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Psychiatrische Praxis最新文献

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[Developing An Initial Best Practice Model For Inpatient Equivalent Psychiatric Home Treatment From The Perspective Of Service Users: Consensus Process With Participatory Features]. [从服务使用者的角度制定相当于住院治疗的精神病家庭治疗的初步最佳实践模式：具有参与特征的共识过程]。
IF 1.1 4区 医学
Psychiatrische Praxis Pub Date : 2024-10-09 DOI: 10.1055/a-2406-9128
Julian Schwarz, Kim Scheunemann, Hannah Mundry, Emma Kula, Nadine Randzio, Marie Salzmann, Gerhard Längle, Svenja Raschmann, Martin Holzke, Peter Brieger, Johannes Hamann, Olaf Hardt, Sandeep Rout, Constance Hirschmeier, Uwe Herwig, Simon Senner, Janina Richter, Jürgen Timm, Reinhold Kilian, Konstantinos Nikolaidis, Stefan Weinmann, Andreas Bechdolf, Sebastian von Peter
{"title":"[Developing An Initial Best Practice Model For Inpatient Equivalent Psychiatric Home Treatment From The Perspective Of Service Users: Consensus Process With Participatory Features].","authors":"Julian Schwarz, Kim Scheunemann, Hannah Mundry, Emma Kula, Nadine Randzio, Marie Salzmann, Gerhard Längle, Svenja Raschmann, Martin Holzke, Peter Brieger, Johannes Hamann, Olaf Hardt, Sandeep Rout, Constance Hirschmeier, Uwe Herwig, Simon Senner, Janina Richter, Jürgen Timm, Reinhold Kilian, Konstantinos Nikolaidis, Stefan Weinmann, Andreas Bechdolf, Sebastian von Peter","doi":"10.1055/a-2406-9128","DOIUrl":"https://doi.org/10.1055/a-2406-9128","url":null,"abstract":"<p><strong>Aim: </strong>Inpatient-Equivalent Home Treatment (IEHT) for mental health is new in Germany and therefore requires quality development. A best practice model (BPM) for IEHT is being developed from a service user perspective.</p><p><strong>Methods: </strong>1. Collection and organization of evidence (literature review; n=55 interviews with service users), 2. qualitative analysis and formulation of criteria; 3. consensus and grouping of criteria (Delphi process).</p><p><strong>Results: </strong>58 Best practice criteria were developed in 8 groups: 1. Information, access and crisis management; 2. Treatment framework, end of treatment and continuity; 3. Scheduling, organization of contacts and flexibility; 4. Practical support and activation; 5. Treatment and therapy services; 6. Treatment team and staff; 7. Relatives, caregivers and community; and 8. Privacy and behavior in the home environment.</p><p><strong>Conclusion: </strong>The BPM provides initial guidance for a user-centered assessment of the implementation of IEHT.</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":"142392717","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
[Telemedical Interventions in Ambulant Psychotherapeutic Practices: Online Survey of Psychotherapists and Patients in Germany on the use of Digital Interventions in Psychotherapy]. [流动心理治疗实践中的远程医疗干预：德国心理治疗师和患者关于在心理治疗中使用数字干预的在线调查]。
IF 1.1 4区 医学
Psychiatrische Praxis Pub Date : 2024-10-09 DOI: 10.1055/a-2415-8817
Annika Kristin Alt, Annette Conzelmann, Anja Pascher, Jan Kühnhausen, Tobias J Renner
{"title":"[Telemedical Interventions in Ambulant Psychotherapeutic Practices: Online Survey of Psychotherapists and Patients in Germany on the use of Digital Interventions in Psychotherapy].","authors":"Annika Kristin Alt, Annette Conzelmann, Anja Pascher, Jan Kühnhausen, Tobias J Renner","doi":"10.1055/a-2415-8817","DOIUrl":"https://doi.org/10.1055/a-2415-8817","url":null,"abstract":"<p><strong>Background: </strong>Psychotherapy is going digital. The study investigated the usage behavior and acceptance of digital psychotherapy interventions among outpatient psychotherapists and patients.</p><p><strong>Method: </strong>269 therapists and 157 patients answered questions in an online survey on the use and satisfaction of digital psychotherapy interventions (video therapy, apps, VR, sensor-based psychotherapy), affinity for technology, acceptance of technology, digital therapy relationship.</p><p><strong>Results: </strong>All participants were satisfied with video therapy, stated that they used apps, VR, etc. less. Patients were more open, more tech-savvy and felt more competent in their use compared to therapists. Psychotherapists rated the digital therapeutic relationship better than patients.</p><p><strong>Discussion: </strong>The use of digital technologies in psychotherapy is not yet established in outpatient care. Measures to promote acceptance are necessary to break down barriers.</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":"142392720","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
["Is there a Link Between Heat Waves and Mental Health Emergencies in the Emergency Department?"] ["热浪与急诊科的精神健康突发事件之间有联系吗？］
IF 1.1 4区 医学
Psychiatrische Praxis Pub Date : 2024-10-01 Epub Date: 2024-07-22 DOI: 10.1055/a-2339-4967
Heribert Kirchner, Heiko Ullrich, Nik Hulsmans, Patrick Brzoska, Frank-Gerald B Pajonk
{"title":"[\"Is there a Link Between Heat Waves and Mental Health Emergencies in the Emergency Department?\"]","authors":"Heribert Kirchner, Heiko Ullrich, Nik Hulsmans, Patrick Brzoska, Frank-Gerald B Pajonk","doi":"10.1055/a-2339-4967","DOIUrl":"10.1055/a-2339-4967","url":null,"abstract":"<p><strong>Objective: </strong>There is evidence suggesting that climate change, coupled with an increase in the frequency and severity of heatwaves, affects mental health. The aim of this study was to investigate potential associations between high temperature and the utilization of an emergency department (ED) by individuals with psychiatric disorders.</p><p><strong>Methods: </strong>A retrospective analysis of all psychiatric emergency patients from 2015 to 2022 (N=15478) was conducted and compared with local temperature data.</p><p><strong>Results: </strong>Particularly during heatwaves, more psychiatric emergency patients presented to the ED.</p><p><strong>Conclusion: </strong>Beyond the results identified during heatwaves, our extensive analysis of the examined ED revealed no additional significant effects of heat on psychiatric emergencies. This contradicts findings from other studies. Other systemic influences, such as the utilization of the ED during the Covid-19 pandemic, could have modified the results.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"392-395"},"PeriodicalIF":1.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141748943","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
[Profiles and Characteristics of Mental Health Nurses in Community-Based Health Care for People with Mental Illness - Integrative Review and Thematic Framework Analysis]. [以社区为基础的精神疾病患者健康护理中精神健康护士的概况和特点 - 综合回顾和主题框架分析]。
IF 1.1 4区 医学
Psychiatrische Praxis Pub Date : 2024-10-01 Epub Date: 2024-07-16 DOI: 10.1055/a-2349-4764
Stefan Scheydt, Anna Hegedüs
{"title":"[Profiles and Characteristics of Mental Health Nurses in Community-Based Health Care for People with Mental Illness - Integrative Review and Thematic Framework Analysis].","authors":"Stefan Scheydt, Anna Hegedüs","doi":"10.1055/a-2349-4764","DOIUrl":"10.1055/a-2349-4764","url":null,"abstract":"<p><strong>Objective: </strong>To examine the specific scope of practice of community mental health nurses (CMHNs) across CMHN roles and care contexts.</p><p><strong>Methods: </strong>Systematic literature searches in CINAHL, PubMed/Medline, Google and Google Scholar, supplemented by a search of various publishers' databases. Data were analyzed and synthesized using the framework analysis method.</p><p><strong>Results: </strong>This paper identifies two role profiles in CMHN practice that describe distinct functions in the outpatient care of people with mental illness: (A) Primary Care CMHN and (B) Specialized Care CMHN. For each role profile, contextual factors and specific role content are described and analyzed for similarities and differences.</p><p><strong>Conclusions: </strong>The described role profiles can serve as a template for the development of curricula in the field of CMHN. It is important to consider the national context as well as the current and future need for psychosocial care.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"351-360"},"PeriodicalIF":1.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11464164/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141627473","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}
引用次数: 0
[Digital Health in Psychiatry - Potentials and Risks]. [精神病学中的数字健康--潜力与风险]。
IF 1.1 4区 医学
Psychiatrische Praxis Pub Date : 2024-10-01 Epub Date: 2024-10-10 DOI: 10.1055/a-2392-2741
Stefanie Schreiter
{"title":"[Digital Health in Psychiatry - Potentials and Risks].","authors":"Stefanie Schreiter","doi":"10.1055/a-2392-2741","DOIUrl":"https://doi.org/10.1055/a-2392-2741","url":null,"abstract":"","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":"51 7","pages":"347-350"},"PeriodicalIF":1.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142401076","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
[Rescue Missions with Patients with Psychiatric and Psychosocial Symptoms: An Analysis from Eastern Lower Saxony]. [有精神和心理社会症状的病人的救援任务：来自下萨克森州东部的分析]。
IF 1.1 4区 医学
Psychiatrische Praxis Pub Date : 2024-10-01 Epub Date: 2024-05-29 DOI: 10.1055/a-2310-5534
Eva Maria Noack, Anke Bramesfeld, Sybille Schmid, Dominik Schröder, Frank Müller
{"title":"[Rescue Missions with Patients with Psychiatric and Psychosocial Symptoms: An Analysis from Eastern Lower Saxony].","authors":"Eva Maria Noack, Anke Bramesfeld, Sybille Schmid, Dominik Schröder, Frank Müller","doi":"10.1055/a-2310-5534","DOIUrl":"10.1055/a-2310-5534","url":null,"abstract":"<p><strong>Objective: </strong>Characterization of medical emergencies of patients with psychiatric symptoms or in psychosocial crisis.</p><p><strong>Methods: </strong>Analysis of emergency medical services (EMS) mission logs from four German EMS stations of patients aged 12-65 from 2019 to 2020.</p><p><strong>Results: </strong>23.4% of missions involved patients with psychiatric or psychosocial symptoms (1.6% psychotic, 3.0% suicidal, 7.1% psychosocial crisis, 15.7% intoxicated). On average, these patients were younger than those with other symptoms. 48.9% exhibited additional somatic complaints. The COVID-19 pandemic showed only little impact on the frequency of such emergencies.</p><p><strong>Conclusion: </strong>Psychiatric and psychosocial symptoms account for a significant proportion of rescue missions in our sample. Managing psychiatric and psychosocial emergencies should be an integral part of the training of medical and paramedical staff.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"367-375"},"PeriodicalIF":1.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11464165/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141175188","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}
引用次数: 0
[Discharged, but where to? The Current Situation of Long Stay Patients in German Psychiatric Clinics]. [出院了，但去哪儿？德国精神病诊所长期住院病人的现状]。
IF 1.1 4区 医学
Psychiatrische Praxis Pub Date : 2024-10-01 Epub Date: 2024-05-15 DOI: 10.1055/a-2307-5236
Sarah Jenderny, Sylvia Claus, Peter Falkai, Andreas Heinz, Andreas Meyer-Lindenberg, Oliver Pogarell, Bettina Wilms, Ingmar Steinhart
{"title":"[Discharged, but where to? The Current Situation of Long Stay Patients in German Psychiatric Clinics].","authors":"Sarah Jenderny, Sylvia Claus, Peter Falkai, Andreas Heinz, Andreas Meyer-Lindenberg, Oliver Pogarell, Bettina Wilms, Ingmar Steinhart","doi":"10.1055/a-2307-5236","DOIUrl":"10.1055/a-2307-5236","url":null,"abstract":"<p><strong>Objective: </strong>The study analyses the number, characteristics and reasons for a length of stay of patients in German psychiatric clinics in excess of 6 months.</p><p><strong>Methods: </strong>The study was implemented in the form of a nationwide online survey, which was addressed to chief physicians of psychiatric clinics.</p><p><strong>Results: </strong>In the sample, 174 patients in 80 psychiatric clinics were identified who could not be discharged because no suitable follow-up services were available in the region. The majority of patients are male, often have an F2 diagnosis and exhibit aggressive behaviour during their hospital stay.</p><p><strong>Conclusion: </strong>To avoid inappropriate health care and prevent prolonged stays for a subgroup of mentally ill people, individual complex services should be implemented in community psychiatry.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"361-366"},"PeriodicalIF":1.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140945739","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
[Inpatient Equivalent Home Treatment of Gerontopsychiatric Patients (ieht-g) in a Major German City - An Observational Study]. [德国某大城市老年精神病患者的住院等效家庭治疗（ieht-g）--一项观察性研究]。
IF 1.1 4区 医学
Psychiatrische Praxis Pub Date : 2024-10-01 Epub Date: 2024-07-22 DOI: 10.1055/a-2328-9263
Samuel Paul Couturier, Gloria Spielmann-Benson, Lutz Frölich, Lucrezia Hausner
{"title":"[Inpatient Equivalent Home Treatment of Gerontopsychiatric Patients (ieht-g) in a Major German City - An Observational Study].","authors":"Samuel Paul Couturier, Gloria Spielmann-Benson, Lutz Frölich, Lucrezia Hausner","doi":"10.1055/a-2328-9263","DOIUrl":"10.1055/a-2328-9263","url":null,"abstract":"<p><strong>Objective: </strong>Patient characterization and evaluation of gerontopsychiatric inpatient equivalent treatment (IEHT-G) in a large German city.</p><p><strong>Methods: </strong>Collection of sociodemographic and clinical data, as well as assessment of clinical severity (CGI), health and social functioning (HoNOS-D) and autonomous performance of activities of daily living (IADL) at the beginning and end of IEHT-G.</p><p><strong>Results: </strong>53 subjects (age: MW=74.81; 77.4% women) were analyzed. Main psychiatric diagnoses were affective disorders (n=25), schizophrenia and schizotypal disorders (n=20). 12 patients (22.64%) had a cognitive disorder. The CGI, HoNOS-D and IADL showed a significant improvement over the treatment period (paired t-test, p<0.001).</p><p><strong>Conclusion: </strong>In an urban gerontopsychiatric population, IEHT-G can be implemented well. Symptom severity, social functioning and autonomy improved significantly.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"385-391"},"PeriodicalIF":1.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141748944","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
[Attitudes and Expectations of Psychological and Medical Psychotherapists Towards Open Notes: Analysis of Qualitative Survey Responses]. [心理和医学心理治疗师对开放式笔记的态度和期望：定性调查反馈分析]。
IF 1.1 4区 医学
Psychiatrische Praxis Pub Date : 2024-10-01 Epub Date: 2024-05-29 DOI: 10.1055/a-2320-8929
Eva Meier-Diedrich, Katharina Neumann, Martin Heinze, Julian Schwarz
{"title":"[Attitudes and Expectations of Psychological and Medical Psychotherapists Towards Open Notes: Analysis of Qualitative Survey Responses].","authors":"Eva Meier-Diedrich, Katharina Neumann, Martin Heinze, Julian Schwarz","doi":"10.1055/a-2320-8929","DOIUrl":"10.1055/a-2320-8929","url":null,"abstract":"<p><strong>Objective: </strong>This study explores attitudes and expectations of psychotherapists (PT) towards the introduction of digital patient access to clinical notes (\"Open Notes\"; ON)), including the advantages and disadvantages in psychotherapeutic practice.</p><p><strong>Methods: </strong>As part of the PEPPPSY study, an online survey was conducted. Free text responses (n = 107) were qualitatively analysed using thematic analysis.</p><p><strong>Results: </strong>129 psychological and medical PT took part in the survey. PT saw advantages such as transparency and patient-centred documentation, but feared disadvantages for the therapeutic relationship and an increased workload through the implementation of ON. Concerns were raised about data security and negative effects on treatment. Recommendations for implementation include patient-specific access adaptations and guided access.</p><p><strong>Conclusion: </strong>PT are ambivalent about ON. Further research and guidelines for the use of ON in psychotherapy are needed.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"376-384"},"PeriodicalIF":1.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141175185","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 Awareness - a Development without Side Effects?] [心理健康意识--没有副作用的发展？］
IF 1.1 4区 医学
Psychiatrische Praxis Pub Date : 2024-09-01 Epub Date: 2024-09-12 DOI: 10.1055/a-2366-3305
Sven Speerforck, Georg Schomerus
{"title":"[Mental Health Awareness - a Development without Side Effects?]","authors":"Sven Speerforck, Georg Schomerus","doi":"10.1055/a-2366-3305","DOIUrl":"https://doi.org/10.1055/a-2366-3305","url":null,"abstract":"","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":"51 6","pages":"293-295"},"PeriodicalIF":1.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142293940","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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