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[Trends in the Pharmacotherapy of People with Dementia in Germany 2016-2025: Long-term Trends in Primary and Neuropsychiatric Specialist Care]. [2016-2025年德国痴呆症患者药物治疗趋势：初级和神经精神专科护理的长期趋势]。
IF 0.9 4区 医学
Psychiatrische Praxis Pub Date : 2026-08-12 DOI: 10.1055/a-2922-2608
Jens Bohlken, Karel Kostev
{"title":"[Trends in the Pharmacotherapy of People with Dementia in Germany 2016-2025: Long-term Trends in Primary and Neuropsychiatric Specialist Care].","authors":"Jens Bohlken, Karel Kostev","doi":"10.1055/a-2922-2608","DOIUrl":"10.1055/a-2922-2608","url":null,"abstract":"<p><strong>Background: </strong>In Germany, people with dementia are mainly treated as outpatients by general practitioners and neuropsychiatric specialists; besides antidementia drugs, antipsychotics, antidepressants and benzodiazepines/Z-drugs are mainly used for behavioural and psychological symptoms of dementia (BPSD).</p><p><strong>Methods: </strong>In a retrospective trend analysis of the IQVIA Disease Analyzer database, dementia patients from 389 general and 77 specialist practices (2016-2025) were included. The annual proportion with≥1 prescription per drug class was determined.</p><p><strong>Results: </strong>Antidementia prescribing rose from 14.7% to 17.3% among GPs and fell from 49.6% to 40.9% among specialists. Antipsychotics increased in both sectors, antidepressants remained stable, and benzodiazepines/Z-drugs declined.</p><p><strong>Conclusions: </strong>Persistent sector-specific differences were observed. The rising use of antipsychotics despite known risks highlights the importance of BPSD and regular benefit-risk assessment.</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":"148727752","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 Does Communication Escalate in Jeopardizing Situations in Psychiatry? - A Multivariate Replication Study]. 在精神病学中，沟通是如何升级的？-一项多变量复制研究]。
IF 0.9 4区 医学
Psychiatrische Praxis Pub Date : 2026-08-12 DOI: 10.1055/a-2897-4255
Nina Roth, Stephan Debus
{"title":"[How Does Communication Escalate in Jeopardizing Situations in Psychiatry? - A Multivariate Replication Study].","authors":"Nina Roth, Stephan Debus","doi":"10.1055/a-2897-4255","DOIUrl":"10.1055/a-2897-4255","url":null,"abstract":"<p><strong>Motivation: </strong>Results of former communication behavior studies in psychiatric jeopardizing situations should be replicated by mean of speech act analysis.</p><p><strong>Methods: </strong>The communication of the actors in restaged real jeopardizing situations as well as in simulated alternative scenarios is videotaped, transcribed and analysed using a speech act-based classification system. A multivariate, hypothesis-testing design examines communicative characteristics: changing speaker roles, communicative functions of the speech acts, reactions to speech acts, respective success of speech acts and the degree of escalation.</p><p><strong>Results: </strong>Escalation is significantly related to who speaks in what way, how people react and the success of communication. The results contribute to a better understanding of the communicative mechanisms of violence escalation in jeopardizing situations and can make them usable for team supervision and de-escalation training.</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":"148721745","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
[Perceived discrimination among nursing students during clinical placement]. [护理专业学生在临床实习期间的感知歧视]。
IF 0.9 4区 医学
Psychiatrische Praxis Pub Date : 2026-07-01 Epub Date: 2026-07-20 DOI: 10.1055/a-2867-6620
Nadine Ungar, Jana Bastuck, Elea Krauß, Alexander Balzhäußer, Gina Gorges, Angela Heinrich
{"title":"[Perceived discrimination among nursing students during clinical placement].","authors":"Nadine Ungar, Jana Bastuck, Elea Krauß, Alexander Balzhäußer, Gina Gorges, Angela Heinrich","doi":"10.1055/a-2867-6620","DOIUrl":"10.1055/a-2867-6620","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to examine the extent to which nursing students experience discrimination during clinical placements and the role of gender in this context.</p><p><strong>Methods: </strong>In a cross-sectional online survey, N=117 nursing students reported experiences of discrimination, gender, and gender role orientation. Correlations and regression analyses were conducted.</p><p><strong>Results: </strong>More than half of the students reported experiencing discrimination occasionally or regularly. Female students reported higher levels of discrimination than male students (M_f=4.27 vs. M_m=2.99, p=0.001). No significant associations were found with gender role orientation.</p><p><strong>Conclusion: </strong>These findings quantify discrimination against nursing students and highlight female gender as a contributing factor. Universities and healthcare training institutions should be aware of and sensitive to the needs of this minority group.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":"53 5","pages":"236-239"},"PeriodicalIF":0.9,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148536632","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
["Without sociotherapy, I wouldn't be where I am today" - A qualitative study on user evaluation of outpatient sociotherapy according to § 37a SGB V]. [“没有社会治疗，我就不会有今天的我”——根据§37a SGB V对门诊社会治疗用户评价的定性研究]。
IF 0.9 4区 医学
Psychiatrische Praxis Pub Date : 2026-07-01 Epub Date: 2026-05-15 DOI: 10.1055/a-2862-7252
Yvonne Kahl, Pauline Welslau, Luisa Legewie, Lukas Schön, Steffen Trimpe, Johannes Jungbauer, Mathias Berg
{"title":"[\"Without sociotherapy, I wouldn't be where I am today\" - A qualitative study on user evaluation of outpatient sociotherapy according to § 37a SGB V].","authors":"Yvonne Kahl, Pauline Welslau, Luisa Legewie, Lukas Schön, Steffen Trimpe, Johannes Jungbauer, Mathias Berg","doi":"10.1055/a-2862-7252","DOIUrl":"10.1055/a-2862-7252","url":null,"abstract":"<p><strong>Objective: </strong>Since 2000, people with severe mental illnesses have been entitled to sociotherapy under Section 37a of the German Social Code, Book V. However, this service has been implemented only to a limited extent and its effects have been researched marginally. The study aims to examine sociotherapy from the perspective of patients with regard to process, structure and outcome.</p><p><strong>Method: </strong>Sixteen problem-centered interviews with sociotherapy patients were conducted and evaluated using content analysis.</p><p><strong>Results: </strong>Patients experience sociotherapy as positively effective in terms of coping with their illness, their own sense of self-worth and participation as well as avoiding hospital stays. The service is particularly valued because of the nature of the relationships formed and the everyday-oriented setting.</p><p><strong>Conclusions: </strong>Sociotherapy is an important component of the health care system. At the same time, further research is needed to identify factors that influence effectiveness.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"256-262"},"PeriodicalIF":0.9,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147949390","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
[Health as a Measure of Performance: Self-Esteem-Contingent Health Demands and Psychological Distress among University Students]. [健康作为绩效的衡量标准：大学生自尊、偶然健康需求和心理困扰]。
IF 0.9 4区 医学
Psychiatrische Praxis Pub Date : 2026-07-01 Epub Date: 2026-07-20 DOI: 10.1055/a-2870-6326
Katrin Ulrike Obst, Susen Köslich-Strumann, Till Utesch
{"title":"[Health as a Measure of Performance: Self-Esteem-Contingent Health Demands and Psychological Distress among University Students].","authors":"Katrin Ulrike Obst, Susen Köslich-Strumann, Till Utesch","doi":"10.1055/a-2870-6326","DOIUrl":"https://doi.org/10.1055/a-2870-6326","url":null,"abstract":"<p><strong>Objective: </strong>This study examines health orientation (perceived importance of a healthy lifestyle) health-related self-demands, and their association with psychological distress among university students.</p><p><strong>Methods: </strong>Cross-sectional data were analyzed. Measures included health orientation, external and health-related self-demands, psychological distress (BSI-18), and self-esteem (Rosenberg Self-Esteem Scale).</p><p><strong>Results: </strong>83% of participants rated a healthy lifestyle as important, while 53% reported feelings of failure when unable to meet these standards. Health orientation was associated with lower psychological distress, whereas health-related self-demands were associated with higher distress, partly mediated by reduced self-esteem.</p><p><strong>Conclusion: </strong>Self-determined health values appear to have a protective effect, whereas normatively internalized health-related demands are associated with increased psychological distress.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":"53 5","pages":"230-232"},"PeriodicalIF":0.9,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148536676","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
[Individual virtual reality trigger exposure as an add-on in the treatment of komplex PTSD - A case study]. [个人虚拟现实触发暴露作为附加治疗的复杂创伤后应激障碍-一个案例研究]。
IF 0.9 4区 医学
Psychiatrische Praxis Pub Date : 2026-07-01 Epub Date: 2026-05-15 DOI: 10.1055/a-2828-4172
Jennifer Spohrs, Annalisa Degenhard, Julia Winkler, Frank Reuther, Carmen Uhlmann, Bjoern Hossfeld, Stefan Tschoeke
{"title":"[Individual virtual reality trigger exposure as an add-on in the treatment of komplex PTSD - A case study].","authors":"Jennifer Spohrs, Annalisa Degenhard, Julia Winkler, Frank Reuther, Carmen Uhlmann, Bjoern Hossfeld, Stefan Tschoeke","doi":"10.1055/a-2828-4172","DOIUrl":"10.1055/a-2828-4172","url":null,"abstract":"<p><strong>Abstract: </strong>We present the case of a patient who, as a result of multiple traumatic experiences during his military deployments and associated moral injuries, suffered from complex post-traumatic stress disorder, alienation, increased aggression potential and, primarily, intense feelings of guilt. He participated in a feasibility and acceptance study on individualised virtual reality trigger exposure in order to work with these feelings of guilt. The advantages and disadvantages of this adjuvant therapeutic approach are subsequently discussed.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"270-274"},"PeriodicalIF":0.9,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147949448","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 is the Role of "the Psyche"? Long COVID and ME/CFS as Test Cases for Evidence-Based and Patient-Centered Psychiatry and Psychotherapy. “心灵”的角色是什么？长COVID和ME/CFS作为基于证据和以患者为中心的精神病学和心理治疗的测试案例]。
IF 0.9 4区 医学
Psychiatrische Praxis Pub Date : 2026-07-01 Epub Date: 2026-05-12 DOI: 10.1055/a-2866-9127
Georg Schomerus, Mirja Lisa Nicolas, Fabian Fritz, Diana Schneider, Ronja Büchner
{"title":"What is the Role of \"the Psyche\"? Long COVID and ME/CFS as Test Cases for Evidence-Based and Patient-Centered Psychiatry and Psychotherapy.","authors":"Georg Schomerus, Mirja Lisa Nicolas, Fabian Fritz, Diana Schneider, Ronja Büchner","doi":"10.1055/a-2866-9127","DOIUrl":"10.1055/a-2866-9127","url":null,"abstract":"<p><strong>Abstract: </strong>The role of psychological factors in the development and course of Long Covid (LC) and Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) remains a subject of controversial debate. We argue that psychologizing LC and ME/CFS carries significant risks: it leads to potentially harmful therapies, invalidates the patients&apos; experience of illness, hinders effective interventions such as pacing, diverts focus from necessary physical diagnostics and treatment, disadvantages patients in medical assessments, and places a considerable additional burden on the families of affected children or other relatives. We show that many of the arguments presented for a psychological contribution are nonspecific or insufficiently supported by empirical evidence. Our essay therefore advocates for extreme caution in attributing psychological factors to these conditions, in the interest of a specific, evidence-based, and patient-centered psychiatry and psychotherapy.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"263-269"},"PeriodicalIF":0.9,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13384738/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147932801","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
[Mental Health in Higher Education: The Role of Income, Extent of Secondary Employment, and Field of Study]. 高等教育中的心理健康：收入、二次就业程度和学习领域的作用。
IF 0.9 4区 医学
Psychiatrische Praxis Pub Date : 2026-07-01 Epub Date: 2026-07-20 DOI: 10.1055/a-2862-7400
Angela Heinrich, Nadine Ungar
{"title":"[Mental Health in Higher Education: The Role of Income, Extent of Secondary Employment, and Field of Study].","authors":"Angela Heinrich, Nadine Ungar","doi":"10.1055/a-2862-7400","DOIUrl":"https://doi.org/10.1055/a-2862-7400","url":null,"abstract":"<p><strong>Objective: </strong>To identify vulnerable student groups with an increased need for mental health support.</p><p><strong>Methods: </strong>Multiple linear regression analyses explaining subjective mental health as well as depression and anxiety symptoms with socioeconomic factors (e. g., income, extent of secondary employment, field of study).</p><p><strong>Results: </strong>In the sample (N=438) higher income turned out to be a protective factor across all mental health dimensions, whilst the time burden of secondary employment had no significant effect. Students in technical fields reported higher levels of depression symptoms than those in social work.</p><p><strong>Conclusion: </strong>Universities should establish financial counselling and strategies for balancing studies and employment, as well as specifically addressing subject-specific needs - particularly in technical fields.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":"53 5","pages":"233-235"},"PeriodicalIF":0.9,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148536639","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
[Part-time measures in vocational rehabilitation from the user perspective: preferences, family responsibilities, psychological strain, hybrid models, and implementation barriers]. [用户视角下的职业康复兼职措施：偏好、家庭责任、心理压力、混合模式、实施障碍]。
IF 0.9 4区 医学
Psychiatrische Praxis Pub Date : 2026-07-01 Epub Date: 2026-05-15 DOI: 10.1055/a-2865-2286
Felix S Hussenoeder, Ines Conrad, Anja Stoye, Steffi G Riedel-Heller
{"title":"[Part-time measures in vocational rehabilitation from the user perspective: preferences, family responsibilities, psychological strain, hybrid models, and implementation barriers].","authors":"Felix S Hussenoeder, Ines Conrad, Anja Stoye, Steffi G Riedel-Heller","doi":"10.1055/a-2865-2286","DOIUrl":"10.1055/a-2865-2286","url":null,"abstract":"<p><strong>Objective: </strong>Part-time measures (PTM) in vocational rehabilitation are rarely used, with limited research. This study provides initial insights.</p><p><strong>Methods: </strong>A survey of 154 rehabilitation participants assessed sociodemographic, health- and work-related characteristics, as well as reasons, preferences, and concerns regarding PTM.</p><p><strong>Results: </strong>69% of women and 39% of men reported a moderate to strong preference for PTM, particularly individuals with concentration difficulties, caregiving responsibilities, or psychological burdens. Preferred designs included a maximum of six hours/day (40% of respondents), breaks of 10-30 minutes (96%), and hybrid formats (36%). Concerns related to financial uncertainty and feasibility.</p><p><strong>Conclusion: </strong>The study indicates substantial, heterogeneous demands for PTM that future efforts should consider and align them with service structures and financial frameworks.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"249-255"},"PeriodicalIF":0.9,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147949431","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
[The (In)visibility of Alcohol Use Disorders in Medical Education - A Qualitative Study]. 医学教育中酒精使用障碍的可见性——一项定性研究。
IF 0.9 4区 医学
Psychiatrische Praxis Pub Date : 2026-07-01 Epub Date: 2026-07-20 DOI: 10.1055/a-2858-0377
Jenny Spahlholz, Laura Müller, Sven Speerforck, Christian Sander, Anja Bischof, Gallus Bischof, Hans-Jürgen Rumpf, Georg Schomerus
{"title":"[The (In)visibility of Alcohol Use Disorders in Medical Education - A Qualitative Study].","authors":"Jenny Spahlholz, Laura Müller, Sven Speerforck, Christian Sander, Anja Bischof, Gallus Bischof, Hans-Jürgen Rumpf, Georg Schomerus","doi":"10.1055/a-2858-0377","DOIUrl":"https://doi.org/10.1055/a-2858-0377","url":null,"abstract":"<p><strong>Objective: </strong>Alcohol use disorders (AUD) are stigmatized, including in healthcare. As medical education shapes future practice, this study explored students' views on AUD teaching and approaches to reduce stigma.</p><p><strong>Methods: </strong>Three focus groups with 16 preclinical medical students were conducted. Transcripts were analyzed using reflexive thematic analysis according to Braun and Clarke, combining inductive and deductive coding.</p><p><strong>Results: </strong>Teaching was perceived as insufficient and predominantly biomedical, with gaps in practical skills, patient interaction, psychosocial perspectives, and reflection on stigma. Suggested improvements included earlier and longitudinal integration, patient-centered formats, and explicit training of professional attitudes.</p><p><strong>Conclusions: </strong>Structural and curricular shortcomings may reinforce stigmatizing attitudes, highlighting the need for integrated, patient-centered, and practice-oriented education.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":"53 5","pages":"240-248"},"PeriodicalIF":0.9,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148536669","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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