Common psychosocial factors in psychiatric drug therapy.

Author(s):  
Roger P. Greenberg
1975 ◽  
Vol 127 (5) ◽  
pp. 432-439 ◽  
Author(s):  
W. N. Stone ◽  
B. L. Green ◽  
G. C. Gleser ◽  
R. M. Whitman ◽  
B. B. Foster

SummaryThe effect of attitudes of therapists, patients and researchers on the conduct and outcome of combined drug and psychotherapy research was examined in a brief crisis-oriented psychotherapy clinic. Seventy-seven consecutive patients were given one of two anti-anxiety drugs or a placebo in conjunction with the typical psychoanalytically-oriented treatment used in the clinic. The therapists' attitudes favouring psychotherapy over drug therapy (and psychotherapy research) were clearly conveyed to the patients. Indicative of this are the following: (a) 82 per cent of the patients dropped out of drug taking, although a similar percentage remained in treatment; (b) only a third of the patients perceived it as being important to their therapists that they should take medication; (c) 87 per cent of the patients were rated as improved; and 75 per cent of patients completing forms considered that most or all of their improvement was attributable to talking.The research team, made up of members of the same department who therefore had similar values as the therapists, diligently collected outcome data, but ignored its responsibility to enforce drug-related portions of the protocol. Overall, patients remained in therapy, improved and participated in completing forms, so that only the research goals of combined therapy were thwarted, while traditional clinic service and training goals proceeded as usual.


Global Heart ◽  
2014 ◽  
Vol 9 (1) ◽  
pp. e48
Author(s):  
Daniela Sandoval ◽  
Javier Chacón ◽  
Javiera Garrido ◽  
Ivonne Ahlers ◽  
Isabel Segovia ◽  
...  

1998 ◽  
Vol 60 (5) ◽  
pp. 592-596 ◽  
Author(s):  
Kazuhiro Yoshiuchi ◽  
Hiroaki Kumano ◽  
Shinobu Nomura ◽  
Hiroshi Yoshimura ◽  
Kunihiko Ito ◽  
...  

2009 ◽  
Vol 42 (7) ◽  
pp. 26
Author(s):  
MITCHEL L. ZOLER
Keyword(s):  

2004 ◽  
Vol 20 (4) ◽  
pp. 227-236 ◽  
Author(s):  
Sara Holmberg ◽  
Anders Thelin ◽  
Eva-Lena Stiernström

Summary: The concept of “sense of coherence” (SOC) has been widely recognized since it was first introduced by Antonovsky. The originality and usefulness of the SOC scale and its relation to other psychosocial measures has been the subject of lively debate. The aim of this paper was to test for associations between SOC and work-related psychosocial factors (mainly the Job Demand-Control model), general living conditions, education, and social network factors. Cross-sectional data from a population-based sample of 1782 rural males from nine counties in Sweden were analyzed with a multiple regression technique. The subjects were occupationally active at inclusion and the mean age was 50 years (range 40-60). SOC was assessed with the original 29-item questionnaire. Psychosocial variables and lifestyle factors were assessed using questionnaires and structured interviews. The mean SOC among the subjects was 152.3 (standard deviation, 19.4). A strong negative correlation was found between SOC and job demand, whereas a positive correlation with job control was demonstrated. A positive correlation with general living conditions and with social support was also found. However, there was no correlation to education and occupation. Thus, SOC was shown to be strongly correlated to work-related psychosocial factors and social support, but independent of sociodemographic factors.


2000 ◽  
Vol 45 (4) ◽  
pp. 457-458
Author(s):  
Diane M. Noyy ◽  
Marilu Price

1981 ◽  
Vol 26 (3) ◽  
pp. 225-225
Author(s):  
Oakley S. Ray

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