Global ETD Search

21	Prädiktion von Therapieerfolg und Verlauf psychiatrischer Komorbidität bei prognostisch benachteiligten Alkoholkranken / Prediction of therapy outcome and course of psychiatric comorbidity in chronic multimorbid addicts Wagner, Thilo 26 January 2005 (has links) No description available. 150 Psychologie Mathematics and Computer Science Alkoholabhängigkeit ambulante Alkoholismustherapie Chronizität chronische psychische Störungen komorbide Persönlichkeitsstörungen psychiatrische Komorbidität Schwere der Abhängigkeit Addiction severity Alcohol dependence chronicity chronic multimorbid addicted patients chronic psychiatric illness comorbid personality disorders outpatient alcoholism treatment prognosis psychiatric comorbidity
22	Merging Task-Centered Social Work and Motivational Interviewing in Outpatient Medication Assisted Substance Abuse Treatment: Model Development for Social Work Practice Fassler, Andreas 01 January 2007 (has links) To advance social work practice and decrease the research practice gap, this dissertation followed a model development paradigm consisting of several phases. Based on the task-centered model of social work practice and motivational interviewing, a new combined model was construed. The two underlying models were analyzed and synthesized, using technical eclecticism as the integrative approach. The resulting combined model was described by guidelines and manualized. To test the combined model in an applied setting, a study was designed in collaboration with social workers at a substance abuse counseling center. There, the combined model intervention was implemented in an outpatient medication assisted treatment program dispensing methadone and buprenorphine to a mainly African-American population. The agency program aimed at detoxification, but also provided methadone maintenance. It offered additional groups and acupuncture. Ten clients and four social work practitioners participated in the intervention study. The study used a mixed-method approach in data collection and analysis. Client practitioner verbal interaction was recorded using digital audio recording. The digital audio files were loaded directly into Atlas.ti software to be used for analysis. Qualitative data analysis with Atlas.ti was performed for two research tasks, a) assessing implementation fidelity of the manual based intervention and b) exploring model development aspects to improve model guidelines. Treatment fidelity was analyzed through deductive coding and frequency counts. Model development analysis was performed similar to a grounded theory model and used content analysis and constant comparison methodologies. Addiction Severity Index and Readiness Ruler, urine drug screens, problem change, and task accomplishment ratings were used as quantitative outcome measures to produce time series data in order to chart individual case progress in a single system design. After testing the intervention, a focus group with participating practitioners was conducted. Overall beneficence with clients improving and progressing successfully in the program was found. The integration of the underlying models was deemed successful. Their elements were found to be complementary and intricately linked. Crucial for successful implementation is that the program environment supports and accepts client choices. Model guidelines were reviewed and improved for further field testing. social work practice model motivational interviewing treatment fidelity model development intervention research Mixed-method Methadone maintenance substance abuse medication assisted treatment task-centered model Adult population Readiness Ruler Addiction Severity Index Manual based Model guidelines Atlas.ti software Time series single system design Theory integration Outpatient applied research qualitative digital audio recording Social and Behavioral Sciences Social Work
23	Food addiction : a cost-effective treatment proposal within a developing country context Kistenmacher, Ann 01 1900 (has links) This study explores the possible efficacy of a low carbohydrate and high fat nutritional intervention (LCHF) as a treatment possibility aiming to improve the ability of self-control and regulation in the context of carbohydrate-addiction. The study first outlines why increased simple carbohydrate consumption has been implicated as a risk-factor in numerous chronic conditions, and then explores the possibility that a reduction of such consumption could lower general medical expenditure in the healthcare sector of already overburdened institutions, especially in developing countries like South Africa. Since the neurobiological evidence for food addiction is compelling, this study investigates the impact of a low carbohydrate and high fat eating (LCHF) regimen by measuring the change in the severity of addictive behaviour in relation to a reduced carbohydrate consumption. Results indicate that a LCHF nutritional intervention lessened addictive behaviour after just 30 days, resulting in a statistically significant decrease in addiction symptoms from day 1 to day 30. The weight and BMI values of the participants recorded at the end of the study showed a reduction from those obtained during the pre- treatment stage, and the self-perceived ‘feeling in control’ also improved in all participants after the intervention. The introduction of a LCHF nutritional intervention presents a relatively cost-effective treatment and preventative measure to combat carbohydrate over-consumption and its numerous health complications, and it is therefore hoped that the positive findings of this study will foster further research, using larger samples, into this type of nutritional intervention against addictive eating behaviour. / Psychology / M.A. (Psychology) Low carbohydrate High fat nutritional intervention LCHF Addiction severity Carbohydrate over- consumption Chronic conditions Cost-effective treatment intervention Preventative treatment Yale Food Addiction Scale YFAS Diabetes Carbohydrate addiction Sugar Inflammation Banting Ketogenic Depression Addiction Feeling in control Psychology Obesity Overburdened healthcare Metabolic syndrome Stress Immune response Gut microbiome 362.196852600968 Obesity -- South Africa Obesity -- Developing countries Nutrition -- South Africa Nutrition -- Developing countries Nutrition counseling -- South Africa

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