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  1. Is treatment in groups a useful alternative for psychiatry in low-income countries : an evaluation of a psychiatric outpatient unit in Nicaragua.

    Article - En anglais

    Centro de Atencion Psicosocial in Leon, Nicaragua is a psychiatric outpatient unit that has developed a group-oriented model of working, in which 80% of all visits are in groups : first-admission groups, insight-oriented group psychotherapy, psycho-educative, family groups and relatives groups.

    The aim of the present study was to analyze patient characteristics and make a preliminary study of improvement, compliance and patient satisfaction in a 1-year perspective.

    One hundred consecutive visits were assessed, 44 of them first admissions.

    They were assessed according to all axes of DSM-III-R plus the Structural Clinical Interview for DSM-III Disorders.

    A 1-year follow up was conducted on 39 of 41 selected patients within the major diagnostic groups.

    One of 4 patients had a psychotic disorder where schizophrenia dominated.

    Among nonpsychotics major depression, anxiety and adjustment disorders were most frequent.

    Personality disorders were common (80%) among nonpsychotic patients, paranoid, obsessive-compulsive, passive-aggressive and masochistic personality disorders dominating.

    Severity of mental disorders and functional level did not differ between educational levels.

    There was a strong male dominance in all diagnostic, socioeconomic and educational level strata and few old patients.

    Improvement in functional level was clinically and statistically significant in all groups, and more than two thirds were very satisfied with the group treatment offered.

    Mots-clés Pascal : Psychiatrie communautaire, Traitement communautaire, Traitement groupe, Psychothérapie groupe, Trouble psychiatrique, Efficacité traitement, Economie santé, Santé mentale, Pays en développement, Tiers monde, Nicaragua, Amérique Centrale, Amérique, Homme

    Mots-clés Pascal anglais : Community psychiatry, Community treatment, Group treatment, Group psychotherapy, Mental disorder, Treatment efficiency, Health economy, Mental health, Developing countries, Third World, Nicaragua, Central America, America, Human

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0026614

    Code Inist : 002B18H05B. Création : 01/03/1996.