Psychiatrische Praxis最新文献

{"title":"[Homelessness Among People with Mental Illness - Using the Example of a Growing German City].","authors":"Maria Koschig, Martha Böhm-Beck, Ines Conrad, Thomas Seyde, Alexander Pabst, Steffi G Riedel-Heller","doi":"10.1055/a-2088-4181","DOIUrl":"10.1055/a-2088-4181","url":null,"abstract":"<p><strong>Objective: </strong>The present study investigated the development of homelessness among people with mental illness using the example of a growing German city.</p><p><strong>Methods: </strong>Eight psychosocial community centres estimated how many of their clients had become homeless in the previous year of care from 2008 to 2019. A random effects negative binominal (RENB) regression model was developed to investigate the change of homelessness over time.</p><p><strong>Results: </strong>The number of homeless, mentally ill clients of the psychosocial community centres increased significantly from 2008 to 2019 (IRR=1.26; 95-CI=1.16-1.36; p<.001). Every year, homelessness had an average increase of 26%.</p><p><strong>Conclusion: </strong>The problem of homelessness among mentally ill people has worsened in the investigated region during the past few years. Existing support services must be assessed and community-based support services expanded.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9767692","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":"[IEHT or inpatient treatment? - First results of the multicenter AKtiV study on inpatient-equivalent home treatment regarding the study population and index treatment].","authors":"Konstantinos Nikolaidis, Stefan Weinmann, Sebastian von Peter, Gerhard Längle, Peter Brieger, Jürgen Timm, Tamara Waldmann, Lasse Fischer, Svenja Raschmann, Julian Schwarz, Martin Holzke, Sandeep Rout, Constance Hirschmeier, Johannes Hamann, Uwe Herwig, Janina Richter, Johanna Baumgardt, Andreas Bechdolf","doi":"10.1055/a-2138-8920","DOIUrl":"10.1055/a-2138-8920","url":null,"abstract":"<p><strong>Aim: </strong>The quasi-experimental AKtiV study investigates the effects inpatient-equivalent home treatment (IEHT). This paper describes the study population based on demographic and clinical parameters at baseline and compares the index treatment.</p><p><strong>Methods: </strong>Over a period of 12 months 200 IEHT users were included in the intervention group (IG) and 200 inpatients were included in the control group (CG). The comparability of the two groups was ensured by propensity score matching (PSM).</p><p><strong>Results: </strong>In addition to the PSM variables, IG and CG did not differ significantly from each other variables at study inclusion. The duration of the index treatment was significantly longer in the IG (M=37.2 days) compared to the CG (M=27.9 days; p<0.001).</p><p><strong>Conclusion: </strong>The similarity of the two groups enables comparisons over 12 months, investigating IEHT effects on long-term outcomes.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10178277","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":"Neues aus Bürokratistan","authors":"","doi":"10.1055/a-2160-9773","DOIUrl":"https://doi.org/10.1055/a-2160-9773","url":null,"abstract":"","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139295877","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":"Die psychiatrische Kompetenz im hausärztlichen Bereich muss gestärkt werden – Kontra","authors":"S. Köhler","doi":"10.1055/a-2070-1519","DOIUrl":"https://doi.org/10.1055/a-2070-1519","url":null,"abstract":"","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139296073","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":"Liebe Leserinnen und Leser,","authors":"","doi":"10.1055/a-2161-4606","DOIUrl":"https://doi.org/10.1055/a-2161-4606","url":null,"abstract":"Sie halten das siebente Heft des Jahres in den Händen. Was erwartet Sie? COVID-19 und Long Covid Dirk Richter und Anastasia Theodoridou beschäftigen sich in ihrem Editorial mit dem SARS-CoV-2-Virus und seinen Folgen und schlagen ein hybrides Krankheitsmodell vor.","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135662924","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":"[Correction: Sexuality in Forensic Psychiatry. Results of a Qualitative Study on Professionals' Perspectives and Recommendations for Clinical Practice].","authors":"Christian Götzl,&nbsp;Michael Büsselmann,&nbsp;Verena Klein,&nbsp;Judith Streb,&nbsp;Manuela Dudeck","doi":"10.1055/a-2077-6437","DOIUrl":"10.1055/a-2077-6437","url":null,"abstract":"","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9456315","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":"[Assessment of Direct (COVID-19-Related) and Collateral, Psychosocial Pandemic Consequences for Vulnerable Groups by the Example of Serious Mental Illness].","authors":"Leonie Ascone, Anja Christine Rohenkohl, René Hurlemann, Eva Meisenzahl, Steffi G Riedel-Heller, Thomas Becker, Malek Bajbouj, Marie von Lilienfeld-Toal, Jürgen Gallinat, Martin Lambert","doi":"10.1055/a-2051-7613","DOIUrl":"10.1055/a-2051-7613","url":null,"abstract":"<p><p>The indirect pandemic consequences could by far exceed the direct effects of SARS-CoV-2 in terms of costs, morbidity, and mortality. This essay includes a proposed method (matrix) to visualize virus-related and psychosocial risks for different populations side by side in a systematic and concise manner. COVID-19-related and psychosocial vulnerability, stressors, direct and indirect consequences are derived on a theoretical and empirical basis. An exemplary quantification of the matrix for the vulnerable group of people with severe mental illness revealed a very high risk for severe COVID-19 consequences, as well as a pronounced risk for psychosocial collateral effects. The proposed approach could be further discussed for a risk-graded pandemic management, crisis recovery, and future preparedness to adequately address psychosocial collateral effects and better identify and protect vulnerable groups in this regard.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/09/03/10-1055-a-2051-7613.PMC10567134.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9404563","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}

{"title":"[The Journal \"Deine Gesundheit\" - A Reflection of Social Psychiatry in the GDR?]","authors":"Thomas R Müller,&nbsp;Kathleen Haack,&nbsp;Hans Jörgen Grabe,&nbsp;Ekkehardt Kumbier","doi":"10.1055/a-2019-6399","DOIUrl":"10.1055/a-2019-6399","url":null,"abstract":"<p><strong>Background: </strong>Articles on psychiatric care in the GDR published in the journal \"Deine Gesundheit\" are identified. This involved examining how psychiatry was presented to the public and the intentions of addressing a lay audience.</p><p><strong>Methodology: </strong>All booklets published between 1955 and 1989 were systematically reviewed, the role of the publishers examined, and an assessment made in the context of social psychiatry and sociopolitical conditions.</p><p><strong>Results: </strong>There was a lively publication activity of psychiatric topics by mainly professional actors. The temporal accumulation in the context of psychiatric reform efforts is striking.</p><p><strong>Conclusions: </strong>Reform-oriented psychiatrists in particular used the popular science medium to reach a broad public and thus greater social acceptance of community psychiatric care concepts.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9306636","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":"[Concern about Covid-19 Infection and the Risk of Burnout Symptoms: a Study of Caregiver Stress in Brandenburg Nursing Homes During the Covid-19 Pandemic].","authors":"Greta Uhlenbrock,&nbsp;Susanne Schulze,&nbsp;Isabella Sappl,&nbsp;Michael A Rapp,&nbsp;Marie Tallarek,&nbsp;Jacob Spallek,&nbsp;Christine Holmberg","doi":"10.1055/a-2019-6495","DOIUrl":"10.1055/a-2019-6495","url":null,"abstract":"<p><strong>Objective: </strong>Investigation of the association of concern about own infection or infection of friends, family and care recipients with Covid-19 and burnout symptoms of caregivers in Brandenburg full inpatient geriatric care facilities.</p><p><strong>Methods: </strong>Cross-sectional survey of nursing staff (n=195) in Brandenburg nursing homes between August and December 2020 regarding their psychosocial stress at work.</p><p><strong>Results: </strong>Concern about having infected oneself, family and/or friends, or care recipients with Covid-19 is associated with increased expression of burnout symptoms (b=0,200, t(155)=2,777, p=0,006).</p><p><strong>Conclusion: </strong>Increased experience of burnout symptoms due to concerns of risk of infection with Covid-19 in the workplace indicates a need for comprehensive support measures as well as sustainable approaches to managing psychosocial stress for geriatric caregivers.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9693658","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":"Zukunft der Psychotherapie","authors":"","doi":"10.1055/a-2154-2178","DOIUrl":"https://doi.org/10.1055/a-2154-2178","url":null,"abstract":"Psychotherapie scheint ein ungebremster Wachstumsmarkt zu sein. Längst vorbei die Zeiten, als die Exponenten einer biologisch orientierten Psychiatrie auch in der Deutschen Fachgesellschaft die Wirksamkeit von Psychotherapie generell bezweifelten. Global betrachtet, ist Psychotherapie unbestritten wirksam, und zwar mit etwa gleicher Effektstärke wie Pharmakotherapien, wie Leichsenring et al. in einem großen Umbrella Review und einer Metaanalyse festgestellt hatten [1]. Die Kehrseite dieser erfreulichen Nachricht ist, dass beide großen Therapieansätze bei einer metaanalytischen Bewertung der Evidenz nur schwache Effektstärken in der Größenordnung zwischen 0.3 und 0.4 zeigten. Dies stellt nicht in Abrede, dass manche Therapien wie die Behandlung akuter Psychosen oder Angstzustände pharmakologisch wesentlich bessere Effektstärken zeigen und auch psychotherapeutisch bei ausgewählten Indikationen sehr gute Erfolge erzielt werden. Ungeachtet der insgesamt überschaubaren Effekte werden ambulante psychotherapeutische Leistungen in Deutschland in großem Umfang, wenngleich in sehr unterschiedlicher regionaler Verteilung, von den gesetzlichen Krankenkassen vollständig übernommen. Mit dem Direktstudiengang für Psychologische Psychotherapeuten wird sogar ein neues Berufsbild geschaffen, der Bedarf wird als hoch eingeschätzt und nicht nur die Bundespsychotherapeutenkammer, sondern auch einige Kassenärztliche Vereinigungen unterstützen den Wunsch nach einer staatlichen Finanzierung der Weiterbildung. Letzteres wäre ein bemerkenswerter Vorgang, zumal Weiterbildung im Gegensatz zur Ausbildung keine staatliche Aufgabe ist und auch die ärztliche Weiterbildung folglich bisher staatlich nicht gefördert wird. Etwas zu denken gibt ob der vermeintlich prosperierenden Aussichten allerdings nun ein neues großes Umbrella Review [2], das die Ergebnisse von „Face-to-Face“ kognitiver Verhaltenstherapie mit Internet-basierter kognitiv-behavioraler Verhaltenstherapie vergleicht, bei der Therapeut*innen nur über unregelmäßige Textnachrichten mit Patient:innen kommunizieren und sie bei der Nutzung Internet-basierter Therapieprogramme anleiten, Rückmeldungen geben etc., ohne dass die Behandlung aber feste Termine in der Sprechstunde oder per Video beinhaltet. Diese Behandlungsform ist somit sehr viel weniger ressourcenintensiv. Nachdem in einer 2016 erschienen Metaanalyse mit 20 randomisiert-kontrollierten Studien (RCT) keine substantiellen Unterschiede in den Ergebnissen im Hinblick auf Symptombesserung gefunden werden konnten, konnten jetzt weitere 11 RCTs eingeschlossen werden, womit die Metaanalyse sich auf 31 RCTs mit über 3000 Teilnehmenden aus 9 Ländern stützen konnte. Die Qualität der eingeschlossenen Studien wurde als akzeptabel beurteilt, die behandelten Störungen umfassten Depression, soziale Ängstlichkeit, Panikstörung, Insomnie, Tinnitus, Tierphobien, Bulimie, Gesundheitsstörungen, Fibromyalgie, psychische Belastungen bei Krebserkrankungen, posttraumatische Belastungs","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135661186","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}