1.
Heart failure family-based education: a systematic review.
Srisuk, N, Cameron, J, Ski, CF, Thompson, DR
Patient education and counseling. 2016;(3):326-338
Abstract
OBJECTIVE To systematically review evidence for the efficacy of family-based education for heart failure (HF) patients and carers. METHOD A systematic review was conducted. Databases CINAHL, MEDLINE Complete, Cochrane, PubMed, Web of Science, EMBASE, PsycINFO, and Scopus were searched between 1 January 2005 and 1 May 2015. Randomised controlled trials included HF patient and carer dyads or carers alone. The primary outcome was HF knowledge. Secondary outcomes included self-care behaviour, dietary and treatment adherence, quality of life, depression, perceived control, hospital readmissions, and carer burden. RESULT Six trials reported in nine papers were included. Wide variation in the quality of the studies was found. Two studies only examined HF knowledge; a significant improvement among patients and carers was reported. Other significant findings were enhanced patient self-care, boosted dietary and treatment adherence, enriched patient quality of life, improved perceived control among patients but not carers, and reduced carer burden CONCLUSION Modest evidence was found for family-based education among HF patients and carers. Methodological shortcomings of trials signify the need for empirically sound future research. PRACTICE IMPLICATION Family-based HF education needs to include strategies that are tailored to the HF patient and carer, and sustainable in nature.
2.
Group therapy in older adults.
Agronin, M
Current psychiatry reports. 2009;(1):27-32
Abstract
Group therapy is a well-established therapeutic modality for older individuals often conducted in combination with individual psychotherapy and pharmacotherapy. Group leaders must be aware of age-specific factors when working with older cohorts, including the presence of cognitive impairment, physical disability, and loss of independence. A limited number of outcome studies have found that various forms of group therapy in late life are generally efficacious for depression and other symptoms and compare favorably with individual psychotherapy.
3.
[Intensive psychiatric treatment system for bulimic patients by group therapy].
Suzuki, K
Seishin shinkeigaku zasshi = Psychiatria et neurologia Japonica. 2006;(7):736-41
Abstract
Concurrent bulimia nervosa/purging type and anorexia nervosa/binge-purging type including binge eating and purging behaviors are considered chronic types of eating disorders. The bulimic patients in this study had both these disorders. Psychiatric treatment for patients with eating disorders must focus on therapy of these bulimic patients, because bulimic patients are more prevalent in the psychiatric hospital and clinic, and they have more comorbid psychiatric disorders and more other addictive behaviors than other patients with eating disorders. We have devised an intensive psychiatric treatment system for bulimic patients by group therapy that consists of inpatient treatment, group therapy for parents and group rehabilitation. Inpatient treatment, called the Eating Disorders Education Program (EDEP), consists of group psychological education, group cognitive-behavioral therapy, group nutrition education, and group exercise. Group therapy for parents consists of psychological education and group meetings. Group rehabilitation consists of many group activities in a house named "Mimoza". Bulimic patients come to understand their own disorders and symptoms objectively and understand recovery from their disorders by the intensive treatment system. Bulimic patients generally recover very slowly from eating disorders, but our intensive psychiatric treatment system promotes rapid recovery.
4.
[Metabolic syndrome: diagnosis and dietary intervention].
Eisenlohr, H
Der Internist. 2005;(1):57-67; quiz 68
Abstract
The metabolic syndrome is diagnosed according to criteria set by either WHO (obesity, high blood pressure, dyslipidemia, insulin resistance) or more recently by ATP III (National Cholesterol Education Program's Adult Treatment Panel III report). The latter emphasizes abdominal obesity, atherogenic dyslipidemia, high blood pressure and increased fasting glucose. Without presuming a nosologic entity, the metabolic syndrome is emerging as by far the most important precursor of an epidemic of cardiovascular disease, not only in Western countries. This epidemic calls for action at a time when our understanding of dietary intervention for maintaining weight loss remains primitive and cannot withstand critical scrutiny (because of a lack of long term randomised, prospective studies). Dietary therapy in metabolic syndrome therefore has to be aimed where success is most likely, i.e. at a reduction in energy intake and increase in output by physical activity, a prudent balance of carbohydrates, proteins and fats, taking into account secondary changes in lipid profiles and the glycemic load of nutrients. All nutritional advice must be incorporated in long term programs with continuous guidance, preferably in group therapy targeting all individual risk factors.
5.
Developmental processes in women's groups in Italy.
Cantarella, G
International journal of group psychotherapy. 2002;(2):265-84
Abstract
The observation of women's groups in Italy has made it possible to outline specific developmental processes. Clinical illustration also suggests the emergence of specific group areas such as "interchangeability," which are not seen in mixed-gender groups. The safe and confident atmosphere of interchangeability stimulates the relaxation of defences and self boundaries. As a consequence, it allows profound exchanges, which have an immediate impact in enhancing the sense of value and self-esteem of group members. Further therapeutic potentialities of "interchangeability" are described. Women in the here and now acquire the strength necessary for reexamining and psychoanalytically working through unconscious unresolved gender identifications and consequent problems in present relationships.
6.
Women in group and women's groups.
Holmes, L
International journal of group psychotherapy. 2002;(2):171-88
Abstract
Female development is characterized by the introjection of maternal and paternal objects, which creates a rich internal world for women. However, the feminine tendency to become diffused in identifications sometimes results in women feeling overpowered in mixed-gender groups. The author advocates women's groups for the traditionally "feminine" woman, that is, the woman who has a rather impoverished sense of self in terms of her internalized objects. Women's groups are also helpful during adolescence, pregnancy, and menopause, milestones of female development. These are times when women are in profound crisis and may find it difficult to speak about these quintessentially feminine events in the presence of men.