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An epidemiological study of electroconvulsive therapy: rate and diagnosis.

https://arctichealth.org/en/permalink/ahliterature236225
Source
Can J Psychiatry. 1986 Dec;31(9):824-30
Publication Type
Article
Date
Dec-1986
Author
A. Malla
Source
Can J Psychiatry. 1986 Dec;31(9):824-30
Date
Dec-1986
Language
English
Publication Type
Article
Keywords
Acute Disease
Bipolar Disorder - therapy
Depressive Disorder - therapy
Electroconvulsive Therapy
Hospitals, General
Hospitals, Psychiatric
Hospitals, Teaching
Humans
Mental Disorders - therapy
Newfoundland and Labrador
Psychiatric Department, Hospital
Schizophrenia - therapy
Abstract
Five thousand, seven hundred and twenty-nine consecutive admissions to the three general hospitals and the mental hospital in St. John's, Newfoundland, Canada, were examined retrospectively for the use of electroconvulsive therapy (ECT). The proportion of patients admitted who received ECT (rate), and the number of treatments per admission were recorded. Rate of ECT, expressed as percentage of patients admitted, was assessed for all hospitals separately and compared on legal status and diagnosis. One thousand, two hundred and thirty-six (21.5%) patients admitted, received ECT with little variation over a three year period. The rate was higher for the general hospitals and for voluntary patients. ECT was used in a very high proportion of patients with diagnoses of depression (50%), mania (20%), schizophrenia (36%), and neurotic disorders (20%). These findings are discussed in the context of the overall trend of a low utilization of ECT elsewhere, and the previous research evidence of limited indications for ECT.
PubMed ID
3802001 View in PubMed
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Care managers can be useful for patients with depression but their role must be clear: a qualitative study of GPs' experiences.

https://arctichealth.org/en/permalink/ahliterature310319
Source
Scand J Prim Health Care. 2019 Sep; 37(3):273-282
Publication Type
Journal Article
Date
Sep-2019
Author
Sandra Af Winklerfelt Hammarberg
Dominique Hange
Malin André
Camilla Udo
Irene Svenningsson
Cecilia Björkelund
Eva-Lisa Petersson
Jeanette Westman
Author Affiliation
Division of Family Medicine and Primary Care, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet , Stockholm , Sweden.
Source
Scand J Prim Health Care. 2019 Sep; 37(3):273-282
Date
Sep-2019
Language
English
Publication Type
Journal Article
Keywords
Adult
Aged
Attitude of Health Personnel
Case Management
Case Managers
Chronic Disease
Cooperative Behavior
Depression - therapy
Depressive Disorder - therapy
Female
General practitioners
Humans
Male
Middle Aged
Patient care team
Primary Health Care
Professional Role
Psychotherapy
Qualitative Research
Quality of Health Care
Sweden
Abstract
Objective: Explore general practitioners' (GPs') views on and experiences of working with care managers for patients treated for depression in primary care settings. Care managers are specially trained health care professionals, often specialist nurses, who coordinate care for patients with chronic diseases. Design: Qualitative content analysis of five focus-group discussions. Setting: Primary health care centers in the Region of Västra Götaland and Dalarna County, Sweden. Subjects: 29 GPs. Main outcome measures: GPs' views and experiences of care managers for patients with depression. Results: GPs expressed a broad variety of views and experiences. Care managers could ensure care quality while freeing GPs from case management by providing support for patients and security and relief for GPs and by coordinating patient care. GPs could also express concern about role overlap; specifically, that GPs are already care managers, that too many caregivers disrupt patient contact, and that the roles of care managers and psychotherapists seem to compete. GPs thought care managers should be assigned to patients who need them the most (e.g. patients with life difficulties or severe mental health problems). They also found that transition to a chronic care model required change, including alterations in the way GPs worked and changes that made depression treatment more like treatment for other chronic diseases. Conclusion: GPs have varied experiences of care managers. As a complementary part of the primary health care team, care managers can be useful for patients with depression, but team members' roles must be clear. KEY POINTS A growing number of primary health care centers are introducing care managers for patients with depression, but knowledge about GPs' experiences of this kind of collaborative care is limited. GPs find that care managers provide support for patients and security and relief for GPs. GPs are concerned about potential role overlap and desire greater latitude in deciding which patients can be assigned a care manager. GPs think depression can be treated using a chronic care model that includes care managers but that adjusting to the new way of working will take time.
PubMed ID
31286807 View in PubMed
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Care of Depression in Older Patients. Proceedings of a symposium. Copenhagen, Denmark, 7-8 November 1998.

https://arctichealth.org/en/permalink/ahliterature46292
Source
Int Clin Psychopharmacol. 1998 Sep;13 Suppl 5:S1-59
Publication Type
Conference/Meeting Material
Article
Date
Sep-1998
Source
Int Clin Psychopharmacol. 1998 Sep;13 Suppl 5:S1-59
Date
Sep-1998
Language
English
Publication Type
Conference/Meeting Material
Article
Keywords
Aged
Depression - therapy
Depressive Disorder - therapy
Humans
PubMed ID
9925452 View in PubMed
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Catecholamine changes in patients with depression under the action of high-intensity light]

https://arctichealth.org/en/permalink/ahliterature11263
Source
Lik Sprava. 1996 Mar-Apr;(3-4):84-6
Publication Type
Article
Author
V I Tsarytsyns'kyi
O I Striliana
H Kh Bozhko
A D Tarans'ka
Source
Lik Sprava. 1996 Mar-Apr;(3-4):84-6
Language
Ukrainian
Publication Type
Article
Keywords
Adult
Bipolar Disorder - therapy - urine
Chronic Disease
Comparative Study
Depressive Disorder - therapy - urine
English Abstract
Epinephrine - radiation effects - urine
Female
Humans
Norepinephrine - radiation effects - urine
Phototherapy
Schizophrenia - therapy - urine
Abstract
Preponderance in depression of the melancholy affect was characterized by a drop in the level of norepinephrine (NE) and rise in epinephrine (E). Exposure to light was associated with fall in E, with no change recordable in NE. In anxious depression, following light therapy, high levels of excretion of both catecholamines tended to return to normal. Ligh was found to cause opposite changes in the quantitative measures depending upon the initial value for the E:NE ratio (above or below control).
PubMed ID
9035891 View in PubMed
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Changes in alcohol consumption after treatment for depression: a secondary analysis of the Swedish randomised controlled study REGASSA.

https://arctichealth.org/en/permalink/ahliterature308227
Source
BMJ Open. 2019 11 10; 9(11):e028236
Publication Type
Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
Date
11-10-2019
Author
Catharina Strid
Mats Hallgren
Yvonne Forsell
Martin Kraepelien
Agneta Öjehagen
Author Affiliation
Department of Psychology, Lund University, Lund, Sweden catharina.strid@psy.lu.se.
Source
BMJ Open. 2019 11 10; 9(11):e028236
Date
11-10-2019
Language
English
Publication Type
Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
Keywords
Adult
Alcohol Drinking
Alcoholism - complications - psychology
Cognitive Behavioral Therapy
Depressive Disorder - therapy
Exercise
Female
Humans
Internet-Based Intervention
Linear Models
Male
Middle Aged
Psychiatric Status Rating Scales
Sweden
Treatment Outcome
Abstract
Mental health problems and hazardous alcohol consumption often co-exist. Hazardous drinking could have a negative impact on different aspects of health and also negatively influence the effect of mental health treatment. The aims of this study were to examine if alcohol consumption patterns changed after treatment for depression and if the changes differed by treatment arm and patient sex.
This study of 540 participants was conducted in a large randomised controlled trial (RCT) that aimed to compare the effect of internet-based cognitive behavioural therapy, physical exercise and treatment as usual on 945 participants with mild-to-moderate depression. Treatment lasted for 12 weeks; alcohol consumption (Alcohol Use Disorder Identification Test (AUDIT)) and depression (Montgomery Åsberg Depression Rating Scale (MADRS)) were assessed at baseline and 12-month follow-up. Changes in alcohol consumption were examined in relation to depression severity, treatment arm and patient sex.
The AUDIT distribution for the entire group remained unchanged after treatment for depression. Hazardous drinkers exhibit decreases in AUDIT scores, although they remained hazardous drinkers according to the cut-off scores. Hazardous drinkers experienced similar improvements in symptoms of depression compared with non-hazardous drinkers, and there was no significant relation between changes in AUDIT score and changes in depression. No differences between treatment arm and patient sex were found.
The alcohol consumption did not change, despite treatment effects on depression. Patients with depression should be screened for hazardous drinking habits and offered evidence-based treatment for hazardous alcohol use where this is indicated.
DRKS00008745.
PubMed ID
31712330 View in PubMed
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The Clarke Institute experience with electroconvulsive therapy: II. Treatment evaluation and standards of practice.

https://arctichealth.org/en/permalink/ahliterature239810
Source
Can J Psychiatry. 1984 Dec;29(8):652-7
Publication Type
Article
Date
Dec-1984
Author
B A Martin
P M Kramer
D. Day
A M Peter
H B Kedward
Source
Can J Psychiatry. 1984 Dec;29(8):652-7
Date
Dec-1984
Language
English
Publication Type
Article
Keywords
Affective Disorders, Psychotic - therapy
Depressive Disorder - therapy
Electroconvulsive Therapy - standards
Follow-Up Studies
Hospitals, Psychiatric - standards
Humans
Mental Disorders - therapy
Ontario
Schizophrenia - therapy
Abstract
Contemporary standards of practice of electroconvulsive therapy with respect to the treatment procedure, clinical indications, and dosage (number of treatments per course) are summarized. The actual clinical practice at one psychiatric hospital over a 16-year period, comprising 22,647 treatments, was compared to those standards. The most significant findings in this series were the over-representation of patients with a diagnosis of schizophrenia and the absence of any clinically significant difference in the treatment dosage for schizophrenia and affective disorders. The significance of these findings is discussed with respect to their identification of patient subgroups that warrant case auditing. In addition, the results are used as a basis for a critical examination of the rationale for the presently recommended maximum treatment dosages.
PubMed ID
6518437 View in PubMed
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Clinical effectiveness of care managers in collaborative care for patients with depression in Swedish primary health care: a pragmatic cluster randomized controlled trial.

https://arctichealth.org/en/permalink/ahliterature300218
Source
BMC Fam Pract. 2018 02 09; 19(1):28
Publication Type
Journal Article
Multicenter Study
Pragmatic Clinical Trial
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
Date
02-09-2018
Author
Cecilia Björkelund
Irene Svenningsson
Dominique Hange
Camilla Udo
Eva-Lisa Petersson
Nashmil Ariai
Shabnam Nejati
Catrin Wessman
Carl Wikberg
Malin André
Lars Wallin
Jeanette Westman
Author Affiliation
Department of Primary Health Care, Institute of Medicine, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden. Cecilia.bjorkelund@allmed.gu.se.
Source
BMC Fam Pract. 2018 02 09; 19(1):28
Date
02-09-2018
Language
English
Publication Type
Journal Article
Multicenter Study
Pragmatic Clinical Trial
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
Keywords
Adult
Antidepressive Agents - therapeutic use
Case Management
Depression - therapy
Depressive Disorder - therapy
Female
Humans
Male
Middle Aged
Patient Care Management - organization & administration
Patient Reported Outcome Measures
Patient satisfaction
Primary Health Care
Remission Induction
Surveys and Questionnaires
Sweden
Abstract
Depression is one of the leading causes of disability and affects 10-15% of the population. The majority of people with depressive symptoms seek care and are treated in primary care. Evidence internationally for high quality care supports collaborative care with a care manager. Our aim was to study clinical effectiveness of a care manager intervention in management of primary care patients with depression in Sweden.
In a pragmatic cluster randomized controlled trial 23 primary care centers (PCCs), urban and rural, included patients aged =?18 years with a new (
PubMed ID
29426288 View in PubMed
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Computer EEG-monitoring of laserotherapy effects in patients with asteno-depressive syndrome.

https://arctichealth.org/en/permalink/ahliterature46206
Source
Stud Health Technol Inform. 1999;68:380-4
Publication Type
Article
Date
1999
Author
V P Omelchenko
I S Baranchook
M N Dmitriev
Author Affiliation
Rostov State Medical University, Russia.
Source
Stud Health Technol Inform. 1999;68:380-4
Date
1999
Language
English
Publication Type
Article
Keywords
Accidents, Radiation
Adolescent
Adult
Depressive Disorder - therapy
Electroencephalography
Female
Humans
Lasers - therapeutic use
Male
Middle Aged
Monitoring, Physiologic
Signal Processing, Computer-Assisted
Stress Disorders, Post-Traumatic - therapy
Ukraine
Abstract
Nowadays the low-intensive laserotherapy is shown to be an effective and non-hazardous method of asteno-depressive syndrome treatment. The differences of EEG-reactions to laser influences have been revealed in patients of different age groups. And the close negative correlation between the therapy effect, on the one hand, and the patient's age and the disease duration, on the other hand, has been shown. No significant changes of the patient's state or integrative EEG-indices have been evoked by a placebo application. The results showed the advantages of the low-intensive laserotherapy in asteno-depressive syndrome treatment and confirmed the significance of computer EEG-monitoring for prediction, control and correction of the state of the patient.
PubMed ID
10724911 View in PubMed
Less detail

Depression-focused interpersonal counseling and the use of healthcare services after myocardial infarction.

https://arctichealth.org/en/permalink/ahliterature128589
Source
Perspect Psychiatr Care. 2012 Jan;48(1):47-55
Publication Type
Article
Date
Jan-2012
Author
Olli Oranta
Sinikka Luutonen
Raimo K R Salokangas
Tero Vahlberg
Helena Leino-Kilpi
Author Affiliation
Department of Nursing Science and Psychiatric Clinic, University of Turku, Turku University Hospital, Turku, Finland. olpeor@saunalahti.fi
Source
Perspect Psychiatr Care. 2012 Jan;48(1):47-55
Date
Jan-2012
Language
English
Publication Type
Article
Keywords
Aged
Counseling - methods
Depression - therapy
Depressive Disorder - therapy
Female
Finland
Follow-Up Studies
Health Services - utilization
Humans
Male
Middle Aged
Myocardial Infarction - psychology
Abstract
The purpose for this study was to evaluate the association between depression-focused interpersonal counseling (IPC) and the use of healthcare services in Finland after myocardial infarction (MI).
The measures were done at 6 and 18 months after MI in the randomized intervention (n= 51) and the control group (n= 52).
There was less use of somatic specialized healthcare services in the intervention group from 6 to 18 months after hospital discharge, and with intervention patients who had no other long-term disease during 6 months.
Confirmation of possible benefits of IPC for practice calls for more specific studies.
PubMed ID
22188047 View in PubMed
Less detail

Determinants of adherence to recommendations for depressed elderly patients in primary care: a multi-methods study.

https://arctichealth.org/en/permalink/ahliterature263164
Source
Scand J Prim Health Care. 2014 Dec;32(4):170-9
Publication Type
Article
Date
Dec-2014
Author
Eivind Aakhus
Andrew D Oxman
Signe A Flottorp
Source
Scand J Prim Health Care. 2014 Dec;32(4):170-9
Date
Dec-2014
Language
English
Publication Type
Article
Keywords
Aged
Data Collection
Delivery of Health Care - standards
Depressive Disorder - therapy
Evaluation Studies as Topic
Female
Guideline Adherence
Health Priorities
Humans
Information Dissemination
Interviews as Topic
Male
Norway
Practice Guidelines as Topic
Primary Health Care - standards
Time Factors
Abstract
It is logical that tailoring implementation strategies to address identified determinants of adherence to clinical practice guidelines should improve adherence. This study aimed to identify and prioritize determinants of adherence to six recommendations for elderly patients with depression.
Group and individual interviews and a survey were conducted in Norway.
Individual and group interviews with healthcare professionals and patients, and a mailed survey of healthcare professionals. A generic checklist of determinants of practice was used to categorize suggested determinants.
Physicians and nurses from primary and specialist care, psychologists, researchers, and patients.
Determinants of adherence to recommendations for depressed elderly patients in primary care.
A total of 352 determinants were identified, of which 99 were prioritized. The most frequently identified factors had to do with dissemination of guidelines, general practitioners' time constraints, the low prioritization of elderly patients with depression, and the patients' or relatives' wish for medication. Approximately three-quarters of the determinants were from three of the seven domains in the generic checklist: individual healthcare professional factors, patient factors, and incentives and resources. The survey did not provide useful information due to a low response rate and a lack of responses to open-ended questions.
The list of prioritized determinants can inform the design of interventions to implement recommendations for elderly patients with depression. The importance of the determinants that were identified may vary across communities, practices. and patients. Interventions that address important determinants are necessary to improve practice.
Notes
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PubMed ID
25431340 View in PubMed
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44 records – page 1 of 5.