Psychosoziale Interventionen bei schweren psychischen Störungen

Riedel‐Heller, Steffi G.; Gühne, Uta; Weinmann, Stefan; Arnold, Katrin; Ay, Esra; Becker, T

doi:10.1007/s00115-011-3471-8

Cited by 6 publications

(1 citation statement)

References 61 publications

(17 reference statements)

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“…Systematic reviews, meta-reviews and meta-analyses point out the effectiveness and user acceptance of iCBT programs for depression ( 59 – 63 ). E-mental health interventions such as iCBT programs may therefore function as a clinically effective and cost-effective add-on treatment component besides the existing somato-, psycho- and psychosocial-therapy treatments within stepped care of depression ( 64 , 65 ). In Germany, however, these new approaches have hardly been implemented into the German health care system due to legal barriers ( 66 ).…”

Section: Discussionmentioning

confidence: 99%

Preferences for Depression Treatment Including Internet-Based Interventions: Results From a Large Sample of Primary Care Patients

et al. 2018

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Background: To date, little is known about treatment preferences for depression concerning new media. This study aims to (1) investigate treatment preferences for depression including internet-based interventions and (2) examine subgroup differences concerning age, gender and severity of depression as well as patient-related factors associated with treatment preferences.Methods: Data were derived from the baseline assessment of the @ktiv-trial. Depression treatment preferences were assessed from n = 641 primary care patients with mild to moderate depression regarding the following treatments: medication, psychotherapy, combined treatment, alternative treatment, talking to friends and family, exercise, self-help literature, and internet-based interventions. Depression severity was specified by GPs according to ICD-10 criteria. Ordinal logistic regression models were conducted to identify associated factors of treatment preferences.Results: Patients had a mean age of 43.9 years (SD = 13.8) and more than two thirds (68.6%) were female. About 43% of patients had mild depression while 57% were diagnosed with moderate depression. The majority of patients reported strong preferences for psychotherapy, talking to friends and family, and exercise. About one in five patients was very likely to consider internet-based interventions in case of depression. Younger patients expressed significantly stronger treatment preferences for psychotherapy and internet-based interventions than older patients. The most salient factors associated with treatment preferences were the patients' education and perceived self-efficacy.Conclusions: Patients with depression report individually different treatment preferences.Our results underline the importance of shared decision-making within primary care. Future studies should investigate treatment preferences for different types of internet-based interventions.

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Section: Discussionmentioning

confidence: 99%

Preferences for Depression Treatment Including Internet-Based Interventions: Results From a Large Sample of Primary Care Patients

et al. 2018

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Gewalt und Gesundheit

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Ellendt

et al. 2015

Bundesgesundheitsbl.

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Experience of violence increases the risk for several health problems, especially the experience of multiple types of violence. The interviews showed that more than 60% of the victims had a clinical diagnosis--independent of sex. The risk for a clinical diagnosis increased with multiple violence experiences during childhood. Patients with a clinical diagnosis indicated more subjective consequences of violence, and consequences of violence were more pronounced in patients that experienced multiple types of violence. The good acceptance as well as the effects on symptomatology and other relevant therapeutic variables provides a first indication for a successful treatment of victims of violence in a clinical context.

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