PubMed Central (PMC3 - NLM DTD)
(2.533.660 recursos)
Archive of life sciences journal literature at the U.S. National Institutes of Health (NIH), developed and managed by NIH's National Center for Biotechnology Information (NCBI) in the National Library of Medicine (NLM).
5.
Actions to alleviate the mental health impact of the economic
crisis - WAHLBECK, KRISTIAN; MCDAID, DAVID
The current global economic crisis is expected to produce adverse mental
health effects that may increase suicide and alcohol-related death rates in
affected countries. In nations with greater social safety nets, the health
impacts of the economic downturn may be less pronounced. Research indicates
that the mental health impact of the economic crisis can be offset by various
policy measures. This paper aims to outline how countries can safeguard and
support mental health in times of economic downturn. It indicates that good
mental health cannot be achieved by the health sector alone. The determinants
of mental health often lie outside of the remits of the health system, and
all...
9.
Assessing the diagnostic validity of a structured psychiatric
interview in a first-admission hospital sample - NORDGAARD, JULIE; REVSBECH, RASMUS; SÆBYE, DITTE; PARNAS, JOSEF
The use of structured psychiatric interviews performed by non-clinicians
is frequent for research purposes and is becoming increasingly common in clini-cal
practice. The validity of such interviews has rarely been evaluated empirically.
In this study of a sample of 100 diagnostically heterogeneous, first-admitted
inpatients, the results of an assessment with the Structured Clinical Interview
for DSM-IV (SCID), yielding a DSM-IV diagnosis and performed by a trained
non-clinician, were compared with a consensus lifetime best diagnostic estimate
(DSM-IV) by two experienced research clinicians, based on multiple sources
of information, which included videotaped comprehensive semi-structured narrative
interviews. The overall kappa agreement was 0.18. The sensitivity and specificity
for the diagnosis of schizophrenia...
12.
Lessons learned in developing community mental health care
in Latin American and Caribbean countries - RAZZOUK, DENISE; GREGÓRIO, GUILHERME; ANTUNES, RENATO; MARI, JAIR DE JESUS
This paper summarizes the findings for the Latin American and Caribbean
countries of the WPA Task Force on Steps, Obstacles and Mistakes to Avoid
in the Implementation of Community Mental Health Care. It presents an overview
of the provision of mental health services in the region; describes key experiences
in Argentina, Belize, Brazil, Chile, Cuba, Jamaica and Mexico; and discusses
the lessons learned in developing community mental health care.
13.
An empirically derived approach to the classification and
diagnosis of mood disorders - WESTEN, DREW; MALONE, JOHANNA C.; DEFIRE, JARED A.
This article describes a system for diagnosing mood disorders that is empirically
derived and designed for its clinical utility in everyday practice. A ran-dom
national sample of psychiatrists and clinical psychologists described a randomly
selected current patient with a measure designed for clinically ex-perienced
informants, the Mood Disorder Diagnostic Questionnaire (MDDQ), and completed
additional research forms. We applied factor analysis to the MDDQ to identify
naturally occurring diagnostic groupings within the patient sample. The analysis
yielded three clinically distinct mood disorder dimen-sions or spectra, consistent
with the major mood disturbances included in the DSM and ICD over successive
editions (major depression, dysthymia, and mania), along with a suicide risk
index....
17.
Lessons learned in developing community mental health care
in East and South East Asia - ITO, HIROTO; SETOYA, YUTARO; SUZUKI, YURIKO
This paper summarizes the findings for the East and South East Asia Region
of the WPA Task Force on Steps, Obstacles and Mistakes to Avoid in the Im-plementation
of Community Mental Health Care. The paper presents a description of the region,
an overview of mental health policies, a critical ap-praisal of community
mental health services developed, and a discussion of the key obstacles and
challenges. The main recommendations address the needs to campaign to reduce
stigma, integrate care within the general health care system, prioritize target
groups, strengthen leadership in policy mak-ing, and devise effective funding
and economic incentives.
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