{"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":"https://doi.org/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":""},"PeriodicalIF":1.1,"publicationDate":"2025-04-17","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 : 2025-04-01Epub Date: 2024-12-02DOI: 10.1055/a-2447-6831
Celina Stolz, Anna Oster, Klara Czernin, Josef Baumgartner, Julia Junghanss, Lieselotte Mahler
{"title":"[Everything can - nothing must? Peer support on acute psychiatric wards].","authors":"Celina Stolz, Anna Oster, Klara Czernin, Josef Baumgartner, Julia Junghanss, Lieselotte Mahler","doi":"10.1055/a-2447-6831","DOIUrl":"10.1055/a-2447-6831","url":null,"abstract":"<p><p>Peer support is recommended for improving acute psychiatric care, but research is lacking. This qualitative study examines the impact, particularly on coercive measures, through semi-structured interviews with four peers, four patients, and twelve (non-peer) staff members from two acute psychiatric wards. Analysis shows that peers experience unique opportunities and challenges in this context. Their effects include mediating between patients and the team, normalizing daily activities on the wards, promoting social interactions, fostering understanding and trust through shared experiences, as well as instilling hope and self-efficacy. Other staff members benefit from the exchange of patient information, task delegation, increased awareness of stigmatization, and promotion of a recovery-oriented mindset. While peers do not directly influence coercive measures, they contribute to de-escalation. Specific framework conditions are necessary.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"150-157"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142771730","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 : 2025-04-01Epub Date: 2025-01-07DOI: 10.1055/a-2497-4574
Meinolf Peters, Lisa Peters
{"title":"[Mental illness in old age - why we need a new perspective].","authors":"Meinolf Peters, Lisa Peters","doi":"10.1055/a-2497-4574","DOIUrl":"10.1055/a-2497-4574","url":null,"abstract":"<p><p>The clinical pictures of older patients with mental illnesses are often very complex, individual disorders appear less distinct, which is also confirmed in epidemiological studies. The article develops the hypothesis of a dedifferentiation of clinical pictures in old age. Deficits in executive functions in old age are discussed as a possible cause.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"171-174"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142953907","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 : 2025-04-01Epub Date: 2024-12-20DOI: 10.1055/a-2477-3639
Peter Brieger, Luisa Klocke, Andreas Bechdolf, Sebastian von Peter, Gerhard Längle, Martin Holzke, Konstantinos Nikolaidis, Reinhold Kilian, Jürgen Timm, Stefan Weinmann, Tamara Waldmann, Johanna Zur Verth, Svenja Raschmann, Julian Schwarz, Sandeep Rout, Constance Hirschmeier, Uwe Herwig, Janina Richter, Johanna Baumgardt, Johannes Hamann
{"title":"[A comparison of direct admissions to inpatient-equivalent home treatment with transfers from psychiatric wards].","authors":"Peter Brieger, Luisa Klocke, Andreas Bechdolf, Sebastian von Peter, Gerhard Längle, Martin Holzke, Konstantinos Nikolaidis, Reinhold Kilian, Jürgen Timm, Stefan Weinmann, Tamara Waldmann, Johanna Zur Verth, Svenja Raschmann, Julian Schwarz, Sandeep Rout, Constance Hirschmeier, Uwe Herwig, Janina Richter, Johanna Baumgardt, Johannes Hamann","doi":"10.1055/a-2477-3639","DOIUrl":"10.1055/a-2477-3639","url":null,"abstract":"<p><strong>Aim: </strong>Different access routes to inpatient-equivalent home treatment (IEHT) were examined.</p><p><strong>Methods: </strong>Baseline differences were examined using exploratory group comparisons, treatment effects by type of admission using regression analysis.</p><p><strong>Results: </strong>Of 200 StäB users, 144 (72%) were admitted directly to IEHT, while 56 (28%) were transferred. Direct admissions showed a higher prevalence of affective disorders, while transfers more often had schizophrenia. There were no relevant differences in terms of treatment effects.</p><p><strong>Conclusion: </strong>Access to IEHT treatment is used flexibly, treatment outcomes do not differ significantly. Outreach services should be designed even more flexible.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"129-134"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12020679/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142872578","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}
Psychiatrische PraxisPub Date : 2025-04-01Epub Date: 2024-12-19DOI: 10.1055/a-2463-9581
Lukas Stürner, Tanja Henking, Georg Juckel, Jakov Gather, Tilman Steinert
{"title":"[Involuntary treatment under guardianship law in psychiatric hospitals in Germany: results of an online survey].","authors":"Lukas Stürner, Tanja Henking, Georg Juckel, Jakov Gather, Tilman Steinert","doi":"10.1055/a-2463-9581","DOIUrl":"10.1055/a-2463-9581","url":null,"abstract":"<p><strong>Aim of the study: </strong>To determine the circumstances of involuntary treatment under the German Civil Code (BGB) in psychiatric hospitals serving a catchment area.</p><p><strong>Method: </strong>Medical directors of psychiatric hospitals in Germany, including psychiatric departments at general hospitals and university clinics, were interviewed by means of an online survey.</p><p><strong>Results: </strong>The response rate among the N=397 institutions addressed was 43%. Coercive treatment according to the German Civil Code (BGB), which must be requested by a guardian and approved by a court, is relatively rare and mainly involves the forced administration of psychotropic drugs. 90% of the responding institutions had carried out such coercive treatment within the last five years. Involvement in involuntary treatment carried out in somatic hospitals was rarely reported. For the most part, it is not systematically recorded.</p><p><strong>Conclusion: </strong>Taking into account the lack of data, there is a need for a national register of such intervention, including involuntary treatment in somatic hospitals.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"135-140"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142865190","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 : 2025-04-01Epub Date: 2024-12-02DOI: 10.1055/a-2440-8795
Sophie Hirsch, Johanna Baumgardt, Andreas Bechdolf, Felix Bühling-Schindowski, Celline Cole, Erich Flammer, Susanne Jaeger, Julia Junghanss, Marie Kampmann, Dorothea Sauter, Rainer Muche, Angelika Vandamme, Tilman Steinert, Lieselotte Mahler
{"title":"[Implementation of the guidelines on the prevention of violence and coercion: pre-post analysis of the randomized controlled PreVCo study].","authors":"Sophie Hirsch, Johanna Baumgardt, Andreas Bechdolf, Felix Bühling-Schindowski, Celline Cole, Erich Flammer, Susanne Jaeger, Julia Junghanss, Marie Kampmann, Dorothea Sauter, Rainer Muche, Angelika Vandamme, Tilman Steinert, Lieselotte Mahler","doi":"10.1055/a-2440-8795","DOIUrl":"10.1055/a-2440-8795","url":null,"abstract":"<p><strong>Aim of the study: </strong>This study examines the extent to which a structured implementation of guidelines for the prevention of coercion leads to an improvement in guideline-compliant work and the reduction of coercion in routine clinical practice.</p><p><strong>Methods: </strong>This is a secondary analysis of the shift of outcomes in the PreVCo study, which was conducted on 55 psychiatric wards throughout Germany.</p><p><strong>Results: </strong>The number of coercive measures decreased significantly during the observation period. The degree of implementation of the guidelines increased significantly. This was achieved without an increase in aggressive assaults.</p><p><strong>Conclusion: </strong>The structured implementation of guideline-compliant work is possible in routine operations on psychiatric wards.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"141-149"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142771732","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 : 2025-04-01Epub Date: 2025-04-11DOI: 10.1055/a-2517-2641
Kerem Böge, Jens Jüttner, Dennis Stratmann, Stefan Leucht, Steffen Moritz, Georg Schomerus, Stefan Klingberg, Alkomiet Hasan, Tania Lincoln, Malek Bajbouj, Peter Falkai, Eric Hahn
{"title":"[Changing Psychiatric Terms - Why Schizophrenia Needs to be Renamed in the 21st Century].","authors":"Kerem Böge, Jens Jüttner, Dennis Stratmann, Stefan Leucht, Steffen Moritz, Georg Schomerus, Stefan Klingberg, Alkomiet Hasan, Tania Lincoln, Malek Bajbouj, Peter Falkai, Eric Hahn","doi":"10.1055/a-2517-2641","DOIUrl":"https://doi.org/10.1055/a-2517-2641","url":null,"abstract":"","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":"52 3","pages":"125-128"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143992368","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 : 2025-04-01Epub Date: 2025-01-20DOI: 10.1055/a-2506-9431
Anna Hirschbeck, Hannah Schwegler, Ludmila Solujanova, David Kossmann, Alkomiet Hasan, Astrid Röh
{"title":"[Sports Programs for Mental Illness: How Mental Health Professionales Can Provide Effective Support].","authors":"Anna Hirschbeck, Hannah Schwegler, Ludmila Solujanova, David Kossmann, Alkomiet Hasan, Astrid Röh","doi":"10.1055/a-2506-9431","DOIUrl":"10.1055/a-2506-9431","url":null,"abstract":"<p><p>Despite the positive effects of physical activity, people with mental illness often remain inactive. Exercise recommendations are inconsistent and challenging to follow.This study assessed exercise behavior and the need for programs during and after inpatient treatment to develop clinical recommendations.Patients from the psychiatric clinic at the University of Augsburg were recruited via flyer/QR-Code.A total of 47 patients participated in this survey. Over 70% exercise regularly, and over 70% are interested in peer-sports-groups with low-threshold conditions (e.g. no prior registration required). Strength training and moderate intensity training were favored over endurance sports.Our findings complement the World Health Organization's exercise recommendations. Strength training programs and accessible options may promote physical activity in this population.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"166-170"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143010557","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 : 2025-04-01Epub Date: 2025-01-08DOI: 10.1055/a-2499-1943
Christin Wills
{"title":"[The development and testing of a screening instrument for psychosocial needs assessment within acute psychiatric care].","authors":"Christin Wills","doi":"10.1055/a-2499-1943","DOIUrl":"10.1055/a-2499-1943","url":null,"abstract":"<p><p>A new instrument (PSH-7) was developed and tested in practice for the standardised assessment of psychosocial support needs in acute psychiatric care.Based on a mixed-methods approach, this instrument was tested in a cross-sectional study (N=84) using quantitative (descriptive evaluation and univariate analysis of variance) and qualitative methods (qualitative content analysis) for its suitability for practical use.The PSH-7 proved to be a suitable instrument for recording the need for help. Loneliness, lack of daily structure and unemployment are the most frequently mentioned needs for help in the context of acute psychiatric care.The study supplements the international findings on the connection between psychosocial stress factors and the maintenance of mental illness. There should be an early focus on perspective planning and the organisation of a sustainable outpatient support network.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"158-165"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142953910","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 : 2025-03-01Epub Date: 2024-11-05DOI: 10.1055/a-2435-4601
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":"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":" ","pages":"89-95"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11903108/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}