Supported living plays an important role in the community-based care for people with mental illness. However, support services like floating outreach have hardly been the subject of longer-term research to date, especially with regard to Germany. Thus, the main aim of this prospective observational study was to evaluate the psychosocial outcomes of floating outreach support for non-homeless people with severe mental illness across a one-year period.
View Article and Find Full Text PDFBackground: Depression is a common mental disorder and is associated with work disability. For the implementation of evidence-based interventions, such as Individual Placement and Support (IPS) for people with depression in Germany, the aim of this study was to investigate client variables that predict return to work.
Methods: The sample consisted of 129 participants, initially treated in a psychiatric hospital due to major depression, who participated in IPS as part of a German clinical trial.
Objectives: Due to insufficient empirical data on the occupational participation of people affected by severe mental illness receiving integration assistance, routine data from a community psychiatry service were evaluated.
Methods: Reference workers filled out a short questionnaire on different occupational and employment aspects of their clients from supported housing/floating outreach. In addition to descriptive and exploratory analyses, overall results from previous survey rounds were also evaluated.
Appl Neuropsychol Adult
September 2023
Background: People with major depressive disorder (MDD) often experience significant memory problems in their daily lives, which, however, frequently do not correspond to standardized memory test (SMT) results. The present pilot study aimed to examine the everyday memory performance of people with MDD by means of an ecological assessment paradigm (EAP).
Methods: Participants were unexpectedly called one week after their neuropsychological test assessment and asked about their memories of specific details of the former test situation.
Background: Depressed patients report more severe cognitive impairment than is detectable by neuropsychological tests because they may underestimate their cognitive performance. Alternatively, it is possible that cognitive impairment primarily occurs under everyday life conditions as referred to in most questionnaires. The aim of the present study is to investigate the validity of self-reports in patients with major depression in order to better understand the pronounced impairment in self-reports.
View Article and Find Full Text PDFBackground: Major depression is one of the leading causes of disability and limited capacity to work. Neuropsychological impairment is a common symptom in acute and remitted major depression and is associated with poor psychosocial functioning. This scoping review aimed to identify research on the role of neuropsychological functioning in outcomes of vocational rehabilitation programs in individuals with depression.
View Article and Find Full Text PDFThe majority of mental illnesses begins in childhood, adolescence and young adulthood before the age of 25. The transition from adolescence to adulthood is a particularly vulnerable time for adolescents with mental illness, affecting psychosocial functioning and participation in work life. Therefore, they need-in contrast to classic standard vocational interventions-a long-term, holistic and individually oriented vocational rehabilitation program.
View Article and Find Full Text PDFBackground: Longitudinal observational studies play on an important role for evidence-based research on health services and psychiatric rehabilitation. However, information is missing about the reasons, why patients participate in such studies, and how they evaluate their participation experience.
Methods: Subsequently to their final assessment in a 2-year follow-up study on supported housing for persons with severe mental illness, = 182 patients answered a short questionnaire on their study participation experience (prior experiences, participation reasons, burden due to study assessments, intention to participate in studies again).
Soc Psychiatry Psychiatr Epidemiol
May 2022
Purpose: Up to now there are only few studies and no RCT comparing efficacy or effectiveness of supported housing (SH) versus residential care (RC) in severe mental illness (SMI) without homelessness. Here we present an observational follow-up study in SMI subjects, who entered SH or RC, to compare clinical and functional outcomes 2 years later.
Methods: In this prospective study in more than 30 locations throughout a German federal state, we included SMI subjects, who entered SH (n = 153) or RC (n = 104).
Objective: Exploratory study of corona-related impacts on vocational perspectives of people with mental illness.
Methods: Short survey with quantitative and qualitative questions among employees from vocational rehabilitation.
Results: More than 90 % of the n = 76 participants stated that the situation regarding vocational reintegration or job search had worsened due to corona.
Expert Rev Neurother
May 2020
: Cognitive impairment is a common symptom of patients with Major Depression (MDD) with negative clinical and social effects. With this study we investigated the question of whether MDD patients' effort to memorize items is reduced and whether this reduction is related to patients' memory impairment.: Twenty-two patients with MDD and 28 healthy control participants took part in the study.
View Article and Find Full Text PDFObjectives: Visual field defects due to hemi- or quadrantanopia after stroke represent an under-recognized neurological symptom with inefficient instruments for neurorehabilitation to date. We here examined the effects of training in a virtual reality (VR) supermarket on cognitive functions, depressive symptoms, and subjective cognitive complaints in patients with hemianopia/quadrantanopia and healthy controls.
Methods: During a 14-day rehabilitation program, 20 patients and 20 healthy controls accomplished a real-life-like shopping task in a VR supermarket.
: Loss of motivation is a core feature of major depression (MDD) and has been suggested to influence neuropsychological performance. However, previous studies have come to inconsistent results, but they were only done under laboratory test conditions. Thus, the aim of the present study is to experimentally investigate the influence of motivation on neurocognition under real-life-like conditions.
View Article and Find Full Text PDFMajor depressive disorder is characterized by changes in the emotional state, e. g. the diminished experience of positive emotions, as well as cognitive impairments such as concentration and memory difficulties.
View Article and Find Full Text PDFPurpose: Depressive and anxiety disorders are frequent among people with epilepsies. There are, however, only few longitudinal studies, which examine the relationship between these comorbid psychiatric disorders and epilepsy-related variables. Thus, we investigated the interrelationships of depression and anxiety symptoms with seizure frequency across time.
View Article and Find Full Text PDFEpilepsy in a child or adolescent can have severe psychosocial impact on the whole family and burdens them, especially the parents. As the familial background is essential for the child's coping and the progression of the epilepsy, parental burden should be considered within a comprehensive treatment approach. This study validated the applicability of the Impact on Family Scale (IOFS), a well-established instrument that assesses the strains of families with chronically ill or disabled children, in parents of children with epilepsy.
View Article and Find Full Text PDFThe bowhead whale (Balaena mysticetus) is a species endangered over much of its range that is of great cultural significance and subsistence value to the Inuit of Northern Alaska. This species occupies subarctic and arctic regions presently undergoing significant ecological change and hydrocarbon development. Thus, understanding the health status of the Bering-Chukchi-Beaufort Sea (BCBS) stock of bowhead whales is of importance.
View Article and Find Full Text PDFCryptosporidium spp. and Giardia spp. are protozoan parasites that are often associated with severe diarrheal disease in a variety of mammals.
View Article and Find Full Text PDFTissues of subsistence-harvested Arctic mammals were analyzed for silver (Ag), cadmium (Cd), and total mercury (THg). Muscle (or total body homogenates of potential fish and invertebrate prey) was analyzed for stable carbon (delta13C) and nitrogen (delta15N) isotopes to establish trophic interactions within the Arctic food chain. Food web magnification factors (FWMFs) and biomagnification factors for selected predator-prey scenarios (BMFs) were calculated to describe pathways of heavy metals in the Alaskan Arctic.
View Article and Find Full Text PDFTissues of bowhead, beluga, and gray whales were analyzed for Ag, Cd, Cu, Se, Zn, THg and MeHg (belugas only). Delta15N and delta13C in muscle were used to estimate trophic position and feeding habitat, respectively. Trace element concentrations in tissues were significantly different among whale species.
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