characteristics, our findings suggest that exclusive breastfeeding practices are affected positively by mothers’ education and negatively by mothers’ labour market participation in nontraditional employment contracts. Moreover, our results indicate that a higher availability and quality of health-care supply does not necessarily lead to better exclusive breastfeeding practices. Only when health-care supply was matched with a significant demand for such services, did we observe a higher chance for optimal exclusive breastfeeding
Do different subjective evaluation criteria reflect distinct constructs?
No full textThis is not the published version. Published version available from: http://journals.lww.com/jonmd/pages/default.asp
Recovery from Posttraumatic Stress Symptoms: A Qualitative Study of Attributions in Survivors of War
Full text linkThis study was funded by a grant from the European Commission, contract number INCO-CT-2004-50917
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