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Biomedical subjects

R Klepsch

Publications and source records attributed to R Klepsch.

3 recordsLinked to original sources

Schizophrenia-specific basic symptoms. A successful replication.

Several investigations showed that the Frankfurt Complaint Questionnaire (FCQ) has no diagnostic specificity. However, in a preceding study two new FCQ subscales were developed: FCQ-S, sensitive to schizophrenia, and FCQ-A, sensitive to alcoholism. The aim of the present study was to replicate the diagnostic sensitivity of those subscales. Four groups were considered: schizophrenics with marked negative symptoms (n = 25); schizophrenics with no or mild negative symptoms (n = 25); alcoholics (n = 25); patients with obsessive-compulsive disorder (n = 15). FCQ original subscales and total score did not differ between groups. As expected, in FCQ-S both schizophrenic groups had significantly higher scores than the other groups; FCQ-A failed to show group differences but was significantly related to alcoholism markers.

Adult↗

[Possibilities of behavior therapy in neurologic practice].

During one year one day the week a psychiatrist and a behavior therapist cooperate in treating neurotic patients asking for help in the psychiatrist's praxis. The main interest has been to orientate the whole way of treatment-beginning with intake interview in the psychiatrist's praxis continuing in some cases with an offer of immediate behavioral therapy-at those principles the modern behavior therapy commonly uses. Those kinds of "behavioral" problem analyses the outpatient unit for behavior modification University Clinic Hamburg has developed the last ten years have been very helpful; further the different kinds of exposure in real life (in vivo) situations, but also exposure in sensu seemed to be applicable; both because of offering immediate help without looking at sex, age, socio-economic status.

Adjustment Disorders↗

Predictors of attrition from an outpatient marijuana-dependence counseling program.

We sought to characterize attrition-related characteristics of three subgroups of adults (i.e. early dropouts, late dropouts, treatment completers) who had participated in a marijuana-dependence treatment outcome study involving two alternative forms of outpatient group counseling. Early dropouts were younger, earned less income, were more likely to rent rather than own their domiciles, were less able to pay bills, and had a higher level of psychological distress than was the case with treatment completers. Late dropouts and completers were quite similar on a number of measures (e.g., age, income, home ownership, ability to pay bills, psychological stress level, confidence in being abstinent in the future), yet the lower rates of abstinence in the late dropouts largely resembled the treatment outcomes of early dropouts. The findings suggest that attrition prevention in the early phase of counseling ought to focus on motivational ambivalence as well as assisting the client in dealing with schedule conflicts or financial impediments to continued involvement. In the later stage of counseling, attrition reduction is more likely to be accomplished through efforts to better understand and address the client's dissatisfaction with treatment components delivered at that stage.

Adolescent↗