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  • 1
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    German Medical Science GMS Publishing House; Düsseldorf
    In:  Mainz//2011; 56. Jahrestagung der Deutschen Gesellschaft für Medizinische Informatik, Biometrie und Epidemiologie (gmds), 6. Jahrestagung der Deutschen Gesellschaft für Epidemiologie (DGEpi); 20110926-20110929; Mainz; DOC11gmds356 /20110920/
    Publication Date: 2011-09-20
    Keywords: prevalence ; depression ; depressive symptoms ; latest life ; review ; meta-analysis ; ddc: 610
    Language: English
    Type: conferenceObject
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  • 2
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    German Medical Science GMS Publishing House; Düsseldorf
    In:  Mainz//2011; 56. Jahrestagung der Deutschen Gesellschaft für Medizinische Informatik, Biometrie und Epidemiologie (gmds), 6. Jahrestagung der Deutschen Gesellschaft für Epidemiologie (DGEpi); 20110926-20110929; Mainz; DOC11gmds359 /20110920/
    Publication Date: 2011-09-20
    Keywords: Reliable Change Indices (RCI) ; SIDAM ; cognitive change ; change norms ; dementia ; ddc: 610
    Language: English
    Type: conferenceObject
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  • 3
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    German Medical Science GMS Publishing House; Düsseldorf
    In:  Mainz//2011; 56. Jahrestagung der Deutschen Gesellschaft für Medizinische Informatik, Biometrie und Epidemiologie (gmds), 6. Jahrestagung der Deutschen Gesellschaft für Epidemiologie (DGEpi); 20110926-20110929; Mainz; DOC11gmds231 /20110920/
    Publication Date: 2011-09-20
    Keywords: incidence ; risk factor ; depression ; course ; depressive symptoms ; old age ; late life ; ddc: 610
    Language: English
    Type: conferenceObject
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  • 4
    ISSN: 1433-9285
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Background: Although socio-cultural factors have been recognised as an important predictor in shaping help-seeking behaviour, few attempts have been made in this regard to specify the nature and impact of socio-cultural factors such as attitudes and belief systems prevalent in society. Methods: We investigated the lay public's attitudes toward help-seeking regarding psychiatric disorders, and their determinants, in a cross-sectional national survey in Germany (n=1564), using structured interviews with vignettes depicting a person either suffering from depression or from schizophrenia. Two distinct methodological approaches (rating vs ranking) were applied. Results: Public opinion considers mental health professionals helpful in treating schizophrenia but not in the treatment of depression. For depression, public opinion clearly favours the lay support system and believes in involving the family physician if the former resource is exhausted. Determinants of help-seeking recommendations were problem definition, perception of the cause of distress and anticipated prognosis, as well as resentment against mental health professionals. Conclusion: Our results suggest that attitudes and belief systems prevalent in society have a major impact on help-seeking behaviour, both through transmission to the person suffering from mental distress via his/her social network and through the person's own attitudes formed in the process of socialization. Implications are pointed out for the daily work of mental health care providers, health care planning and public discussion of mental health issues.
    Type of Medium: Electronic Resource
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  • 5
    ISSN: 1433-8491
    Keywords: Key words Memory complaints ; Memory ; performance ; Epidemiology
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Background: In the context of suspected cognitive disorders, the validity of memory complaints is subject to considerable debate. This investigation documents the prevalence of memory complaints and assesses the validity of memory complaints for detecting cognitive impairment. Methods: The sample comprises 349 randomly selected non-institutionalized individuals, aged 75 and over living in the city of Leipzig. Twenty individuals who suffer from moderate and severe dementia according to DSM-III-R were excluded. Memory complaints were measured by means of a single item question. The Mini-Mental State Examination (MMSE) and a wider range of cognitive tests which constitute the short neuropsychological battery of the SIDAM (Structured Interview for the Diagnosis of dementia of Alzheimer type, Multi-infarct dementia and dementias of other etiology according to ICD-10 and DSM-III-R) were used to test cognitive performance. Results: One in three individuals aged 75 and over complained about memory deficits. The MMSE is not significantly related to memory complaints, whereas poorer performance on 2 out of 8 tests regarding specific areas of cognitive function (immediate recall, short-term memory) were found to be significantly associated with memory complaints. Despite these statistically significant associations, it is shown that memory complaints do not have diagnostic validity in detecting cognitive impairment on the individual level. Conclusion: Memory self-assessment should not be used as a substitute measure of cognitive performance. Initiation of further diagnostic and therapeutic steps should be based on cognitive performance testing. Relaying solely on memory complaints would miss individuals in need and allocate resources to worried but cognitively healthy persons.
    Type of Medium: Electronic Resource
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  • 6
    ISSN: 0044-281X
    Keywords: Schlüsselwörter Demenz ; Hausarzt ; Versorgungspraxis ; Key words Dementia ; primary care ; GP ; questionnaire
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Summary In line with the current demographic trends, the number of elderly suffering from dementia is increasing. GPs have a key position in dealing with these patients at the primary care level. Different aspects of care for patients suffering from dementia provided in general practice in Germany were assessed by means of a questionnaire (n=563). The results highlight the role of GPs in the delivery of medical and psychosocial care. However, diagnosing dementia seems challenging and co-operation could be improved. Three fourths of the GPs diagnose vascular dementia more often than Alzheimer’s disease, which is contrary to what is known from epidemiological findings. One third refers patients to a specialist on a regular basis for establishing the diagnosis. Only 4% of the German GPs entertain co-operative relationships with the „Alzheimer society” and the „Brain league”. Consequences for improving these for patients with dementia and their families are discussed.
    Notes: Zusammenfassung Parallel zur demographischen Entwicklung wächst die Zahl Demenzkranker in Deutschland. Bei deren Versorgung nehmen die Hausärzte eine Schlüsselstellung ein. Die vorgelegte Bestandsaufnahme zu verschiedenen Aspekten der Betreuung Demenzkranker gründet sich auf die Befragung von 563 praktischen Ärzten aus dem gesamten Bundesgebiet. Die Ergebnisse der Befragung unterstreichen zum einen die Rolle der Hausärzte bei der medizinischen und psychosozialen Versorgung von Demenzkranken. Andererseits werden Problembereiche in der Diagnostik und Kooperation deutlich. Drei Viertel aller Hausärzte diagnostizieren vaskuläre Demenzen häufiger als senile Demenzen vom Alzheimer-Typ, was im Widerspruch zum epidemiologischen Kenntnisstand steht. Nur für ein Drittel der Befragten sind Überweisungen zum Facharzt im Rahmen der Diagnostik die Regel. Lediglich 4% der befragten Hausärzte kooperieren mit der „Alzheimergesellschaft” oder der „Hirnliga”. Die aufgezeigten Probleme in der Diagnostik und die Ressourcen in der Kooperation können helfen, die Situation von Demenzkranken und ihren Angehörigen zu verbessern.
    Type of Medium: Electronic Resource
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