Research on psychological treatment of depression in inpatients is not conclusive,with some studies finding clear positive effects and other studies finding no significant benefit compared to usual care or structured pharmacotherapy. The results of a meta-analysis investigating how effective psychological treatment is for depressed inpatients are presented. A systematic search in bibliographical databases resulted in 12 studieswith a total of 570 respondents. This set of studies had sufficient statistical power to detect small effect sizes. Psychological treatments had a small (g=0.29), but statistically significant additional effect on depression compared to usual care and structured pharmacological treatments only. This corresponded with a numbersneeded- to-be-treated of 6.17. Heterogeneity was zero inmost analyses, and not significant in all analyses. There wasno indication for significant publication bias. Effectswere not associatedwith characteristics of the population, the interventions and the design of the studies. Although the number of studieswas small, and the quality ofmany studieswas not optimal, it seems safe to conclude that psychological treatments have a small but robust effect on depression in depressed inpatients. More high-quality research is needed to verify these results.
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The semantic differential is a widely applied measurement technique in the information systems field. As wedemonstrate in this study, however, there is evidence that many of the applications of the semantic differentialseem to be subject to common shortcomings. In this study, we address these shortcomings by creatingawareness of the requirements underlying semantic differentiation. We discuss the requirements of semanticdifferentiation and use them as a foundation to introduce a framework to assist researchers in applying thesemantic differential more adequately. The framework puts renewed emphasis on bipolar scale selection anddimensionality testing, introduces semantic bipolarity as new criterion, and proposes distinct stages for thetesting of wording and contextual contamination. We exemplify the framework using an illustration exercise,which centers on the assessment of the meaning of the concept “electronic marketplace quality”. Using amixture of qualitative and quantitative methods, the illustration exercise clarifies the prerequisites for semantic differentiation and provides suggestions for researchers. The paper concludes with a discussion of several methodological implications.
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Research shows that most of the variance in depression severity levels in late life can be explained by the unmet psychological needs of patients, more in particular the care needs of patients related with psychological distress. This case report describes the treatment of an 84-year-old patient suffering from depression. Her complaints faded upon the use of nursing interventions that were defined on the basis of a systematic assessment of her care needs with the Camberwell Assessment of Needs for the Elderly. The methodical attention to her needs for care and the interventions carried out led to the patient feeling acknowledged and to a diminished need for care and a better quality of life. Although there is no scientific evidence to date, a systematic assessment of care needs may well be a meaningful addition to the nursing diagnostic process. Moreover, alleviating distress in patients by fulfilling unmet care needs through tailored interventions can be seen as an essential element of an effective multidisciplinary depression treatment process.
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