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Seasonal Affective Disorder --- Chronobiology Phenomena --- Periodicity
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PHOTOTHERAPY-INSTRUMENTATION --- SEASONAL AFFECTIVE DISORDER --- INSOMNIA --- SLEEP DISORDERS --- CIRCADIAN RHYTHM --- THERAPY --- THERAPY --- THERAPY --- PHOTOTHERAPY-INSTRUMENTATION --- SEASONAL AFFECTIVE DISORDER --- INSOMNIA --- SLEEP DISORDERS --- CIRCADIAN RHYTHM --- THERAPY --- THERAPY --- THERAPY
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PHOTOTHERAPY-INSTRUMENTATION --- SEASONAL AFFECTIVE DISORDER --- INSOMNIA --- SLEEP DISORDERS --- CIRCADIAN RHYTHM --- THERAPY --- THERAPY --- THERAPY --- PHOTOTHERAPY-INSTRUMENTATION --- SEASONAL AFFECTIVE DISORDER --- INSOMNIA --- SLEEP DISORDERS --- CIRCADIAN RHYTHM --- THERAPY --- THERAPY --- THERAPY
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Seasonal affective disorder (SAD) is a major depressive syndrome described in the DSM-IV characterized by recurrent depressive episodes in the autumn and the winter and a remission in the spring and the summer. The emotional and cognitive symptoms (typical) are identical to those of the classical depression. But the vegetative symptoms (atypical) are the opposite of the classical depression: increased duration of sleep, increase in appetite and weight gain. There are many hypotheses in order to explain the pathophysiological mechanism of SAD. The main ones are: shorter photoperiod, contribution of melatonin, circadian phase shift and contribution of neurotransmitters (serotonin, norepinephrine, dopamine). Light therapy is the first-line treatment for SAD. It allows fast improvement of the symptoms for about 70 % of the patients. An exposure to 10 000 lux during 30 minutes in the moming is actually recommended. Antidepressant medications such fluoxetine (20 mg a day), sertraline, citalopram, mirtazapine (30 mg a day), bupropion (300 mg a day) and reboxetine (4 mg a day) have proved to be efficient in the treatment of SAD. Furthermore, St John’s wort has its place too in treating the SAD. Agomelatine is beneficial too to reduce depressive disorders. In conclusion, SSRI are actually used by patients who no-respond to light therapy. Researches published in this field are often very modest and authors have difficulties in introducing an admissible placebo. Randomized, placebo-controlled studies must be carried out on a large scale to know more accurately the pathophysiological mechanism of SAD and to prove the efficiency of light therapy and antidepressant medications. Future comparisons between the both types of treatment are necessary La dépression saisonnière (SAD) est un syndrome affectif majeur décrit dans le DSM-IV caractérisé par des épisodes dépressifs récurrents en automne et en hiver et une rémission au printemps et en été. Les symptômes émotionnels et cognitifs (typiques) sont les mêmes que ceux de la dépression classique. Par contre, les symptômes végétatifs (atypiques) sont l’inverse de ceux de la dépression classique: hypersomnie, hyperphagie, gain de poids. Plusieurs hypothèses sont émises pour expliquer le mécanisme physiopathologique de la SAD. Les principales sont: un raccourcissement de la photopériode, une contribution de la mélatonine, un retard de phase du rythme circadien, une réduction de l’amplitude du rythme circadien, une implication des neurotransmetteurs (sérotonine, noradrénaline, dopamine). La luminothérapie constitue le traitement de premier choix dans la SAD. Elle permet une amélioration rapide des symptômes chez environ 70 % des patients. Une exposition de 10 000 lux pendant 30 minutes le matin est actuellement recommandée. Les antidépresseurs tels que la fluoxétine (20 mg par jour), la sertraline, le citalopram, la mirtazapine (30 mg par jour), le bupropion (300 mg par jour) et la réboxétine (4 mg par jour) ont aussi prouvé leur efficacité dans le traitement de la SAD. De plus, le millepertuis a également sa place dans la prise en charge de la SAD. L’agomélatine s’est avéré bénéfique pour réduire les troubles dépressifs. En conclusion, les ISRS sont actuellement utilisés chez les patients qui ne répondent pas à la luminothérapie. Les recherches publiées dans le domaine sont souvent très modestes et les auteurs rencontrent des difficultés pour la mise en place d’un placebo acceptable. Des études contrôlées avec placebo doivent être réalisées à grande échelle afin de connaître au mieux le mécanisme physiopathologique de la SAD et de prouver l’efficacité de la luminothérapie et des antidépresseurs dans le traitement de ce trouble dépressif. Des comparaisons futures entre les deux types de traitement sont aussi indispensables.
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Cognition --- Depression --- Light --- Seasonal Affective Disorder --- Phototherapy --- physiology --- etiology --- diagnostic use --- prevention & control --- methods
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Dépression --- Psychobiologie --- Rythme biologique --- Système circadien --- Trouble psychopathologique --- Dépression saisonnière. --- Seasonal affective disorder.
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Dit boekje geeft een overzicht van de huidige stand van de kennis en behandelingsmogelijkheden van winterdepressies. Allereerst wordt het verschijnsel winterdepressie beschreven. Niet iedere depressie in de winter is een winterdepressie. Er zijn diverse criteria waaraan iemand moet voldoen eer de diagnose winterdepressie kan worden gesteld. Deze criteria worden genoemd en geïllustreerd aan de hand van een gevalsbeschrijving. Na de beschrijving van het winterdepressie-beeld komt aan de orde hoe vaak het verschijnsel in de populatie voorkomt. Een en ander wordt vanuit een internationaal perspectief op de Nederlandse situatie toegespitst. Weten hoe een verschijnsel er uitziet en hoe vaak het voorkomt geeft nog geen duidelijkheid over de oorzaken. Daar is al veel onderzoek naar gedaan zonder dat dat geleid heeft tot definitieve conclusies. Alternatieve behandelingen voor winterdepressie, zoals psychofarmaca, psychotherapie en homeopathie komen eveneens aan de orde. Bovendien zijn twee beslisbomen opgenomen die behulpzaam kunnen zijn bij het zoeken van een goede behandeling voor een patiënt met winterdepressie.
Depression --- Seasonal Affective Disorder --- Phototherapy --- Depressive Disorder --- winterdepressies --- depressie --- psychiatrie --- 607 --- 606.3 --- seizoengebonden stemmingsstoornissen --- stemmingsstoornissen --- winterdepressie --- therapy. --- methods. --- psychiatrische behandelingsmethoden --- Winterdepressies. --- therapy --- methods
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This therapist guide presents an evidence-based group treatment for SAD. In 12 sessions over 6 weeks, participants learn the traditional CBT elements of behavioural activation and cognitive restructuring to improve coping with the winter season.
Seasonal affective disorder --- Cognitive therapy. --- Cognitive-behavior therapy --- Cognitive-behavioral therapy --- Cognitive psychotherapy --- Psychotherapy --- Depression, Seasonal --- SAD (Psychiatry) --- Seasonal depression --- Affective disorders --- Treatment.
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Do you find yourself becoming depressed as winter approaches? Do the "winter blues" affect your ability to get through the day? Do you experience a loss of pleasure in your daily life during the winter season? Does your mood lift with the return of spring? If so, you may be suffering from seasonal affective disorder or SAD. This workbook can help you learn strategies to overcome the "winter blues" this year and for years to come. It can be used as part of an individual or group cognitive-behavioral therapy (CBT) program, which may also be combined with light therapy.
Seasonal affective disorder --- Cognitive therapy. --- Cognitive-behavior therapy --- Cognitive-behavioral therapy --- Cognitive psychotherapy --- Psychotherapy --- Depression, Seasonal --- SAD (Psychiatry) --- Seasonal depression --- Affective disorders --- Treatment.
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Jannik Götz develops a treatment concept for sufferers of Seasonal Affective Disorder, commonly known as winter depression. Unlike existing solutions that focus on medical remission only, the author aims at creating a user experience that is alleviating symptoms of this disease in a motivating and hassle-free way. By utilizing a variety of research techniques, the author gains valuable user-driven insights that are directly transformed into a novel approach to light therapy. The result is a light lamp that resolves shortcomings and issues of current treatment approaches. A business plan and its associated requirements complement the overall concept. Contents Seasonal Affective Disorder and its Characteristics Human-Centered Design Research Design and Product Development Business Plan Target Groups Lecturers and students in psychology, industrial design, user experience design, product management People working in product development, industrial and UX designers as well as scientists and psychologists interested in winter depression and its treatment conditions. The Author Jannik Götz completed his bachelor’s degree in Industrial Design at the University of Applied Sciences Pforzheim, Germany, before finishing his master’s degree in Design and Product Management at the University of Applied Sciences Salzburg, Austria, and at Jönköping University, Sweden. Today, he is working for an international lighting company in Germany. .
Seasonal affective disorder --- Depression, Seasonal --- SAD (Psychiatry) --- Seasonal depression --- Affective disorders --- Treatment. --- Biological psychology. --- Psychotherapy. --- Counseling. --- Industrial design. --- Biological Psychology. --- Psychotherapy and Counseling. --- Industrial Design. --- Design, Industrial --- Mechanical drawing --- New products --- Design --- Counselling --- Helping behavior --- Psychology, Applied --- Clinical sociology --- Interviewing --- Personal coaching --- Social case work --- Psychagogy --- Therapy (Psychotherapy) --- Mental illness --- Mental health counseling --- Biological psychology --- Biopsychology --- Biology --- Human behavior --- Psychology --- Biological psychiatry --- Treatment
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