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Service provision for elderly depressed persons and political and professional awareness for this subject: a comparison of six European countries
- Author:
- BRAMSFELD Anke
- Journal article citation:
- International Journal of Geriatric Psychiatry, 18(5), May 2003, pp.392-401.
- Publisher:
- Wiley
Under-treatment of depression in late-life is a subject of rising public health concern throughout Europe. This study investigates and compares the availability of services for depressed elderly persons in Denmark, France, Germany, Sweden, Switzerland and the UK. Additionally, it explores factors that might contribute to an adequate services supply for depressed elderly people. Review of the literature and guide supported expert interviews. Analysis of the practice of care provision for depressed elderly persons and of indicators for political and professional awareness, such as university chairs, certification processes and political programmes in gerontopsychiatry. Only Switzerland and the UK offer countrywide community-oriented services for depressed elderly persons. Clinical experience in treating depression in late-life is not regularly acquired in the vocational training of the concerned professionals. Indicators suggest that the medical society and health politics in Switzerland and the UK regard psychiatric disease in the elderly more importantly than it is the case in the other investigated countries. Service provision for depressed elderly persons seems to be more elaborated and better available in countries where gerontopsychiatry is institutionalised to a greater extend in the medical society and health politics.
Anxiety, depression, and religiosity - a controlled clinical study
- Authors:
- PFEIFER Samuel, WAELTY Ursula
- Journal article citation:
- Mental Health Religion and Culture, 2(1), May 1999, pp.35-45.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Studies on religiosity and mental health have yielded mixed results. There are few studies in clinical settings, many of which are limited to an older population. This study had the goal of firstly exploring the interrelation of neuroticism and religiosity in clinically diagnosed patients in Switzerland compared with a group of healthy controls, and secondly, exploring differential aspects of positive or negative perceptions of religion in the individual. The findings support the clinical observation that the primary factor in explaining neurotic functioning in religious patients is not their personal religious commitment but their underlying psychopathology. Patients and healthy controls differ in the way they experience supportive and conflicting aspects of religiosity.