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Psychoeducation of family members of people with severe mental disorder
Kleinová, Mariana ; Dragomirecká, Eva (advisor) ; Bankovská Motlová, Lucie (referee)
diplomové práce Psychoedukace rodinných příslušníků osob s dlouhodobým duševním onemocněním Psychoeducation of family members of people with severe mental disorder Mariana Kleinová Obor: sociální práce Vedoucí diplomové práce: PhDr. Eva Dragomirecká, Ph.D. Oponent diplomové práce: doc. MUDr. Lucie Motlová Bankovská, Ph.D. Serious mental illness has an impact not only on the quality of life of the mentally ill person but also on his family. In the near past the family was mainly seen as the one to blame for the mental illness or a cause of stress and relapse. Today the role of the family as a carer and the need to cooperate with he family is emphasised. Professionals are trying to find ways to help relatives to cope with their situation. Families may find support and help in self help organizations, in family therapy or psychoeducation or other family based interventions. In the theoretical part of this work I shortly described the problematic of deintitucionalization of psychiatric care, changes in the concept of family as a risk factor for the genesis or progress of mental illness, the role of the family in treatment and rehabilitation, caregiver burden and needs of the family members of people with mental illness. Further I concentrated on family interventions as a method to work with and support...
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Early warning signs and relapse prevention in schizophrenia
Onderková, Veronika ; Bankovská Motlová, Lucie (advisor)
For the processing of my thesis I have chosen the theme " Early warning symptoms and prevention of relapse of schizophrenia " due to long-standing interest in the disease. Already during his studies at secondary school I started to get acquainted with psychiatry and especially schizophrenia . The first book that sparked my interest in schizophrenia , was Paper MD . Jaroslav Vacek " The disease of the soul - Chapters of psychiatry ." It I have also the opportunity to meet two peers , which in this high-risk age around twenty years, the disease manifested itself . In the study of medicine remained Psychiatry in addition to internal fields in the center of my interest . Schizophrenia is among the public is still shrouded in many myths and delusions . Experts still far have not completed this research disease , its etiology , symptoms and treatment procedure . Schizophrenia is a privilege Homo sapiens. Schizophrenic apes do not exist and even other animals like this usually not penalized . The symptoms of schizophrenia are varied . There is currently no laboratory test result or auxiliary examination methods , which would be for a schizophrenic disease specific. The course of the disease is unpredictable. Schizophrenia usually takes place in atakách with remissions . The goal of long-term treatment to prevent...
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Schizophrenia: Prevention of relapse and re-admission to psychiatric hospital after treatment
Aarseth, Erling Becker ; Bankovská Motlová, Lucie (advisor)
It has in this review article been cited several different studies and sources, all concerning the prevention of relapse of schizophrenia and related psychotic disorders; The different approaches to treatment (programs, type of psychotherapy etc.) have been discussed according to evidence based research and randomized controlled trials. Although some explanations have been given about terms used in the literature, as well as some definitions to enable classifications in future studies, it has been focused only on the preventive measures used in schizophrenia; a detailed description of different subgroups of schizophrenia, as well as detailed descriptions of pharmacology in euroleptics is beyond the scope of this article. The recognition of relapse symptoms was first considered and defined, and the different approaches was then discussed; Outpatient treatment plans and relapse prevention plans, as well as the impact of cognitive behavioral therapy and psychotherapy have been discussed in subsequent chapters. In this section, it was especially focused on the ITAREPS program and its impact on the relapse prevention. The role of medications was then defined and supported with clinical studies and trials.
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Day treatment programme for psychotic disorders and relapse prevention
Petráňová, Dana ; Bankovská Motlová, Lucie (advisor)
Day treatment programme is clinically-based 6-week structured integrated programme for out patiens with schizophrenia, best after first attack, when patients need psychological support as soon as possible to cope with their illness and with reality,that they have to use drugs. The programme is led by psychiatrist and nurse-therapist. The group day treatment programme consists of individual and family psychoeducation,social skill training, life style improvement intervention, cognitive remediation and information aided relapse prevention programme ITAREPS. The principal aim of day treatment programme i afford place for psychiatric rehabilitation and surmount stage after release from hospital. Combination of all those interventions is more effective. And by this way doctors try to improve quality of patient"s life and make easy return to society. Although they try to educate patients and their families to recognize early warning signs of relapse. Main problems are: recognize illness,bad manipulation with informations,changing relapse and remissions,stigma of schizophrenia in society,support in family. Patients have to know,that they are ill. They have to understand, that if they take pills every day, the relapse does not come. And they will take pills, if they will understand, why is it so important. They...
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Family psychoeducation and relapse prevention in psychotic disorders
Pleštilová, Lenka ; Bankovská Motlová, Lucie (advisor)
Relapse prevention is a primary long-term clinical goal in treatment of psychotic disorders. Pharmacotherapy by itself is not sufficient, because compliance of patients in remission is usually low and there are more factors contributing to relapse, especially stress of patients resulting from emotionally demanding situations in the family. PREDUKA (PREventive EDUcational programme for relapse prevention) is a six-hour professionally-led group programme for patients with psychotic disorders in ambulant therapy and for their relatives. In a field questionnaire survey we mapped 1) theoretical knowledge of participants, 2) usage of practical advice obtained from PREDUKA and 3) general benefit of programme. Participants from years 2007 - 2009 were included. The sample consisted of 14 patients and 22 relatives, 27 women and 11 men. The average age of patients was 28,6 years, that of relatives 44,4 years. High return of questionnaires from patients confirms their goodwill to cooperate. Knowledge of participants about psychosis and their therapy is very good, compliance of patients from our sample is high. Participants usually follow advice obtained from PREDUKA. Common is the ignorance of important phone numbers (crisis centre, attending psychiatrist), so we suggest to include a page in a workbook for these dates....
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Obesity and schizophrenia: Motivation for Wellness program participation
Hynková, Tereza ; Bankovská Motlová, Lucie (advisor)
The Wellness Programme is the first psycho-educational programme for the people suffering from psychotic illnesses in the CR. Its main task is to educate these people about the healthy lifestyle, especially the healthy diet and the importance of physical exercise, and the obesity prevention. It is a group programme led by trained instructors, mostly by nurses. The recent surveys have brought positive results: the programme leads to weight loss in patients, reduces social isolation and is very popular among the patients. In the terrain questionnaire survey we have 1) mapped the physical health among the people with schizophrenia, and 2) explored their satisfaction with the programme. We studied the Wellness Programme in the CR spring 2008 participants. The file consisted of 27 questioned, 11 men and 16 women. The average age was 37 years, average BMI was 30, 9. The patients suffered from physical diseases, most often from hypertension and stomach problems. The participants appreciated most of all practical instructions and the possibility of meeting people with the same complaints. Generally, the organization suited well, the programme got the total mark 2.04 (1 best, 5 worst). While the preventive character of the programme in the obesity therapy works well, the task of weight gain prevention has to be...
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