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Biomedical subjects

H Derham

Publications and source records attributed to H Derham.

3 recordsLinked to original sources

Computerised psychoeducation for patients with eating disorders.

OBJECTIVE: To assess a new computer-based method of health education for patients with bulimia and anorexia nervosa. METHOD: Fifty-four patients with DSM-III-R diagnosed eating disorders were allocated randomly to one of two groups, one receiving a computer-presented health education package called DIET, the other experiencing a placebo computer-based program. Each group contained 14 anorexia nervosa patients, four anorexic patients with bulimia and nine bulimic patients. Groups were equivalent in terms of the severity of their eating disorder as measured on the Eating Disorders inventory and their estimated premorbid intelligence according to the National Adult Reading Test. Both groups were assessed before and after intervention on a questionnaire measuring knowledge of eating disorders and a questionnaire measuring attitudes to eating-disordered behaviour. RESULTS: The DIET group members were significantly improved when compared to the placebo group in terms of both their knowledge and attitudes towards their disorder. The patients rated the DIET program as being both easy to use and helpful. CONCLUSION: The DIET program has been found to be a resource-efficient means of health education for patients with eating disorders. Further research is required to assess whether the program has therapeutic effects in terms of behavioural improvement.

Adolescent↗

Treatment of depression in general practice.

In the management of depression only two forms of the condition need consideration: psychotic depression (usually severe) requiring treatment with antidepressants, ECT or both; and 'other' depressions, for which psychotherapy is the treatment of first choice. The selection of therapy depends on the personality integration of, and the stresses on, the patient. General practitioners are encouraged to understand and use crisis intervention and supportive therapy techniques. If the depression does not respond to these techniques within a few weeks the diagnosis should be reviewed for physical illness, psychosis and drug abuse. Trial of antidepressant drug therapy may be warranted before referral.

Antidepressive Agents↗