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Methodological issues in the study of Psychiatric Prevention

Research in the field of psychiatric prevention is a challenging and difficult task. In principle, research in preventive psychiatry should be hypothesis driven by specification of the linkages and intervening mechanism through which interventions are expected to affect identified risk and protective factors and mediate delay or prevention of disorders.

But the true impact of a prevention effort might not be observed for many years after the initiation of the program. As such, measurement issues are of major importance. However, resource constraints, together with the difficulties of sustaining contact with program participants, interfere with implementing the long-term follow up studies that would be necessary to assess the program effects. Additionally, there are implementation issues, e.g. it is doubtful that the prevention program long since delivered is fully responsible for effects seen many years later. Another challenge in prevention research is the need for flexible methodologies appropriate to the realities of naturalistic settings.

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Describing such complexity, it is obvious that research methods in preventive psychiatry are situated at the interface among social sciences, epidemiological research, treatment research, evaluation research and biostatistics. Accordingly, some methodological concepts out of these fields will be presented and discussed related to the topics of preventive psychiatry.

W. Roessler, Prof., Dr. Med. Dipl.-Psych.
Psychiatric University Hospital, Zurich

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Preventive Psychiatry Congress

· Psychiatric prevention
· Resisting prevention
· Mood disorders
· Chronic mental patients
· Chronic illness support
· Inherited mental disorders
· Mentally ill parents
· Preventive measures
· Personality disorders
· Disorders treatment
· Early education intervention
· Mental health promotion
· Mental health mobile units
· Aniracetam treatment
· Perinatal care
· WHO educational program
· Prevention of suicide
· Suicide attempters
· Prevention strategies
· A case report
· Primary health care
· Teaching bioethics
· Fight the stigma
· Nutrition and behavior
· The ICD-10 training kit


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