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Psychiatrische Praxis最新文献

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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
[Social Psychiatric Conceptions in Western and Eastern Germany - a Contrastive Analysis of the Approaches Developed by Karl Peter Kisker, Klaus Weise and Achim Thom]. [西德和东德的社会精神病学概念--对卡尔-彼得-基斯克、克劳斯-韦泽和阿希姆-托姆所制定方法的对比分析]。
IF 1.1 4区 医学
Psychiatrische Praxis Pub Date : 2024-09-01 Epub Date: 2024-04-26 DOI: 10.1055/a-2295-8000
Johann Buttler, Holger Steinberg
{"title":"[Social Psychiatric Conceptions in Western and Eastern Germany - a Contrastive Analysis of the Approaches Developed by Karl Peter Kisker, Klaus Weise and Achim Thom].","authors":"Johann Buttler, Holger Steinberg","doi":"10.1055/a-2295-8000","DOIUrl":"10.1055/a-2295-8000","url":null,"abstract":"<p><p>The study explores the common effort of social psychiatrists in Eastern and Western Germany to help people suffering from mental health issues to gain more self-determination and social participation and to make mental health care more humane from the 1960s onwards. At the same time, it provides a contrastive analysis of the social psychiatric concepts developed by the psychiatrists Karl Peter Kisker, Klaus Weise and the philosopher Achim Thom. A thorough analysis of literature reveals differences in the theoretical approaches in the East and West. Kisker, who was a representative of the West German social psychiatric movement, had a phenomenological-anthropological background. By contrast, Weise and Thom even though following the same subject orientation, established a socialist social psychiatry clearly integrating Marxist views into their concept. This contrastive also elaborates common viewpoints in understanding the social dimensions of mental health conditions in the two concepts.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"328-334"},"PeriodicalIF":1.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140867495","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? – Kontra. 危机中的医院精神科--持续的门诊治疗是解决之道吗？- 反对
IF 1.1 4区 医学
Psychiatrische Praxis Pub Date : 2024-09-01 Epub Date: 2024-09-12 DOI: 10.1055/a-2320-7750
Thomas Pollmächer
{"title":"Krankenhauspsychiatrie in der Krise – ist konsequente Ambulantisierung die Lösung? – Kontra.","authors":"Thomas Pollmächer","doi":"10.1055/a-2320-7750","DOIUrl":"https://doi.org/10.1055/a-2320-7750","url":null,"abstract":"","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":"51 6","pages":"298-299"},"PeriodicalIF":1.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142293941","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
[Why Men Choose for Concealment and Against Disclosure of their Depressive Illness? A Qualitative Study]. [男性为何选择隐瞒和反对披露自己的抑郁症？一项定性研究]。
IF 1.1 4区 医学
Psychiatrische Praxis Pub Date : 2024-07-01 Epub Date: 2024-03-29 DOI: 10.1055/a-2249-0649
Paul Nickel, Maja Stiawa, Christian Götzl, Gironimo Krieg, Lea Mayer, Silvia Krumm
{"title":"[Why Men Choose for Concealment and Against Disclosure of their Depressive Illness? A Qualitative Study].","authors":"Paul Nickel, Maja Stiawa, Christian Götzl, Gironimo Krieg, Lea Mayer, Silvia Krumm","doi":"10.1055/a-2249-0649","DOIUrl":"10.1055/a-2249-0649","url":null,"abstract":"<p><strong>Objective: </strong>The qualitative study aims to explore reasons and occations for concealment in male participants with depression.</p><p><strong>Methods: </strong>Five focus groups with 16 men were analysed via Qualitative Content Analysis.</p><p><strong>Results: </strong>Four motives of concealment have been explored: 1. continuity of professional career, 2. Ensure acceptance and social belonging, 3. control over social identity, 4. avoiding loads of personal environment. Participants differentiate from stereotypes of hegemonic male gender norms. However, participants connect to hegemonic male gender norms when attributing professional success with vigour and assertiveness.</p><p><strong>Conclusion: </strong>Results confirm the presence of hegemonic male gender norms particularly on the job. As a consequence, men with depressiopn replicate self- and social stigma if they fail to comply with hegemonic male gender roles. Workplace interventions that react to discrimination of mental health problems may be beneficial for men with depression.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"245-252"},"PeriodicalIF":1.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140327070","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
[Everyday Life and Mental Health of Elderly with Cognitive Impairment During the Covid-19 Pandemic]. [认知障碍老年人在 Covid-19 大流行期间的日常生活和心理健康]。
IF 1.1 4区 医学
Psychiatrische Praxis Pub Date : 2024-07-01 Epub Date: 2024-01-25 DOI: 10.1055/a-2230-2873
Angela Nikelski, Eva M Trompetter, Melanie Boekholt, Fanny Schumacher-Schönert, Anika Rädke, Bernhard Michalowsky, Horst Christian Vollmar, Wolfgang Hoffmann, Martin Driessen, Jochen René Thyrian, Stefan H Kreisel
{"title":"[Everyday Life and Mental Health of Elderly with Cognitive Impairment During the Covid-19 Pandemic].","authors":"Angela Nikelski, Eva M Trompetter, Melanie Boekholt, Fanny Schumacher-Schönert, Anika Rädke, Bernhard Michalowsky, Horst Christian Vollmar, Wolfgang Hoffmann, Martin Driessen, Jochen René Thyrian, Stefan H Kreisel","doi":"10.1055/a-2230-2873","DOIUrl":"10.1055/a-2230-2873","url":null,"abstract":"<p><strong>Objective: </strong>The aim is to analyze pandemic-related effects on everyday life and psychosocial health in the understudied vulnerable group of cognitively impaired elderly people living at home.</p><p><strong>Methods: </strong>Structured telephone interviews in 2020 (n+=+141) and 2021 (n+=+107) were used to survey over-65s with cognitive impairment (MMSE Ø 23.4). The results from the 2021 survey presented here reflect experiences and attitudes, effects on daily life and health care, and psychosocial burdens and resources. Longitudinal analysis of selected indicators of burden is provided for n+=+66.</p><p><strong>Results: </strong>Even in the face of increasing concerns and moderate impacts on everyday life and health care, overall psychosocial health is proving to be good and largely stable over time.</p><p><strong>Conclusion: </strong>Respondents have high levels of personal and social resources, and their coping with limitations is characterized by acceptance and willingness to adapt.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"253-262"},"PeriodicalIF":1.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139564761","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
[Dietary Interventions In Psychiatry - A Neglected Opportunity to Promote Healthy Lifestyles]. [精神病学中的饮食干预--促进健康生活方式的一个被忽视的机会]。
IF 1.1 4区 医学
Psychiatrische Praxis Pub Date : 2024-07-01 Epub Date: 2024-07-11 DOI: 10.1055/a-2315-2739
Sonja Moetteli, Annabel S Mueller-Stierlin
{"title":"[Dietary Interventions In Psychiatry - A Neglected Opportunity to Promote Healthy Lifestyles].","authors":"Sonja Moetteli, Annabel S Mueller-Stierlin","doi":"10.1055/a-2315-2739","DOIUrl":"https://doi.org/10.1055/a-2315-2739","url":null,"abstract":"","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":"51 5","pages":"235-237"},"PeriodicalIF":1.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141591221","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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