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[Predictors of Early Treatment Termination in Patients Detained under §64 StGB - A Literature Review]. [根据《刑法》第 64 条被拘留的病人早期终止治疗的预测因素--文献综述]。
IF 2.2 4区 医学
Psychiatrische Praxis Pub Date : 2024-03-01 Epub Date: 2024-01-02 DOI: 10.1055/a-2213-2184
Lene Scheuschner, Peggy Walde, Birgit Völlm
{"title":"[Predictors of Early Treatment Termination in Patients Detained under §64 StGB - A Literature Review].","authors":"Lene Scheuschner, Peggy Walde, Birgit Völlm","doi":"10.1055/a-2213-2184","DOIUrl":"10.1055/a-2213-2184","url":null,"abstract":"<p><strong>Background: </strong>The treatment of addicted offenders detained under § 64 of the German Criminal Code can be terminated prematurely. There is an extensive literature on predictors of such premature termination concerned with factors established before treatment.</p><p><strong>Objective: </strong>The aim of this paper is to present predictors of premature termination that become apparent during the course of therapy.</p><p><strong>Methods: </strong>We conducted a systematic literature search and included 16 publications.</p><p><strong>Results: </strong>Patients and therapists rated impulsivity/aggressiveness, substance use relapses and a lack of patient-therapist relationship as negative predictors. Both groups assessed as beneficial the presence of motivation and a positive social network.</p><p><strong>Conclusion: </strong>To prevent early treatment termination a positive patient-therapist relationship, motivation and working through incidents during therapy is essential.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"70-78"},"PeriodicalIF":2.2,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139088137","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
[Effectiveness and Cost-Effectiveness of Individual Placement and Support (Ips) in Germany - A Controlled Trials with Individuals with Psychosis]. [德国个体安置和支持（Ips）的有效性和成本效益——精神病患者的对照试验]。
IF 2.2 4区 医学
Psychiatrische Praxis Pub Date : 2024-03-01 Epub Date: 2023-10-09 DOI: 10.1055/a-2165-8728
Daniel Nischk, Uwe Herwig, Simon Senner, Brigitte Rockstroh
{"title":"[Effectiveness and Cost-Effectiveness of Individual Placement and Support (Ips) in Germany - A Controlled Trials with Individuals with Psychosis].","authors":"Daniel Nischk, Uwe Herwig, Simon Senner, Brigitte Rockstroh","doi":"10.1055/a-2165-8728","DOIUrl":"10.1055/a-2165-8728","url":null,"abstract":"<p><strong>Objective: </strong>To establish the effectiveness of Individual Placement and Support (IPS) to integrate people with mental illness into the general labor market, controlled comparisons with usual rehabilitative practice in terms of employment rates and cost-effectiveness are needed.</p><p><strong>Methods: </strong>20 IPS participants with psychoses (primarily schizophrenia spectrum disorders) were compared with 20 controls who were offered usual rehabilitative practices in adjacent counties (rehabilitation as usual, RAU) over 18 months.</p><p><strong>Results: </strong>IPS was significantly superior to RAU on all job-related criteria with moderate to high effect sizes, with no differences in absenteeism, hospital days, or dropout rates. IPS was significantly superior to RAU on cost-effectiveness.</p><p><strong>Conclusion: </strong>This study provides evidence that IPS is an effective and cost-efficient addition to existing vocational rehabilitation services for people with psychoses.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"84-91"},"PeriodicalIF":2.2,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41183460","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
Eine ambulante Behandlungsweisung wäre hilfreich für die Behandlung und Deliktprävention bei Menschen mit Psychosen – Kontra. 门诊治疗令有助于精神病患者的治疗和犯罪预防 - 反对。
IF 2.2 4区 医学
Psychiatrische Praxis Pub Date : 2024-03-01 Epub Date: 2024-03-05 DOI: 10.1055/a-2206-4157
Thomas Bock, Gwen Schulz
{"title":"Eine ambulante Behandlungsweisung wäre hilfreich für die Behandlung und Deliktprävention bei Menschen mit Psychosen – Kontra.","authors":"Thomas Bock, Gwen Schulz","doi":"10.1055/a-2206-4157","DOIUrl":"10.1055/a-2206-4157","url":null,"abstract":"","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":"51 2","pages":"66-69"},"PeriodicalIF":2.2,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140185364","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
[Cantonal Differences in The Implementation of Involuntary Admission in Switzerland]. [瑞士各州在实施非自愿入院方面的差异]。
IF 2.2 4区 医学
Psychiatrische Praxis Pub Date : 2024-01-01 Epub Date: 2023-09-08 DOI: 10.1055/a-2133-4084
Matthias Jäger, Florian Hotzy, Rafael Traber, Stéphane Morandi, Andres Ricardo Schneeberger, Manuela Spiess, Regula Ruflin, Anastasia Theodoridou
{"title":"[Cantonal Differences in The Implementation of Involuntary Admission in Switzerland].","authors":"Matthias Jäger, Florian Hotzy, Rafael Traber, Stéphane Morandi, Andres Ricardo Schneeberger, Manuela Spiess, Regula Ruflin, Anastasia Theodoridou","doi":"10.1055/a-2133-4084","DOIUrl":"10.1055/a-2133-4084","url":null,"abstract":"<p><strong>Objective: </strong>To examine sociodemographic and clinical characteristics of persons hospitalized in five psychiatric hospitals from regions with different structural characteristics compared with persons hospitalized voluntarily.</p><p><strong>Methods: </strong>Descriptive analyses of routine data on approximately 57000 cases of 33000 patients treated for a primary ICD-10 psychiatric diagnosis at one of the participating hospitals from 2016 to 2019.</p><p><strong>Results: </strong>Admission rates, length of stay, rates of further coercive measures, sociodemographic and clinical characteristics of the affected persons differ between the different regions.</p><p><strong>Conclusion: </strong>There are considerable regional differences between regulations and implementation of the admission procedures and the sample. Causal relationships between regional specifics and the results cannot be inferred.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"24-30"},"PeriodicalIF":2.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10789520/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10187047","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 at Work]. [工作中的心理健康］
IF 1.1 4区 医学
Psychiatrische Praxis Pub Date : 2024-01-01 Epub Date: 2024-01-15 DOI: 10.1055/a-2197-7384
Margrit Löbner, Steffi G Riedel-Heller
{"title":"[Mental Health at Work].","authors":"Margrit Löbner, Steffi G Riedel-Heller","doi":"10.1055/a-2197-7384","DOIUrl":"10.1055/a-2197-7384","url":null,"abstract":"","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":"51 1","pages":"5-8"},"PeriodicalIF":1.1,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139472120","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
[Sometimes, I Also Drink Water… - Alcohol Consumption of People With Mild Cognitive Impairment]. [有时，我也喝水......--轻度认知障碍患者的饮酒量]。
IF 2.2 4区 医学
Psychiatrische Praxis Pub Date : 2024-01-01 Epub Date: 2023-09-06 DOI: 10.1055/a-2133-4268
Carolin Donath, Elmar Gräßel, Julia-Sophia Scheuermann, Sophia Bösl, Petra Scheerbaum
{"title":"[Sometimes, I Also Drink Water… - Alcohol Consumption of People With Mild Cognitive Impairment].","authors":"Carolin Donath, Elmar Gräßel, Julia-Sophia Scheuermann, Sophia Bösl, Petra Scheerbaum","doi":"10.1055/a-2133-4268","DOIUrl":"10.1055/a-2133-4268","url":null,"abstract":"<p><strong>Aim: </strong>Risky alcohol consumption increases the risk of dementia for people with mild cognitive impairment (MCI). The aim of this study is to assess alcohol consumption in people with MCI.</p><p><strong>Methods: </strong>Socio-demographics, 12-month prevalence, 30-d prevalence, prevalence of risky consumption (>10 g/20 g/d pure alcohol for women/men) and binge drinking (≥50 g pure alcohol on one occasion) were recorded in 270 people (≥60 years) with MCI from the German RCT \"Brainfit-Nutrition\" in 2022.</p><p><strong>Results: </strong>Approximately half of the people with MCI (50.8%) drink at least once a week. About one fifth (17.0%) of participants met the criterion for binge drinking; every third woman (34.8%) and every fifth man (18.6%) crossed the line to risky consumption in the last 30 d.</p><p><strong>Discussion: </strong>Generally, people with MCI show similar consumption prevalence as the 65+German general population. However, the prevalence of risky consumption in women with MCI is significantly higher.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"39-44"},"PeriodicalIF":2.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10541787","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
[Case Report about an Inpatient Suicide by Asphyxia without Strangulation]. [住院病人非扼死性窒息自杀的病例报告]。
IF 2.2 4区 医学
Psychiatrische Praxis Pub Date : 2024-01-01 Epub Date: 2023-09-06 DOI: 10.1055/a-2134-2549
Anna K Silge, Felix M Böcker
{"title":"[Case Report about an Inpatient Suicide by Asphyxia without Strangulation].","authors":"Anna K Silge, Felix M Böcker","doi":"10.1055/a-2134-2549","DOIUrl":"10.1055/a-2134-2549","url":null,"abstract":"<p><p>A risk of suicide in the course of a psychiatric disorder will often be answered with an admission for inpatient psychiatric treatment, resulting in a high potential of suicidal behavior on the ward. Despite extensive safety precautions and therapeutic interventions, suicides still occur within psychiatric hospitals. Such incidents, known as inpatient suicides, are rare but significant, necessitating further examination. We present the case of a 91-year-old suicidal male patient, who committed suicide on an open ward on a Sunday morning by blocking his nostrils with cotton and tissue and breathing into a pillow, leading to death by asphyxia. The case report aims to draw attention to the possibility of this extraordinary method of suicide, demonstrating that a suicide can be accomplished in a psychiatric hospital even without the use of prohibited dangerous objects.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"49-52"},"PeriodicalIF":2.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10169388","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
[Comparison of the Documented Dementia Diagnoses in German Primary Care with the Prevalence Estimate for 2021]. [德国初级保健中记录的痴呆症诊断与2021年患病率估计的比较]。
IF 2.2 4区 医学
Psychiatrische Praxis Pub Date : 2024-01-01 Epub Date: 2023-10-09 DOI: 10.1055/a-2160-2864
Jens Bohlken, Steffi G Riedel-Heller, Karel Kostev, Bernhard Michalowsky
{"title":"[Comparison of the Documented Dementia Diagnoses in German Primary Care with the Prevalence Estimate for 2021].","authors":"Jens Bohlken, Steffi G Riedel-Heller, Karel Kostev, Bernhard Michalowsky","doi":"10.1055/a-2160-2864","DOIUrl":"10.1055/a-2160-2864","url":null,"abstract":"<p><strong>Background: </strong>A current prevalence estimate predicted the number of people with dementia (PwD) with 1.8 million in 2021. This estimation is based on data from different sources especially from field studies and does not reflect the recognized and documented cases in primary care. We, therefore, aim to compare the prevalence of diagnosed PwD in general practitioner (GP) practices with these estimates of the general population.</p><p><strong>Methods: </strong>The number of diagnosed PwD in 946 GP practices with 2.8 million patients in 2021 was compared with the prevalence estimate of the German Alzheimer Society for 83 million inhabitants in Germany.</p><p><strong>Results: </strong>  Dementia diagnoses were documented less frequently in GP practices compared to the prevalence estimate (1.88% vs 2.16%), especially the age groups 80+years were less likely present in GP practices prevalence.</p><p><strong>Discussion: </strong>There is still potential for optimizing dementia diagnostics in primary care, especially in patients 80 or older.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"45-48"},"PeriodicalIF":2.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41183459","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 Structural Reform of The Psychotherapy Guidelines in Germany]. [德国心理治疗指南的结构改革]。
IF 2.2 4区 医学
Psychiatrische Praxis Pub Date : 2024-01-01 Epub Date: 2023-09-07 DOI: 10.1055/a-2112-3549
Lena Maier, Deborah Engesser, Rainer Paul, Katrin Reuter, Andrea Petermann-Meyer, Susanne Singer
{"title":"[The Structural Reform of The Psychotherapy Guidelines in Germany].","authors":"Lena Maier, Deborah Engesser, Rainer Paul, Katrin Reuter, Andrea Petermann-Meyer, Susanne Singer","doi":"10.1055/a-2112-3549","DOIUrl":"10.1055/a-2112-3549","url":null,"abstract":"<p><strong>Objectives: </strong>Our study investigates how psychotherapists implement and assess the newly introduced elements of the structural reform of the psychotherapy guideline in Germany.</p><p><strong>Methods: </strong>We asked psychotherapists about their experiences with the structural reform in semi-structured interviews. The data was analysed using qualitative content analysis.</p><p><strong>Results: </strong>A total of 37 h of audio material from 41 psychotherapists were available. The interviews showed that acute treatment and relapse prevention are welcomed by psychotherapists. However, due to lack of appointment capacity as well as conceptual barriers, these are rarely used. Concerning psychotherapeutic assessment consultations, the opinions were heterogeneous.</p><p><strong>Conclusion: </strong>Individual aspects of the new care elements are assessed positively. However, these can only be implemented to a limited extent and are not sufficient to significantly improve the strained supply situation.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"31-38"},"PeriodicalIF":2.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10237852","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
[Success Factors for the Labour Market Integration of People with Psychosocial Disabilities - A Qualitative Survey in Austrian Companies]. [社会心理残疾人融入劳动力市场的成功因素--奥地利公司定性调查]。
IF 2.2 4区 医学
Psychiatrische Praxis Pub Date : 2024-01-01 Epub Date: 2023-07-10 DOI: 10.1055/a-2082-6519
Dominik Gruber, Martin Böhm, Fabiola Gattringer
{"title":"[Success Factors for the Labour Market Integration of People with Psychosocial Disabilities - A Qualitative Survey in Austrian Companies].","authors":"Dominik Gruber, Martin Böhm, Fabiola Gattringer","doi":"10.1055/a-2082-6519","DOIUrl":"10.1055/a-2082-6519","url":null,"abstract":"<p><strong>Objective: </strong>The study examines conditions to promote employment and workplace integration of people with psychosocial disabilities.</p><p><strong>Method: </strong>26 guided interviews were conducted with Austrian companies. 15 of these companies employed people with mental disabilities at the time of the interview. The remaining 11 companies did not employ anyone who had a declared mental illness.</p><p><strong>Results: </strong>Companies that employ people with mental disabilities refer to an idealistic, social or socio-political motive for employment and have manifold supportive measures in place. Companies that do not employ people with mental disabilities express insecurities and ambivalent expectations regarding employment of people with mental disabilities.</p><p><strong>Conclusion: </strong>Results show that it is imperative to inform companies of the possibilities and conditions of workplace integration of people with psychosocial disabilities.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"9-15"},"PeriodicalIF":2.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9767690","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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