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Die anderen nicht besser verstehen als sie sich selbst. 别人并不比自己更了解自己。
IF 0.9 4区 医学
Psychiatrische Praxis Pub Date : 2026-10-01 Epub Date: 2026-10-19 DOI: 10.1055/a-2948-6410
Georg Schomerus, Mirja Lisa Nicolas, Fabian Fritz, Diana Schneider, Ronja Büchner
{"title":"Die anderen nicht besser verstehen als sie sich selbst.","authors":"Georg Schomerus, Mirja Lisa Nicolas, Fabian Fritz, Diana Schneider, Ronja Büchner","doi":"10.1055/a-2948-6410","DOIUrl":"https://doi.org/10.1055/a-2948-6410","url":null,"abstract":"","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":"53 7","pages":"398-399"},"PeriodicalIF":0.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149224599","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
[Coercive measures as dysfunctional affect regulation strategy]. [作为功能失调的强制措施影响监管策略]。
IF 0.9 4区 医学
Psychiatrische Praxis Pub Date : 2026-10-01 Epub Date: 2026-10-19 DOI: 10.1055/a-2930-4454
Anke Richter, Stefan Tschöke, Erich Flammer, Sophie Hirsch
{"title":"[Coercive measures as dysfunctional affect regulation strategy].","authors":"Anke Richter, Stefan Tschöke, Erich Flammer, Sophie Hirsch","doi":"10.1055/a-2930-4454","DOIUrl":"https://doi.org/10.1055/a-2930-4454","url":null,"abstract":"<p><strong>Abstract: </strong>Coercive measures in mental health care can cause considerable stress for those affected. The long-term consequences for mental function have received little attention to date. Here, we present the case of an adolescent user who was frequently subjected to mechanical restraint. From a learning theory perspective, repeated restraint created an association between coercive measures and reducing internal tension that was maladaptive. This case study demonstrates that frequent coercive measures can have a negative impact on emotional regulation.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":"53 7","pages":"386-388"},"PeriodicalIF":0.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149224593","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
[Weight-related nutritional interventions for people with mental illness in psychiatric clinics in Germany]. [德国精神病诊所对精神病患者的体重相关营养干预]。
IF 0.9 4区 医学
Psychiatrische Praxis Pub Date : 2026-10-01 Epub Date: 2026-06-25 DOI: 10.1055/a-2880-5347
Stephanie Kuhn, Johanna Breilmann
{"title":"[Weight-related nutritional interventions for people with mental illness in psychiatric clinics in Germany].","authors":"Stephanie Kuhn, Johanna Breilmann","doi":"10.1055/a-2880-5347","DOIUrl":"10.1055/a-2880-5347","url":null,"abstract":"<p><strong>Objective: </strong>The present study determined whether and in what form nutritional interventions exist for people with mental illness and obesity in psychiatric clinics in Germany.</p><p><strong>Methods: </strong>All psychiatric hospitals in Germany were contacted via email with a questionnaire. In addition, information on nutritional interventions was extracted from the quality reports of all hospitals for the year 2023.</p><p><strong>Results: </strong>The estimate suggests that 20-30% of psychiatric hospitals in Germany could have weight-related nutritional interventions. These interventions are primarily conducted by nutritional professionals, mainly in the form of individual training sessions. Most often, 1-3 sessions are offered taking place once a week with a duration of 45-60 minutes.</p><p><strong>Conclusion: </strong>This estimate suggests that only a few psychiatric clinics in Germany offer weight-related nutritional interventions. A nationwide expansion of these services should be pursued quickly.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"357-364"},"PeriodicalIF":0.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148332484","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
[Mental health care for people with intellectual developmental disorders: a comparative overview of service structures in Germany and the UK]. [智力发育障碍患者的精神保健：德国和英国服务结构的比较综述]。
IF 0.9 4区 医学
Psychiatrische Praxis Pub Date : 2026-10-01 Epub Date: 2026-07-14 DOI: 10.1055/a-2876-8703
Amanda Amazu, Thomas Heidenreich, Johannes Michalak
{"title":"[Mental health care for people with intellectual developmental disorders: a comparative overview of service structures in Germany and the UK].","authors":"Amanda Amazu, Thomas Heidenreich, Johannes Michalak","doi":"10.1055/a-2876-8703","DOIUrl":"10.1055/a-2876-8703","url":null,"abstract":"<p><strong>Abstract: </strong>People with intellectual disabilities show elevated prevalence of mental disorders yet are consistently underserved. Comparing Germany and the United Kingdom, this paper analyses how health system architectures shape mental health provision, using Donabedian's framework across three dimensions: care structures, training, and guidelines. Germany relies on specialised centres, while the UK pursues systematic primary care inclusion via multiprofessional Community Learning Disability Teams. Divergences also appear in training and guidelines, with the UK systematically linking disorder-specific and population-specific recommendations. Implications for the German system amid ongoing reforms are discussed.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"378-385"},"PeriodicalIF":0.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148448858","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
[When IPS Coaching isn't always effective: Findings from the German IPS-ZIB Project]. [当IPS教练并不总是有效：来自德国IPS- zib项目的发现]。
IF 0.9 4区 医学
Psychiatrische Praxis Pub Date : 2026-10-01 Epub Date: 2026-06-12 DOI: 10.1055/a-2862-7324
Juliane Bergdolt, Lorenz B Dehn, Julia Schreiter, Stella Hubert, Sarah Jenderny, Martin Driessen, Ingmar Steinhart
{"title":"[When IPS Coaching isn't always effective: Findings from the German IPS-ZIB Project].","authors":"Juliane Bergdolt, Lorenz B Dehn, Julia Schreiter, Stella Hubert, Sarah Jenderny, Martin Driessen, Ingmar Steinhart","doi":"10.1055/a-2862-7324","DOIUrl":"10.1055/a-2862-7324","url":null,"abstract":"<p><strong>Objective: </strong>The project \"IPS-Coaching - Back to Work\" (IPS-ZIB) examined whether IPS coaching improves (re)integration into work compared to standard care.</p><p><strong>Methods: </strong>A prospective, non-randomized, controlled, bicentric study conducted over two years with 244 participants (IPS: n=150; control group/CG: n=94) with affective (90%) or psychotic disorders.</p><p><strong>Results: </strong>There were no sign. differences between IPS (62%) and VG (64%) in terms of re-employment, applications for disability pension and sheltered workshop, days until to job (re)entry or the duration of employment. Having an existing employment contract at the start of the study was generally associated with a higher integration rate.</p><p><strong>Conclusions: </strong>IPS did not show superiority over standard care. The high integration rate in both groups suggests generally favorable employment conditions in this specific sample and possibly special study conditions. Individuals without employment contracts require targeted support.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"350-356"},"PeriodicalIF":0.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148240100","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
Kommentar 4. 4 .评论
IF 0.9 4区 医学
Psychiatrische Praxis Pub Date : 2026-10-01 Epub Date: 2026-10-19 DOI: 10.1055/a-2936-9153
Claudia Schilling
{"title":"Kommentar 4.","authors":"Claudia Schilling","doi":"10.1055/a-2936-9153","DOIUrl":"https://doi.org/10.1055/a-2936-9153","url":null,"abstract":"","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":"53 7","pages":"395-397"},"PeriodicalIF":0.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149224728","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
[Brief Evaluation of the Adapted Autism Diagnostic Observation Schedule (A-ADOS) in Adults with Intellectual Disability]. [成人智障患者适应性自闭症诊断观察量表（A-ADOS）的简要评价]。
IF 0.9 4区 医学
Psychiatrische Praxis Pub Date : 2026-09-30 DOI: 10.1055/a-2954-7899
Peer Christian Keller, Tanja Sappok
{"title":"[Brief Evaluation of the Adapted Autism Diagnostic Observation Schedule (A-ADOS) in Adults with Intellectual Disability].","authors":"Peer Christian Keller, Tanja Sappok","doi":"10.1055/a-2954-7899","DOIUrl":"https://doi.org/10.1055/a-2954-7899","url":null,"abstract":"<p><strong>Objective: </strong>The study aims to assess the application of the adapted Autism Diagnostic Observation Schedule (A-ADOS) in adults with intellectual disabilities and suspected autism spectrum disorder.</p><p><strong>Methods: </strong>In 14 individuals from this cohort, guideline-compliant autism diagnostics were conducted. The diagnosis was established in in a multidisciplinary consensus conference, considering all collected findings. The A-ADOS was additionally administered in a non-blinded manner; sensitivity and specificity were evaluated based on the case conference decisions.</p><p><strong>Results: </strong>The A-ADOS was feasible in 12 out of 14 individuals (86%). The A-ADOS showed a sensitivity of 70% and a specificity of 100%.</p><p><strong>Conclusion: </strong>The A-ADOS proves to be feasible and diagnostically promising. Due to methodological limitations, the results are preliminary; a prospective, blinded study is required to validate the instrument.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149114246","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
[Order of prescribing anti-dementia drugs and antipsychotics after initial diagnosis of dementia in general and neuropsychiatric practices in Germany - a retrospective cohort study]. [在德国的一般和神经精神病学实践中，在痴呆的初始诊断后开具抗痴呆药物和抗精神病药物的顺序-一项回顾性队列研究]。
IF 0.9 4区 医学
Psychiatrische Praxis Pub Date : 2026-09-22 DOI: 10.1055/a-2939-0340
Jens Bohlken, Karel Kostev
{"title":"[Order of prescribing anti-dementia drugs and antipsychotics after initial diagnosis of dementia in general and neuropsychiatric practices in Germany - a retrospective cohort study].","authors":"Jens Bohlken, Karel Kostev","doi":"10.1055/a-2939-0340","DOIUrl":"https://doi.org/10.1055/a-2939-0340","url":null,"abstract":"<p><strong>Objective: </strong>To examine the prescribing sequence of anti-dementia drugs and antipsychotics after initial dementia diagnosis in general and specialist practices in Germany.</p><p><strong>Methods: </strong>Retrospective cohort study using the IQVIA Disease Analyzer database (1,179 general, 214 specialist practices; 2005-2024). Patients aged≥65 years with an initial dementia diagnosis,≥1 year of observation and no prior prescription were included (general: n=94,036; specialist: n=55,341).</p><p><strong>Results: </strong>In general practices, 54.2% received neither drug class, 27.3% antipsychotics only, 8.7% anti-dementia drugs only. In specialist practices, the untreated proportion was lower (22.2%); anti-dementia treatment was initiated first more often (16.0% vs. 5.6%).</p><p><strong>Conclusion: </strong>Specialist practices more often initiate guideline-concordant anti-dementia treatment first; general practices show more exclusive antipsychotic prescribing and treatment forgoing.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149025919","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
[Motivation to participate in preventive health screenings, health-related control beliefs and perceived health risks among individuals with multiple chronic addictions]. [参与预防性健康检查的动机、与健康有关的控制信念和多重慢性成瘾者所感知的健康风险]。
IF 0.9 4区 医学
Psychiatrische Praxis Pub Date : 2026-09-14 DOI: 10.1055/a-2922-2485
Majdoulin Alkhalil, Jacqueline Himpler, Stefan Schmidt, Georg Schomerus, Sven Speerforck, Henrike Beverungen
{"title":"[Motivation to participate in preventive health screenings, health-related control beliefs and perceived health risks among individuals with multiple chronic addictions].","authors":"Majdoulin Alkhalil, Jacqueline Himpler, Stefan Schmidt, Georg Schomerus, Sven Speerforck, Henrike Beverungen","doi":"10.1055/a-2922-2485","DOIUrl":"https://doi.org/10.1055/a-2922-2485","url":null,"abstract":"<p><strong>Objective: </strong>Chronically multiply dependent individuals (CMD) have increased morbidity and mortality. Data on the use of preventive services are lacking. This pilot study assesses health perception, health behaviour, risk perception, motivation for preventive care, and social support.</p><p><strong>Methods: </strong>Standardized questionnaire-based interviews were conducted with 78 CMD in a long-term sociotherapeutic facility. In addition to the above parameters, also sociodemographic variables were analysed descriptively.</p><p><strong>Results: </strong>Despite positive attitudes, participation rates in preventive examinations were low. Participants often rated their own health too positively and underestimated their risks. Health care utilization was predominantly reactive.</p><p><strong>Conclusion: </strong>There is a discrepancy between attitudes, perceived need, and behaviour. Structural support, repeated communication about prevention services, and low-threshold assistance appear necessary to reduce health inequalities.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2026-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148970840","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
[Innovation Left Behind - Why does Evidence Transfer Fail in Mental Health Care in Germany?] 创新落后-为什么证据转移在德国精神卫生保健失败？］
IF 0.9 4区 医学
Psychiatrische Praxis Pub Date : 2026-09-01 Epub Date: 2026-09-21 DOI: 10.1055/a-2892-2859
Annabel S Mueller-Stierlin, Nils Greve, Elke Prestin, Reinhold Kilian
{"title":"[Innovation Left Behind - Why does Evidence Transfer Fail in Mental Health Care in Germany?]","authors":"Annabel S Mueller-Stierlin, Nils Greve, Elke Prestin, Reinhold Kilian","doi":"10.1055/a-2892-2859","DOIUrl":"https://doi.org/10.1055/a-2892-2859","url":null,"abstract":"","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":"53 6","pages":"289-290"},"PeriodicalIF":0.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149017968","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
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