Claudia Helmert, Thomas McLaren, Toni Fleischer, Christine Ulke, Laura Altweck, Stefanie Hahm, Holger Muehlan, Lisa Kriechel, Manfred E Beutel, Silke Schmidt, Georg Schomerus, Elmar Brähler, Sven Speerforck
{"title":"[Institutionalised Pre-School Childcare and Reported Maltreatment: A Survey in East Germany].","authors":"Claudia Helmert, Thomas McLaren, Toni Fleischer, Christine Ulke, Laura Altweck, Stefanie Hahm, Holger Muehlan, Lisa Kriechel, Manfred E Beutel, Silke Schmidt, Georg Schomerus, Elmar Brähler, Sven Speerforck","doi":"10.1055/a-2416-0998","DOIUrl":"https://doi.org/10.1055/a-2416-0998","url":null,"abstract":"<p><p>Child abuse increases the risk of adult mental health problems. Limited research explores the association of early institutional childhood care in the GDR with experienced childhood abuse and mediates anxiety and depression in adulthood. The sample includes N=1743 individuals born in the GDR (1949-1983). In multi-group path analyses (stratified men/women), we analysed the influence of pre-school care as a predictor and experienced child abuse (CTS) as a mediator variable for anxiety (GAD-7) and depression (PHQ-9) in adulthood. There are no direct effects of pre-school care on anxiety and depression. Childhood trauma significantly affected current mental health (women β=0.253-0.610; men β=0.092-0.439). Analyses suggest no link between early institutional care and childhood abuse. Considering other contextual factors in childcare is crucial for establishing population-wide prevention strategies for child safety.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142591320","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}
Sonja Mötteli, Christine Adamus, Kim Sutor, Daniel Schärer, Dirk Richter
{"title":"[What does an Ideal Day Centre Look Like? The User Perspective on Day-Structuring Programmes for People with Mental Illness].","authors":"Sonja Mötteli, Christine Adamus, Kim Sutor, Daniel Schärer, Dirk Richter","doi":"10.1055/a-2435-4601","DOIUrl":"https://doi.org/10.1055/a-2435-4601","url":null,"abstract":"<p><strong>Objective: </strong>Day centres for people with mental disabilities are widespread. Nevertheless, there are only a few studies on their utilisation and effectiveness. This study examines what an ideal day centre should look like from the perspective of the users.</p><p><strong>Methods: </strong>Six guided focus groups were conducted with 4-8 users each. The discussions were transcribed verbatim and analysed using qualitative content analysis.</p><p><strong>Results: </strong>36 participants (67% women, aged 20-62 years). The day centres fulfilled 5 functions: Improving mental health, experiencing community, maintaining daily structure, meaningful occupation and building up workability. The results revealed important aspects of organisation, current and desired activities and support.</p><p><strong>Conclusion: </strong>Day centres are seen as an elementary component of intermediate mental health care. Users have clear ideas about how day centres can support their social and occupational rehabilitation.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142583848","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}
Jelena Hoghe, Lukas Röseler, Ruth Limmer, Christoph Walther, Astrid Schütz
{"title":"[Occupational Stressors and Resources of Peer Workers in Social Psychiatry].","authors":"Jelena Hoghe, Lukas Röseler, Ruth Limmer, Christoph Walther, Astrid Schütz","doi":"10.1055/a-2383-8057","DOIUrl":"https://doi.org/10.1055/a-2383-8057","url":null,"abstract":"<p><strong>Aim of the study: </strong>Peer Support Workers (PW) were asked about stressors and resources and how stressful or relieving they perceived them to be.</p><p><strong>Method: </strong>Questionnaire-based survey RESULTS: 175 PW were included in the data analysis and identified stressors and resources in their daily work. Psychological security and autonomy are the most frequently mentioned resources, while role clarity is the least frequently mentioned. Autonomy can also be more of a burden than a resource, especially in combination with a lack of role clarity. PW rarely feel stigmatized by their colleagues. However, when they do, they find it very stressful. Relevant stressors were uncertainty about decisions made, problems with the team culture, or perceived inadequate role fulfillment by the team.</p><p><strong>Conclusions: </strong>The lack of clarity about work processes and the roles of all participants is a significant stressor, despite the availability of relevant resources.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142506606","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}
Svenja Raschmann, Frank Eisele, Erich Flammer, Gerhard Längle
{"title":"[IEHT vs. Regular Treatment - Are there Differences between the Two forms of Treatment in the Retrospective Course with regard to Individual Objective and Subjective Outcome Variables?]","authors":"Svenja Raschmann, Frank Eisele, Erich Flammer, Gerhard Längle","doi":"10.1055/a-2417-3657","DOIUrl":"https://doi.org/10.1055/a-2417-3657","url":null,"abstract":"<p><p>This retrospective follow-up study over one year (after discharge from the index treatment), compares the effects of inpatient-equivalent home treatment (IEHT) and regular psychiatric treatment using subjective and objective quality indicators. Using a 1:1 matching of cohorts (diagnosis, age, gender, number of previous treatments and severity of illness), 732 IEHT patients were assigned to a comparison group. Outcome data was taken from the routine data of the clinic database and the in-house basic documentation. In the subjective quality measure, patients and practitioners in regular psychiatric treatment reported a significantly higher improvement in condition. In terms of the objective quality measure, the number of further inpatient treatment days in the observation period, the two groups did not differ significantly, which can be interpreted as encouragement for the use of this new, increasingly established form of treatment.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142506605","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}
{"title":"[Compensation for National Socialist Persecution as a Catalyst for a Paradigm Shift - A Contribution to the History of Psychiatry in the Early Federal Republic of Germany].","authors":"Peter Theiss-Abendroth","doi":"10.1055/a-2407-7941","DOIUrl":"https://doi.org/10.1055/a-2407-7941","url":null,"abstract":"<p><strong>Objective: </strong>After WW II, Holocaust survivors often faced negative assessments by German psychiatrists when claiming compensation for psychological damage, a fact that was met with criticism. This study examines how as a result the prevailing doctrine on trauma sequelae underwent a transformation.</p><p><strong>Methods: </strong>Academic contributions in German language from 1946 to 1969 are analyzed for their para-digmatic views on the etiology of mental disorders after war and Nazi persecution.</p><p><strong>Results: </strong>Only a new generation of psychiatrists was able to develop more adequate psychotraumatological concepts by using anthropological and occasionally psychoanalytic theoretical elements. At the same time this also questioned the medically oriented concept of illness in psychiatry.</p><p><strong>Conclusion: </strong>Less the persistence of anti-Semitic sentiments but rather internal scientific reasons such as an unevidenced dogmatism obstructed the the advancement of science.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142506604","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}
Julian Schwarz, Kim Scheunemann, Hannah Mundry, Emma Kula, Nadine Randzio, Marie Salzmann, Gerhard Längle, Svenja Raschmann, Martin Holzke, Peter Brieger, Johannes Hamann, Olaf Hardt, Sandeep Rout, Constance Hirschmeier, Uwe Herwig, Simon Senner, Janina Richter, Jürgen Timm, Reinhold Kilian, Konstantinos Nikolaidis, Stefan Weinmann, Andreas Bechdolf, Sebastian von Peter
{"title":"[Developing An Initial Best Practice Model For Inpatient Equivalent Psychiatric Home Treatment From The Perspective Of Service Users: Consensus Process With Participatory Features].","authors":"Julian Schwarz, Kim Scheunemann, Hannah Mundry, Emma Kula, Nadine Randzio, Marie Salzmann, Gerhard Längle, Svenja Raschmann, Martin Holzke, Peter Brieger, Johannes Hamann, Olaf Hardt, Sandeep Rout, Constance Hirschmeier, Uwe Herwig, Simon Senner, Janina Richter, Jürgen Timm, Reinhold Kilian, Konstantinos Nikolaidis, Stefan Weinmann, Andreas Bechdolf, Sebastian von Peter","doi":"10.1055/a-2406-9128","DOIUrl":"https://doi.org/10.1055/a-2406-9128","url":null,"abstract":"<p><strong>Aim: </strong>Inpatient-Equivalent Home Treatment (IEHT) for mental health is new in Germany and therefore requires quality development. A best practice model (BPM) for IEHT is being developed from a service user perspective.</p><p><strong>Methods: </strong>1. Collection and organization of evidence (literature review; n=55 interviews with service users), 2. qualitative analysis and formulation of criteria; 3. consensus and grouping of criteria (Delphi process).</p><p><strong>Results: </strong>58 Best practice criteria were developed in 8 groups: 1. Information, access and crisis management; 2. Treatment framework, end of treatment and continuity; 3. Scheduling, organization of contacts and flexibility; 4. Practical support and activation; 5. Treatment and therapy services; 6. Treatment team and staff; 7. Relatives, caregivers and community; and 8. Privacy and behavior in the home environment.</p><p><strong>Conclusion: </strong>The BPM provides initial guidance for a user-centered assessment of the implementation of IEHT.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142392717","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}
{"title":"[Alzheimer's Dementia and Anti-Dementia Medication Prescriptions 2010-2021 in 357 GP Practices and 71 Specialist Practices].","authors":"Jens Bohlken, Karel Kostev, Bernhard Michalowsky","doi":"10.1055/a-2370-1933","DOIUrl":"https://doi.org/10.1055/a-2370-1933","url":null,"abstract":"<p><strong>Background: </strong>The predicted prevalence of people with dementia (PWD) in Germany has risen to 1.8 million since 2010. In the near future, we will see the approval of antibody therapies. The study aims to demonstrate the recent anti-dementia medication prescriptions and diagnosis prevalence.</p><p><strong>Methods: </strong>Data from 357 general practitioner (GP) and 71 specialist practices (SP) (1.1 Mio. patients) were analyzed to demonstrate the prevalence of dementia diagnoses and anti-dementia drug prescriptions between 2010 and 2021.</p><p><strong>Results: </strong>The diagnosis prevalence of PWD (Alzheimer's dementia) remained relatively constant in GP practices at 1.0-1.3% (0.19-0.21%). Among SP, the prevalence increased from 4.9% (2.8%) to 5.9% (3.6%). The anti-dementia prescription rate decreased in GP (from 0.14% to 0.10%) and increased in SP practices (from 2.1% to 2.4%).</p><p><strong>Discussion: </strong>The diagnosis and prescription rate, especially in GP practices, remained below the prevalence forecasts and the expected prescriptions.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142392716","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}
{"title":"[Telemedical Interventions in Ambulant Psychotherapeutic Practices: Online Survey of Psychotherapists and Patients in Germany on the use of Digital Interventions in Psychotherapy].","authors":"Annika Kristin Alt, Annette Conzelmann, Anja Pascher, Jan Kühnhausen, Tobias J Renner","doi":"10.1055/a-2415-8817","DOIUrl":"https://doi.org/10.1055/a-2415-8817","url":null,"abstract":"<p><strong>Background: </strong>Psychotherapy is going digital. The study investigated the usage behavior and acceptance of digital psychotherapy interventions among outpatient psychotherapists and patients.</p><p><strong>Method: </strong>269 therapists and 157 patients answered questions in an online survey on the use and satisfaction of digital psychotherapy interventions (video therapy, apps, VR, sensor-based psychotherapy), affinity for technology, acceptance of technology, digital therapy relationship.</p><p><strong>Results: </strong>All participants were satisfied with video therapy, stated that they used apps, VR, etc. less. Patients were more open, more tech-savvy and felt more competent in their use compared to therapists. Psychotherapists rated the digital therapeutic relationship better than patients.</p><p><strong>Discussion: </strong>The use of digital technologies in psychotherapy is not yet established in outpatient care. Measures to promote acceptance are necessary to break down barriers.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142392720","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}
Juliane Mielau, Constantin Saeger, Martha Burger, Franziska Kroehn-Liedtke, Stefanie Schreiter, Stefan Gutwinski
{"title":"[Usage behavior related to the 9-Euro-ticket - impetus for psychiatric outpatients to increase activity and social contacts?]","authors":"Juliane Mielau, Constantin Saeger, Martha Burger, Franziska Kroehn-Liedtke, Stefanie Schreiter, Stefan Gutwinski","doi":"10.1055/a-2364-9122","DOIUrl":"https://doi.org/10.1055/a-2364-9122","url":null,"abstract":"<p><p>This study presents first descriptive statistics on the usage behavior relating to discounted tickets for public transportation as part of an initiative of the German Federal Government in 2022. During a three-month period, 103 psychiatric outpatients of the University Clinic - Charité Berlin provided self-reported data by completing a survey. In general results suggested a high usage rate of the so-called \"9-Euro-ticket\" of 89,3%. Due to its purchase, 37,9% (N=39) of the participants felt motivated to explore unknown places. Furthermore, approximately one third of the sample (34,9%; n=36) reported an increase of social contacts as a result of their ticket usage. A higher influence of costs on participants' activity levels was associated with an increase in main symptoms. Higher age was correlated with a decrease of patients' core symptoms due to their activity. Results indicate a high usage of reduced-price tickets for subsidized public transport by the patients concerned.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142392721","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}
Jacqueline Rixe, Eva Neumann, Marnie Melissa Bosch, Michael Schulz, Georg Juckel, Martin Driessen
{"title":"[Interventions for Escalating Crisis Situations in Inpatient Acute Psychiatric Treatment - Results of a Content Analysis of Joint Crisis Plans].","authors":"Jacqueline Rixe, Eva Neumann, Marnie Melissa Bosch, Michael Schulz, Georg Juckel, Martin Driessen","doi":"10.1055/a-2388-8955","DOIUrl":"https://doi.org/10.1055/a-2388-8955","url":null,"abstract":"<p><strong>Objective: </strong>Identification of interventions to prevent coercive measures in the event of escalating crisis situations in an inpatient acute psychiatric treatment context.</p><p><strong>Methods: </strong>Content analysis of 98 joint crisis plans (JCP) using frequency analysis (secondary data analysis).</p><p><strong>Results: </strong>In over half of the joint crisis plans, withdrawal to a low-stimulation environment (64.3%), a conversation (62.2%), and a walk (57.1%) were agreed upon as intervention for escalating crisis situations. A significant difference (p=0.020) was found in relation to the intake of (on-demand) medication, which was determined exclusively by males.</p><p><strong>Conclusions: </strong>The results provide potentially helpful suggestions for escalating crisis situations and gender-specific findings with regard to the agreed interventions.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142392718","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}