The size and burden of mental disorders and other disorders of the brain in Europe 2010

Wittchen, Hans‐Ulrich; Jacobi, Frank; Rehm, Jürgen; Gustavsson, Anders; Svensson, Mikael; Jönsson, Bengt; Olesen, Jes; Allgulander, Christer; Alonso, Jordi; Faravelli, Carlo; Fratiglioni, Laura; Jennum, Poul; Lieb, R.; Maercker, Andreas; Os, Jim van; Preisig, Martin; Salvador‐Carulla, Luis; Simon, Roland; Steinhausen, Hans-Christoph

doi:10.1016/j.euroneuro.2011.07.018

Cited by 3,173 publications

(2,216 citation statements)

References 141 publications

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“…The disease most commonly manifests itself through auditory hallucinations, paranoid or bizarre delusions, and disorganised speech and thinking; it is also generally accompanied by significant social and/or occupational dysfunction [2]. Schizophrenia is estimated to affect over 21 million people worldwide [3] and five million in the European Union (EU) [4], with an estimated 12-month prevalence of 1.2% amongst adults in the EU [4]. …”

Section: Introductionmentioning

confidence: 99%

Healthcare resource use in schizophrenia, EuroSC findings

Millier

Horváth

Kóczián

et al. 2017

Journal of Market Access & Health Policy

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Background: It is unclear if the burden associated with schizophrenia is affected by the type and severity of patient’s symptoms. Objective: This study aims to quantify healthcare resource use associated with different profiles of schizophrenia symptoms. Study design: Post-hoc analysis of data from a naturalistic follow-up study. Setting: Secondary psychiatric services in France, Germany and the UK. Patients: EuroSC cohort:, representative sample of 1,208 schizophrenia patients Main outcome measure: We classified patients into eight health states, according to the Lenert classification (HS1–HS8), and estimated 6-month healthcare resource use (outpatient and day clinic visits, and hospitalisations) across the health states. Results: Approximately half of the patients were classed as having mild symptoms (HS1), with around 20% experiencing moderate, predominantly negative symptoms (HS2). The remaining health states were represented by <10% of patients each. Very few patients experienced extremely severe symptoms (HS8). No health state was associated with excess utilisation across all resource types. In terms of outpatient visits, patients were estimated to see a psychiatrist most often (3.01–4.15 visits over 6 months). Hospital admission was needed in 11%(HS1) – 35%(HS8) of patients and inpatient stays were generally prolonged for all health states (39–57 days). The average number of inpatient days was highest for patients in HS8 (18.17 days), followed by patients with severe negative symptoms (HS4; 13.37 days). In other health states characterised by severe symptoms (HS5–HS7), the average number of inpatient days was approximately half of those seen for HS4 (6.09–7.66). Conclusion: While none of the symptom profiles was associated with excess resource usage, hospitalization days were highest for HS with severe, predominantly negative or extremely severe symptoms. Patients with predominantly negative, moderate or severe symptoms appeared to have a high number of psychologist visits – an interesting finding that may reflect a specific therapeutic approach to the treatment of these patients.

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Section: Introductionmentioning

confidence: 99%

Healthcare resource use in schizophrenia, EuroSC findings

Millier

Horváth

Kóczián

et al. 2017

Journal of Market Access & Health Policy

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“…Mental health disorders make up a significant proportion of Europe’s overall burden of disease (Wittchen et al, 2011) and result in significant annual economic costs to the continent (Olesen, Gustavsson, Svensson, Wittchen, & Jonsson, 2012). The CONTEXT consortium, with its emphasis on an international, interdisciplinary, and intersectoral approach, will contribute towards addressing the complexities of trauma, to better serve the changing and growing mental health needs of the European population (Forsman et al, 2015).…”

Section: Implications For Science Policy and Practicementioning

confidence: 99%

Training the next generation of psychotraumatologists: COllaborative Network for Training and EXcellence in psychoTraumatology (CONTEXT)

Vallières

Murphy

Hansen

et al. 2017

European Journal of Psychotraumatology

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In this paper we present a description of the Horizon2020, Marie Skłodowska-Curie Action funded, research and training programme CONTEXT: COllaborative Network for Training and EXcellence in psychoTraumatology. The three objectives of the programme are put forward, each of which refers to a key component of the CONTEXT programme. First, we summarize the 12 individual research projects that will take place across three priority populations: (i) refugees and asylum seekers, (ii) first responders, and (iii) perpetrators and survivors of childhood and gender-based violence. Second, we detail the mentoring and training programme central to CONTEXT. Finally, we describe how the research, together with the training, will contribute towards better policy, guidelines, and practice within the field of psychotraumatology.

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“…When untreated, post-traumatic stress disorder (PTSD) has a chronic course (Morina, Wicherts, Lobbrecht, & Priebe, 2014), is associated with significant mental and physical distress (Nemeroff et al, 2006) as well as high economic burden (Sabes-Figuera et al, 2012; Wittchen et al, 2011). First-responders (e.g.…”

Section: Introductionmentioning

confidence: 99%

Virtual agent-mediated appraisal training: a single case series among Dutch firefighters

Beer

Neerincx

Morina

et al. 2017

European Journal of Psychotraumatology

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Background: First responders are a prime example of professionals that are at a high risk of being exposed to traumatic experiences. Reappraisal as a coping strategy might help first responders to better cope with their emotional responses to traumatic events. Objective: This study investigated the effects of repeated sessions of a digital reappraisal training among seven firefighters. The training consisted of four sessions supported by a virtual agent, conducted at home or at work, over a two-week period in a single case series. Method: Sixteen data points were collected from each participant in the eight days pre- and post-training. Results: Significantly more themes were used at post-training than at pre-training, implying more flexibility and confirming the main hypothesis of the study. Negative side effects were not reported during or in the week after the training. Conclusions: More controlled studies into the short- and long-term effects of a training of this nature are needed. Furthermore, it provides a reference for developers in this field.

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The size and burden of mental disorders and other disorders of the brain in Europe 2010

Cited by 3,173 publications

References 141 publications

Healthcare resource use in schizophrenia, EuroSC findings

Healthcare resource use in schizophrenia, EuroSC findings

Training the next generation of psychotraumatologists: COllaborative Network for Training and EXcellence in psychoTraumatology (CONTEXT)

Virtual agent-mediated appraisal training: a single case series among Dutch firefighters

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