Fortschritte Der Neurologie Psychiatrie最新文献_第3页

[Assertive community treatment at the University Psychiatric Clinics in Basel: Presentation of pilot projects Re-ACT and ACTTIV and results from a qualitative survey among referrers]. [巴塞尔大学精神病诊所的自信社区治疗：试点项目Re-ACT和ACTTIV的介绍以及对转诊者进行定性调查的结果]。

IF 0.6 4区医学

Fortschritte Der Neurologie Psychiatrie Pub Date : 2025-06-12 DOI: 10.1055/a-2587-7093

Katja Rother, Julian Möller, Franziska Rabenschlag, Mariela Jaffé, Christine Althaus Aebersold, Joerg Eysell, Constantin Bruttel, Lukas Imfeld, Andre Nienaber, Undine E Lang, Christian Huber

{"title":"[Assertive community treatment at the University Psychiatric Clinics in Basel: Presentation of pilot projects Re-ACT and ACTTIV and results from a qualitative survey among referrers].","authors":"Katja Rother, Julian Möller, Franziska Rabenschlag, Mariela Jaffé, Christine Althaus Aebersold, Joerg Eysell, Constantin Bruttel, Lukas Imfeld, Andre Nienaber, Undine E Lang, Christian Huber","doi":"10.1055/a-2587-7093","DOIUrl":"https://doi.org/10.1055/a-2587-7093","url":null,"abstract":"The recovery oriented Assertive Community Treatment (Re-ACT) and the Assertive Community Treatment - Transitional Intervention (ACTTIV) are two newly implemented assertive outreach pilot projects of the University Psychiatric Clinics Basel (UPK). Initial results of evaluation conducted along with their implementation are presented here regarding the referral process from the inpatient setting. In order to successfully establish the pilot projects, experience and perspectives of referring physicians to the outreach treatment were explored. Three semi-structured focus group interviews were conducted.Qualitative content analysis according to Mayring identified five topics: (1) registration procedure, (2) differentiation from existing care options in the region, (3) patients' experiences with the services, (4) indication for treatment and (5) expectations of the referring physicians regarding the outreach treatment. Referring physicians rated the outreach treatment as helpful and effective. As soon as patients came into contact with the assertive community treatment, they reported positive experiences to the referring physicians. There was a desire for more flexible registration times so that admission would also be possible after discharge from the hospital. Furthermore, more information could be helpful for a systematised assessment of indications and for distinguishing the new treatment options from existing services.The newly implemented outreach services at UPK Basel are viewed positively by referring physicians. These services can close a treatment gap between inpatient and outpatient care and address the individual needs of patients. While referring physicians report positive experiences, further research is needed, in particular, to gain a better understanding of the patients' perspectives.","PeriodicalId":12353,"journal":{"name":"Fortschritte Der Neurologie Psychiatrie","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144283178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Dynamic impacts on mental health of psychiatric patients during and after the COVID-19 pandemic in an emergency department]. [新型冠状病毒肺炎大流行期间及之后急诊科精神病人心理健康的动态影响]。

IF 0.6 4区医学

Fortschritte Der Neurologie Psychiatrie Pub Date : 2025-06-04 DOI: 10.1055/a-2577-9492

Heribert Kirchner, Nik Hulsmans, Heiko Ullrich, Patrick Brzoska, Frank-GeraldB Pajonk

{"title":"[Dynamic impacts on mental health of psychiatric patients during and after the COVID-19 pandemic in an emergency department].","authors":"Heribert Kirchner, Nik Hulsmans, Heiko Ullrich, Patrick Brzoska, Frank-GeraldB Pajonk","doi":"10.1055/a-2577-9492","DOIUrl":"10.1055/a-2577-9492","url":null,"abstract":"The COVID-19 pandemic has posed significant challenges to healthcare systems worldwide. Psychiatric patients appear to be particularly affected by the pandemic and the lockdown measures in Germany. There is limited knowledge about the impact on psychiatric emergencies in emergency departments (EDs) from the onset of the pandemic until the initial relaxations in 2022. This study investigates the impact on psychiatric emergencies in an interdisciplinary ED during the various phases of the pandemic.A retrospective analysis was conducted of all psychiatric emergency contacts in an interdisciplinary ED of a general hospital in a German metropolitan city. The study period covered from January 1, 2019, to December 31, 2022. Significant changes in case numbers were observed depending on the different phases of the pandemic. Neurotic, stress-related, and somatoform disorders (ICD-10 F4) showed the most substantial and significant decrease in case numbers until 2021 among all primary diagnoses. The admission rate significantly increased in 2021 and declined the following year.The different phases of the pandemic had significant impacts on psychiatric emergency patients in an ED, particularly the altered diagnostic spectrum, leading to changed demands. The increased admission rate can be interpreted as an indicator of worsening psychopathological severity. The results of this study indicate that access to the healthcare system for psychiatric patients must be ensured and considered in health policy decisions, even during a pandemic.","PeriodicalId":12353,"journal":{"name":"Fortschritte Der Neurologie Psychiatrie","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Neurorehabilitation after epilepsy surgery in the temporal lobe in patients with specific neurocognitive risk profiles]. [具有特定神经认知风险特征的患者颞叶癫痫手术后的神经康复]。

IF 0.6 4区医学

Fortschritte Der Neurologie Psychiatrie Pub Date : 2025-06-01 Epub Date: 2024-04-23 DOI: 10.1055/a-2284-0431

Michael Schwarz, Annabell Sophie Badstübner, Karlotta Meyn, Katrin Walther, Hajo Hamer

{"title":"[Neurorehabilitation after epilepsy surgery in the temporal lobe in patients with specific neurocognitive risk profiles].","authors":"Michael Schwarz, Annabell Sophie Badstübner, Karlotta Meyn, Katrin Walther, Hajo Hamer","doi":"10.1055/a-2284-0431","DOIUrl":"10.1055/a-2284-0431","url":null,"abstract":"Introduction: In case of pharmacoresistant focal epilepsy, surgery is often the only way to achieve seizure freedom. These operations may result in cognitive deficits, especially with surgery in the left temporal lobe. The aim of this study was to determine whether patients operated in the left or right temporal lobe, respectively, have different cognitive outcomes. Furthermore, it was investigated if there was a positive influence of occupational therapy on neurorehabilitation in epilepsy patients.Methods: In all patients cognitive performance was assessed preoperatively and six months postoperatively. Patient groups with surgery in the right and left temporal lobe were compared. Additionally, single cases of patients who had undergone extensive pre- and postoperative occupational therapy were analyzed.Results: There was a significantly better cognitive outcome in patients who underwent surgery in their right temporal lobe. Occupational therapy was highly beneficial in patients after left temporal lobe surgery.Conclusion: Occupational therapy after left temporal lobe surgery is adapted to find individual solutions for the patient's problems and to implement effective cognitive training strategies.","PeriodicalId":12353,"journal":{"name":"Fortschritte Der Neurologie Psychiatrie","volume":" ","pages":"223-229"},"PeriodicalIF":0.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140860470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Correction: Pharmacogenetic testing to optimize psychopharmacotherapy: Case study of a patient with severe depression and lack of treatment success due to genetic polymorphisms for CYP2D6 and CYP2C19]. [更正：优化精神药物治疗的药物基因检测：一名重度抑郁症患者因 CYP2D6 和 CYP2C19 基因多态性导致治疗不成功的病例研究]。

IF 0.6 4区医学

Fortschritte Der Neurologie Psychiatrie Pub Date : 2025-06-01 Epub Date: 2024-10-30 DOI: 10.1055/a-2452-0620

Andreas Philipp Eckert, Martina Hahn

引用次数: 0

[Neurorehabilitation in epilepsy surgery]. [癫痫手术中的神经康复]。

IF 0.6 4区医学

Fortschritte Der Neurologie Psychiatrie Pub Date : 2025-06-01 Epub Date: 2025-06-10 DOI: 10.1055/a-2565-4080

Marianne Dieterich, Kaufmann Elisabeth

引用次数: 0

[What is effective in forensic addiction treatment? A non-systematic look into the evidence base for treatment approaches and interventions in the context of Sect. 64 of the German Criminal Code]. 在法医成瘾治疗中什么是有效的？在《德国刑法》第64节的背景下，对治疗方法和干预措施的证据基础进行非系统研究。

IF 0.6 4区医学

Fortschritte Der Neurologie Psychiatrie Pub Date : 2025-06-01 Epub Date: 2023-08-22 DOI: 10.1055/a-2136-5850

Jan Querengässer

{"title":"[What is effective in forensic addiction treatment? A non-systematic look into the evidence base for treatment approaches and interventions in the context of Sect. 64 of the German Criminal Code].","authors":"Jan Querengässer","doi":"10.1055/a-2136-5850","DOIUrl":"10.1055/a-2136-5850","url":null,"abstract":"Forensic addiction treatment according to Section 64 of the German Criminal Code is playing an increasingly important role in the German system of correctional institutions. In recent years, the question of the effectiveness of treatment as a whole has been the focus of numerous studies. Less frequently, however, research has addressed the evidence base of therapeutic interventions and efficacy factors. Since this article takes a non-systematic look into the current state of knowledge on specific interventions and factors that play a role in the effective treatment of addicted offenders, the question of what exactly works can only be answered in a rudimentary way. The concept of Therapeutic Community appears to be largely empirically supported. Based on such evidence as is currently available, motivational interviewing and dialectical-behavioral therapy can be considered the most promising forms of therapy. The effectiveness of forensic addiction treatment lies possibly less in the application of individual approaches than in questions of the setting and the attitude of those providing treatment.","PeriodicalId":12353,"journal":{"name":"Fortschritte Der Neurologie Psychiatrie","volume":" ","pages":"230-237"},"PeriodicalIF":0.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10053745","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Pharmacogenetic testing to optimize psychopharmacotherapy: Case study of a patient with severe depression and lack of treatment success due to genetic polymorphisms for CYP2D6 and CYP2C19]. [药物基因检测优化精神药物治疗：一名重度抑郁症患者因 CYP2D6 和 CYP2C19 基因多态性导致治疗不成功的病例研究]。

IF 0.6 4区医学

Fortschritte Der Neurologie Psychiatrie Pub Date : 2025-06-01 Epub Date: 2024-10-15 DOI: 10.1055/a-2405-5037

Andreas Philipp Eckert, Martina Hahn

引用次数: 0

[Subtypes of Parkinson's disease]. [帕金森病的亚型]。

IF 0.6 4区医学

Fortschritte Der Neurologie Psychiatrie Pub Date : 2025-06-01 Epub Date: 2025-06-10 DOI: 10.1055/a-2521-3214

Georg Ebersbach

引用次数: 0

[Acute kidney injury during treatment with clozapine]. 氯氮平治疗急性肾损伤。

IF 0.6 4区医学

Fortschritte Der Neurologie Psychiatrie Pub Date : 2025-05-01 Epub Date: 2025-03-12 DOI: 10.1055/a-2537-9539

Ralf Kozian, Olga Bengel

引用次数: 0

[ICD-11 CDDR: Interim status of the German-language adaptation]. [ICD-11 CDDR：德语改编的临时状况]。

IF 0.6 4区医学

Fortschritte Der Neurologie Psychiatrie Pub Date : 2025-05-01 Epub Date: 2025-05-06 DOI: 10.1055/a-2531-4446

Wolfgang Gaebel

引用次数: 0