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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":" ","pages":"189-194"},"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
[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":" ","pages":"195-201"},"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
[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":" ","pages":"129-138"},"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
[Anxiety, Depression, Psychological Strain and Physical Complaints before and after the Covid-19 Pandemic in a German Longitudinal Study with Adults from Saxony]. [德国萨克森州成年人在新冠肺炎大流行前后的焦虑、抑郁、心理紧张和身体抱怨纵向研究]。
IF 2.2 4区 医学
Psychiatrische Praxis Pub Date : 2024-04-01 Epub Date: 2023-11-09 DOI: 10.1055/a-2191-0234
Hendrik Berth, Elmar Brähler, Lisa Braunheim, Markus Zenger, Yve Stöbel-Richter, Franziska Emmerich, Ernst Peter Richter, Lisa Irmscher
{"title":"[Anxiety, Depression, Psychological Strain and Physical Complaints before and after the Covid-19 Pandemic in a German Longitudinal Study with Adults from Saxony].","authors":"Hendrik Berth, Elmar Brähler, Lisa Braunheim, Markus Zenger, Yve Stöbel-Richter, Franziska Emmerich, Ernst Peter Richter, Lisa Irmscher","doi":"10.1055/a-2191-0234","DOIUrl":"10.1055/a-2191-0234","url":null,"abstract":"<p><strong>Objective: </strong>The objective of the study was to investigate whether psychological distress increased in a German community sample from Saxony during the course of the Corona pandemic.</p><p><strong>Methods: </strong>In 2017/2018 and 2022, N=289 participants (54.7% female) of the Saxon Longitudinal Study were interviewed about their psychological well-being using questionnaires (PHQ-4, SSS-8).</p><p><strong>Results: </strong>There is a significant increase in complaints (anxiety, depression, psychological distress, physical complaints) compared to 2017/2018 to 2022 with effect sizes in the small and medium range (Cohens d=0.26-0.62).</p><p><strong>Conclusion: </strong>Data collection was not due to the pandemic but was routine as part of an ongoing long-term study. The Covid-19 pandemic led to an increase in psychological distress and physical complaints in a Saxonian, age-homogeneous population sample.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"163-166"},"PeriodicalIF":2.2,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72015206","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
[Smoke-free in Psychiatry - A Qualitative Analysis of Staff Perspectives]. [精神病学的无烟-对工作人员观点的定性分析]。
IF 2.2 4区 医学
Psychiatrische Praxis Pub Date : 2024-04-01 Epub Date: 2023-11-21 DOI: 10.1055/a-2184-3979
Deniz Cerci, Karin Vitzthum
{"title":"[Smoke-free in Psychiatry - A Qualitative Analysis of Staff Perspectives].","authors":"Deniz Cerci, Karin Vitzthum","doi":"10.1055/a-2184-3979","DOIUrl":"10.1055/a-2184-3979","url":null,"abstract":"<p><strong>Background: </strong>People with mental illness are more likely to be nicotine-dependent and they have a shorter life expectancy as a result of smoking. Although guidelines recommend smoking cessation support, this is rarely provided by psychiatric staff who often view the implementation of smoke-free policies critically.</p><p><strong>Method: </strong>We undertook inductive thematic analysis of the free-text fields of a staff survey on smoking.</p><p><strong>Results: </strong>Feedback on the topic was often emotional and related to the areas patient care, staff and the protection of non-smokers. Participants were often concerned that smoking cessation could worsen the patient's psychiatric condition or lead to aggressive behavior.</p><p><strong>Conclusions: </strong>There is no scientific evidence for these concerns. It is important to counteract false assumptions by providing the appropriate training on smoking cessation.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"157-162"},"PeriodicalIF":2.2,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138291673","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
[Involuntary Psychiatric Hospital Admissions According to Public Law - A Retrospective Analysis]. [根据公法非自愿精神病院入院-回顾性分析]。
IF 2.2 4区 医学
Psychiatrische Praxis Pub Date : 2024-04-01 Epub Date: 2023-11-20 DOI: 10.1055/a-2191-4099
Markus Jäger, Johannes Klimczyk
{"title":"[Involuntary Psychiatric Hospital Admissions According to Public Law - A Retrospective Analysis].","authors":"Markus Jäger, Johannes Klimczyk","doi":"10.1055/a-2191-4099","DOIUrl":"10.1055/a-2191-4099","url":null,"abstract":"<p><strong>Objective: </strong>We provide an empirical survey of the current practice on involuntary psychiatric hospital admission.</p><p><strong>Methods: </strong>Bases on clinical case records, we performed a retrospective analysis of 346 cases with an involuntary hospital admission according to public law in 2020 (21.0% of all inpatient admissions in this period).</p><p><strong>Results: </strong>Announcement of suicide was the most frequent cause for involuntary hospital admission (45.1%). Most common diagnoses were substance-related disorders (30.1%), stress-related disorders (19.9%), and schizophrenic psychoses (18.8%). Only 12.7% of the involuntary admissions resulted in a further involuntary hospitalization, whereas 44.5% of all episodes were followed by a discharge within 24 hours.</p><p><strong>Conclusion: </strong>In many cases, involuntary hospital admissions are reactions to suicidal crises. It will be interesting to see, if the introduction of alternative low-threshold services can help to reduce the frequency of such admissions.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"122-128"},"PeriodicalIF":2.2,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138177164","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
[Care trajectories of homeless or precariously housed mentally ill patients from two psychiatric-psychotherapeutic hospitals in North Rhine-Westphalia]. [北莱茵-威斯特法伦州两家精神病治疗医院无家可归或窘迫居住的精神病患者的护理轨迹]。
IF 2.2 4区 医学
Psychiatrische Praxis Pub Date : 2024-04-01 Epub Date: 2023-12-22 DOI: 10.1055/a-2193-8913
Jürgen Zielasek, Bianca Ueberberg, Josephine Heinz, Thea Kreyenschulte, Isabell Lehmann, Ida Haussleiter, Georg Juckel, Euphrosyne Gouzoulis-Mayfrank
{"title":"[Care trajectories of homeless or precariously housed mentally ill patients from two psychiatric-psychotherapeutic hospitals in North Rhine-Westphalia].","authors":"Jürgen Zielasek, Bianca Ueberberg, Josephine Heinz, Thea Kreyenschulte, Isabell Lehmann, Ida Haussleiter, Georg Juckel, Euphrosyne Gouzoulis-Mayfrank","doi":"10.1055/a-2193-8913","DOIUrl":"10.1055/a-2193-8913","url":null,"abstract":"<p><strong>Objectives: </strong>Mental illness and homelessness are often associated with each other. The study aim was to describe the care trajectories of psychiatric inpatients admitted from precarious housing or homelessness.</p><p><strong>Methods: </strong>An anonymized data collection was performed at two psychiatric hospitals in North Rhine-Westphalia.</p><p><strong>Results: </strong>Of 76 identified patients, every other was discharged to unsecured housing or homelessness. An unresolved housing situation delayed discharge in almost every third case. Upon discharge outpatient somatic or psychiatric treatment was not secured in more than 30%, and in more than 40% of cases, resp.</p><p><strong>Conclusion: </strong>Improvement of the housing situation is possible in a minority of cases for psychiatric inpatients admitted from unsecured housing. The unresolved housing situation was seen as an obstacle to discharge in every third case.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"139-146"},"PeriodicalIF":2.2,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138885974","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 Role of Specific Study-Related Demands and Resources to Student Health and Life Satisfaction]. [与学习有关的具体要求和资源对学生健康和生活满意度的作用]。
IF 2.2 4区 医学
Psychiatrische Praxis Pub Date : 2024-04-01 Epub Date: 2023-12-20 DOI: 10.1055/a-2210-7777
Liv Hübner, Maria Girbig, Burkhard Gusy, Tino Lesener, Andreas Seidler
{"title":"[The Role of Specific Study-Related Demands and Resources to Student Health and Life Satisfaction].","authors":"Liv Hübner, Maria Girbig, Burkhard Gusy, Tino Lesener, Andreas Seidler","doi":"10.1055/a-2210-7777","DOIUrl":"10.1055/a-2210-7777","url":null,"abstract":"<p><strong>Background: </strong>Studies report an association between study conditions and student health outcomes. The aim was to investigate the influence of specific study-related demands and resources on self-assessed health.</p><p><strong>Method: </strong>Students of the Technical University of Dresden were surveyed online about their health and their studies. Referring to the Study Demands-Resources Model descriptive and regression analytic methods were applied.</p><p><strong>Results: </strong>1,312 students were included in the analyses. About one-fifth of participants reported low life satisfaction and high exhaustion. Time and cognitive demands were associated with poorer health, social support and time margin in studies were linked to better health. This relationship was particularly evident with a combination of high demands and low resources.</p><p><strong>Conclusion: </strong>The results provide approaches for preventive measures to strengthen the health of students.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"147-156"},"PeriodicalIF":2.2,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11018452/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138831188","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
Eine ambulante Behandlungsweisung wäre hilfreich für die Behandlung und Deliktprävention bei Menschen mit Psychosen – Pro & Kontra. 门诊治疗令有助于精神病患者的治疗和犯罪预防--利弊。
IF 2.2 4区 医学
Psychiatrische Praxis Pub Date : 2024-03-01 Epub Date: 2024-03-05 DOI: 10.1055/a-2206-3781
Frank Schwärzler, Udo Frank
{"title":"Eine ambulante Behandlungsweisung wäre hilfreich für die Behandlung und Deliktprävention bei Menschen mit Psychosen – Pro & Kontra.","authors":"Frank Schwärzler, Udo Frank","doi":"10.1055/a-2206-3781","DOIUrl":"10.1055/a-2206-3781","url":null,"abstract":"","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":"51 2","pages":"66-67"},"PeriodicalIF":2.2,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140040189","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 (near) Future of Psychiatric Hospitals in Germany]. [德国精神病院的（近）未来]。
IF 2.2 4区 医学
Psychiatrische Praxis Pub Date : 2024-03-01 Epub Date: 2024-03-05 DOI: 10.1055/a-2215-5909
Hermann Spießl, Mathias Zink, Peter Zwanzger
{"title":"[The (near) Future of Psychiatric Hospitals in Germany].","authors":"Hermann Spießl, Mathias Zink, Peter Zwanzger","doi":"10.1055/a-2215-5909","DOIUrl":"10.1055/a-2215-5909","url":null,"abstract":"","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":"51 2","pages":"63-65"},"PeriodicalIF":2.2,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140040188","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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