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Psychiatrische Praxis最新文献

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[Work with People with Intellectual Disabilities and Challenging Behavior: Resources, Stressors, and Organizational Approaches]. [与智障人士和挑战性行为一起工作：资源、压力源和组织方法]。
IF 0.9 4区 医学
Psychiatrische Praxis Pub Date : 2026-09-01 Epub Date: 2026-06-19 DOI: 10.1055/a-2868-1453
Franziska Myszor, Ingmar Steinhart, Tanja Sappok
{"title":"[Work with People with Intellectual Disabilities and Challenging Behavior: Resources, Stressors, and Organizational Approaches].","authors":"Franziska Myszor, Ingmar Steinhart, Tanja Sappok","doi":"10.1055/a-2868-1453","DOIUrl":"10.1055/a-2868-1453","url":null,"abstract":"<p><strong>Abstract: </strong>Examination of personal, job-related, and organizational resources of professional and managerial staff in disability services when working with people with intellectual disabilities and challenging behavior. Online survey (n=279) on working conditions, experiences of aggression, stress, resources, and work-related sense of coherence; hierarchical multiple regression analysis to identify predictors of professionals' work-related sense of coherence. Work-related sense of coherence was more strongly associated with perceived resources, structural conditions, and job satisfaction than with adverse events (experienced verbal and physical aggression; psychological stress symptoms). Team cohesion and exchange, appreciation, and clear roles and structures were highlighted as key resources. Measures to promote team cohesion, reliable staffing, and an appreciative, clearly structured organizational culture are essential.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"305-310"},"PeriodicalIF":0.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148283995","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
[Depression and parenthood - a nationwide cross-sectional study on psychoeducational services in adult psychiatry]. [抑郁症和亲子关系——成人精神病学心理教育服务的全国性横断面研究]。
IF 0.9 4区 医学
Psychiatrische Praxis Pub Date : 2026-09-01 Epub Date: 2026-06-09 DOI: 10.1055/a-2858-5518
Ursula Berninger, Anastasiya Mykolenko, Fabian Frank, Jürgen Deckert, Hermann Faller, Eva-Maria Bitzer
{"title":"[Depression and parenthood - a nationwide cross-sectional study on psychoeducational services in adult psychiatry].","authors":"Ursula Berninger, Anastasiya Mykolenko, Fabian Frank, Jürgen Deckert, Hermann Faller, Eva-Maria Bitzer","doi":"10.1055/a-2858-5518","DOIUrl":"10.1055/a-2858-5518","url":null,"abstract":"<p><strong>Objective: </strong>To determine the prevalence of psychoeducation for depression and parenting (PEDE) in adult psychiatry and to identify factors that promote or hinder its implementation.</p><p><strong>Methods: </strong>A cross-sectional postal survey was conducted among senior staff at psychiatric clinics and specialist departments in general and university hospitals throughout Germany (n=485).</p><p><strong>Results: </strong>The response rate was 46,2%. 21 clinics (9%) report they provide a PEDE group psychoeducation programme at the time of the survey. Three clinics used published manuals. According to the respondents, sufficient time resources, trained staff and the availability of manuals/modules were conducive to implementation.</p><p><strong>Conclusions: </strong>Only a few facilities offer a family-centered, psychoeducational intervention in an inpatient setting.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"311-319"},"PeriodicalIF":0.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148212371","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
[Interdisciplinary Collaboration between Social Service and Case Management in Child and Adolescent Psychiatry: A Qualitative Study of Barriers, Facilitators and the Family Caregiver Perspective]. [儿童和青少年精神病学中社会服务与个案管理的跨学科合作：障碍、促进者和家庭照顾者视角的定性研究]。
IF 0.9 4区 医学
Psychiatrische Praxis Pub Date : 2026-09-01 Epub Date: 2026-06-23 DOI: 10.1055/a-2880-5398
Helene Hense, Lorenz Harst, Fabian Baum, Jochen Schmitt, Anne Neumann
{"title":"[Interdisciplinary Collaboration between Social Service and Case Management in Child and Adolescent Psychiatry: A Qualitative Study of Barriers, Facilitators and the Family Caregiver Perspective].","authors":"Helene Hense, Lorenz Harst, Fabian Baum, Jochen Schmitt, Anne Neumann","doi":"10.1055/a-2880-5398","DOIUrl":"10.1055/a-2880-5398","url":null,"abstract":"<p><strong>Objective: </strong>For the first time, a health insurance fund's Social Service (SD) module was implemented in a German child and adolescent psychiatry model project (MP) to support relatives. The SD collaborates with the Case Management (CM) of the MP. The study investigated: 1) SD-CM collaboration barriers and facilitators, 2) legal guardians' (LG) perception of the SD, and 3) the perceived benefit of SD counseling.</p><p><strong>Methods: </strong>A focus group with n=7 SD and CM staff and qualitative interviews with n=15 LG were content-analyzed.</p><p><strong>Results: </strong>Barriers and facilitators of SD-CM-collaboration were mapped across the categories structural characteristics, professional role, personal characteristics and LG' reactions. Some LG lacked a conception of the SD and requested more information. The SD provided emotional and administrative support for LG and mediated access to further services.</p><p><strong>Conclusion: </strong>Recommendations are derived for the MP.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"320-329"},"PeriodicalIF":0.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148309034","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
[Social Death and Suicidal Ideation among Victims of 'Zersetzung' in the GDR]. [德意志民主共和国“Zersetzung”受害者中的社会死亡和自杀意念]。
IF 0.9 4区 医学
Psychiatrische Praxis Pub Date : 2026-09-01 Epub Date: 2026-05-15 DOI: 10.1055/a-2858-0614
Carsten Spitzer, Andreas Maercker, Antonia Gesa Ernst, Anne Maltusch
{"title":"[Social Death and Suicidal Ideation among Victims of 'Zersetzung' in the GDR].","authors":"Carsten Spitzer, Andreas Maercker, Antonia Gesa Ernst, Anne Maltusch","doi":"10.1055/a-2858-0614","DOIUrl":"10.1055/a-2858-0614","url":null,"abstract":"<p><strong>Objective: </strong>As specific type of political repression 'Zersetzung' is similar to the concept of social death, characterized by the loss of social connectedness and social identity. This study investigates if features of social death can be found in victims of 'Zersetzung' and whether this is reflected in suicidal ideation.</p><p><strong>Methods: </strong>Sixty-two affected individuals were assessed using the <i>Oslo Social Support Scale</i> (OSSS-3), the <i>Sense of Coherence Scale</i>, and the <i>Beck Scale for Suicide Ideation</i> (BSS), and compared with age-similar reference values from the general population.</p><p><strong>Results: </strong>None of the victims of 'Zersetzung' had high social support, compared to 25% in the general population. The sense of coherence was significantly lower than in the comparison sample. An increased risk of suicidality was seen in 20%.</p><p><strong>Conclusions: </strong>The concept of social death can be meaningfully applied to victims of 'Zersetzung', and holds important implications on the individual and the societal level.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"336-341"},"PeriodicalIF":0.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147949388","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
[Firearm Suicides In Switzerland From 1969 To 2023]. [1969年至2023年瑞士枪支自杀事件]。
IF 0.9 4区 医学
Psychiatrische Praxis Pub Date : 2026-09-01 Epub Date: 2026-06-09 DOI: 10.1055/a-2866-9071
Urs Hepp, Stephan Kupferschmid, Kerstin Gabriel Felleiter, Niklaus Stulz
{"title":"[Firearm Suicides In Switzerland From 1969 To 2023].","authors":"Urs Hepp, Stephan Kupferschmid, Kerstin Gabriel Felleiter, Niklaus Stulz","doi":"10.1055/a-2866-9071","DOIUrl":"10.1055/a-2866-9071","url":null,"abstract":"<p><strong>Objective: </strong>To examine trends in firearm suicides in Switzerland in comparison to other methods of suicide, and to assess the impact of the availability of military firearms over time.</p><p><strong>Methodology: </strong>Descriptive statistical secondary analyses of Swiss cause of death statistics and data on army personnel for the period 1969-2023.</p><p><strong>Results: </strong>Firearm suicides occurred almost exclusively among men. While the suicide rate in Switzerland has been declining since the early 1980s, firearm suicides continued to rise until the 1990s. From then on, there was a slight decline in firearm suicides in the age group 18-64 years and a sharp decline in the 2000s. In the age group>64, the decline was significantly less pronounced. The data suggests that there has been little shift to other methods of suicide.</p><p><strong>Conclusion: </strong>Restricted access, particularly to military weapons, was accompanied by a marked reduction in firearm suicides.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"298-304"},"PeriodicalIF":0.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148212323","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
[Flatter Hierarchies and Enhanced Communication: Perceptions of Interprofessional Collaboration in Community-Based Psychiatric Teams]. [更扁平的等级和加强的沟通：社区精神科团队跨专业合作的感知]。
IF 0.9 4区 医学
Psychiatrische Praxis Pub Date : 2026-09-01 Epub Date: 2026-06-09 DOI: 10.1055/a-2858-0445
Marcel Hünninghaus, Sylvia Claus, Gudrun Auert, Stefan Frisch, Günther Stratmann, Andres Fernandez
{"title":"[Flatter Hierarchies and Enhanced Communication: Perceptions of Interprofessional Collaboration in Community-Based Psychiatric Teams].","authors":"Marcel Hünninghaus, Sylvia Claus, Gudrun Auert, Stefan Frisch, Günther Stratmann, Andres Fernandez","doi":"10.1055/a-2858-0445","DOIUrl":"10.1055/a-2858-0445","url":null,"abstract":"<p><strong>Objective: </strong>To examine differences in the perception of interprofessional collaboration between outreach-based and non-outreach-based staff in a § 64b SGB V model project psychiatric hospital.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted using single items and the GreiFMIE for accessing opinions towards interprofessional collaboration. Group comparisons were performed exploratively using MWU tests.</p><p><strong>Results: </strong>Outreach-based staff reported higher values in team atmosphere, collaboration within teams and with external partners, attitudes toward other professional groups, perceived flatter hierarchies, and fewer barriers to interprofessional collaboration, while scores for relevance of interprofessional techniques, communication, and teamwork were comparable between groups.</p><p><strong>Conclusion: </strong>Staff perceived the structural conditions of outreach-based settings more favorably. Further studies are required to explore the underlying mechanisms of these differences.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"330-335"},"PeriodicalIF":0.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148212310","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
[Borderline personality disorder as a severe mental illness: results of an empirical study]. 边缘型人格障碍是一种严重的精神疾病：实证研究的结果。
IF 0.9 4区 医学
Psychiatrische Praxis Pub Date : 2026-09-01 Epub Date: 2026-06-09 DOI: 10.1055/a-2866-8983
Andreas Schindler, Hannah F Warkentin, Julia Jegl, Buket Saricicek, Sarah V Biedermann, Anne Karow, Jürgen Gallinat, Martin Lambert, Ingo Schäfer
{"title":"[Borderline personality disorder as a severe mental illness: results of an empirical study].","authors":"Andreas Schindler, Hannah F Warkentin, Julia Jegl, Buket Saricicek, Sarah V Biedermann, Anne Karow, Jürgen Gallinat, Martin Lambert, Ingo Schäfer","doi":"10.1055/a-2866-8983","DOIUrl":"10.1055/a-2866-8983","url":null,"abstract":"<p><strong>Objective: </strong>Previous research on severe mental illness (SMI) has only partially examined borderline personality disorder (BPD). This study aims to compile all SMI criteria used in the literature, assess their prevalence in a clinical sample, and derive implications for treatment.</p><p><strong>Methods: </strong>A sample of N=151 individuals with BPD was examined for severity using GAF and CGI. Other SMI criteria were assessed and tested for correlations with severity.</p><p><strong>Results: </strong>Correlations of medium strength were found between severity and BPD symptoms, psychiatric comorbidities, low quality of life, and high utilization of treatment. Additionally, the sample showed high levels physical comorbidities, social impairments, self-harm, and long periods of illness.</p><p><strong>Conclusion: </strong>Severely ill patients with BPD show all characteristics of SMI. The complexity of the disorder calls for integrated treatment structures.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"291-297"},"PeriodicalIF":0.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148212337","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
What association is there between education and mental disorders? A conceptual review. 教育和精神障碍之间有什么联系？概念回顾。
IF 0.9 4区 医学
Psychiatrische Praxis Pub Date : 2026-08-31 DOI: 10.1055/a-2916-4435
Thomas Becker, Stefan Priebe
{"title":"What association is there between education and mental disorders? A conceptual review.","authors":"Thomas Becker, Stefan Priebe","doi":"10.1055/a-2916-4435","DOIUrl":"https://doi.org/10.1055/a-2916-4435","url":null,"abstract":"<p><strong>Objective: </strong>Given the societal importance of education (in the sense of the German term 'Bildung') this paper explores how education is associated with mental disorders.</p><p><strong>Methods: </strong>Conceptual literature review.</p><p><strong>Results: </strong>Three aspects were identified: Mental disorders can predict poorer education levels. At the lower end of education levels relatively better education is linked with fewer mental disorders, whilst the opposite might possibly apply in people with high education levels. Attempts to support the rehabilitation of people with mental illnesses through more education have so far been without clear evidence for effectiveness.</p><p><strong>Conclusion: </strong>Prevention policies should be targeted on improving education for disadvantaged groups. In research and practice, aspects of education should be considered more specifically to foster the acquisition of specific skills that may facilitate establishing self-confidence and helpful social relationships.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148866238","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
[Guideline implementation in mental health care: focus on intervention description]. [精神卫生保健指南实施：重点干预措施描述]。
IF 0.9 4区 医学
Psychiatrische Praxis Pub Date : 2026-08-12 DOI: 10.1055/a-2900-6082
Thomas Becker, Stefan Weinmann, Markus Kösters, Steffi G Riedel-Heller, Uta Gühne
{"title":"[Guideline implementation in mental health care: focus on intervention description].","authors":"Thomas Becker, Stefan Weinmann, Markus Kösters, Steffi G Riedel-Heller, Uta Gühne","doi":"10.1055/a-2900-6082","DOIUrl":"10.1055/a-2900-6082","url":null,"abstract":"<p><strong>Objective: </strong>Objectives of this study were: a) to systematise the intervention descriptions in the papers on mental health guideline implementation using frameworks, and b) to put in relation intervention descriptions as a proxy of CPG implementation quality and effect directions.</p><p><strong>Methods: </strong>Systematic search for studies aimed at implementing guidelines for people with severe mental illness in. Textual data were elicited and intervention effects were summarised using the effect direction plot method.</p><p><strong>Results: </strong>Richness and detail of intervention description from 31 studies and the presence of operationalised indices of action appeared to be associated with positive effect direction, and multi-component strategies were related with positive effect direction in implementation trials.</p><p><strong>Conclusions: </strong>In studies of guideline implementation, the quality of intervention description may be a proxy of the quality and strength of strategies.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2026-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148723544","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
[Modular competence-oriented psychotherapy in psychiatry: Initial findings on the effectiveness in the day-care treatment of affective disorders]. [精神病学中模块化能力导向的心理治疗：情感障碍日托治疗有效性的初步发现]。
IF 0.9 4区 医学
Psychiatrische Praxis Pub Date : 2026-08-12 DOI: 10.1055/a-2900-5975
Yannik Bendel, Lisa Störkel, Anna Seewald, Melanie Luppa, Steffi G Riedel-Heller, Michael Franz, Sara Franz
{"title":"[Modular competence-oriented psychotherapy in psychiatry: Initial findings on the effectiveness in the day-care treatment of affective disorders].","authors":"Yannik Bendel, Lisa Störkel, Anna Seewald, Melanie Luppa, Steffi G Riedel-Heller, Michael Franz, Sara Franz","doi":"10.1055/a-2900-5975","DOIUrl":"10.1055/a-2900-5975","url":null,"abstract":"<p><strong>Aim of the study: </strong>The aim was to evaluate a modular competence-oriented psychotherapeutic treatment concept (MKP) that was implemented in 2022 at a psychiatric day-care clinic (TK MKP). Its clinical outcomes were compared with those of a non-modular day-care clinic (TK NMP).</p><p><strong>Method: </strong>Routine data from 377 patients from 2022 to 2024 were analyzed retrospectively. Inclusion criteria were a diagnosis from the depressive symptom spectrum and a treatment duration of at least 10 days. Outcome was the patients' self-assessment in the BDI-II.</p><p><strong>Results: </strong>In both day-care clinics, depressive symptoms decreased significantly in each of the three cohorts. While the reduction was comparable in 2022, TK MKP showed an advantage in 2023 (<i>d</i>=1,64 vs. <i>d</i>=1,39) and 2024 (<i>d</i>=1,45 vs. <i>d</i>=0,89).</p><p><strong>Conclusion: </strong>Overall, TK MKP showed very good clinical outcomes and proved to be at least as effective as the non-modular treatment as usual (TAU).</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2026-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148727010","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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