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Biomedical subjects

E M Haberfellner

Publications and source records attributed to E M Haberfellner.

17 recordsLinked to original sources
PubMed2006

[Patient knowledge regarding tardive dyskinesia].

BACKGROUND: Patients can provide appropriate and legally valid consent to treatment with antipsychotics only if they received adequate information on the risk of tardive dyskinesia (TD) and have the capacity to give informed consent. METHODS: Eighty-seven patients in a psychiatric practice undergoing treatment with antipsychotics were interviewed for their level of information regarding TD and were subsequently provided with additional information on TD as needed. Three months after provision of this information, the interview was repeated. RESULTS: Though 82% of the patients had read the patient information leaflet and 44% had already received previous information, only 17% were found to be informed. The proportion of informed patients increased to 72% at the second interview. Among patients remaining uninformed despite previous information, a statistically significant higher proportion of elderly patients and patients with marked psychopathological impairments was found. CONCLUSIONS: Schizophrenic patients' knowledge on TD is low. With appropriate oral information being provided patients' knowledge can be considerably improved in the short run.

Adult↗
PubMed2004

Spontaneous remission of SSRI-induced orgasm delay.

BACKGROUND: Orgasm delay is a common side effect of SSRIs,causing negative influence on patients' compliance and quality of life. A possible strategy for the management of SSRI-induced orgasm delay is waiting for tolerance to develop. The authors studied the natural course of SSRI-induced orgasm delay over a period of 6 months. METHODS: One hundred eight patients having been started on SSRIs were included in an open, naturalistic study. Sexual dysfunction was assessed at monthly intervals using a structured interview. RESULTS: Twenty-six patients developed clinically relevant SSRI-induced orgasm delay. Eight patients (30.8%) reported complete remission of sexual dysfunction, while four patients (15.4%) noted a marked improvement. Four patients (15.4%) continued to describe severe orgasm delay at the end of the observation period. High severity of orgasm delay significantly correlated with lack of remission. CONCLUSIONS: A significant proportion of patients, especially those with mild to moderate orgasm delay, develop tolerance within 6 months.

Adult↗
PubMed2002

Sexual dysfunction caused by reboxetine.

The author reports on self-experienced, reboxetine-induced sexual dysfunction (prolonged orgasm of reduced intensity) and seminal emission after defecation. Both disorders were accompanied by pain and ceased within two days after discontinuation of the drug.

Adult↗
PubMed2000

Recruitment of depressive patients for a controlled clinical trial in a psychiatric practice.

Attempts were made to recruit moderately depressed patients to a randomized double-blind study with a new serotonergic-noradrenergic antidepressant in a psychiatry specialist's practice. Although 216 patients consulting a psychiatrist for depression were screened, none were suitable for recruitment into the study. The most common causes of exclusion were severity of depression (n = 199, 92.1%), concomitant treatment with other psychotropic drugs (n = 124, 57.4%) and pre-treatment with an SSRI or MAO-inhibitor (n = 97, 44.9%). On average, there were 3.4 criteria per patient that resulted in exclusion from the study. The difficulties in recruiting patients demonstrate that psychopharmacological studies with the usual inclusion and exclusion criteria are hardly practicable in an office-based psychiatric practice. Furthermore, the question to what extent results from studies performed under restrictive inclusion and exclusion criteria are applicable to routine care must also be put.

Adult↗
PubMed1998

[Neuroleptic treatment by the established psychiatrist. A report of experiences].

PURPOSE: Contrary to in-patient psychiatric care, quality assurance in the area of psychiatrists in outpatient practice is hardly in use. METHODS: Neuroleptic therapy regarding the following quality criteria was examined for 6 months in an outpatient psychiatric practice: choice of neuroleptics, dosage and combination of additional psychopharmacological medications. RESULTS: 13 different neuroleptics were prescribed to 147 schizophrenic patients, most frequently haloperidol and clozapin. 31% of these patients (n = 147) fell below the dosage recommendations for maintenance therapy. The most frequent psychopharmacological combinations were the combination of two neuroleptics (30%), the combination with lithium or carbamazepin (28%) and the combination with antidepressants (23%). CONCLUSION: Standardised treatment suggestions as guidelines are valuable for psychiatrists in an outpatients setting. In some cases it is necessary to develop individual treatment strategies that vary from the usual treatment standards.

Adult↗
PubMed1997

[Mobile crisis intervention and emergency psychiatry--3 years experiences].

Three years ago in Linz the crisis intervention service started to offer mobile crisis intervention during the night and on weekends. The article presents concept, organisation of the service and statistical data. Although the crisis intervention service is responsible for a region with 330,000 inhabitants the utilization of mobile crisis intervention is low.

Adult↗
PubMed1996

[Somatic illnesses in psychiatric patients. 9 case reports].

We report nine case histories of patients admitted to a psychiatric hospital for severe somatic disorders. The somatic disease was either the cause of the psychiatric symptomatology, or it occurred in addition to a well-known psychiatric disorder. For general practitioners and psychiatrists it can be difficult to differentiate between symptoms due to psychiatric disorders and symptoms that indicate somatic disorders. If patients refuse the necessary diagnostic or therapeutic procedures and show behaviour that is not related to good health, there is increased risk for complications and increased morbidity.

Adult↗
PubMed1996

[Compulsory commitment to a psychiatric hospital--the status in Austria].

Since 1991 in Austria a new law regulates involuntary admission at psychiatric hospitals and any other restriction of patient's freedom. Within 4 days a judge has to decide about further involuntary treatment. A new profession was established for involuntary patients support--the patients advocat. After a slow decrease of institutionalization rate in 1991 the number of involuntary admissions went up in 1993. The effects of the law upon psychiatric patients and treatment in psychiatric hospitals are discussed. Most psychiatrists (81%) are dissatisfied with the new legal situation because they see negative effects for some patients and have to spend a lot of time for juridical matters.

Attitude of Health Personnel↗
PubMed1995

[Patient education in multiple sclerosis: experiences and wishes of affected patients].

110 patients suffering from multiple sclerosis (MS) were asked about their experiences and their preferences concerning patient information. 85% were informed about diagnosis by physicians. The time from the occurrence of first symptoms until information about the diagnosis was 5.6 years on average. Most of our patients require frankness, but 29% would prefer to be informed only after disabilities have occurred. Contradictory statements of some patients seem to express their ambivalent feelings. It is difficult and needs a lot of sensitivity to find the best moment and the right quantity of information a patient is able to accept.

Adaptation, Psychological↗
PubMed1995

[Social relations and social support of psychiatric patients--a network study].

24 mentally ill patients were interviewed about social networks and social support systems. The number of network members was 25.7 persons on average, most of them were other mentally ill people themselves (34%) or health professionals (20%). Contacts between mentally ill people were characterised by sympathy for each other, short lasting relationship and little support function. Health professionals have quite different functions for our patients depending on their professional role. Emotional support (which is seen as the most important support function by our patients) is given mainly by psychologists and social workers. Very little support comes from psychiatrists and general practitioners.

Adult↗
PubMed1993

[Psychotic manifestation of hypothyroidism. A case report].

The case of a young woman is reported, who was treated one and a half years with psychopharmacologic agents and psychotherapy until hypothyroidism was diagnosed. Initially the psychopathology with prominent though disorders led to a tentative diagnosis of schizophrenia. Under administration of thyroid hormone the patient was free of psychiatric and somatic symptoms within 3 months. Problems of diagnosis, therapy and prognosis are discussed in relation of the literature.

Adult↗