Assuntos
Psiquiatria Legal/métodos , Escalas de Graduação Psiquiátrica , Psicometria , Transtornos Psicóticos/diagnóstico , Violência/psicologia , Adulto , Análise de Variância , California , Internação Compulsória de Doente Mental , Diagnóstico Duplo (Psiquiatria) , Análise Discriminante , Humanos , Defesa por Insanidade , Masculino , Pessoa de Meia-Idade , Modelos Psicológicos , Valor Preditivo dos Testes , Transtornos Psicóticos/psicologia , Fatores de Risco , Escalas de WechslerRESUMO
To test further the highly successful outcomes of a controlled study of in-home behavioural family management (BFM) for schizophrenic patients, a clinic-based version of this intervention was compared with customary care alone for 41 schizophrenic patients in a Veterans Administration (VA) mental health clinic. Monthly Brief Psychiatric Rating Scale (BPRS) ratings, conducted by clinic psychiatrists who were 'blind' to the patients' assignment, revealed that 3 (14%) patients who received behavioural family management as well as customary care, as compared with 11 (55%) patients who received customary care alone, had symptomatic exacerbations during the first year of treatment.
Assuntos
Terapia Comportamental/métodos , Terapia Familiar/métodos , Esquizofrenia/reabilitação , Psicologia do Esquizofrênico , Adolescente , Adulto , Terapia Combinada , Emoções , Feminino , Humanos , Tempo de Internação , Masculino , Pessoa de Meia-Idade , Determinação da Personalidade , Escalas de Graduação Psiquiátrica , RecidivaRESUMO
Osteoporosis and its sequelae have been associated with genetic predisposition, aging, nutritional factors, inactivity, substance abuse, and anorexia nervosa. We report three cases of pathologic osteoporotic hip fractures in elderly females with major depression. Biological consequences of depression and mobilization during hospital treatment are discussed as possible mediators of osteoporotic morbidity.
Assuntos
Transtorno Depressivo/psicologia , Fraturas Espontâneas/psicologia , Fraturas do Quadril/psicologia , Osteoporose Pós-Menopausa/psicologia , Idoso , Transtorno Depressivo/complicações , Feminino , Humanos , Unidade Hospitalar de Psiquiatria , Fatores de RiscoRESUMO
Quality assurance programs have infiltrated all aspects of patient care. No longer is the clinician immune from outside forces influencing the conduct of treatment. External utilization review may independently determine the length of inpatient stay that will be reimbursed. This month's column discusses how internal review may direct which medications are available for use by the prescribing physician in the hospital. To what extent such review is intended primarily to benefit patients or to control costs is subject to debate. Regardless of motive, the result is considerable ethical controversy.
Assuntos
Uso de Medicamentos , Ética Institucional , Ética , Formulários de Hospitais como Assunto/normas , Transtornos Mentais/tratamento farmacológico , Garantia da Qualidade dos Cuidados de Saúde , Controle Social Formal , Humanos , Pessoas Mentalmente Doentes , Organizações de Normalização Profissional , Encaminhamento e Consulta , Estados UnidosRESUMO
The effect on intake of reversing the flavors and locations that had been associated with sham feeding and real feeding was measured in two experiments. Rats were equipped with chronic gastric cannulas to permit sham feeding. Flavors and locations were associated with a real meal of milk or with sham feeding the same volume of flavored milk or with sham feeding about six times as much milk. In both experiments, the flavors and locations with sham feeding produced a conditioned increase in meal size during real feeding. This conditioned increase in meal size appeared to be primarily due to a conditioned decrease in the satiating potency of the milk because it was dissociated from a conditioned increase in preference measured in a four-minute choice test.
