{"title":"[Regional Variance of Rates of Involuntary Admission in Switzerland].","authors":"Matthias Jäger, Alexandre Tuch, Anastasia Theodoridou, Urs Hepp, Niklaus Stulz","doi":"10.1055/a-2364-9182","DOIUrl":"10.1055/a-2364-9182","url":null,"abstract":"<p><strong>Objective: </strong>Identification of predictors that contribute to explaining regional variance of involuntary admission (IA) in Switzerland.</p><p><strong>Methods: </strong>Multiple regression analysis including potential predictors and regional rates of IA at the level of utilisation-based care regions.</p><p><strong>Results: </strong>Authorisation to issue involuntary admission, assistance/guardianship, outpatient consultation rate in psychiatric practices, hospitalisation rate and urbanisation are significantly related to regional variation in IA rates.</p><p><strong>Conclusion: </strong>Restrictive regulation of the authority to issue IA and voluntary outpatient psychosocial and administrative support measures can contribute to a reduction in the rates of IA.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"434-440"},"PeriodicalIF":1.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142392719","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 : 2024-11-01Epub Date: 2024-09-11DOI: 10.1055/a-2410-4513
Sebastian von Peter, Madeleine Kuesel, Jenny Ziegenhagen, Georgia Fehler, Daniela Schmidt, Guillermo Ruiz-Perez
{"title":"[Correction: \"Change Agents\" Or \"Peer Washing\": Can Peer Support Workers Contribute To The Transformation Of Psychiatric Institutions?]","authors":"Sebastian von Peter, Madeleine Kuesel, Jenny Ziegenhagen, Georgia Fehler, Daniela Schmidt, Guillermo Ruiz-Perez","doi":"10.1055/a-2410-4513","DOIUrl":"10.1055/a-2410-4513","url":null,"abstract":"","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"e1"},"PeriodicalIF":1.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142293939","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":"[Metacognitive Training for Depression (D-MCT) for Arabic Speaking Patients with Refugee Experience: Cultural Adaptation and Piloting].","authors":"Heba Alkailani, Franka Metzner, Cornelia Uhr, Lena Jelinek, Mona Dietrichkeit, Silke Pawils","doi":"10.1055/a-2365-0498","DOIUrl":"10.1055/a-2365-0498","url":null,"abstract":"<p><strong>Objectives: </strong>Despite high demand, culturally adapted therapies for Arabic speaking refugee patients with depression are rare. Aim of the study was to culturally adapt and evaluate the group treatment Metacognitive Training for Depression (D-MCT) for them.</p><p><strong>Methods: </strong>The cultural adaptation of the D-MCT included translation and surface adaptation as well as an expert discussion. The comprehensibility, acceptance and feasibility of the outpatient culturally adapted D-MCT (CA-D-MCT) were then tested in an uncontrolled pilot study with n=11 refugee patients.</p><p><strong>Results: </strong>The experts rated 83% of the translations and 78% of the illustrations as unproblematic in terms of equivalence. The acceptability and feasibility of the eight modules were predominantly positive.</p><p><strong>Conclusions: </strong>From the patients' perspective, the adapted training shows a high acceptance and comprehensibility for culturally sensitive, interpreter-supported implementation.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"426-433"},"PeriodicalIF":1.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142005046","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 : 2024-11-01Epub Date: 2024-08-19DOI: 10.1055/a-2361-4057
Sebastian von Peter, Madeleine Kuesel, Jenny Ziegenhagen, Georgia Fehler, Daniela Schmidt, Guillermo Ruiz-Perez
{"title":"[\"Change Agents\" Or \"Peer Washing\": Can Peer Support Workers Contribute To The Transformation Of Psychiatric Institutions?]","authors":"Sebastian von Peter, Madeleine Kuesel, Jenny Ziegenhagen, Georgia Fehler, Daniela Schmidt, Guillermo Ruiz-Perez","doi":"10.1055/a-2361-4057","DOIUrl":"10.1055/a-2361-4057","url":null,"abstract":"<p><strong>Objective: </strong>Peer support workers (=PSW) are expected to change the culture of a care facility. It is examined whether and how they can implement such a change mandate.</p><p><strong>Methods: </strong>The material is based on two sub-studies of the ImpPeer-Psy5 study, investigating the implementation of PSW in the German psychiatric care system. Data from 57 problem-centered interviews and two focus groups were analyzed using a thematic analysis.</p><p><strong>Results: </strong>PSW need courage, also as their impulses for change are often insufficiently received. This can lead to the reproduction of exclusion and to the PSWs' adaption to the attitudes of the teams.</p><p><strong>Conclusions: </strong>To facilitate the implementation of the PSWs' change mandate, power relations and structural discrimination should be reflected, exchange spaces and a culture of critique should be established, and enough time be allowed for the implementation of PSW.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"410-417"},"PeriodicalIF":1.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142005045","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 : 2024-11-01Epub Date: 2024-11-13DOI: 10.1055/a-2407-6298
Maria Koschig, Steffi G Riedel-Heller
{"title":"[Prevention of mental disorders - a future topic].","authors":"Maria Koschig, Steffi G Riedel-Heller","doi":"10.1055/a-2407-6298","DOIUrl":"https://doi.org/10.1055/a-2407-6298","url":null,"abstract":"","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":"51 8","pages":"407-409"},"PeriodicalIF":1.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142626703","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 : 2024-11-01Epub Date: 2024-07-30DOI: 10.1055/a-2334-1822
Franziska Jung, Andrea Zülke, Kerstin Wirkner, Matthias Reusche, Christoph Engel, Christian Sander, Veronica Witte, Samira Zeynalova, Markus Loeffler, Arno Villringer, Dorothee Saur, Georg Schomerus, Melanie Luppa, Steffi G Riedel-Heller
{"title":"[Health Literacy, Contact Points, Unmet Subjective Needs and Treatment Satisfaction of those Affected by Long Covid with Long-Lasting Neuropsychiatric Symptoms].","authors":"Franziska Jung, Andrea Zülke, Kerstin Wirkner, Matthias Reusche, Christoph Engel, Christian Sander, Veronica Witte, Samira Zeynalova, Markus Loeffler, Arno Villringer, Dorothee Saur, Georg Schomerus, Melanie Luppa, Steffi G Riedel-Heller","doi":"10.1055/a-2334-1822","DOIUrl":"10.1055/a-2334-1822","url":null,"abstract":"<p><strong>Objective: </strong>The bejective was to determine health literacy (HL) and care aspects of those affected by Long-COVID.</p><p><strong>Method: </strong>407 patients with Long-COVID and long-term neuropsychiatric symptoms were interviewed in the LIFE study center. In addition to descriptive analyses, regression models were calculated to examine the relationships between health literacy (HLS-EU-Q16) and various aspects of care (RehaQ-N1).</p><p><strong>Results: </strong>The results show that 35.8% had problematic and 17.9% had inadequate HL. The majority of subjective needs were unmet and 47.7% of those affected were dissatisfied with the therapy they received.</p><p><strong>Discussion: </strong>Among those affected by Long-COVID, subjective HL is rather reduced. The healthcare system appears to be unprepared for these patients, which is reflected in unmet needs and low treatment satisfaction. This was even more pronounced among those exhibiting lower HL.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"418-425"},"PeriodicalIF":1.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141856315","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":" ","pages":""},"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":" ","pages":""},"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":" ","pages":""},"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}
{"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":" ","pages":""},"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}