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Psychiatrische Praxis最新文献

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[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 2.2 4区 医学
Psychiatrische Praxis Pub 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":"https://doi.org/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":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-05-15","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
[Cannabinoid Drugs in the Treatment of Psychiatric Disorders - Data from the German Federal Institute for Drugs and Medical Devices]. [治疗精神障碍的大麻素药物--德国联邦药物和医疗器械研究所提供的数据]。
IF 2.2 4区 医学
Psychiatrische Praxis Pub Date : 2024-05-15 DOI: 10.1055/a-2296-1358
Felix Wülfing, Gabriele Schmidt-Wolf, Peter Cremer-Schaeffer, Kathlen Priebe, Nikola Schoofs
{"title":"[Cannabinoid Drugs in the Treatment of Psychiatric Disorders - Data from the German Federal Institute for Drugs and Medical Devices].","authors":"Felix Wülfing, Gabriele Schmidt-Wolf, Peter Cremer-Schaeffer, Kathlen Priebe, Nikola Schoofs","doi":"10.1055/a-2296-1358","DOIUrl":"https://doi.org/10.1055/a-2296-1358","url":null,"abstract":"<p><strong>Background: </strong>Since 2017 physicians in Germany can prescribe cannabis based medicines or medical cannabis with subsequent funding by the statutory health insurance system.</p><p><strong>Methods: </strong>Physicians prescribing cannabinoid drugs were legally required to take part in a survey conducted by the Federal Institute for Drugs and Medical Devices. This study analyses data from 16.809 case reports that were collected from 30.3.2017 to 31.12.2021.</p><p><strong>Results: </strong>There were 5582 cases documenting the use of cannabinoid drugs in psychiatric disorders. More than half of the prescriptions were Dronabinol. 80% of the treatments concerned somatoform disorders. Most of the treatments for other psychiatric disorders also targeted pain. Doctors reported a positive effect on symptoms in at least 75% of the cases.</p><p><strong>Discussion: </strong>Most patients with psychiatric disorders received cannabinoid drugs for pain. The evidence from randomized controlled clinical trials for the use of cannabinoid drugs in psychiatric indications is weak.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140945737","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
[Regional Comprehensive Care for People with Mental Disorders - An Opportunity for Transparency and Innovative Evaluation]. [精神障碍患者的地区综合护理--透明度和创新评估的契机]。
IF 2.2 4区 医学
Psychiatrische Praxis Pub Date : 2024-05-15 DOI: 10.1055/a-2299-1800
Stefan Priebe, Peter Brieger
{"title":"[Regional Comprehensive Care for People with Mental Disorders - An Opportunity for Transparency and Innovative Evaluation].","authors":"Stefan Priebe, Peter Brieger","doi":"10.1055/a-2299-1800","DOIUrl":"10.1055/a-2299-1800","url":null,"abstract":"<p><p>Against the background of the discussion about a comprehensive regional mental health care service, the essay discusses the possibility of a comprehensive, transparent and meaningful evaluation. Proposals for how structures, processes, and outcomes may be assessed are presented. We argue for collecting data that are transparent and actionable on all levels of care organisations. The suggested evaluation would be innovative, meaningful for individual patients, services, health care organisations and whole regions, and thus a way for a data-driven ongoing quality improvement.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140945743","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
[Intended utilization of health care services in cases of mental illnesses with varying urgency]. [在不同紧急程度的精神病患者中使用医疗服务的意向]。
IF 2.2 4区 医学
Psychiatrische Praxis Pub Date : 2024-05-01 Epub Date: 2024-02-15 DOI: 10.1055/a-2230-3163
Sarah Koens, Jens Klein, Martin Härter, Annette Strauß, Martin Scherer, Ingo Schäfer, Olaf von dem Knesebeck
{"title":"[Intended utilization of health care services in cases of mental illnesses with varying urgency].","authors":"Sarah Koens, Jens Klein, Martin Härter, Annette Strauß, Martin Scherer, Ingo Schäfer, Olaf von dem Knesebeck","doi":"10.1055/a-2230-3163","DOIUrl":"10.1055/a-2230-3163","url":null,"abstract":"<p><strong>Objective: </strong>To investigate variations in intended utilization in cases of an acute psychotic episode, an alcohol related or depressive disorder depending on different case characteristics.</p><p><strong>Methods: </strong>A telephone survey with case vignettes was conducted (N=1,200). Vignettes varied in terms of urgency of symptoms, daytime, sex of the afflicted person and age/mental disorder. The respondents were asked to indicate whom they would contact first in the described case.</p><p><strong>Results: </strong>Outpatient physicians were named most frequently as the first point of contact (61.1%) while only 6.5% of the respondents named emergency medicine including the medical on call service (8.1% in high urgency cases, i. e. emergencies that did not tolerate any delay). Intended utilization varied by urgency and age/mental illness.</p><p><strong>Conclusion: </strong>More Information about the need to seek medical help immediately in cases of mental illnesses with high urgency should be provided.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139741830","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
[Outpatientization of Hospital Psychiatry - The Time has Come]. [医院精神病学门诊化--时机已到]。
IF 2.2 4区 医学
Psychiatrische Praxis Pub Date : 2024-05-01 Epub Date: 2024-05-08 DOI: 10.1055/a-2266-6881
Martin Driessen
{"title":"[Outpatientization of Hospital Psychiatry - The Time has Come].","authors":"Martin Driessen","doi":"10.1055/a-2266-6881","DOIUrl":"https://doi.org/10.1055/a-2266-6881","url":null,"abstract":"","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140892233","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
„Unter Verrückten sagt man DU“ "在你说的疯子中"
IF 2.2 4区 医学
Psychiatrische Praxis Pub Date : 2024-05-01 DOI: 10.1055/a-2292-5292
{"title":"„Unter Verrückten sagt\u0000 man DU“","authors":"","doi":"10.1055/a-2292-5292","DOIUrl":"https://doi.org/10.1055/a-2292-5292","url":null,"abstract":"","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141024598","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
[A Continuous Literature Review for Mental Health Surveillance during the Covid-19 Pandemic in Germany - Method, Selected Results and Lessons Learned]. [德国 Covid-19 大流行期间心理健康监测的持续文献回顾--方法、部分结果和经验教训]。
IF 1.1 4区 医学
Psychiatrische Praxis Pub Date : 2024-05-01 Epub Date: 2024-03-29 DOI: 10.1055/a-2241-4148
Sophie Christine Eicher, Julia Wilhelm, Elvira Mauz, Stephan Junker, Heike Hölling, Lorenz Schmid, Julia Thom
{"title":"[A Continuous Literature Review for Mental Health Surveillance during the Covid-19 Pandemic in Germany - Method, Selected Results and Lessons Learned].","authors":"Sophie Christine Eicher, Julia Wilhelm, Elvira Mauz, Stephan Junker, Heike Hölling, Lorenz Schmid, Julia Thom","doi":"10.1055/a-2241-4148","DOIUrl":"10.1055/a-2241-4148","url":null,"abstract":"<p><p>In order to provide an up-to-date overview on changes in population's mental health during the COVID-19 pandemic, a continuous literature review was conducted. Building on a rapid review, systematic and hand searches were conducted monthly until December 31, 2022. Studies were assessed for observation periods, risk of bias and outcomes. Trends in depressive symptoms in adults were summarized by vote counting. 102 publications were included from 62 studies in the adult population. Studies declined over the course of the pandemic. Overall, 37% of the studies and 56% of the publications can assess trends in the population reliably. Among evidence for changes in depressive symptoms deteriorations predominated at last. The heterogeneity of results published by the end of 2022 limits evidence syntheses. Evidence of deterioration requires further surveillance. A continuous review can indicate evidence gaps at an early stage.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140327068","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
Bericht von der ackpa Jahrestagung am 14. und 15.03.2024 in Berlin-Neukölln: Psychiatrie: Ein lernendes System – brauchen wir neue Tätigkeitsprofile? 2024 年 3 月 14 日和 15 日在柏林新科隆召开的 ackpa 年会报告：精神病学：学习系统--我们是否需要新的工作简介？
IF 2.2 4区 医学
Psychiatrische Praxis Pub Date : 2024-05-01 DOI: 10.1055/a-2266-6690
Karel Frasch
{"title":"Bericht von der ackpa Jahrestagung am 14. und 15.03.2024 in Berlin-Neukölln:\u0000 Psychiatrie: Ein lernendes System – brauchen wir neue Tätigkeitsprofile?","authors":"Karel Frasch","doi":"10.1055/a-2266-6690","DOIUrl":"https://doi.org/10.1055/a-2266-6690","url":null,"abstract":"","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141056165","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
[Does Inpatient Equivalent Home Treatment lead to higher satisfaction? Results on satisfaction of persons involved in treatment within the Multi-center AKtiV Study]. 住院等效家庭治疗是否会带来更高的满意度?多中心AKtiV研究中参与治疗的人员满意度的结果[j]。
IF 2.2 4区 医学
Psychiatrische Praxis Pub Date : 2024-05-01 Epub Date: 2023-11-21 DOI: 10.1055/a-2179-6983
Gerhard Längle, Svenja Raschmann, Anna Heinsch, Tamara Großmann, Lasse Fischer, Jürgen Timm, Andreas Bechdolf, Sebastian von Peter, Stefan Weinmann, Konstantinos Nikolaidis, Peter Brieger, Johannes Hamann, Tamara Waldmann, Julian Schwarz, Sandeep Rout, Uwe Herwig, Janina Richter, Constance Hirschmeier, Johanna Baumgardt, Martin Holzke
{"title":"[Does Inpatient Equivalent Home Treatment lead to higher satisfaction? Results on satisfaction of persons involved in treatment within the Multi-center AKtiV Study].","authors":"Gerhard Längle, Svenja Raschmann, Anna Heinsch, Tamara Großmann, Lasse Fischer, Jürgen Timm, Andreas Bechdolf, Sebastian von Peter, Stefan Weinmann, Konstantinos Nikolaidis, Peter Brieger, Johannes Hamann, Tamara Waldmann, Julian Schwarz, Sandeep Rout, Uwe Herwig, Janina Richter, Constance Hirschmeier, Johanna Baumgardt, Martin Holzke","doi":"10.1055/a-2179-6983","DOIUrl":"10.1055/a-2179-6983","url":null,"abstract":"<p><p>This part of the AKtiV Study focuses on treatment satisfaction of patients and their relatives within Inpatient Equivalent Home Treatment (IEHT) and regular treatment. Stress of relatives and job satisfaction and workload of employees in IEHT is also considered. Relevant Parameters were collected via established as well as newly adapted questionnaires at the end of treatment. Patients and relatives in IEHT are significantly more satisfied. The stress experienced by relatives is reduced in both forms of treatment. Employees in IEHT are generally very satisfied, although there is no correlation with the satisfaction of relatives and patients. Known limitations of satisfaction surveys must be taken into account. In general these results encourage the expansion and continuous development of this new form of treatment in Germany.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138291672","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
[Work and Employment Situation of People with Mental Illness Receiving Independent Supported Housing: An Analysis of Routine Data from a Community Psychiatry Service]. 社区精神病学服务中心常规数据分析:独立支持住房的精神疾病患者的工作和就业情况
IF 2.2 4区 医学
Psychiatrische Praxis Pub Date : 2024-05-01 Epub Date: 2023-11-21 DOI: 10.1055/a-2196-2218
Lorenz B Dehn, Julia Suer, Rüdiger Klein, Martin Driessen
{"title":"[Work and Employment Situation of People with Mental Illness Receiving Independent Supported Housing: An Analysis of Routine Data from a Community Psychiatry Service].","authors":"Lorenz B Dehn, Julia Suer, Rüdiger Klein, Martin Driessen","doi":"10.1055/a-2196-2218","DOIUrl":"10.1055/a-2196-2218","url":null,"abstract":"<p><strong>Objectives: </strong>Due to insufficient empirical data on the occupational participation of people affected by severe mental illness receiving integration assistance, routine data from a community psychiatry service were evaluated.</p><p><strong>Methods: </strong>Reference workers filled out a short questionnaire on different occupational and employment aspects of their clients from supported housing/floating outreach. In addition to descriptive and exploratory analyses, overall results from previous survey rounds were also evaluated.</p><p><strong>Results: </strong>N=1418 individuals (M=47.6 years) could be included, of whom approximately 45% had no job, sheltered employment, or daytime service. This percentage has remained almost unchanged over the last decades.</p><p><strong>Conclusion: </strong>Overall, there is an urgent need for action to improve occupational participation opportunities for people with mental illness and substance addiction.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138291674","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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