| 1. |
- Bhugra, Dinesh, et al.
(författare)
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World Psychiatric Association-Asian journal of psychiatry commission on psychiatric education in the 21st century
- 2023
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Ingår i: Asian Journal of Psychiatry. - : Elsevier. - 1876-2018 .- 1876-2026. ; 88
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Tidskriftsartikel (refereegranskat)abstract
- Psychiatric practice faces many challenges in the first quarter of 21st century. Society has transformed, as have training requirements and patient expectations, underlining an urgent need to look at educational programmes. Meanwhile, awareness has grown around psychiatric disorders and there are evolving workforce trends, with more women going to medical school and specialising in psychiatry. Trainee psychiatrists carry different expectations for work-life balance and are increasingly becoming conscious of their own mental health. A tendency to see health as a commodity and the litigious nature of society has elicited additional pressures for healthcare professionals. Cartesian mind-body dualism has created further complexity and this can often be frustrating for patients and care-partners alike. In many cultures across Asia and beyond, patients can present with physical symptoms to express underlying psychological distress with increasing physical investigations. Simultaneously, in various countries, a shift from asylums to community-based interventions and then home treatments have changed psychiatric care in remarkable ways. These changes have added to pressures faced by mental healthcare professionals. However, trainees and other mental healthcare professionals continue to receive similar training as they did a generation ago. The tensions and differences in ideology/orientation between different branches of psychiatry have made responses to patient needs challenging. Recognising that it is difficult to predict the future, this World Psychiatric Association-Asian Journal of Psychiatry Commission makes recommendations that could help institutions and individuals enhance psychiatric education. This Commission draws from existing resources and recent developments to propose a training framework for future psychiatrists.
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| 2. |
- Bogren, Mats, et al.
(författare)
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Lundby revisited: first incidence of mental disorders 1947-1997.
- 2007
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Ingår i: Australian and New Zealand Journal of Psychiatry. - : SAGE Publications. - 0004-8674 .- 1440-1614. ; 41:2, s. 178-186
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Tidskriftsartikel (refereegranskat)abstract
- Objective: To investigate how first incidence of various mental disorders changed between the periods of 1947-1972 to 1972-1997 in the Lundby cohort. Method: First-incidence rates of mental disorders were calculated for two 25 year periods and ten 5 year periods. Results: From 1947-1972 to 1972-1997 a decrease in almost all age- and sex-specific incidences of neurotic and organic brain disorders was observed, whereas incidence rates of psychotic disorders increased consistently in male subjects but decreased in most age intervals in female subjects. For both sexes the age-standardized 5 year period incidences of neurotic disorders decreased after 1972, fluctuated for psychotic disorders 1947-1997 and decreased steadily for organic disorders 1947-1997. Conclusions: The reduction in neurotic and organic brain disorder incidences may be linked to structural changes in society and medical advances.
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| 3. |
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| 4. |
- Mattisson, Cecilia, et al.
(författare)
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First incidence depression in the Lundby Study: A comparison of the two time periods 1947-1972 and 1972-1997.
- 2005
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Ingår i: Journal of Affective Disorders. - : Elsevier BV. - 1573-2517 .- 0165-0327. ; 87:2-3, s. 151-160
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Tidskriftsartikel (refereegranskat)abstract
- Background: The Lundby Study is a prospective, longitudinal study on a total population consisting of 3563 subjects during 50 years. This study compares first incidence rates of depression and cumulative probabilities for developing a depression over the two time periods 1947-1972 and 1972-1997. Method: The Lundby Study started in 1947. Follow-ups were carried out in 1957 and in 1972. In 1997 the surviving subjects (N = 1797) were interviewed by psychiatrists with a semi-structured interview. Best-estimate consensus diagnoses were used and ICD-10 and DSM-IV diagnoses were added. Further, 1030 subjects who had died during the last follow-up period 19721997 were investigated. Results: Women had higher incidence rates than men in both periods. The average annual incidence rate was lower for women and tended to be lower for men 1972-1997 as compared with 1947-1972. The cumulative probability for developing a depression was 22.5% for men and 30.7% for women 1972-1997. In 1947-1972 the corresponding figures were 22.8% in men and 35.7% in women. Limitations: The recall period is of considerable length, probably introducing recall bias. The inter-rater reliability over 50 years is fairly acceptable concerning depression. Conclusion: Lower annual standardised incidence rates were seen in 1972-1997 compared with 1947-1972. These findings suggest that the trend of increasing rates of depression in the Lundby cohort has terminated. Incidence rates and cumulative probabilities to develop a depression were higher for women than for men indicating that gender differences continue to play a role.
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| 5. |
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| 6. |
- Werneke, Ursula, et al.
(författare)
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Culture makes a person
- 2018
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Ingår i: Nordic Journal of Psychiatry. - : Taylor & Francis. - 0803-9488 .- 1502-4725. ; 72, s. S1-S2
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)
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| 7. |
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