Psychiatrische PraxisPub Date : 2024-01-01Epub Date: 2023-09-06DOI: 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}
Psychiatrische PraxisPub Date : 2024-01-01Epub Date: 2023-09-06DOI: 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}
Psychiatrische PraxisPub Date : 2024-01-01Epub Date: 2023-10-09DOI: 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}
Psychiatrische PraxisPub Date : 2024-01-01Epub Date: 2023-09-07DOI: 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}
Psychiatrische PraxisPub Date : 2024-01-01Epub Date: 2023-07-10DOI: 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}
Psychiatrische PraxisPub Date : 2024-01-01Epub Date: 2023-07-10DOI: 10.1055/a-2106-7234
Anna Maria Peisser, Sebastian Cornet, Sabrina Moerkl, Annabel Müller-Stierlin
{"title":"[\"But without Therapeutic Support, I wouldn't Succeed\" - Exploration of Subjective Experiences of People with Mental Illness Regarding Support with Diet-Related Problems].","authors":"Anna Maria Peisser, Sebastian Cornet, Sabrina Moerkl, Annabel Müller-Stierlin","doi":"10.1055/a-2106-7234","DOIUrl":"10.1055/a-2106-7234","url":null,"abstract":"<p><strong>Objective: </strong>In this study we explored the subjective experiences and needs of people with severe mental illness regarding dietary and weight-related support within routine care.</p><p><strong>Methods: </strong>For this purpose, a total of 16 interviews with adults living with mental illness were conducted in Ulm (Germany) and Graz (Austria) using a semi-structured topic guide and were analysed in a qualitative approach.</p><p><strong>Results: </strong>Several participants criticized the limited support by professionals regarding diet- and weight-related problems and wished for greater awareness of these issues in mental health care.</p><p><strong>Conclusion: </strong> The implementation of health-promoting services in mental health care is important to ensure needs-oriented care from the patients' point of view. Interdisciplinary care concepts could be used to share responsibilities among several professional groups.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"16-23"},"PeriodicalIF":2.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9767689","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}
Psychiatrische PraxisPub Date : 2023-11-01Epub Date: 2023-11-16DOI: 10.1055/a-2176-4960
Beate Schrank
{"title":"[Transition Psychiatrie: learnings for psychiatry as a whole].","authors":"Beate Schrank","doi":"10.1055/a-2176-4960","DOIUrl":"10.1055/a-2176-4960","url":null,"abstract":"","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":"50 8","pages":"401-403"},"PeriodicalIF":1.1,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136398950","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}
{"title":"Einsamkeit und Isolation im AlterEinsamkeit und Isolation im Alter","authors":"","doi":"10.1055/a-2192-6004","DOIUrl":"https://doi.org/10.1055/a-2192-6004","url":null,"abstract":"","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":"18 1","pages":""},"PeriodicalIF":2.2,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139294057","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}
Psychiatrische PraxisPub Date : 2023-11-01Epub Date: 2023-05-09DOI: 10.1055/a-2053-7144
Markus Opgen-Rhein, Peter Brieger, Alexander Baur, Tanja Henking
{"title":"[Are too Many Temporarily Placed Non-culpable Offenders Committed to Forensic Psychiatric Hospitals in Germany? Thoughts on the Relationship of Forensic and General Psychiatry].","authors":"Markus Opgen-Rhein, Peter Brieger, Alexander Baur, Tanja Henking","doi":"10.1055/a-2053-7144","DOIUrl":"10.1055/a-2053-7144","url":null,"abstract":"<p><p>From the perspective of the forensic clinics, the judiciary is increasingly ordering temporary placements according to Sec. 126a of the Code of Criminal Procedure. Three hypotheses are proposed that could (partly) explain this increase: 1) Courts' tendency to hand down this decision even in cases involving minor offences. 2) Courts' tendency to hand down this decision despite positive prognoses. 3) Changes in the reporting practices of psychiatric clinics. Overly simple explanations for the increase in temporary placements, therefore, fall short. This makes it more urgent to strengthen the primary-prevention approach. It is imperative that the small percentage of people with mental illness and an increased propensity to violence be identified and treated to prevent violence in the general psychiatric care stage. For this forensic psychiatry and general psychiatric care must be interlinked more closely.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"440-445"},"PeriodicalIF":2.2,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9438511","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}