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1.
Epidemiol Psychiatr Sci ; 29: e129, 2020 May 22.
Artículo en Inglés | MEDLINE | ID: mdl-32438939

RESUMEN

AIMS: Studies on the frequency of caregiver involvement in representative inpatient samples are scarce. The aim of our study was to conduct a representative survey on caregiver involvement in routine inpatient care involving all three parties (patients, caregivers, psychiatrists). Therefore, we performed face-to-face interviews consisting of open-ended questions to gain a deeper understanding of when and how caregivers are involved in care treatment and to identify which topics are mainly discussed. METHODS: This cross-sectional survey included inpatients from 55 acute psychiatric wards across ten psychiatric hospitals, their treating psychiatrists and, when possible, their caregivers. In total, we performed semi-structured face-to-face interviews with 247 patients, their treating psychiatrists and 94 informal caregivers. Each psychiatrist named the next two to three patients to be discharged. After a patient had given informed consent, the interview was performed by a researcher. In addition, the psychiatrist and, when possible, the primary caregiver identified by the patient, were also interviewed. RESULTS: It was perceived by both patients and psychiatrists that contact between caregiver and psychiatrist had taken place in one-third of the patient cases. Predictors for psychiatrist-caregiver-contact were revealed in the patient's diagnosis (schizophrenia), a lower history of inpatient stays, and the respective hospital. According to psychiatrists the most frequent subjects of discussion with caregivers involved therapeutic issues and organisational and social-psychiatric topics (e.g. work, living and social support). Patients and caregivers stated that psychiatric treatment and the diagnostic classification of the mental illness were the most frequent topics of conversation. For all three groups, the most often cited reason for missed caregiver involvement was the subjective perception that a caregiver was not in fact needed. CONCLUSIONS: Whether or not caregivers were contacted and involved during an inpatient stay strongly depended on the individual hospital. The frequency of involvement of caregivers can certainly be increased by changing processes and structures in hospitals. All three parties (patients, caregivers and psychiatrists) most often stated that the caregiver was not involved in the treatment because they thought it was unnecessary. Evidence demonstrates the positive effect of caregivers' involvement on the therapeutic process but also on the well-being of the caregiver, therefore it is necessary to increase awareness of this evidence among all three interest groups.


Asunto(s)
Cuidadores/psicología , Toma de Decisiones , Pacientes Internos/estadística & datos numéricos , Relaciones Profesional-Familia , Psiquiatría , Esquizofrenia/terapia , Adulto , Estudios Transversales , Femenino , Hospitalización , Hospitales Psiquiátricos , Humanos , Persona de Mediana Edad , Apoyo Social , Encuestas y Cuestionarios
6.
Psychiatr Prax ; 47(4): 214-217, 2020 May.
Artículo en Alemán | MEDLINE | ID: mdl-32340050

RESUMEN

AIM: To date, to our knowledge there are no studies regarding attitudes and experiences of outpatient medical personnel during a pandemic. This study's aim was to evaluate the impact of the COVID-19 pandemic in March 2020 on German psychiatrists and neurologists. METHODS: An e-mail and fax-based short survey of 2,072 practice-based psychiatrists and neurologists was performed including Likert-type questions on personal burden and concerns, anticipated risk of infection, practice management as well as anxiety and sleep problems. RESULTS: 396 physicians returned the questionnaire (19 %). More than 60 % of the participants felt restricted strongly or very strongly, more than 30 % were strongly and very strongly concerned. They anticipated a high own risk of infection. However, 91 % did not report any contact with patients positively screened for COVID-19, which they were aware of. One third felt financially threatened and loss of business volume was anticipated. 18 % reported, that the pandemic triggers substantial anxiety. Sleep problems, which occur at least almost every night, were rarely reported (9 %). CONCLUSION: Practice-based psychiatrists and neurologists are negatively affected by the COVID-19 pandemic.


Asunto(s)
Infecciones por Coronavirus/psicología , Neurólogos/psicología , Neumonía Viral/psicología , Gestión de la Práctica Profesional , Psiquiatría , Betacoronavirus , Alemania , Humanos , Renta , Control de Infecciones , Transmisión de Enfermedad Infecciosa de Paciente a Profesional , Pandemias , Encuestas y Cuestionarios
9.
Epidemiol Psychiatr Sci ; 29: e116, 2020 Mar 31.
Artículo en Inglés | MEDLINE | ID: mdl-32228737

RESUMEN

During the current COVID-19 disease emergency, it is not only an ethical imperative but also a public health responsibility to keep the network of community psychiatry services operational, particularly for the most vulnerable subjects (those with mental illness, disability, and chronic conditions). At the same time, it is necessary to reduce the spread of the COVID-19 disease within the outpatient and inpatient services affiliated with Mental Health Departments. These instructions, first published online on 16 March 2020 in their original Italian version, provide a detailed description of actions, proposed by the Italian Society of Epidemiological Psychiatry, addressed to Italian Mental Health Departments during the current COVID-19 pandemic. The overall goal of the operational instructions is to guarantee, during the current health emergency, the provision of the best health care possible, taking into account both public health necessities and the safety of procedures. These instructions could represent a useful resource to mental health providers, and stakeholders to face the current pandemic for which most of Mental Health Departments worldwide are not prepared to. These instructions could provide guidance and offer practical tools which can enable professionals and decision makers to foresee challenges, like those already experienced in Italy, which in part can be avoided or minimised if timely planned. These strategies can be shared and adopted, with the appropriate adjustments, by Mental Health Departments in other countries.


Asunto(s)
Servicios Comunitarios de Salud Mental/organización & administración , Infecciones por Coronavirus , Servicio de Urgencia en Hospital/organización & administración , Pandemias , Neumonía Viral , Guías de Práctica Clínica como Asunto , Psiquiatría , Atención Ambulatoria , Betacoronavirus , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/prevención & control , Investigación sobre Servicios de Salud , Humanos , Italia/epidemiología , Trastornos Mentales/terapia , Neumonía Viral/epidemiología , Neumonía Viral/prevención & control , Salud Pública , Calidad de la Atención de Salud , Sociedades Médicas
12.
Rev Med Suisse ; 16(N° 691-2): 855-858, 2020 Apr 29.
Artículo en Francés | MEDLINE | ID: mdl-32348053

RESUMEN

Coronavirus pandemic challenges mental health care providers in different ways. At an individual level, they have to adapt their clinical practice and consider specific issues of teleconsultations to address patient's needs. At a population level, dedicated interventions (e.g. hotlines, health professionals' support) have to strike a balance between «â€…pathologizing ¼ people's reactions and trivializing the psychological effects of a pandemic. Finally, psychiatric leaders must be able to advise decision-makers on mental-health policy and communication.


Asunto(s)
Infecciones por Coronavirus/epidemiología , Salud Mental , Pandemias , Neumonía Viral/epidemiología , Psiquiatría/métodos , Salud Pública , Telemedicina/tendencias , Agotamiento Psicológico/prevención & control , Agotamiento Psicológico/psicología , Infecciones por Coronavirus/psicología , Personal de Salud/psicología , Política de Salud , Líneas Directas , Humanos , Neumonía Viral/psicología , Psiquiatría/tendencias
14.
Wiad Lek ; 73(2): 390-395, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32248181

RESUMEN

The article deals with the problems of the dynamics of civil law relations in psychiatry. Special attention is paid to the order and peculiarities of emerging, developing and terminating civil law relations in psychiatry. The author conducted a research of normative-legal acts and scientific doctrine on legal regulation issues in psychiatry. The article considers the grounds for providing psychiatric medical services, the order of compulsory and voluntary treatment of psychiatric illnesses, describes the situation when a patientcan refuse from psychiatric assistance. The author suggests division of patients, requiring psychiatric assistance, into 4 groups., consideres the order of registrating the patient's refusal from psychiatric help.


Asunto(s)
Trastornos Mentales , Psiquiatría , Humanos
15.
Int J Biol Sci ; 16(10): 1741-1744, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32226293

RESUMEN

Recently, more than 300 Chinese patients with psychiatric disorders were diagnosed with the 2019 novel coronavirus disease (COVID-19). Possible reasons quoted in the report were the lack of caution regarding the COVID-19 outbreak in January and insufficient supplies of protective gear. We outlined major challenges for patients with psychiatric disorders and mental health professionals during the COVID-19 outbreak, and also discussed how to manage these challenges through further mental health service reform in China.


Asunto(s)
Betacoronavirus , Infecciones por Coronavirus/psicología , Trastornos Mentales/complicaciones , Servicios de Salud Mental/organización & administración , Servicios de Salud Mental/provisión & distribución , Neumonía Viral/psicología , China/epidemiología , Infecciones por Coronavirus/complicaciones , Brotes de Enfermedades , Reforma de la Atención de Salud , Hospitales Psiquiátricos , Humanos , Pandemias , Neumonía Viral/complicaciones , Psiquiatría , Cuarentena/psicología
16.
Med Hist ; 64(2): 173-194, 2020 04.
Artículo en Inglés | MEDLINE | ID: mdl-32284633

RESUMEN

This article examines female sterilisation practices in early twentieth-century Rio de Janeiro, Brazil. It argues that the medical profession, particularly obstetricians and psychiatrists, used debates over the issue to solidify its moral and political standing during two political moments of Brazilian history: when the Brazilian government separated church and state in the 1890s and when Getúlio Vargas's authoritarian regime of the late 1930s renewed alliances with the Catholic church. Shifting notions of gender, race, and heredity further shaped these debates. In the late nineteenth century, a unified medical profession believed that female sterilisation caused psychiatric degeneration in women. By the 1930s, however, the arrival of eugenics caused a divergence amongst physicians. Psychiatrists began supporting eugenic sterilisation to prevent degeneration - both psychiatric and racial. Obstetricians, while arguing that sterilisation no longer caused mental disturbances in women, rejected it as a eugenic practice in regard to race. For obstetricians, the separation of sex from motherhood was more dangerous than any racial 'impurities', both phenotypical and psychiatric. At the same time, a revitalised Brazilian Catholic church rejected eugenics and sterilisation point blank, and its renewed ties with the Vargas regime blocked the medical implementation of any eugenic sterilisation laws. Brazilian women, nonetheless, continued to access the procedure, regardless of the surrounding legal and medical proscriptions.


Asunto(s)
Catolicismo/historia , Eugenesia/historia , Obstetricia/historia , Médicos/historia , Religión y Medicina , Esterilización Reproductiva/historia , Brasil , Eugenesia/legislación & jurisprudencia , Femenino , Identidad de Género , Historia del Siglo XIX , Historia del Siglo XX , Humanos , Trastornos Mentales/etiología , Trastornos Mentales/historia , Rol del Médico/historia , Médicos/ética , Sistemas Políticos/historia , Psiquiatría/historia , Caracteres Sexuales , Esterilización Reproductiva/ética , Esterilización Reproductiva/legislación & jurisprudencia , Esterilización Reproductiva/psicología
19.
Psychiatr Danub ; 32(1): 25-31, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32303026

RESUMEN

Deep emotional traumas in societies overwhelmed by large-scale human disasters, like, global pandemic diseases, natural disasters, man-made tragedies, war conflicts, social crises, etc., can cause massive stress-related disorders. Motivated by the ongoing global coronavirus pandemic, the article provides an overview of scientific evidence regarding adverse impact of diverse human disasters on mental health in afflicted groups and societies. Following this broader context, psychosocial impact of COVID-19 as a specific global human disaster is presented, with an emphasis on disturbing mental health aspects of the ongoing pandemic. Limited resources of mental health services in a number of countries around the world are illustrated, which will be further stretched by the forthcoming increase in demand for mental health services due to the global COVID-19 pandemic. Mental health challenges are particularly important for the Republic of Croatia in the current situation, due to disturbing stress of the 2020 Zagreb earthquake and the high pre-pandemic prevalence of chronic Homeland-War-related posttraumatic stress disorders. Comprehensive approach based on digital psychiatry is proposed to address the lack of access to psychiatric services, which includes artificial intelligence, telepsychiatry and an array of new technologies, like internet-based computer-aided mental health tools and services. These tools and means should be utilized as an important part of the whole package of measures to mitigate negative mental health effects of the global coronavirus pandemic. Our scientific and engineering experiences in the design and development of digital tools and means in mitigation of stress-related disorders and assessment of stress resilience are presented. Croatian initiative on enhancement of interdisciplinary research of psychiatrists, psychologists and computer scientists on the national and EU level is important in addressing pressing mental health concerns related to the ongoing pandemic and similar human disasters.


Asunto(s)
Infecciones por Coronavirus/psicología , Desastres , Servicios de Salud Mental , Salud Mental , Neumonía Viral/psicología , Psiquiatría , Telemedicina , Inteligencia Artificial , Betacoronavirus , Croacia , Humanos , Internet , Pandemias , Psiquiatría/tendencias , Telemedicina/tendencias , Interfaz Usuario-Computador
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