Silvia Krumm, Yamara-Monika Wessling, Cornelia Helfferich, Maika Böhm, Petra J Brzank, Ulrike Busch, Daphne Hahn, Christine Knaevelsrud, Tilmann Knittel, Laura Olejniczak, Sarah Schumacher, Susanne Jaeger
{"title":"[Prevalence of Unwanted Pregnancies and Pregnancy Outcomes Among Women With Mental Illness. Findings from the ELSA Study].","authors":"Silvia Krumm, Yamara-Monika Wessling, Cornelia Helfferich, Maika Böhm, Petra J Brzank, Ulrike Busch, Daphne Hahn, Christine Knaevelsrud, Tilmann Knittel, Laura Olejniczak, Sarah Schumacher, Susanne Jaeger","doi":"10.1055/a-2642-6029","DOIUrl":"https://doi.org/10.1055/a-2642-6029","url":null,"abstract":"<p><p>International studies suggest an interaction between unwanted pregnancies and mental health. This study examines prevalence, outcomes, and social factors of unwanted pregnancies among women with mental illness in Germany.In a cross-sectional study, 4495 women were recruited via the population register and 478 women via relevant contact points and asked about the number, intent, pregnancy outcome and social context.Women with mental illness showed an increased risk of unwanted pregnancies (OR=1.6), abortions (OR=1.6), and unwanted pregnancies carried to term (OR=1.8), and unwanted pregnancies are more often linked to stressful life circumstances.Interactions between unwanted pregnancies, mental health, and social stressors underline the need to integrate reproductive health into recovery-oriented care.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144691340","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":"[Between the mission of healing and repression - The role of medicine and psychiatric care an the Hohenschönhausen prison: A reconstruction from memories].","authors":"Felicitas Söhner, Kathleen Haack, Tilman Wickert, Ekkehardt Kumbier","doi":"10.1055/a-2642-6174","DOIUrl":"https://doi.org/10.1055/a-2642-6174","url":null,"abstract":"<p><p>Investigating the role of psychiatry in the context of the remand prison Berlin-HSH, as an instrument of state repression. The aim is to analyse the intertwining of medical care and political control using testimonies.Qualitative analysis of guided interviews with former political prisoners, treating doctors and a lawyer to capture individual perspectives on medical care and psychological support in the MfS detention centres.There are different perceptions: Doctors reported comprehensive initial examinations, while former inmates described deficits and a routine process without systematic recording of mental health aspects. Mental stress was often ignored and only treated with medication in emergencies in the event of acute breakdowns.The study highlights that medical care in the MfS remand prisons was inadequate and perhaps unintentional. The care system was more focused on control and surveillance than on welfare.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144660017","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}
Sabrina Sentis, Elena Awilotschew, Pascal Wabnitz, Hermann-Thomas Steffen
{"title":"[Influencer or sickfluencer? Recovery and stigma on tiktok - A content analysis].","authors":"Sabrina Sentis, Elena Awilotschew, Pascal Wabnitz, Hermann-Thomas Steffen","doi":"10.1055/a-2606-2195","DOIUrl":"https://doi.org/10.1055/a-2606-2195","url":null,"abstract":"<p><p>Social media such as TikTok are gaining in popularity, but are subject to criticism. They offer opportunities but also risks for people with a mental illness. The question arises as to what content can be found in Germany and to what extent the topic of mental health is addressed on TikTok and what reactions follow.Three samples are collected over the course of a year. Videos, comments and descriptive data are analyzed on the basis of an evaluation catalog.There is a high level of use by people with a mental illness, with the diagnosis of anorexia predominating. Both the video content shown and the comments are largely positive. However, descriptive data shows an interest in problematic content.Social media can be used as a low-threshold offer of help. On platforms such as TikTok, experts can provide information and thus enable access to evidence-based knowledge.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144554313","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}
Psychiatrische PraxisPub Date : 2025-07-01Epub Date: 2025-04-17DOI: 10.1055/a-2526-2601
Bodo Lieb, Alessa De Vries, Udo Bonnet, Kyra Lissa, Johanna S Rasch, Michael Specka, Norbert Scherbaum
{"title":"[The influence of an age-specific treatment setting on the success of inpatient detoxification treatment in older patients with substance-related disorders].","authors":"Bodo Lieb, Alessa De Vries, Udo Bonnet, Kyra Lissa, Johanna S Rasch, Michael Specka, Norbert Scherbaum","doi":"10.1055/a-2526-2601","DOIUrl":"10.1055/a-2526-2601","url":null,"abstract":"<p><p>In this study, the success of inpatient qualified withdrawal treatment in an age-specific setting was compared with that in a mixed-age setting.175 patients (137 male, average age 59.4 years) with different substance-related disorders were examined. Treatment success was defined as the regular termination of treatment.During the observation period significantly more elderly patients were admitted to the age-specific setting than to the mixed-age setting. Regardless of the treatment setting, more than 80% of patients completed withdrawal treatment regularly. For the overall group as well as for the subgroup of opioid dependent persons in maintenance treatment, withdrawal treatment was significantly more successful in an age-specific setting.The demographic development and these results speak in favor of the implementation of age-specific services for older patients with substance-related disorders.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"251-257"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144030627","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}
Psychiatrische PraxisPub Date : 2025-07-01Epub Date: 2025-05-27DOI: 10.1055/a-2574-7902
Julian Meier, Thomas Maier
{"title":"[Predictors and Frequency of Coercive Measures in Adult Psychiatry: A Four-Year Retrospective Analysis].","authors":"Julian Meier, Thomas Maier","doi":"10.1055/a-2574-7902","DOIUrl":"10.1055/a-2574-7902","url":null,"abstract":"<p><p>Examine sociodemographic and clinical characteristics of individuals hospitalized under involuntary admission (FU) experiencing coercive measures (FM).Retrospective analysis of anonymized routine data from 14.856 inpatient cases in adult psychiatry from a larger Swiss canton. The study included sociodemographic and clinical characteristics.Over the four-year observation period, 29.9% of the 14'856 inpatient admissions occurred under FU, predominantly affecting older adults, individuals with lower education, and those from socially disadvantaged backgrounds. Organic mental disorders and schizophrenia exhibited the highest FU rates. Additional FM, such as seclusion, were used in 38.3% of FU cases. The FU rate increased significantly over the observation period, reaching 33% by 2023.FU and FM disproportionately affect individuals with severe mental illness, high symptom burden, distinct sociodemographic risk factors.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"274-282"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144161861","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":"[A qualitative item analysis of the Scale of Emotional Developmental Diagnostics - Short (SED-S)].","authors":"Franziska Neumann, Stefania Calabrese, Tanja Sappok","doi":"10.1055/a-2546-3131","DOIUrl":"10.1055/a-2546-3131","url":null,"abstract":"<p><p>The Scale of Emotional Development - Diagnostic (SEED) is a standardized diagnostic instrument based on the emotional development approach. It contributes to the diagnostic assessment of challenging behaviors in individuals with intellectual developmental disabilities. The 200-item scale determines the emotional reference age from 0-12 years in 8 domains. An expert survey showed a very good to good observability of the described behaviors, the specificity for a certain developmental phase and the appropriateness of the phrasing for children and adults while the non-differentiability to adjacent developmental phases was rated with \"hardly\". Regarding the differentiability, the major need for revision was described in the domains Relating to Their Own Body, Dealing with Change - Object Permanence, Differentiating Emotions and Regulating Affect and in phases 4 (reference ages: 4-7 years) and 5 (reference age: 8-12 years).</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"265-273"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144044524","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}
Psychiatrische PraxisPub Date : 2025-07-01Epub Date: 2025-07-11DOI: 10.1055/a-2565-6993
Matthias Jäger
{"title":"[The social side of psychiatry].","authors":"Matthias Jäger","doi":"10.1055/a-2565-6993","DOIUrl":"https://doi.org/10.1055/a-2565-6993","url":null,"abstract":"","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":"52 5","pages":"245-247"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144619929","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}
Psychiatrische PraxisPub Date : 2025-07-01Epub Date: 2025-07-11DOI: 10.1055/a-2604-7754
Martin Schäfer, Olaf Hardt, Andreas Bechdolf, Felix M Böcker, Christoph Richter, Astrid Rudel, Marcel Sieberer, Karel Frasch, Christian Kieser, Sylvia Lorenz, Barbara Florange, Bettina Wilms
{"title":"[Perspectives on psychiatry and psychotherapy within the context of general hospitals in German].","authors":"Martin Schäfer, Olaf Hardt, Andreas Bechdolf, Felix M Böcker, Christoph Richter, Astrid Rudel, Marcel Sieberer, Karel Frasch, Christian Kieser, Sylvia Lorenz, Barbara Florange, Bettina Wilms","doi":"10.1055/a-2604-7754","DOIUrl":"https://doi.org/10.1055/a-2604-7754","url":null,"abstract":"","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":"52 5","pages":"248-250"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144619928","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}
Psychiatrische PraxisPub Date : 2025-07-01Epub Date: 2025-05-23DOI: 10.1055/a-2567-7038
Maria Koschig, Michéle Müller, Julia Röhrig, Steffi G Riedel-Heller, Ines Conrad
{"title":"[Mental health promotion in associations for children and youth].","authors":"Maria Koschig, Michéle Müller, Julia Röhrig, Steffi G Riedel-Heller, Ines Conrad","doi":"10.1055/a-2567-7038","DOIUrl":"10.1055/a-2567-7038","url":null,"abstract":"<p><p>Sports club work is low-threshold and reaches around 60% of young people. The aim was to evaluate the training program \"Mentally fit in sports clubs\" run by the association \"Irrsinnig Menschlich e.V.\". Trainers are educated about mental health crises.In a pre-post survey (N=181), the importance of the topic of mental health, attitudes and experiences with mental crises were investigated.48% of the trainers (51.9% female, age 32) were concerned about the mental health of their trainees and 73.3% rated the topic of \"mental health\" as important. Their own experience of a mental health crisis influenced their own attitudes (β=- 0,24).The training was able to reach a heterogeneous group in a short time, informing, sensitizing and motivating them to deal with mental health crises. Trainers can play an important role in health promotion.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"258-264"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144132851","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":"[Geriatric psychiatric home visits as counseling via video (GerHaRD digital) - Evaluation of feasibility].","authors":"Barbara Höft, Tillmann Supprian, Ralf Schwitters, Nina Wingert, Ioanna Kapsimali, Sandra Verhülsdonk","doi":"10.1055/a-2531-2146","DOIUrl":"10.1055/a-2531-2146","url":null,"abstract":"<p><p>The applicability of video calls in counseling people with dementia and their caregivers in a home setting was examined.First-time enquirers for advice in a Dementia Network were offered an online appointment (video call) with the caregiver in the presence of the person with dementia (PWD) by a psychiatrist and a social worker from a Geriatric Psychiatry Outpatient Clinic. Socio-demographic data, an assessment of current symptoms and the current burden on relatives were collected and subsequently evaluated by the BZ.The 24 inquiries resulted in 9 video calls. Selected results, e. g. the caregivers burden and the evaluation by the users, are reported.The Caregivers seeking advice and, with them, the PWD use the format like a face-to-face meeting. Advantages include the simultaneous involvement of several family members in a conference call or overcoming the immobility of the PWD due to illness.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"288-292"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144043743","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}