艺术活动对医疗的辅助作用

近年来，关于用艺术活动作为辅助医疗的手段以及由此对患者产生的作用日益得到重视。适宜的艺术形式可以在患者生活的各个方面产生良好的作用，其根本原因在于卫生工作者将患者作为整体，从整体论的理论出发，承认每个患者在物、精神、社会、心理等方面的整体性。     

身心同步治疗 我战胜了抑郁

1997年秋天，我得了抑郁症，痛不欲生，总觉得自己没用，同时对生活充满恐惧。     

脑血管疾病的康复治疗

脑血管病是中、老年常见病、多发病,其致死率及致残率均很高,危害甚大.因此制定有效的康复治疗程序,对脑血管病是有效的.从广义上说,脑血管疾病患者2年以内都是恢复期,不要放过此时间的康复训练,即能力训练、语言训练、工作技术上的训练.但是,康复宜在早期开始,即在脑血管病的急性期就开始.康复在脑血管病的头3个月内效果最为显著,宜时间长些.病人一旦进入和完成康复程序,约80%可以独立活动或完成活动.不同病期,应有不同的康复重点,为以后的正规康复创造条件.     

抑郁症首选药物治疗

现今对抑郁症的治疗，主要有药物治疗与心理治疗等方法，药物治疗是治疗抑郁症的第一选择。     

强迫症治疗现状的调查

目的了解在上海心理咨询中心就诊的难治性强迫症患者的治疗现状.方法采用HAMD、HAMA、Yale Brown、社会功能缺陷筛查量表(SDSS)、自制的强迫症诊疗现状调查表,对在上海心理咨询中心就诊的159例强迫症患者进行调查.结果①药物治疗99例(66.3%),心理治疗32例(20.1%),药物加心理治疗28例(17.6%).②既往治疗首选方式氯丙咪嗪治疗最多,占52.3%;本次治疗以心理治疗最多占31.7%.③有效107例(67.6%),无效52例(32.4%).④无效与有效者做HAMA、SDSS、治疗连续性比较,有显著差异(P<0.05).结论目前强迫症的临床治疗仍以药物治疗为主,心理治疗逐步受到重视.     

艺术治疗在儿童心理精神问题治疗中的应用前景

本文针对国内外艺术治疗在儿童心理精神问题上的相关研究进行综述,重点阐述其在注意力缺陷多动症、儿童自闭症、创伤后应激障碍、儿童焦虑症、智障儿童等领域的研究成果,以期更全面地认识艺术治疗,进而更高效地治疗儿童心理精神问题。     

Adolescent Art Therapy (book)

This study assessed parenting satisfaction and efficacy in 53 parents of children with diabetes and 39 parents of physically healthy children. In addition, the relationship between parenting self-esteem and perceptions of child behavior, child age, disease duration, and metabolic control were examined. Parents of children with diabetes reported significantly lower levels of parenting satisfaction and efficacy compared to parents of healthy children, and their negative parental cognitions are most influenced by perceptions of more internalizing child problems, shorter diabetes duration, and poorer metabolic control. Parenting self-esteem was significantly inversely correlated with both internalizing and externalizing child behavior problems for patents of healthy children. The clinical implications of poor parental cognitions and directions for future research are highlighted.     

Art in Psychosocial Occupational Therapy: Guidelines for Use and an Art Exercise Battery

Occupational therapists working in the psychosocial field may use art techniques to facilitate their clients' self expression, creativity, insight and progress in therapy. However some, lacking specific training or experience, may hesitate to use art regularly or to any great degree. The purpose of this paper is to provide such therapists with guidelines for using art in therapy, and to describe an art exercise battery which has been used successfully for four years in a psychiatric day hospital.     

Medical Therapy of GERD: Current State of the Art

A proton pump inhibitor is the most cost-effective choice for severe disease and, in low doses, for moderate disease. Patients with mild disease and infrequent relapses can be managed with a H₂-receptor antagonist, an antacid, or cisapride.     

Depression Overview

Depression is a common condition that often remains undiagnosed and untreated; however, symptoms are more likely to be recognized today than in past decades. Survey data suggest that female, nonwhite patients are more likely to report depressive symptoms, especially those who are less educated, poor, and covered by Medicaid. Depression may be a finding suggestive of dysthymic disorder, minor or major depressive disorder, seasonal affective disorder, episodic depression, or a sign of an associated mood disorder, such as bipolar disorder. Many effective treatments are available that are well tolerated. This article outlines the diagnostic approach used in primary care, as well as the different treatment options available for this condition. Depression can have serious consequences and must be treated appropriately.Among adults responding to the 2006 National Health Interview Survey, 11% reported having feelings of sadness during all, most, or some of the time in the 30 days before the interview; 6% reported feeling hopeless; 5% felt worthless; and 14% felt that everything was an effort.1 Women were more likely to report such symptoms than men (13% vs 9%, respectively). Non-Hispanic black adults and Hispanic adults were more likely to report feelings of sadness or hopelessness than non-Hispanic white adults. Level of education was inversely associated with feelings of sadness, hopelessness, worthlessness, or with the feeling that everything was an effort. Adults with less than a high school diploma reported the highest levels of such feelings, and those classified as poor were twice as likely to report these feelings as those not classified as poor. Persons under age 65 who were covered by Medicaid were more likely (27%) to report depressive symptoms than those who were uninsured (14%) or those with private health insurance (7%). Among those aged 65 and older, Medicare and Medicaid “dual-eligible” patients were more likely to report feelings of sadness (28%) than those covered by Medicare alone (13%) or those with private health insurance (11%).1Depression is a common condition that frequently remains undiagnosed and untreated. Nevertheless, depression is more likely to be diagnosed today than in past decades, because the social stigma associated with this condition has lessened; available treatments are effective and well tolerated; and primary care physicians, to whom most patients initially present and from whom most patients receive initial therapy, have become more willing to diagnose and treat this condition.Depression may be suggestive of dysthymic disorder, major depressive disorder (MDD), seasonal affective disorder, episodic depression, or a sign of an associated mood, bipolar, or psychotic disorder. Depression may also be episodic, in response to bereavement or a major life change. In addition, it may play a significant role in specific clinical settings, such as during pregnancy or the postpartum period,2 adolescence, or at the end of life.3 This type of depression is beyond the scope of this discussion.