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Psychiatrische Praxis最新文献

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[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
Krankenhauspsychiatrie in der Krise – ist konsequente Ambulantisierung die Lösung? – Pro. 危机中的医院精神科--持续的门诊治疗是解决之道吗？- Pro.
IF 1.1 4区 医学
Psychiatrische Praxis Pub Date : 2024-09-01 Epub Date: 2024-09-12 DOI: 10.1055/a-2320-7685
Peter Brieger, Susanne Menzel
{"title":"Krankenhauspsychiatrie in der Krise – ist konsequente Ambulantisierung die Lösung? – Pro.","authors":"Peter Brieger, Susanne Menzel","doi":"10.1055/a-2320-7685","DOIUrl":"https://doi.org/10.1055/a-2320-7685","url":null,"abstract":"","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":"51 6","pages":"296-297"},"PeriodicalIF":1.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142293942","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
[Implementation of an Open Door Policy on Two Acute Care Units]. [在两家急症监护室实施开放政策]。
IF 1.1 4区 医学
Psychiatrische Praxis Pub Date : 2024-09-01 Epub Date: 2024-04-26 DOI: 10.1055/a-2296-0327
Lisa Katharina Schreiber, Florian Sattler, Andreas Jochen Fallgatter, Tilman Steinert, Florian Metzger
{"title":"[Implementation of an Open Door Policy on Two Acute Care Units].","authors":"Lisa Katharina Schreiber, Florian Sattler, Andreas Jochen Fallgatter, Tilman Steinert, Florian Metzger","doi":"10.1055/a-2296-0327","DOIUrl":"10.1055/a-2296-0327","url":null,"abstract":"<p><strong>Background: </strong>Since the amendments to the Baden-Württemberg Psychiatric Assistance Act, psychiatric patients who are treated involuntarily can be admitted to open wards. As a result, a comprehensive research project was carried out to implement an open-door policy. This work evaluates the attitudes of patients and therapeutic teams.</p><p><strong>Methods: </strong>Over the course of a year, 8 focus groups with 6 to 11 participants were conducted with patients and staff before and at the end of the intervention phase and analyzed qualitatively.</p><p><strong>Results: </strong>The concept of open doors was received positively. The staff raised safety concerns whereas on the patient side the door status seemed to be of limited relevance regarding the experience of autonomy or stigmatization.</p><p><strong>Discussion: </strong>The elaboration of conflict issues allows a further development of specific concepts towards the implementation of open doors on psychiatric acute wards.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"300-306"},"PeriodicalIF":1.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11392569/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140871593","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
[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 1.1 4区 医学
Psychiatrische Praxis Pub Date : 2024-09-01 Epub 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":"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":" ","pages":"315-320"},"PeriodicalIF":1.1,"publicationDate":"2024-09-01","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 1.1 4区 医学
Psychiatrische Praxis Pub Date : 2024-09-01 Epub 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":" ","pages":"335-338"},"PeriodicalIF":1.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11392567/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Disclosure of Own Crisis And Treatment Experiences By Staff Of Psychiatric Institutions In BerLin And Brandenburg - An Underused Resource For Reducing Stigma?] [柏林和勃兰登堡州精神病院工作人员披露自己的危机和治疗经历--减少耻辱感的未充分利用资源？］
IF 1.1 4区 医学
Psychiatrische Praxis Pub Date : 2024-09-01 Epub Date: 2024-04-26 DOI: 10.1055/a-2296-7173
Sebastian von Peter, Angel Ponew, Anna Strelen, Christian Lust, Sven Speerforck, Stefan Stützle
{"title":"[Disclosure of Own Crisis And Treatment Experiences By Staff Of Psychiatric Institutions In BerLin And Brandenburg - An Underused Resource For Reducing Stigma?]","authors":"Sebastian von Peter, Angel Ponew, Anna Strelen, Christian Lust, Sven Speerforck, Stefan Stützle","doi":"10.1055/a-2296-7173","DOIUrl":"10.1055/a-2296-7173","url":null,"abstract":"<p><strong>Aim: </strong>This article is part of the EKB-study which explores lived crisis and treatment experiences of mental health professionals in Berlin and Brandenburg. It addresses the disclosure of mental health workers' lived experiences in their workplace.</p><p><strong>Method: </strong>An online survey was conducted among 182 mental health professionals, containing questions on disclosure of lived experiences. Data were analyzed descriptively and analytically.</p><p><strong>Results: </strong>Participants reported disclosure mainly to supervisors and affiliated colleagues. Experiences were mostly positive, with severe negative exceptions. Central motives against disclosure were fear of vulnerability, fear of compromising professional identity, and shame.</p><p><strong>Conclusions: </strong>Disclosure of lived crisis experiences is not always the proper strategy for mental health professionals. Disclosure may be a means of reducing public and internalized stigma.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"321-327"},"PeriodicalIF":1.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140866177","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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