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Psychiatrische Praxis最新文献

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[Coercive Medication: Who, how, how Long? A Retrospective Chart Analysis in 6 Hospital Sites in Baden-Wuerttemberg]. [强制用药：谁、如何、多长时间？巴登一符腾堡州 6 家医院的回顾性病历分析]。
IF 2.2 4区 医学
Psychiatrische Praxis Pub Date : 2024-05-01 Epub Date: 2024-01-17 DOI: 10.1055/a-2225-2162
Tilman Steinert, Jana Wiedmer
{"title":"[Coercive Medication: Who, how, how Long? A Retrospective Chart Analysis in 6 Hospital Sites in Baden-Wuerttemberg].","authors":"Tilman Steinert, Jana Wiedmer","doi":"10.1055/a-2225-2162","DOIUrl":"10.1055/a-2225-2162","url":null,"abstract":"<p><strong>Background: </strong>Evaluation of the practice of coercive treatment in Germany after the Constiutional Court's decision in 2011.</p><p><strong>Methods: </strong>The documented emergency treatments (N=86) and judicially approved compulsory treatments (N=62) in 2015 and 2016 at 6 hospital locations in Baden-Württemberg were retrospectively analysed.</p><p><strong>Results: </strong>Patients had an average of 8 previous psychiatric hospitalisations with a cumulative duration of 645 days on average and 87% had a psychotic disorder. 34% received subsequent compulsory treatment within one year. The median duration of compulsory treatment was 15 days. 92% of the patients were taking an antipsychotic at discharge, 45% received further treatment in a day hospital or a psychiatric outpatient clinic.</p><p><strong>Conclusion: </strong>Coercive treatment affects a relatively small, chronically severely ill group of patients and is frequently recurrent among them. For considerable part, no consecutive treatment setting can be established after discharge.</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":"139486174","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 des Arbeitskreis Gerontopsychiatrie der BDK BDK 老年精神病学工作组报告
IF 2.2 4区 医学
Psychiatrische Praxis Pub Date : 2024-05-01 DOI: 10.1055/a-2305-6140
{"title":"Bericht des Arbeitskreis Gerontopsychiatrie der BDK","authors":"","doi":"10.1055/a-2305-6140","DOIUrl":"https://doi.org/10.1055/a-2305-6140","url":null,"abstract":"Nach dem Auslaufen der Corona Pandemie und der Möglichkeit sich wieder persönlich zu\u0000 treffen nahm der Arbeitskreis Gerontopsychiatrie der BDK in 2023 wieder das übliche\u0000 Format der regelmäßigen Frühjahrs- und Herbsttagung auf. Das Frühjahrstreffen 2023\u0000 fand im Mai auf Einladung von Fr. Walter in der Asklepios Fachklinik Göttingen\u0000 statt. Zur Tagesordnung gehörte ein Bericht der Aktivitäten der deutschen\u0000 Gesellschaft für Gerontopsychiatrie und –psychotherapie (DGGPP), der\u0000 Bundesdirektorenkonferenz und der Akademie der DGGPP. Ein fester Bestandteil war\u0000 weiterhin der Bericht aus den einzelnen Kliniken der Teilnehmerinnen und\u0000 Teilnehmer.","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":"141039290","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
[How Successful is the Participation of People with Mental Illness and Family Members in the Development of Evidence- and Consensus-Based Clinical Practice Guidelines? Results of a Survey in Psychiatry]. [精神疾病患者及其家人参与制定以证据和共识为基础的临床实践指南的成功率如何？精神病学调查的结果]。
IF 2.2 4区 医学
Psychiatrische Praxis Pub Date : 2024-05-01 Epub Date: 2023-12-22 DOI: 10.1055/a-2201-7987
Katja Schladitz, Elena Caroline Weitzel, Margrit Löbner, Bettina Soltmann, Frank Jessen, Jochen Schmitt, Andrea Pfennig, Steffi G Riedel-Heller, Uta Gühne
{"title":"[How Successful is the Participation of People with Mental Illness and Family Members in the Development of Evidence- and Consensus-Based Clinical Practice Guidelines? Results of a Survey in Psychiatry].","authors":"Katja Schladitz, Elena Caroline Weitzel, Margrit Löbner, Bettina Soltmann, Frank Jessen, Jochen Schmitt, Andrea Pfennig, Steffi G Riedel-Heller, Uta Gühne","doi":"10.1055/a-2201-7987","DOIUrl":"10.1055/a-2201-7987","url":null,"abstract":"<p><strong>Objective: </strong>The study examines how successful the participation of people with mental illness and family members is currently in the development of psychiatric guidelines.</p><p><strong>Methods: </strong>Survey results of N=561 (Response 37%) guideline developers are analyzed.</p><p><strong>Results: </strong>Involvement of affected individuals succeeds more often than that of family members (61% vs. 55%). 68% felt that this participation was central to successful guideline development. 51% perceived discrepancies between empirical evidence and experience perspective. 33-36% perceived a lack of appreciation of experience expertise, 37% an insufficient representation and 46% an inequality in consensus building. 45% did not see barriers effectively removed.</p><p><strong>Conclusion: </strong>There remain challenges in the participation of people with mental illness and family members. There is an increasing awareness that their participation is central.</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":"138885975","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
Der berufsbegleitende Master Interdisziplinäre Psychosentherapie 跨学科精神病治疗非全日制硕士课程
IF 2.2 4区 医学
Psychiatrische Praxis Pub Date : 2024-05-01 DOI: 10.1055/a-2293-4982
Dorothea von Haebler, T. Bock
{"title":"Der berufsbegleitende\u0000 Master Interdisziplinäre\u0000 Psychosentherapie","authors":"Dorothea von Haebler, T. Bock","doi":"10.1055/a-2293-4982","DOIUrl":"https://doi.org/10.1055/a-2293-4982","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":"141028536","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 2.2 4区 医学
Psychiatrische Praxis Pub 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":"https://doi.org/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":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","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":"","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 2.2 4区 医学
Psychiatrische Praxis Pub 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":"https://doi.org/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":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-04-26","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
[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 2.2 4区 医学
Psychiatrische Praxis Pub 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":"https://doi.org/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":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-04-26","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
[DemStepCare: Risk-stratified support for primary care-based dementia care - evaluation from general practitioner's view]. [DemStepCare：基于初级保健的痴呆症护理风险分级支持--从全科医生的角度进行评估]。
IF 2.2 4区 医学
Psychiatrische Praxis Pub Date : 2024-04-12 DOI: 10.1055/a-2286-1557
K. Geschke, Julian Wangler, Fabian Klein, A. Wuttke-Linnemann, Erik Farin-Glattacker, Michael Löhr, Michael Jansky, Andreas Fellgiebel
{"title":"[DemStepCare: Risk-stratified support for primary care-based dementia care - evaluation from general practitioner's view].","authors":"K. Geschke, Julian Wangler, Fabian Klein, A. Wuttke-Linnemann, Erik Farin-Glattacker, Michael Löhr, Michael Jansky, Andreas Fellgiebel","doi":"10.1055/a-2286-1557","DOIUrl":"https://doi.org/10.1055/a-2286-1557","url":null,"abstract":"OBJECTIVE\u0000The innovation fund project DemStepCare aimed to optimize multi-professional care through case management, risk stratification, and crisis outpatient clinic. Here, the evaluation results from the perspective of the general practitioners are presented.\u0000\u0000\u0000METHODS\u0000A quantitative survey was carried out at three time points regarding acceptance, benefit assessment and sensitivity to dementia of the general practitioners. In addition, qualitative interviews were conducted.\u0000\u0000\u0000RESULTS\u0000Satisfaction with the overall project was high. Added value and relief factors were perceived and more effective and stable dementia care was achieved through collaboration with case management. Physicians reported increased subjective competence in diagnostics and disease management.\u0000\u0000\u0000CONCLUSIONS\u0000The results confirm the benefit and effectiveness of DemStepCare from general practitioner's perspective.","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140711622","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
[Influence of guideline recommendations, care structures and individual factors on the use of psychosocial therapies in severely mentally ill people]. [指南建议、护理结构和个人因素对严重精神病患者使用心理社会疗法的影响]。
IF 2.2 4区 医学
Psychiatrische Praxis Pub Date : 2024-04-01 Epub Date: 2023-10-09 DOI: 10.1055/a-2133-3527
Sarah Fritz, Markus Kösters, Andreas Allgöwer, Thomas Becker, Reinhold Kilian, Uta Gühne, Steffi G Riedel-Heller, Alkomiet Hasan, Peter Falkai, Klemens Ajayi, Jessica Baumgärtner, Peter Brieger, Karel Frasch, Stephan Heres, Markus Jäger, Andreas Küthmann, Albert Putzhammer, Bertram Schneeweiß, Michael Schwarz, Johanna Breilmann
{"title":"[Influence of guideline recommendations, care structures and individual factors on the use of psychosocial therapies in severely mentally ill people].","authors":"Sarah Fritz, Markus Kösters, Andreas Allgöwer, Thomas Becker, Reinhold Kilian, Uta Gühne, Steffi G Riedel-Heller, Alkomiet Hasan, Peter Falkai, Klemens Ajayi, Jessica Baumgärtner, Peter Brieger, Karel Frasch, Stephan Heres, Markus Jäger, Andreas Küthmann, Albert Putzhammer, Bertram Schneeweiß, Michael Schwarz, Johanna Breilmann","doi":"10.1055/a-2133-3527","DOIUrl":"10.1055/a-2133-3527","url":null,"abstract":"<p><strong>Objective: </strong>The influence of guideline recommendations and other factors on the utilization of psychosocial interventions in people with severe mental illness was examined.</p><p><strong>Methods: </strong>Data from a cross-sectional study of 397 people with severe mental illness were analysed descriptively.</p><p><strong>Results: </strong>Patients are less likely to receive therapies with a strong recommendation compared to other levels of recommendation. Various other factors are diffusely associated with utilization rates, but no ubiquitous predictors could be identified across all therapies.</p><p><strong>Conclusion: </strong>Current practice in the use of psychosocial interventions does not follow guideline recommendation strength. Interventions with strong recommendations are probably not available across services. Consequently, routine practice is not able to follow guideline recommendations according to their strength. Other consistent predictors could not be identified.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41183461","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
Psychiatrische Praxis 精神病学实践
IF 2.2 4区 医学
Psychiatrische Praxis Pub Date : 2024-04-01 DOI: 10.1055/s-00000062
U. Voderholzer, T. Messer, Steffi G. Riedel-Heller, Georg Schomerus, Christiane Roick
{"title":"Psychiatrische Praxis","authors":"U. Voderholzer, T. Messer, Steffi G. Riedel-Heller, Georg Schomerus, Christiane Roick","doi":"10.1055/s-00000062","DOIUrl":"https://doi.org/10.1055/s-00000062","url":null,"abstract":"Sie halten das dritte Heft des Jahres in den Händen. Was erwartet Sie?","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140795299","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: 4
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