Monthly Archives: September 2014

Receiving Instrumental Support in Late Parent-Child Relationships and Parental Depression.






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Receiving Instrumental Support in Late Parent-Child Relationships and Parental Depression.
J Gerontol B Psychol Sci Soc Sci. 2014 Sep 23;
Authors: Djundeva M, Mills M, Wittek R, Steverink N
A… Continue reading

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[Ill after drinking untreated milk; ‘die Amelander Krankheit’].






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[Ill after drinking untreated milk; ‘die Amelander Krankheit’].
Ned Tijdschr Geneeskd. 2013;157(51):A7078
Authors: Jacobs JJ, Sanderman R
Abstract
In 2012 three patients consulted thei… Continue reading

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The effects of a problem solving-based intervention on depressive symptoms and HIV medication adherence are independent.






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The effects of a problem solving-based intervention on depressive symptoms and HIV medication adherence are independent.

PLoS One. 2014;9(1):e84952

Authors: Gross R, Bellamy SL, Chapman J, Han X, O’Duor J, Strom BL, Houts PS, Palmer SC, Coyne JC

Abstract
Depression and depressive symptoms predict poor adherence to medical therapy, but the association is complex, nonspecific, and difficult to interpret. Understanding this association may help to identify the mechanism explaining the results of interventions that improve both medical therapy adherence and depressive symptoms as well as determine the importance of targeting depression in adherence interventions. We previously demonstrated that Managed Problem Solving (MAPS) focused on HIV medication adherence improved adherence and viral load in patients initiating a new antiretroviral regimen. Here, we assessed whether MAPS improved depressive symptoms and in turn, whether changes in depressive symptoms mediated changes in adherence and treatment outcomes. We compared MAPS to usual care with respect to presence of depressive symptoms during the trial using logistic regression. We then assessed whether MAPS’ effect on depressive symptoms mediated the relationship between MAPS and adherence and virologic outcomes using linear and logistic regression, respectively. Mediation was defined by the disappearance of the mathematical association between MAPS and the outcomes when the proposed mediator was included in regression models. Although MAPS participants had a lower rate of depressive symptoms (OR = 0.45, 95% confidence interval 0.21-0.93), there was no evidence of mediation of the effects of MAPS on adherence and virological outcome by improvements in depression. Thus, interventions for medication adherence may not need to address depressive symptoms in order to impact both adherence and depression; this remains to be confirmed, however, in other data.

PMID: 24400124 [PubMed – indexed for MEDLINE]

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Mindfulness training in a heterogeneous psychiatric sample: outcome evaluation and comparison of different diagnostic groups.






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Mindfulness training in a heterogeneous psychiatric sample: outcome evaluation and comparison of different diagnostic groups.
J Clin Psychol. 2014 Jan;70(1):60-71
Authors: Bos EH, Merea R, van den Br… Continue reading

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