Psychiatrische Praxis最新文献

{"title":"[Correction: Sexuality in Forensic Psychiatry. Results of a Qualitative Study on Professionals' Perspectives and Recommendations for Clinical Practice].","authors":"Christian Götzl, Michael Büsselmann, Verena Klein, Judith Streb, Manuela Dudeck","doi":"10.1055/a-2077-6437","DOIUrl":"10.1055/a-2077-6437","url":null,"abstract":"","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"e2"},"PeriodicalIF":2.2,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9456315","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":"[Assessment of Direct (COVID-19-Related) and Collateral, Psychosocial Pandemic Consequences for Vulnerable Groups by the Example of Serious Mental Illness].","authors":"Leonie Ascone, Anja Christine Rohenkohl, René Hurlemann, Eva Meisenzahl, Steffi G Riedel-Heller, Thomas Becker, Malek Bajbouj, Marie von Lilienfeld-Toal, Jürgen Gallinat, Martin Lambert","doi":"10.1055/a-2051-7613","DOIUrl":"10.1055/a-2051-7613","url":null,"abstract":"<p><p>The indirect pandemic consequences could by far exceed the direct effects of SARS-CoV-2 in terms of costs, morbidity, and mortality. This essay includes a proposed method (matrix) to visualize virus-related and psychosocial risks for different populations side by side in a systematic and concise manner. COVID-19-related and psychosocial vulnerability, stressors, direct and indirect consequences are derived on a theoretical and empirical basis. An exemplary quantification of the matrix for the vulnerable group of people with severe mental illness revealed a very high risk for severe COVID-19 consequences, as well as a pronounced risk for psychosocial collateral effects. The proposed approach could be further discussed for a risk-graded pandemic management, crisis recovery, and future preparedness to adequately address psychosocial collateral effects and better identify and protect vulnerable groups in this regard.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"381-388"},"PeriodicalIF":1.1,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/09/03/10-1055-a-2051-7613.PMC10567134.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9404563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[The Journal \"Deine Gesundheit\" - A Reflection of Social Psychiatry in the GDR?]","authors":"Thomas R Müller,&nbsp;Kathleen Haack,&nbsp;Hans Jörgen Grabe,&nbsp;Ekkehardt Kumbier","doi":"10.1055/a-2019-6399","DOIUrl":"10.1055/a-2019-6399","url":null,"abstract":"<p><strong>Background: </strong>Articles on psychiatric care in the GDR published in the journal \"Deine Gesundheit\" are identified. This involved examining how psychiatry was presented to the public and the intentions of addressing a lay audience.</p><p><strong>Methodology: </strong>All booklets published between 1955 and 1989 were systematically reviewed, the role of the publishers examined, and an assessment made in the context of social psychiatry and sociopolitical conditions.</p><p><strong>Results: </strong>There was a lively publication activity of psychiatric topics by mainly professional actors. The temporal accumulation in the context of psychiatric reform efforts is striking.</p><p><strong>Conclusions: </strong>Reform-oriented psychiatrists in particular used the popular science medium to reach a broad public and thus greater social acceptance of community psychiatric care concepts.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"375-380"},"PeriodicalIF":2.2,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9306636","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":"[Concern about Covid-19 Infection and the Risk of Burnout Symptoms: a Study of Caregiver Stress in Brandenburg Nursing Homes During the Covid-19 Pandemic].","authors":"Greta Uhlenbrock,&nbsp;Susanne Schulze,&nbsp;Isabella Sappl,&nbsp;Michael A Rapp,&nbsp;Marie Tallarek,&nbsp;Jacob Spallek,&nbsp;Christine Holmberg","doi":"10.1055/a-2019-6495","DOIUrl":"10.1055/a-2019-6495","url":null,"abstract":"<p><strong>Objective: </strong>Investigation of the association of concern about own infection or infection of friends, family and care recipients with Covid-19 and burnout symptoms of caregivers in Brandenburg full inpatient geriatric care facilities.</p><p><strong>Methods: </strong>Cross-sectional survey of nursing staff (n=195) in Brandenburg nursing homes between August and December 2020 regarding their psychosocial stress at work.</p><p><strong>Results: </strong>Concern about having infected oneself, family and/or friends, or care recipients with Covid-19 is associated with increased expression of burnout symptoms (b=0,200, t(155)=2,777, p=0,006).</p><p><strong>Conclusion: </strong>Increased experience of burnout symptoms due to concerns of risk of infection with Covid-19 in the workplace indicates a need for comprehensive support measures as well as sustainable approaches to managing psychosocial stress for geriatric caregivers.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"353-360"},"PeriodicalIF":2.2,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9693658","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":"Zukunft der Psychotherapie","authors":"","doi":"10.1055/a-2154-2178","DOIUrl":"https://doi.org/10.1055/a-2154-2178","url":null,"abstract":"Psychotherapie scheint ein ungebremster Wachstumsmarkt zu sein. Längst vorbei die Zeiten, als die Exponenten einer biologisch orientierten Psychiatrie auch in der Deutschen Fachgesellschaft die Wirksamkeit von Psychotherapie generell bezweifelten. Global betrachtet, ist Psychotherapie unbestritten wirksam, und zwar mit etwa gleicher Effektstärke wie Pharmakotherapien, wie Leichsenring et al. in einem großen Umbrella Review und einer Metaanalyse festgestellt hatten [1]. Die Kehrseite dieser erfreulichen Nachricht ist, dass beide großen Therapieansätze bei einer metaanalytischen Bewertung der Evidenz nur schwache Effektstärken in der Größenordnung zwischen 0.3 und 0.4 zeigten. Dies stellt nicht in Abrede, dass manche Therapien wie die Behandlung akuter Psychosen oder Angstzustände pharmakologisch wesentlich bessere Effektstärken zeigen und auch psychotherapeutisch bei ausgewählten Indikationen sehr gute Erfolge erzielt werden. Ungeachtet der insgesamt überschaubaren Effekte werden ambulante psychotherapeutische Leistungen in Deutschland in großem Umfang, wenngleich in sehr unterschiedlicher regionaler Verteilung, von den gesetzlichen Krankenkassen vollständig übernommen. Mit dem Direktstudiengang für Psychologische Psychotherapeuten wird sogar ein neues Berufsbild geschaffen, der Bedarf wird als hoch eingeschätzt und nicht nur die Bundespsychotherapeutenkammer, sondern auch einige Kassenärztliche Vereinigungen unterstützen den Wunsch nach einer staatlichen Finanzierung der Weiterbildung. Letzteres wäre ein bemerkenswerter Vorgang, zumal Weiterbildung im Gegensatz zur Ausbildung keine staatliche Aufgabe ist und auch die ärztliche Weiterbildung folglich bisher staatlich nicht gefördert wird. Etwas zu denken gibt ob der vermeintlich prosperierenden Aussichten allerdings nun ein neues großes Umbrella Review [2], das die Ergebnisse von „Face-to-Face“ kognitiver Verhaltenstherapie mit Internet-basierter kognitiv-behavioraler Verhaltenstherapie vergleicht, bei der Therapeut*innen nur über unregelmäßige Textnachrichten mit Patient:innen kommunizieren und sie bei der Nutzung Internet-basierter Therapieprogramme anleiten, Rückmeldungen geben etc., ohne dass die Behandlung aber feste Termine in der Sprechstunde oder per Video beinhaltet. Diese Behandlungsform ist somit sehr viel weniger ressourcenintensiv. Nachdem in einer 2016 erschienen Metaanalyse mit 20 randomisiert-kontrollierten Studien (RCT) keine substantiellen Unterschiede in den Ergebnissen im Hinblick auf Symptombesserung gefunden werden konnten, konnten jetzt weitere 11 RCTs eingeschlossen werden, womit die Metaanalyse sich auf 31 RCTs mit über 3000 Teilnehmenden aus 9 Ländern stützen konnte. Die Qualität der eingeschlossenen Studien wurde als akzeptabel beurteilt, die behandelten Störungen umfassten Depression, soziale Ängstlichkeit, Panikstörung, Insomnie, Tinnitus, Tierphobien, Bulimie, Gesundheitsstörungen, Fibromyalgie, psychische Belastungen bei Krebserkrankungen, posttraumatische Belastungs","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":"156 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135661186","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":"Bericht aus dem Arbeitskreis Psychiatrische Institutsambulanzen (AK PIA), Gemeinsame Arbeitsgruppe von BDK und ACKPA","authors":"","doi":"10.1055/a-2161-4590","DOIUrl":"https://doi.org/10.1055/a-2161-4590","url":null,"abstract":"Nachdem die Jahrestagung des Arbeitskreises Anfang 2022 pandemiebedingt noch ausfallen musste, konnten ab der zweiten Jahreshälfte wieder Präsenzveranstaltungen organisiert und durchgeführt werden.","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":"102 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135662920","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":"Schutzgeist","authors":"","doi":"10.1055/a-1227-0439","DOIUrl":"https://doi.org/10.1055/a-1227-0439","url":null,"abstract":"… Die Capitale 1990…düster, traurig, einsam, grün durchsetzt.","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135663431","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":"Die Perspektive der Erfahrung – Reflexionen aus jahrzehntelanger therapeutischer Tätigkeit","authors":"","doi":"10.1055/a-2161-1585","DOIUrl":"https://doi.org/10.1055/a-2161-1585","url":null,"abstract":"Kurz nacheinander erschienen verbindet die drei unterschiedlichen Bücher das Anliegen, die jahrzehntelangen Erfahrungen ihrer Autoren weiterzureichen. Als zweites verbindet sie ihre verständliche Sprache und ihre überschaubare Länge. Allen dreien geht es somit nicht um hochwissenschaftliche Aussagen, quasi auf dem Olymp der Erfahrung, sondern um das Bemühen, die grundlegenden Dinge – Gegebenheiten, Fragen und Herausforderungen zu skizzieren.","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135661184","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":"[Autism Spectrum Disorders in Adulthood: Empirical Findings on Comorbidities, Differential Diagnoses, and the Clinical Utility of the AQ].","authors":"Tanja Sappok,&nbsp;Mareike Bayer,&nbsp;Daria Tarasova,&nbsp;Heika Kaiser,&nbsp;Thomas Bergmann","doi":"10.1055/a-2044-8540","DOIUrl":"10.1055/a-2044-8540","url":null,"abstract":"<p><p>AUTISM: spectrum disorders (ASD) often remain undiagnosed until adulthood. The aim of this study is to report differential diagnoses (DDX) and comorbidities of adults without intellectual impairment suspected of having an ASD and to test the self-assessment questionnaire Autism Quotient (AQ) for its suitability for screening.</p><p><strong>Methods: </strong>DDX and comorbidities were recorded with standardized scales in an autism outpatient clinic in 106 individuals. The AQ was tested against the expert judgment of an interdisciplinary case conference using ROC analysis.</p><p><strong>Results: </strong>Affective disorders were common in both groups (48%); other DDX were phobias (33%) and personality disorders (22%). The AQ showed an AUC of 0,527 with sensitivity/specificity of 70%/35%.</p><p><strong>Conclusions: </strong>Adults suspected of having autism are highly burdened by DDX and comorbidities. An interdisciplinary diagnostic procedure based on standardized scales is useful, whereas the AQ hardly differentiates between persons with and without ASD.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"370-374"},"PeriodicalIF":2.2,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9431833","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":"[Return-to-Work - The Transition after Psychiatric Inpatient Treatment].","authors":"Daniela Blank,&nbsp;Anne Lang,&nbsp;Adele Brucks,&nbsp;Lina Riedl,&nbsp;Peter Brieger,&nbsp;Johannes Hamann","doi":"10.1055/a-2070-7451","DOIUrl":"10.1055/a-2070-7451","url":null,"abstract":"<p><strong>Objectives: </strong>Workers on sick-leave due to a mental illness have enormous problems to return to work. The main objective of the present study is to examine, how individuals experience the transition from the mental health system to their workplace.</p><p><strong>Methods: </strong>A qualitative research design guided by a grounded theory approach was used. Narrative interviews with ten workers on sick leave and four semi-structured interviews with return-to-work-experts were conducted.</p><p><strong>Results: </strong>Relevant for returning to work is the interplay between the involved persons. Essential is the interpretation of the transition and as a result, which calls for action are made to the participants.</p><p><strong>Conclusion: </strong>Clinical interventions for returning to work should focus the support on the expectations of the participants and stimulate a common interpretation.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"344-352"},"PeriodicalIF":2.2,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9431832","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}