The Experts below are selected from a list of 309 Experts worldwide ranked by ideXlab platform
Stig Poulsen - One of the best experts on this subject based on the ideXlab platform.
-
no shows drop outs and completers in Psychotherapeutic Treatment demographic and clinical predictors in a large sample of non psychotic patients
Nordic Journal of Psychiatry, 2011Co-Authors: Morten Fenger, Erik Lykke Mortensen, Stig PoulsenAbstract:Background: A primary challenge in mental health services is a high rate of non-attendance (i.e. no-show and drop-out) for patients referred to Treatment for psychiatric disorders. Aim: The aim of the present study was to assess the influence of demographic and clinical variables on mental health Treatment attendance and to investigate differences in predictors for no-shows and drop-outs. Methods: A naturalistic study of 2473 non-psychotic consecutive patients offered Psychotherapeutic Treatment at a community mental health centre in Denmark. Fifteen demographic and clinical variables were recorded at assessment. Bivariate and multiple logistic regression analyses were conducted to investigate the associations between these variables and no-show and drop-out. Results: Of the 2473 participants, 668 (27.0%) did not show up for Treatment, whereas 290 (11.7%) dropped out of Treatment. Regression analysis showed that the significant predictors of Treatment no-show were: age below 25, no more than the compulsor...
-
pw01 122 no shows drop outs and completers in Psychotherapeutic Treatment demographic and clinical predictors in a large sample of non psychotic patients
European Psychiatry, 2010Co-Authors: Morten Fenger, Erik Lykke Mortensen, Stig PoulsenAbstract:Introduction High rate of non-attendance in mental health Treatment is a major problem in terms of lost economic resources and deteriorated quality of life for the patients. Aims The aim of the present study was to conduct an analysis of the influence of demographic and clinical variables on Treatment attendance. Methods A naturalistic study of 2473 non-psychotic consecutive patients offered Psychotherapeutic Treatment. Demographic and clinical variables were registered at assessment. Bivariate and multiple logistic regression analyses of the associations between these variables and attendance were conducted. Results 675 (27.3%) did not show up and 289 (11.7%) dropped out of Treatment. Regression analysis showed that younger age, few years of school, taking an education, unemployment, no sick leave, personality disorder, low or high GAF, no earlier Treatment, no use of psychoactive medicine, and substance abuse were significant predictors for non-attendance. Conclusion No-show was predicted mainly by clinical factors, whereas drop-out was predicted by demographic variables. Results and strategies to reduce non-attendance were discussed.
Peter Fonagy - One of the best experts on this subject based on the ideXlab platform.
-
changes in interpersonal problems in the Psychotherapeutic Treatment of depression as measured by the inventory of interpersonal problems a systematic review and meta analysis
Journal of Affective Disorders, 2018Co-Authors: Tara Mcfarquhar, Patrick Luyten, Peter FonagyAbstract:Abstract Background Interpersonal problems are commonly reported by depressed patients, but the effect of Psychotherapeutic Treatment on them remains unclear. This paper reviews the effectiveness of Psychotherapeutic interventions for depression on interpersonal problems as measured by the Inventory of Interpersonal Problems (IIP). Methods An electronic database search identified articles reporting IIP outcome scores for individual adult psychotherapy for depression. A systematic review and, where possible, meta-analysis was conducted. Results Twenty-eight studies met inclusion criteria, 10 of which could be included in a meta-analysis investigating changes in the IIP after brief psychotherapy. Reasons for exclusion from the meta-analysis were too few participants with a diagnosis of depression (n=13), IIP means and SDs unobtainable (n=3) and long-term therapy (n=2). A large effect size (g=0.74, 95% CI=0.56–0.93) was found for improvement in IIP scores after brief Treatment. Limitations Paucity of IIP reporting and Treatment type variability mean results are preliminary. Heterogeneity for improvement in IIP after brief psychotherapy was high (I 2 =75%). Conclusions Despite being central to theories of depression, interpersonal problems are infrequently included in outcome studies. Brief psychotherapy was associated with moderate to large effect sizes in reduction in interpersonal problems. Of the dimensions underlying interpersonal behaviour, the dominance dimension may be more amenable to change than the affiliation dimension. Yet, high pre-Treatment affiliation appeared to be associated with better outcomes than low affiliation, supporting the theory that more affiliative patients may develop a better therapeutic relationship with the therapist and consequently respond more positively than more hostile patients.
-
effectiveness of Psychotherapeutic Treatment of personality disorder
British Journal of Psychiatry, 2000Co-Authors: Anthony Bateman, Peter FonagyAbstract:Background Psychiatrists have been criticised for failing to develop adequate Treatment for personality disorder. Psychotherapeutic Treatments are promising, but their effectiveness is uncertain. Aims To investigate the evidence for effectiveness of Psychotherapeutic Treatment for personality disorder. Method Systematic literature review. Results There is evidence for the effectiveness of psychotherapy for personality disorder. Problems of case identification, comorbidity, randomisation, specificity of Treatment and outcome measurement are inadequately addressed. Authors mainly relied on cohort studies. Evidence neither suggests superiority of one type of therapy over another nor indicates which subgroups of patients should be offered psychotherapy as in-patient, day patient, or out-patient. Conclusions New research strategies are needed to show that personality change is both measurable and clinically meaningful. Effectiveness studies using randomised controlled designs are required. The literature suggests that effective Treatment should be long-term, integrated, theoretically coherent and focused on compliance.
Gerd Lehmkuhl - One of the best experts on this subject based on the ideXlab platform.
-
predictors of non drug psychiatric Psychotherapeutic Treatment in children and adolescents with mental or behavioural disorders
European Child & Adolescent Psychiatry, 2017Co-Authors: Sascha Abbas, Peter Ihle, Jurgenbernhard Adler, S Engel, Christian Gunster, Martin Holtmann, Axel Kortevoss, Roland Linder, Werner Maier, Gerd LehmkuhlAbstract:Children and adolescents with mental health problems need effective and safe therapies to support their emotional and social development and to avoid functional impairment and progress of social deficits. Though psychotropic drugs seem to be the preferential Treatment, psychotherapy and psychosocial interventions are essential in mental health care. For Germany, current data on the utilization of psychotherapy and psychosocial interventions in children with mental health problems is lacking. To analyse why certain children and adolescents with mental or behavioural disorders do and others do not receive non-drug Treatment, we assessed predictors associated with specific non-drug psychiatric/Psychotherapeutic Treatment including psychosocial interventions, psychotherapy and other non-drug Treatments. The study is based on data of two large German health insurance funds, AOK and TK, comprising 30 % of the German child and adolescent population. Predictors of non-drug psychiatric/Psychotherapeutic Treatment were analysed for 23,795 cases and two controls for every case of the same age and sex in children aged 0–17 years following a new diagnosis of mental or behavioural disorder in 2010. Predictors were divided according to Andersen’s behavioural model into predisposing, need and enabling factors. The most prominent and significant predictors positively associated with non-drug psychiatric/Psychotherapeutic Treatment were the residential region as predisposing factor; specific, both ex- and internalizing, mental and behavioural disorders, psychiatric co-morbidity and psychotropic drug use as need factors; and low area deprivation and high accessibility to outpatient physicians and inpatient institutions with non-drug psychiatric/Psychotherapeutic department as enabling factors. In conclusion, the present study suggests that the residential region as proxy for supply of therapist and socioeconomic situation is an influencing factor for the use of psychotherapy. The analysis sheds further light on predisposing, need and enabling factors as predictors of non-drug Psychotherapeutic/psychiatric Treatment in children and adolescents with mental or behavioural health disorders in Germany. More research is needed to further understand the factors promoting the gap between the need and utilization of mental health care.
-
Predictors of non-drug psychiatric/Psychotherapeutic Treatment in children and adolescents with mental or behavioural disorders
European Child & Adolescent Psychiatry, 2016Co-Authors: Sascha Abbas, Peter Ihle, Jurgenbernhard Adler, S Engel, Christian Gunster, Martin Holtmann, Axel Kortevoss, Roland Linder, Werner Maier, Gerd LehmkuhlAbstract:Children and adolescents with mental health problems need effective and safe therapies to support their emotional and social development and to avoid functional impairment and progress of social deficits. Though psychotropic drugs seem to be the preferential Treatment, psychotherapy and psychosocial interventions are essential in mental health care. For Germany, current data on the utilization of psychotherapy and psychosocial interventions in children with mental health problems is lacking. To analyse why certain children and adolescents with mental or behavioural disorders do and others do not receive non-drug Treatment, we assessed predictors associated with specific non-drug psychiatric/Psychotherapeutic Treatment including psychosocial interventions, psychotherapy and other non-drug Treatments. The study is based on data of two large German health insurance funds, AOK and TK, comprising 30 % of the German child and adolescent population. Predictors of non-drug psychiatric/Psychotherapeutic Treatment were analysed for 23,795 cases and two controls for every case of the same age and sex in children aged 0–17 years following a new diagnosis of mental or behavioural disorder in 2010. Predictors were divided according to Andersen’s behavioural model into predisposing, need and enabling factors. The most prominent and significant predictors positively associated with non-drug psychiatric/Psychotherapeutic Treatment were the residential region as predisposing factor; specific, both ex- and internalizing, mental and behavioural disorders, psychiatric co-morbidity and psychotropic drug use as need factors; and low area deprivation and high accessibility to outpatient physicians and inpatient institutions with non-drug psychiatric/Psychotherapeutic department as enabling factors. In conclusion, the present study suggests that the residential region as proxy for supply of therapist and socioeconomic situation is an influencing factor for the use of psychotherapy. The analysis sheds further light on predisposing, need and enabling factors as predictors of non-drug Psychotherapeutic/psychiatric Treatment in children and adolescents with mental or behavioural health disorders in Germany. More research is needed to further understand the factors promoting the gap between the need and utilization of mental health care.
Armin Hartmann - One of the best experts on this subject based on the ideXlab platform.
-
Psychotherapeutic Treatment for anorexia nervosa a systematic review and network meta analysis
Frontiers in Psychiatry, 2018Co-Authors: Almut Zeeck, Beate Herpertzdahlmann, Hanschristoph Friederich, Timo Brockmeyer, Gaby Resmark, Ulrich Hagenah, Stefan Ehrlich, Ulrich Cuntz, Stephan Zipfel, Armin HartmannAbstract:Background The aim of the study was a systematic review of studies evaluating Psychotherapeutic Treatment approaches in anorexia nervosa and to compare their efficacy. Weight gain was chosen as the primary outcome criterion. We also aimed to compare Treatment effects according to service level (inpatient vs. outpatient) and age group (adolescents vs. adults). Methods The data bases PubMed, Cochrane Library, Web of Science, Cinahl and PsychInfo were used for a systematic literature search (until Feb 2017). Search terms were adapted for data base, combining versions of the search terms anorexia, treat*/therap* and controlled trial. Studies were selected using pre-defined in- and exclusion criteria. Data were extracted by two independent coders using piloted forms. Network-meta-analyses were conducted on all RCTs. For a comparison of service levels and age groups, standard mean change (SMC) statistics were used and naturalistic, nonrandomized studies included. Results Eighteen RCTs (trials on adults: 622 participants; trials on adolescents: 625 participants) were included in the network meta-analysis. SMC analyses were conducted with 38 studies (1,164 participants). While family-based approaches dominate interventions for adolescents, individual psychotherapy dominates in adults. There was no superiority of a specific approach. Weight gains were more rapid in adolescents and inpatient Treatment. Conclusions Several specialized Psychotherapeutic interventions have been developed and can be recommended for AN. However, adult and adolescent patients should be distinguished, as groups differ in terms of Treatment approaches considered suitable as well as Treatment response. Future trials should replicate previous findings and be multi-center trials with large sample sizes to allow for subgroup analyses. Patient assessment should include variables that can be considered relevant moderators of Treatment outcome. It is desirable to explore adaptive Treatment strategies for subgroups of patients with AN. Identifying and addressing maintaining factors in AN remains a major challenge.
James L Roerig - One of the best experts on this subject based on the ideXlab platform.
-
Pharmacologic and Psychotherapeutic Treatment of Anorexia Nervosa.
Women's health (London England), 2020Co-Authors: James E Mitchell, Tricia Cook Myers, Kristine Steffen, James L RoerigAbstract:This article will review the Treatment research literature on patients with anorexia nervosa. Perhaps somewhat surprisingly, the controlled Treatment literature on this disorder is fairly limited. This is attributable to several factors, including the fact that many patients with anorexia nervosa are difficult to engage in Treatment and unwilling to participate in randomized trials, and that many of these patients are so critically ill that they require a multiplicity of interventions and long-term therapy, creating design problems for randomized trials. Nonetheless, the extant literature will be reviewed, including pharmacologic and Psychotherapeutic interventions in adolescents and adults. One point that needs to be addressed at the outset is the proper venue for the Treatment of anorexia nervosa. Many patients, particularly those very low in weight, require in-patient and/or partial hospital Treatment as the initial intervention. Although third-party payers are increasingly reluctant to pay for such interventions, they remain the Treatments of choice for many anorectic patients. Another issue concerns acute Treatment, focusing on weight gain, versus relapse prevention, focusing on weight maintenance and further work on anorectic psychopathology. Different studies have focused on different areas.
-
pharmacologic and Psychotherapeutic Treatment of anorexia nervosa
Women's Health, 2005Co-Authors: James E Mitchell, Kristine J Steffen, Tricia Cook Myers, James L RoerigAbstract:This article will review the Treatment research literature on patients with anorexia nervosa. Perhaps somewhat surprisingly, the controlled Treatment literature on this disorder is fairly limited. This is attributable to several factors, including the fact that many patients with anorexia nervosa are difficult to engage in Treatment and unwilling to participate in randomized trials, and that many of these patients are so critically ill that they require a multiplicity of interventions and long-term therapy, creating design problems for randomized trials. Nonetheless, the extant literature will be reviewed, including pharmacologic and Psychotherapeutic interventions in adolescents and adults. One point that needs to be addressed at the outset is the proper venue for the Treatment of anorexia nervosa. Many patients, particularly those very low in weight, require in-patient and/or partial hospital Treatment as the initial intervention. Although third-party payers are increasingly reluctant to pay for such in...
