Many reliable and valid instruments for screening, assessment of severity of depressive disorders and classification according to ICD or DSM-IV criteria are available. Most instruments are available as self-, as well as observer-based Most instruments are available as self-, as well as observer-based rating questionnaires and interviews. The aim of this overview is to give a comprehensive review of well-established instruments in German speaking countries. Publication Name: Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz.
Negative symptoms are a cofeature of schizophrenia which constitute a severe burden on relatives as well as on the patient himself. Novel atypical antipsychotic drugs unlike conventional antipsychotics cause substantial progress in the Novel atypical antipsychotic drugs unlike conventional antipsychotics cause substantial progress in the treatment of negative symptoms. Methodological flaws in recent studies which evaluate the effectiveness of neuroleptics in negative symptoms are being discussed critically.
Especially the needs for differentiation of primary and secondary negative symptoms are underlined. Cognitive behavioural rehabilitation strategies are also reviewed. A framework is discussed in which neuroleptic treatment optimalization and enhancement of coping strategies by psychosocial approaches are integrated.
The need for integrating the patient in rehabilitation and treatment planning is underlined. Despite the limitations of methodology of most studies the findings of research reviewed here could be able to stimulate the optimalization of rehabilitation with these patients. It is necessary to ensure that all patients--especially those with high risk for deteriorating outcome--receive optimal treatment at the earliest possible stage in the course of their schizophrenic disorder. Progress in early intervention strategies  are therefore of outstanding interest.
These factors indicate the need to favour integrated treatment approaches in which drugs and psychosocial strategies can be combined in a manner that maximizes the potential synergism. In practice the therapy of treatment resistant psychotic symptomatology delusions and hallucinations is a difficult and up to now unsolved problem. This overview presents and discusses behaviour therapy oriented studies in the main This overview presents and discusses behaviour therapy oriented studies in the main part single case studies.
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Stieglitz, Rolf Dieter Recent developments are oriented towards the operational approaches of ICD and A special effort was made to develop instruments covering substance-related features which are necessary for the evaluation of prevention and. Bern: Hogrefe, Dyadic Coping among Swiss Couples.
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