nach oben

Community Mental Health Journal

Erschienen in:

01.02.2006

Shared Decision-Making and Evidence-Based Practice

verfasst von: Jared R. Adams, Robert E. Drake, M.D., Ph.D.

Erschienen in: Community Mental Health Journal | Ausgabe 1/2006

Einloggen, um Zugang zu erhalten

ABSTRACT

Shared decision-making refers to a process of health care delivery in which practitioners and clients seeking help for problems or disorders collaborate to access relevant information and to enable client-centered selection of health care resources. Though nearly all clients express a desire for more information, preferences for participation in health care decisions vary by individual and by illness. Two common strategies to promote shared decision-making are communication training for clients and clinicians, and decision aids to provide targeted information and values clarification. Research in several areas of medicine shows that active client participation results in a variety of benefits, from increased satisfaction to decreased symptom burden. Many current mental health interventions promote client-centered care, client choice, and self-directed care, but research on shared decision-making in mental health for clients with severe and persistent mental illness is just beginning.

Alper P. R. (1999). Direct-to-consumer advertising: Education or anathema?[comment]. JAMA 282(13): 1226–1227, author reply 1227–1228CrossRefPubMed

Amador X., Johanson A.-L. (2000). I am not sick, I don’t need help! Helping the seriously mentally ill accept treatment. Peconic, NY, Vida Press

Amador X.F., Strauss D.H., Yale S.A., Gorman J.M. (1991). Awareness of illness in schizophrenia. Schizophrenia Bulletin 17(1): 113–132PubMed

Anderson R.M. (1995). Patient empowerment and the traditional medical model. A case of irreconcilable differences?. Diabetes Care 18(3): 412–415PubMed

Angel M. (1984). Respecting the autonomy of competent patients. New England Journal of Medicine 310(17): 1115–1116PubMed

Anthony W.A., Cohen M., Farkas M. (1999). The future of psychiatric rehabilitation. International Journal of Mental Health 28(1): 48–68

Aschroct R., Hope T., Parker M. (2001). Ethical Issues and evidence-based patient choice. In: Elwyn G., Edwards G. (eds), Evidence-based patient choice: Inevitable or impossible?. New York, Oxford University Press

Auerbach S.M. (2000). Should patients have control over their own health care?: Empirical evidence and research issues. Annals of Behavioral Medicine 22: 246–259PubMedCrossRef

Auerbach S.M. (2001). Do patients want control over their own health care? A review of measures, findings, and research issues. Journal of Health Psychology 6(2): 191–203CrossRef

Auerbach S.M., Martelli M.F., Mercuri L.G. (1983). Anxiety, information, interpersonal impacts, and adjustment to a stressful health care situation. Journal of Personality and Social Psycholog 44(6): 1284–1296CrossRefPubMed

Auerbach S.M., Penberthy A.R., Kiesler D.J. (2004). Opportunity for control, interpersonal impacts, and adjustment to a long-term invasive health care procedure. Journal of Behavioral Medicine 27(1): 11–29CrossRefPubMed

Backlar P., McFarland B.H. (1998). Oregon’s advance directive for mental health treatment: Implications for policy. Administration and Policy in Mental Health 25(6): 609–618CrossRef

Balas E.A., Krishna S., Kretschmer R.A., Cheek T.R., Lobach D.F., Boren S.A. (2004). Computerized knowledge management in diabetes care. Medical Care 42(6): 610–621CrossRefPubMed

Balint M. (1957). The doctor, the patient, and His Illness. London, Tavistock

Beaver K., Luker K.A., Owens R.G., Leinster S.J., Degner L.F., Sloan J.A. (1996). Treatment decision making in women newly diagnosed with breast cancer. Cancer Nursing 19(1): 8–19CrossRefPubMed

Becker D.R., Drake R.E. (2001). Improving employment outcomes for people with severe psychiatric disabilities. In: Dickey B., Sederer L.I. (eds), Improving mental health care: Commitment to quality. Washington DC, American Psychiatric Publishing, pp. 235–240

Bedi N., Chilvers C., Churchill R., Dewey M., Duggan C., Fielding K., Gretton V., Miller P., Harrison G., Lee A., Williams I. (2000). Assessing effectiveness of treatment of depression in primary care. Partially randomised preference trial. The British Journal of Psychiatry 177: 312–318CrossRefPubMed

Beisecker A.E. (1988). Aging and the desire for information and inputin medical decisions: Patient consumerism in medical encounters. Gerontologist 28(3): 330–335PubMed

Beisecker A.E., Beisecker T.D. (1990). Patient information-seeking behaviors when communicating with doctors. Medical Care 28(1): 19–28PubMedCrossRef

Benbassat J., Pilpel D., Tidhar M. (1998). Patients’ preferences for participation in clinical decision making: A review of published surveys. Behavioral Medicine 24(2): 81–88PubMedCrossRef

Berk M., Berk L., Castle D. (2004). A collaborative approach to the treatment alliance in bipolar disorder. Bipolar Disorders 6(6): 504–518CrossRefPubMed

Breggin P.R. (1999). Psychiatry’s reliance on coercion. Ethical Human Sciences and Services 1(2): 115–118PubMed

Britt E., Hudson S.M., Blampied N.M. (2004). Motivational interviewing in health settings: A review. Patient Education and Counseling 53(2): 147–155CrossRefPubMed

Bunn M.H., O’Connor A.M., Tansey M.S., Jones B.D., Stinson L.E. (1997). Characteristics of clients with schizophrenia who express certainty or uncertainty about continuing treatment with depot neuroleptic medication. Archives of Psychiatric Nursing 11(5): 238–248CrossRefPubMed

Carling P.J. (1993). Housing and supports for persons with mental illness: Emerging approaches to research and practice. Hospital & Community Psychiatry 44(5): 439–449

Carpenter W.T., Jr., Gold J.M., Lahti A.C., Queern C.A., Conley R.R., Bartko J.J., Kovnick J., Appelbaum P.S. (2000). Decisional capacity for informed consent in schizophrenia research. Archives of General Psychiatry 57(6): 533–538CrossRefPubMed

Cassileth B.R., Zupkis R.V., Sutton-Smith K., March V. (1980). Information and participation preferences among cancer patients. Annals of Internal Medicine 92(6): 832–836PubMed

Charles C., Demaio S. (1993). Lay participation in health-care decision-making – a conceptual-framework. Journal of Health Politics, Policy and Law 18(4): 881–904PubMedCrossRef

Charles C., Gafni A., Whelan T. (1997). Shared decision-making in the medical encounter: What does it mean? (Or it takes at least two to tango). Social Science & Medicine 44(5): 681–692CrossRef

Charles C., Gafni A., Whelan T. (1999). Decision-making in the physician-patient encounter: Revisiting the shared treatment decision-making model. Social Science & Medicine 49(5): 651–661CrossRef

Coursey R.D., Curtis L., Marsh D.T., Campbell J., Harding C., Spaniol L., Lucksted A., McKenna J., Kelley M., Paulson R., Zahniser J. (2000). Competencies for direct service staff members who work with adults with severe mental illnesses in outpatient public mental health/managed care systems. Psychiatric Rehabilitation Journal 23(4): 370–377

Crits-Cristoph P., Baranackie K., Kurcias J. S., Beck, A. T., Carroll, K., Perry, K., Luborsky, L., McLellan, A. T., Woody, G. E., Thompson, L., Gallagher, D., & Zitrin, C. (1991). Meta-analysis of therapist effects in psychotherapy outcome studies. Psychotherapy Research 1: 81–91

Cruz M., Pincus H.A. (2002). Research on the influence that communication in psychiatric encounters has on treatment. Psychiatric Services 53(10): 1253–1265CrossRefPubMed

Davison B.J., Degner L.F. (2002). Feasibility of using a computer-assisted intervention to enhance the way women with breast cancer communicate with their physicians. Cancer Nursing 25(6): 417–424CrossRefPubMed

Deber R.B., Kraetschmer N., Irvine J. (1996). What role do patients wish to play in treatment decision making?. Archives of Internal Medicine 156(13): 1414–1420CrossRefPubMed

Degner L.F., Kristjanson L.J., Bowman D., Sloan J.A., Carriere K.C., Oneil J., Bilodeau B., Watson P., Mueller B. (1997). Information needs and decisional preferences in women with breast cancer. JAMA 277(18): 1485–1492CrossRefPubMed

Degner L.F., Sloan J.A. (1992). Decision-making during serious illness – what role do patients really want to play. Journal of Clinical Epidemiology 45(9): 941–950CrossRefPubMed

Elbogen E.B., Soriano C., Van Dorn R., Swartz M.S., Swanson J.W. (2005). Consumer views of representative payee use of disability funds to leverage treatment adherence. Psychiatric Services 56(1): 45–49CrossRefPubMed

Ellwood P. (1988). A technology of patient experience. New England Journal of Medicine 318: 1549–1556PubMed

Elwyn G., Edwards A. (2001). Evidence-based patient choice?. In: Elwyn G., Edwards A. (eds), Evidence-based patient choice: Inevitable or impossible?. New York, Oxford University Press

Ende J., Kazis L., Ash A., Moskowitz M.A. (1989). Measuring patients desire for autonomy – decision-making and information-seeking preferences among medical patients. Journal of General Internal Medicine 4(1): 23–30PubMedCrossRef

Engel G. (1960). A unified concept of health and disease. Perspectives in Biology and Medicine 3: 459–485PubMed

Entwistle V.A., Sheldon T.A., Sowden A., Watt I.S. (1998). Evidence-informed patient choice – practical issues of involving patients in decisions about health care technologies. International Journal of Technology Assessment in Health Care 14(2): 212–225PubMed

Estabrooks C., Goel V., Thiel E., Pinfold P., Sawka C., Williams I. (2001). Decision aids: Are they worth it? A systematic review. Journal of Health Services Research & Policy 6(3): 170–182CrossRef

Fishbein M., Ajzen I. (1972). Attitudes and opinions. In: Mussen P., Rosenzweig M. (eds), Annual review of psychology (Vol. 23). Palo Alto Ca, Annual Reviews Inc

Fisher E.S., Wennberg D.E., Stukel T.A., Gottlieb D.J., Lucas F.L., Pinder E.L. (2003). The implications of regional variations in Medicare spending. Part 1: The content, quality, and accessibility of care. Annals of Internal Medicine 138(4): 273–287PubMed

Forrest E. (2004). Mental health The right to choose. Health Services Journal 114(5935): 24–26

Frank A.F., Gunderson J.G. (1990). The role of the therapeutic alliance in the treatment of schizophrenia. Archives of General Psychiatry 47: 228–236PubMed

Graugaard P.K., Eide H., Finset A. (2003). Interaction analysis of physician-patient communication: The influence of trait anxiety on communication and outcome. Patient Education and Counseling 49(2): 149–156CrossRefPubMed

Greenfield S., Kaplan S., Ware J. E., Jr. (1985). Expanding patient involvement in care. Effects on patient outcomes. Annals of Internal Medicine 102(4): 520–528PubMed

Greenfield S., Kaplan S. H., Ware J. E., Jr., Yano E. M., Frank H. J. (1988). Patients’ participation in medical care: Effects on blood sugar control and quality of life in diabetes. Journal of General Internal Medicine 3(5): 448–457PubMedCrossRef

Grisso T., Appelbaum P. S. (1995). The MacArthur Treatment Competence Study. III: Abilities of patients to consent to psychiatric and medical treatments. Law and Human Behavior 19(2): 149–174CrossRefPubMed

Guyatt, G., Haynes, B., Jaseschke, R. et al. (2001). The philosophy of evidence-based medicine. In G. Guyatt & D. Rennie (Eds.), User’s guide to the medical literature: Essentials of evidence-based clinical practice. American Medical Association.

Gwyn R., Elwyn G. (1999). When is a shared decision not (quite) a shared decision? Negotiating preferences in a general practice encounter. Social Science & Medicine 49(4): 437–447CrossRef

Hamann J., Leucht S., Kissling W. (2003). Shared decision making in psychiatry. Acta Psychiatrica Scandinavica 107(6): 403–409CrossRefPubMed

Hamann J., Pitschel-Walz G., Kissling W. (2004). Medication adherence studies in schizophrenia. The American Journal of Psychiatry 161(3): 582–583CrossRefPubMed

Happell B., Manias E., Roper C. (2004). Wanting to be heard: Mental health consumers’ experiences of information about medication. International journal of mental health nursing 13(4): 242–248CrossRefPubMed

Henwood P. G., Altmaier E. M. (1996). Evaluating the effectiveness of communication skills training: A review of research. Clinical Performance and Quality Health Care 4: 154–158PubMed

Horvath A. O., Symonds B. D. (1991). Relation between working alliance and outcome in psychotherapy: A meta-analysis. Journal of Counseling Psychology 38(2): 139–149CrossRef

Joos S. K., Hickam D. H., Gordon G. H., Baker L. H. (1996). Effects of a physician communication intervention on patient care outcomes. Journal of General Internal Medicine 11(3): 147–155PubMedCrossRef

Kahneman D., Tversky A. (1979). Prospect theory: An analysis of decision under risk. Econometrica 47(2): 263–291CrossRef

Keating N., Guadagnoli E., Landrum M., Borbas C., Weeks J. (2002). Treatment decision making in early-stage breast cancer: Should surgeons match patients’ desired level of involvement?. Journal of Clinical Oncology 20(6): 1473–1479CrossRefPubMed

Kiesler D. J., Auerbach S. M. (2003). Integrating measurement of control and affiliation in studies of physician-patient interaction: The interpersonal circumplex. Social Science & Medicine 57: 1707–1722CrossRef

Kievit J., Nooij M. A., Stiggelbout A. M. (2001). Stability of patients’ preferences for chemotherapy: The impact of experience. Medical Decision Making 21(4): 295–306CrossRefPubMed

Kim Y. S. (2004). Telemedicine in the USA with focus on clinical applications and issues. Yonsei Medical Journal 45(5): 761–775PubMed

King M., Sibbald B., Ward E., Bower P., Lloyd M., Gabbay M., Byford S. (2000). Randomised controlled trial of non-directive counselling, cognitive-behaviour therapy and usual general practitioner care in the management of depression as well as mixed anxiety and depression in primary care. Health Technology Assessment 4(19): 1–83PubMed

Kruijver I. P. M., Kerkstra A., Francke A. L., Bensing, J. M., van de Weil, H. B. M. (2000). Evaluation of communication training programs in nursing care: A review of the literature. Patient Education and Counseling 39:129–145CrossRefPubMed

Laine C., Davidoff F. (1996). Patient-centered medicine: A professional evolution. JAMA 275: 152–156CrossRefPubMed

Lazare A., Eisenthal S., Wasserman L. (1975). The customer approach to patienthood. Attending to patient requests in a walk-in clinic. Archives of General Psychiatry 32(5): 553–558PubMed

Lebow J. L. (1983). Research assessing consumer satisfaction with mental health treatment: A review of findings. Evaluation and Program Planning 6(3–4): 211–236CrossRefPubMed

Levenstein J., McCracken E., McWhinney I. (1986). The patient-centered clinical method: A model for the doctor-patient interaction in family medicine. Family Practice 3: 24–30PubMedCrossRef

Lidz C. W., Meisel A., Osterweis M., Holden J. L., Marx J. H., Munetz M. R. (1983). Barriers to informed consent. Annals of Internal Medicine 99(4): 539–543PubMed

Loomes G., Sugden R. (1982). Regret theory – an alternative theory of rational choice under uncertainty. Economics Journal 92(368): 805–824CrossRef

Mansell D., Poses R. M., Kazis L., Duefield C. A. (2000). Clinical factors that influence patients’ desire for participation in decisions about illness. Archives of Internal Medicine 160(19): 2991–2996CrossRefPubMed

McCabe R., Priebe S. (2004). The therapeutic relationship in the treatment of severe mental illness: A review of methods and findings. The International Journal of Social Psychiatry 50(2): 115–128CrossRefPubMed

Mead N., Bower P. (2000). Patient-centredness: A conceptual framework and review of the empirical literature. Social Science & Medicine 51: 1087–1110CrossRef

Mead N., Bower P. (2002). Patient-centred consultations and outcomes in primary care: A review of the literature.[see comment]. Patient Education and Counseling 48(1): 51–61CrossRefPubMed

Minsky S., Vega W., Miskimen T., Gara M., Escobar J. (2003). Diagnostic patterns in Latino, African American, and European American psychiatric patients. Archives of General Psychiatry 60(6): 637–644CrossRefPubMed

Mueser K. T., Corrigan P. W., Hilton D. W., Tanzman B., Schaub A., Gingerich S., Essock S. M., Tarrier N., Morey B., Vogel-Scibilia S., Herz M. I. (2002). Illness management and recovery: A review of the research. Psychiatric Services 53(10): 1272–1284CrossRefPubMed

Nelson G., Lord J., Ochocka J. (2001). Shifting the paradigm in community mental health: Towards empowerment and community. Buffalo, University of Toronto Press

New Freedom Commission on Mental Health (2003). Achieving the promise: Transforming mental health care in America. Rockville, MD: DHHS Pub. No. SMA-03–3832.

Noble L. M., Douglas B. C. (2004). What users and relatives want from mental health. Current Opinion in Psychiatry 17(4): 289–296CrossRef

O’Connor, A., Llewellyn-Thomas, H., & Flood, A. B. (2004). Modifying unwarranted variations In health care: Shared decision making using patient decision aids. Health Policy (web exclusive), 63–72.

O’Connor A. M., Rostom A., Fiset V., Tetroe J., Entwistle V., Llewellyn-Thomas H., Holmes-Rovner M., Barry M., Jones J. (1999). Decision aids for patients facing health treatment or screening decisions: A systematic review. British Medical Journal 319: 731–734PubMed

O’Connor A. M., Stacey D., Entwistle V., Llewellyn-Thomas H., Rovner D., Holmes-Rovner M., Tait V., Tetroe J., Fiset V., Barry M., Jones J. (2003). Decision aids for people facing health treatment or screening decisions. Cochrane Database of Systematic Reviews 1: 1

Parson T. (1964). Social Structure and Personality. New York, NY, The Free Press

Pierce P. F. (1993). Deciding on breast cancer treatment: A description of decision behavior. Nursing Research 42(1): 22–28PubMedCrossRef

Polsky D., Mandelblatt J., Weeks J., Venditti L., Hwang Y., Glick H., Hadley J., Schulman K. (2003). Economic evaluation of breast cancer treatment: Considering the value of patient choice. Journal of Clinical Oncology 21(6):1139–1146CrossRefPubMed

President’s Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research (1982). Washington, D.C.

Prochaska J. O., DiClemente C. C., Norcross J. C. (1992). In search of how people change Applications to addictive behaviors. The American Psychologist 47(9): 1102–1114CrossRefPubMed

Rapp C. A. (1998). The strengths model: Case management with people suffering from severe and persistent mental illness. New York, Oxford University Press

Roberts L. W., Warner T. D., Brody J. L., Roberts B., Lauriello J., Lyketsos C. (2002). Patient and psychiatrist ratings of hypothetical schizophrenia research protocols: Assessment of harm potential and factors influencing participation decisions. The American Journal of Psychiatry 159(4): 573–584CrossRefPubMed

Robinson E. J., Whitfield M. J. (1985). Improving the efficiency of patients’ comprehension monitoring: A way of increasing patients’ participation in general practice consultations. Social Science & Medicine 21(8): 915–919CrossRef

Robinson G. L. (1986). The effects of a psychiatric patient education to medication program on post-discharge compliance. The Psychiatric Quarterly 58: 113–118CrossRefPubMed

Rokke P. D., Tomhave J. A., Jocic Z. (1999). The role of client choice and target selection in self-management therapy for depression in older adults. Psychology and Aging 14(1): 155–169CrossRefPubMed

Rose D. S., Wykes T. H., Bindman J. P., Fleischmann P. S. (2005). Information, consent and perceived coercion: Patients’ perspectives on electroconvulsive therapy. The British Journal of Psychiatry 186: 54–59CrossRefPubMed

Rosen P., Anell A., Hjortsberg C. (2001). Patient views on choice and participation in primary health care. Health Policy 55(2): 121–128CrossRefPubMed

Roter D. L., Stewart M., Putnam S. M., Lipkin M., Jr., Stiles W., Inui T. S. (1997). Communication patterns of primary care physicians. JAMA 277(4): 350–356CrossRefPubMed

Ruben B. D. (1993). What patients remember: A content analysis of critical incidents in health care. Health Communication 5: 99–112CrossRef

Schwartz H. I. (1988). Autonomy and the right to refuse treatment: Patients’ attitudes after involuntary medication. Hospital & Community Psychiatry 39: 1049–1054

Seeman M., Seeman T. E. (1983). Health behavior and personal autonomy: A longitudinal study of the sense of control in illness. Journal of Health and Social Behavior 24: 144–160PubMedCrossRef

Shumway M., Saunders T., Shern D., Pines E., Downs, A., Burbine T., Beller J. (2003). Preferences for schizophrenia treatment outcomes among public policy makers, consumers, families, and providers. Psychiatric Services 54(8): 1124–1128CrossRefPubMed

Siminoff L. A., Fetting J. H., Abeloff M. D. (1989). Doctor-patient communication about breast cancer adjuvant therapy. Journal of Clinical Oncology 7(9): 1192–1200PubMed

Sorgaard K. W. (2004). Patients’ perception of coercion in acute psychiatric wards. An intervention study. Nordic Journal of Psychiatry 58(4): 299–304CrossRefPubMed

Speedling E. J., Rose D. N. (1985). Building an effective doctor-patient relationship: From patient satisfaction to patient participation. Social Science & Medicine 21(2): 115–120CrossRef

Stastny P. (2000). Involuntary psychiatric interventions: A breach of the Hippocratic oath?. Ethical Human Sciences and Services 2(1): 21–41PubMed

Stewart M., Brown J. (2001). Patient-centredness in medicine. In: Elwyn G., Edwards A. (eds), Evidence-based patient choice: Inevitable or impossible? New York, Oxford University Press

Stewart M. A. (1995). Effective physician–patient communication and health outcomes: A review. Canadian Medical Association Journal 152(9): 1423–1433PubMed

Swartz M. S., Swanson J. W., Wagner H. R., Hannon M. J., Burns B. J., Shumway M. (2003). assessment of four stakeholder groups’ preferences concerning outpatient commitment for persons with schizophrenia. The American Journal of Psychiatry 160(6): 1139–1146CrossRefPubMed

Tanner B. A. (1981). Factors influencing client satisfaction with mental health services: A review of quantitative research. Evaluation and Program Planning 4(3–4): 279–286CrossRefPubMed

Toprac M. G., Rush A. J., Conner T. M., Crismon M. L., Dees M., Hopkins C., Rowe V., Shon S. P. (2000). The Texas medication algorithm project and patient and family education program: A consumer-guided initiative. The Journal of Clinical Psychiatry 61(7): 477–486PubMed

Turkington D., Dudley R., Warman D. M., Beck A. T. (2004). Cognitive-behavioral therapy for schizophrenia: A review. Journal of Psychiatric Practice 10(1): 5–16CrossRefPubMed

Turner T., Priebe S. (2002). Forget community care: Reinstitutionalisation is here. The British Journal of Psychiatry 181(3): 253CrossRefPubMed

VanDenKerkhof E. G., Goldstein D. H., Lane J., Rimmer M. J., Van Dijk J. P. (2003). Using a personal digital assistant enhances gathering of patient data on an acute pain management service: A pilot study.[see comment]. Canadian Journal of Anaesthesia 50(4): 368–375PubMedCrossRef

Viscusi E. R. (2004). Emerging techniques for postoperative analgesia in orthopedic surgery. The American Journal of Orthopedics 33(5 Suppl): 13–16PubMed

Vollmann J., Bauer A., Danker-Hopfe H., Helmchen H. (2003). Competence of mentally ill patients: A comparative empirical study. Psychological Medicine 33(8): 1463–1471CrossRefPubMed

W.A. MacColl Institute for Healthcare Innovation. (1998). A model of practice and system supports for effective chronic illness care. Group Health Cooperative of Puget Sounds

Weiss M., Gaston L., Propst A., Wisebord, S., Zicherman, V. (1997). The role of the alliance in the pharmacologic treatment of depression. The Journal of Clinical Psychiatry 58: 196–204PubMed

Whitten P., Kuwahara E. (2004). A multi-phase telepsychiatry programme in Michigan: Organizational factors affecting utilization and user perceptions. Journal of Telemedicine and Telecare 10(5): 254–261CrossRefPubMed

Titel: Shared Decision-Making and Evidence-Based Practice
verfasst von: Jared R. Adams
Robert E. Drake, M.D., Ph.D.
Publikationsdatum: 01.02.2006
Verlag: Springer US
Erschienen in: Community Mental Health Journal / Ausgabe 1/2006
Print ISSN: 0010-3853
Elektronische ISSN: 1573-2789
DOI: https://doi.org/10.1007/s10597-005-9005-8

Neu im Fachgebiet Psychiatrie

23.04.2024 | Demenz | Nachrichten

Update Psychiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Shared Decision-Making and Evidence-Based Practice

ABSTRACT

Neu im Fachgebiet Psychiatrie

Demenzkranke durch Antipsychotika vielfach gefährdet

Weniger postpartale Depressionen nach Esketamin-Einmalgabe

„Psychotherapie ist auch bei sehr alten Menschen hochwirksam!“

Auf diese Krankheiten bei Geflüchteten sollten Sie vorbereitet sein

Update Psychiatrie

Springer Medizin

ABSTRACT

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 1/2006

Impact of Maternal Mental Health Status on Child Mental Health Treatment Outcome