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Psychiatrische Praxis最新文献

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[Institutionalised Pre-School Childcare and Reported Maltreatment: A Survey in East Germany]. [机构化学前儿童保育与虐待报告：东德调查]。
IF 1.1 4区 医学
Psychiatrische Praxis Pub Date : 2025-01-01 Epub Date: 2024-11-06 DOI: 10.1055/a-2416-0998
Claudia Helmert, Thomas McLaren, Toni Fleischer, Christine Ulke, Laura Altweck, Stefanie Hahm, Holger Muehlan, Lisa Kriechel, Manfred E Beutel, Silke Schmidt, Georg Schomerus, Elmar Brähler, Sven Speerforck
{"title":"[Institutionalised Pre-School Childcare and Reported Maltreatment: A Survey in East Germany].","authors":"Claudia Helmert, Thomas McLaren, Toni Fleischer, Christine Ulke, Laura Altweck, Stefanie Hahm, Holger Muehlan, Lisa Kriechel, Manfred E Beutel, Silke Schmidt, Georg Schomerus, Elmar Brähler, Sven Speerforck","doi":"10.1055/a-2416-0998","DOIUrl":"10.1055/a-2416-0998","url":null,"abstract":"<p><p>Child abuse increases the risk of adult mental health problems. Limited research explores the association of early institutional childhood care in the GDR with experienced childhood abuse and mediates anxiety and depression in adulthood. The sample includes N=1743 individuals born in the GDR (1949-1983). In multi-group path analyses (stratified men/women), we analysed the influence of pre-school care as a predictor and experienced child abuse (CTS) as a mediator variable for anxiety (GAD-7) and depression (PHQ-9) in adulthood. There are no direct effects of pre-school care on anxiety and depression. Childhood trauma significantly affected current mental health (women β=0.253-0.610; men β=0.092-0.439). Analyses suggest no link between early institutional care and childhood abuse. Considering other contextual factors in childcare is crucial for establishing population-wide prevention strategies for child safety.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"17-25"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11731133/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142591320","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
[Developing An Initial Best Practice Model For Inpatient Equivalent Psychiatric Home Treatment From The Perspective Of Service Users: Consensus Process With Participatory Features]. [从服务使用者的角度制定相当于住院治疗的精神病家庭治疗的初步最佳实践模式：具有参与特征的共识过程]。
IF 1.1 4区 医学
Psychiatrische Praxis Pub Date : 2025-01-01 Epub Date: 2024-10-09 DOI: 10.1055/a-2406-9128
Julian Schwarz, Kim Scheunemann, Hannah Mundry, Emma Kula, Nadine Randzio, Marie Salzmann, Gerhard Längle, Svenja Raschmann, Martin Holzke, Peter Brieger, Johannes Hamann, Olaf Hardt, Sandeep Rout, Constance Hirschmeier, Uwe Herwig, Simon Senner, Janina Richter, Jürgen Timm, Reinhold Kilian, Konstantinos Nikolaidis, Stefan Weinmann, Andreas Bechdolf, Sebastian von Peter
{"title":"[Developing An Initial Best Practice Model For Inpatient Equivalent Psychiatric Home Treatment From The Perspective Of Service Users: Consensus Process With Participatory Features].","authors":"Julian Schwarz, Kim Scheunemann, Hannah Mundry, Emma Kula, Nadine Randzio, Marie Salzmann, Gerhard Längle, Svenja Raschmann, Martin Holzke, Peter Brieger, Johannes Hamann, Olaf Hardt, Sandeep Rout, Constance Hirschmeier, Uwe Herwig, Simon Senner, Janina Richter, Jürgen Timm, Reinhold Kilian, Konstantinos Nikolaidis, Stefan Weinmann, Andreas Bechdolf, Sebastian von Peter","doi":"10.1055/a-2406-9128","DOIUrl":"10.1055/a-2406-9128","url":null,"abstract":"<p><strong>Aim: </strong>Inpatient-Equivalent Home Treatment (IEHT) for mental health is new in Germany and therefore requires quality development. A best practice model (BPM) for IEHT is being developed from a service user perspective.</p><p><strong>Methods: </strong>1. Collection and organization of evidence (literature review; n=55 interviews with service users), 2. qualitative analysis and formulation of criteria; 3. consensus and grouping of criteria (Delphi process).</p><p><strong>Results: </strong>58 Best practice criteria were developed in 8 groups: 1. Information, access and crisis management; 2. Treatment framework, end of treatment and continuity; 3. Scheduling, organization of contacts and flexibility; 4. Practical support and activation; 5. Treatment and therapy services; 6. Treatment team and staff; 7. Relatives, caregivers and community; and 8. Privacy and behavior in the home environment.</p><p><strong>Conclusion: </strong>The BPM provides initial guidance for a user-centered assessment of the implementation of IEHT.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"26-34"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142392717","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
[Alzheimer's Dementia and Anti-Dementia Medication Prescriptions 2010-2021 in 357 GP Practices and 71 Specialist Practices]. [2010-2021 年 357 家全科医生诊所和 71 家专科诊所的阿尔茨海默氏症痴呆症和抗痴呆症药物处方]。
IF 1.1 4区 医学
Psychiatrische Praxis Pub Date : 2025-01-01 Epub Date: 2024-10-09 DOI: 10.1055/a-2370-1933
Jens Bohlken, Karel Kostev, Bernhard Michalowsky
{"title":"[Alzheimer's Dementia and Anti-Dementia Medication Prescriptions 2010-2021 in 357 GP Practices and 71 Specialist Practices].","authors":"Jens Bohlken, Karel Kostev, Bernhard Michalowsky","doi":"10.1055/a-2370-1933","DOIUrl":"10.1055/a-2370-1933","url":null,"abstract":"<p><strong>Background: </strong>The predicted prevalence of people with dementia (PWD) in Germany has risen to 1.8 million since 2010. In the near future, we will see the approval of antibody therapies. The study aims to demonstrate the recent anti-dementia medication prescriptions and diagnosis prevalence.</p><p><strong>Methods: </strong>Data from 357 general practitioner (GP) and 71 specialist practices (SP) (1.1 Mio. patients) were analyzed to demonstrate the prevalence of dementia diagnoses and anti-dementia drug prescriptions between 2010 and 2021.</p><p><strong>Results: </strong>The diagnosis prevalence of PWD (Alzheimer's dementia) remained relatively constant in GP practices at 1.0-1.3% (0.19-0.21%). Among SP, the prevalence increased from 4.9% (2.8%) to 5.9% (3.6%). The anti-dementia prescription rate decreased in GP (from 0.14% to 0.10%) and increased in SP practices (from 2.1% to 2.4%).</p><p><strong>Discussion: </strong>The diagnosis and prescription rate, especially in GP practices, remained below the prevalence forecasts and the expected prescriptions.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"44-47"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142392716","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
[Telemedical Interventions in Ambulant Psychotherapeutic Practices: Online Survey of Psychotherapists and Patients in Germany on the use of Digital Interventions in Psychotherapy]. [流动心理治疗实践中的远程医疗干预：德国心理治疗师和患者关于在心理治疗中使用数字干预的在线调查]。
IF 1.1 4区 医学
Psychiatrische Praxis Pub Date : 2025-01-01 Epub Date: 2024-10-09 DOI: 10.1055/a-2415-8817
Annika Kristin Alt, Annette Conzelmann, Anja Pascher, Jan Kühnhausen, Tobias J Renner
{"title":"[Telemedical Interventions in Ambulant Psychotherapeutic Practices: Online Survey of Psychotherapists and Patients in Germany on the use of Digital Interventions in Psychotherapy].","authors":"Annika Kristin Alt, Annette Conzelmann, Anja Pascher, Jan Kühnhausen, Tobias J Renner","doi":"10.1055/a-2415-8817","DOIUrl":"10.1055/a-2415-8817","url":null,"abstract":"<p><strong>Background: </strong>Psychotherapy is going digital. The study investigated the usage behavior and acceptance of digital psychotherapy interventions among outpatient psychotherapists and patients.</p><p><strong>Method: </strong>269 therapists and 157 patients answered questions in an online survey on the use and satisfaction of digital psychotherapy interventions (video therapy, apps, VR, sensor-based psychotherapy), affinity for technology, acceptance of technology, digital therapy relationship.</p><p><strong>Results: </strong>All participants were satisfied with video therapy, stated that they used apps, VR, etc. less. Patients were more open, more tech-savvy and felt more competent in their use compared to therapists. Psychotherapists rated the digital therapeutic relationship better than patients.</p><p><strong>Discussion: </strong>The use of digital technologies in psychotherapy is not yet established in outpatient care. Measures to promote acceptance are necessary to break down barriers.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"8-16"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11731066/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142392720","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
[Psychiatric Care in Prisons - Challenges and Perspectives in Germany]. [监狱中的精神病护理-德国的挑战和前景]。
IF 1.1 4区 医学
Psychiatrische Praxis Pub Date : 2025-01-01 Epub Date: 2025-01-13 DOI: 10.1055/a-2466-6777
Kathrin Bruch, Alexander Voulgaris
{"title":"[Psychiatric Care in Prisons - Challenges and Perspectives in Germany].","authors":"Kathrin Bruch, Alexander Voulgaris","doi":"10.1055/a-2466-6777","DOIUrl":"https://doi.org/10.1055/a-2466-6777","url":null,"abstract":"","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":"52 1","pages":"5-7"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142979785","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
[Usage behavior related to the 9-Euro-ticket - impetus for psychiatric outpatients to increase activity and social contacts?] [与 9 欧元门票有关的使用行为--推动精神病门诊患者增加活动和社会接触？］
IF 1.1 4区 医学
Psychiatrische Praxis Pub Date : 2024-11-01 Epub Date: 2024-10-07 DOI: 10.1055/a-2364-9122
Juliane Mielau, Constantin Saeger, Martha Burger, Franziska Kroehn-Liedtke, Stefanie Schreiter, Stefan Gutwinski
{"title":"[Usage behavior related to the 9-Euro-ticket - impetus for psychiatric outpatients to increase activity and social contacts?]","authors":"Juliane Mielau, Constantin Saeger, Martha Burger, Franziska Kroehn-Liedtke, Stefanie Schreiter, Stefan Gutwinski","doi":"10.1055/a-2364-9122","DOIUrl":"10.1055/a-2364-9122","url":null,"abstract":"<p><p>This study presents first descriptive statistics on the usage behavior relating to discounted tickets for public transportation as part of an initiative of the German Federal Government in 2022. During a three-month period, 103 psychiatric outpatients of the University Clinic - Charité Berlin provided self-reported data by completing a survey. In general results suggested a high usage rate of the so-called \"9-Euro-ticket\" of 89,3%. Due to its purchase, 37,9% (N=39) of the participants felt motivated to explore unknown places. Furthermore, approximately one third of the sample (34,9%; n=36) reported an increase of social contacts as a result of their ticket usage. A higher influence of costs on participants' activity levels was associated with an increase in main symptoms. Higher age was correlated with a decrease of patients' core symptoms due to their activity. Results indicate a high usage of reduced-price tickets for subsidized public transport by the patients concerned.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"445-450"},"PeriodicalIF":1.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142392721","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
[Interventions for Escalating Crisis Situations in Inpatient Acute Psychiatric Treatment - Results of a Content Analysis of Joint Crisis Plans]. [急性精神病住院治疗中危机升级情况的干预措施--联合危机计划的内容分析结果]。
IF 1.1 4区 医学
Psychiatrische Praxis Pub Date : 2024-11-01 Epub Date: 2024-10-07 DOI: 10.1055/a-2388-8955
Jacqueline Rixe, Eva Neumann, Marnie Melissa Bosch, Michael Schulz, Georg Juckel, Martin Driessen
{"title":"[Interventions for Escalating Crisis Situations in Inpatient Acute Psychiatric Treatment - Results of a Content Analysis of Joint Crisis Plans].","authors":"Jacqueline Rixe, Eva Neumann, Marnie Melissa Bosch, Michael Schulz, Georg Juckel, Martin Driessen","doi":"10.1055/a-2388-8955","DOIUrl":"10.1055/a-2388-8955","url":null,"abstract":"<p><strong>Objective: </strong>Identification of interventions to prevent coercive measures in the event of escalating crisis situations in an inpatient acute psychiatric treatment context.</p><p><strong>Methods: </strong>Content analysis of 98 joint crisis plans (JCP) using frequency analysis (secondary data analysis).</p><p><strong>Results: </strong>In over half of the joint crisis plans, withdrawal to a low-stimulation environment (64.3%), a conversation (62.2%), and a walk (57.1%) were agreed upon as intervention for escalating crisis situations. A significant difference (p=0.020) was found in relation to the intake of (on-demand) medication, which was determined exclusively by males.</p><p><strong>Conclusions: </strong>The results provide potentially helpful suggestions for escalating crisis situations and gender-specific findings with regard to the agreed interventions.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"441-444"},"PeriodicalIF":1.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142392718","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 Variance of Rates of Involuntary Admission in Switzerland]. [瑞士非自愿入院率的地区差异]。
IF 1.1 4区 医学
Psychiatrische Praxis Pub Date : 2024-11-01 Epub Date: 2024-10-07 DOI: 10.1055/a-2364-9182
Matthias Jäger, Alexandre Tuch, Anastasia Theodoridou, Urs Hepp, Niklaus Stulz
{"title":"[Regional Variance of Rates of Involuntary Admission in Switzerland].","authors":"Matthias Jäger, Alexandre Tuch, Anastasia Theodoridou, Urs Hepp, Niklaus Stulz","doi":"10.1055/a-2364-9182","DOIUrl":"10.1055/a-2364-9182","url":null,"abstract":"<p><strong>Objective: </strong>Identification of predictors that contribute to explaining regional variance of involuntary admission (IA) in Switzerland.</p><p><strong>Methods: </strong>Multiple regression analysis including potential predictors and regional rates of IA at the level of utilisation-based care regions.</p><p><strong>Results: </strong>Authorisation to issue involuntary admission, assistance/guardianship, outpatient consultation rate in psychiatric practices, hospitalisation rate and urbanisation are significantly related to regional variation in IA rates.</p><p><strong>Conclusion: </strong>Restrictive regulation of the authority to issue IA and voluntary outpatient psychosocial and administrative support measures can contribute to a reduction in the rates of IA.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"434-440"},"PeriodicalIF":1.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142392719","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
[Correction: "Change Agents" Or "Peer Washing": Can Peer Support Workers Contribute To The Transformation Of Psychiatric Institutions?] [更正："变革代理人 "还是 "同伴清洗"？同伴互助工作者能否促进精神病院的转型？］
IF 1.1 4区 医学
Psychiatrische Praxis Pub Date : 2024-11-01 Epub Date: 2024-09-11 DOI: 10.1055/a-2410-4513
Sebastian von Peter, Madeleine Kuesel, Jenny Ziegenhagen, Georgia Fehler, Daniela Schmidt, Guillermo Ruiz-Perez
{"title":"[Correction: \"Change Agents\" Or \"Peer Washing\": Can Peer Support Workers Contribute To The Transformation Of Psychiatric Institutions?]","authors":"Sebastian von Peter, Madeleine Kuesel, Jenny Ziegenhagen, Georgia Fehler, Daniela Schmidt, Guillermo Ruiz-Perez","doi":"10.1055/a-2410-4513","DOIUrl":"10.1055/a-2410-4513","url":null,"abstract":"","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"e1"},"PeriodicalIF":1.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142293939","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
["Change Agents" Or "Peer Washing": Can Peer Support Workers Contribute To The Transformation Of Psychiatric Institutions?] ["变革代理人 "还是 "同伴清洗"？同伴互助工作者能否促进精神病院的转型？］
IF 1.1 4区 医学
Psychiatrische Praxis Pub Date : 2024-11-01 Epub Date: 2024-08-19 DOI: 10.1055/a-2361-4057
Sebastian von Peter, Madeleine Kuesel, Jenny Ziegenhagen, Georgia Fehler, Daniela Schmidt, Guillermo Ruiz-Perez
{"title":"[\"Change Agents\" Or \"Peer Washing\": Can Peer Support Workers Contribute To The Transformation Of Psychiatric Institutions?]","authors":"Sebastian von Peter, Madeleine Kuesel, Jenny Ziegenhagen, Georgia Fehler, Daniela Schmidt, Guillermo Ruiz-Perez","doi":"10.1055/a-2361-4057","DOIUrl":"10.1055/a-2361-4057","url":null,"abstract":"<p><strong>Objective: </strong>Peer support workers (=PSW) are expected to change the culture of a care facility. It is examined whether and how they can implement such a change mandate.</p><p><strong>Methods: </strong>The material is based on two sub-studies of the ImpPeer-Psy5 study, investigating the implementation of PSW in the German psychiatric care system. Data from 57 problem-centered interviews and two focus groups were analyzed using a thematic analysis.</p><p><strong>Results: </strong>PSW need courage, also as their impulses for change are often insufficiently received. This can lead to the reproduction of exclusion and to the PSWs' adaption to the attitudes of the teams.</p><p><strong>Conclusions: </strong>To facilitate the implementation of the PSWs' change mandate, power relations and structural discrimination should be reflected, exchange spaces and a culture of critique should be established, and enough time be allowed for the implementation of PSW.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"410-417"},"PeriodicalIF":1.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142005045","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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