NEUROPSYCHIATRIEPub Date : 2026-03-01DOI: 10.1007/s40211-026-00576-4
U Goedl-Fleischhacker
{"title":"bericht aus dem ögpp-vorstand.","authors":"U Goedl-Fleischhacker","doi":"10.1007/s40211-026-00576-4","DOIUrl":"https://doi.org/10.1007/s40211-026-00576-4","url":null,"abstract":"","PeriodicalId":44560,"journal":{"name":"NEUROPSYCHIATRIE","volume":"40 1","pages":"50-51"},"PeriodicalIF":1.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147356787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
NEUROPSYCHIATRIEPub Date : 2026-03-01Epub Date: 2025-10-24DOI: 10.1007/s40211-025-00556-0
Olatunde Ayinde, Oye Gureje
{"title":"What does the profile of psychosis in Africa tell us?","authors":"Olatunde Ayinde, Oye Gureje","doi":"10.1007/s40211-025-00556-0","DOIUrl":"10.1007/s40211-025-00556-0","url":null,"abstract":"<p><p>The occurrence and experience of psychotic disorders are shaped by contextual factors. Designing effective and appropriate interventions for affected persons should therefore take cognizance of the settings where such individuals live. Sub-Saharan Africa (SSA) is characterised by scarce mental health resources and paucity of research data. Even though earlier clinical studies on the continent have broadly replicated findings in other settings, the scope of such research is still very limited, with major gaps remaining in our understanding of the extent and profile of the condition in the community. The continent is undergoing profound social changes which, along with the rampant economic challenges, may offer unique opportunities to explore new insight into the disorder. Such insights may include new understanding of the factors determining the onset and course of psychosis as well as innovative ways to deliver affordable and culturally appropriate evidence-based care for persons experiencing the condition.</p>","PeriodicalId":44560,"journal":{"name":"NEUROPSYCHIATRIE","volume":" ","pages":"41-47"},"PeriodicalIF":1.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145356372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
NEUROPSYCHIATRIEPub Date : 2026-03-01Epub Date: 2025-08-04DOI: 10.1007/s40211-025-00537-3
Dinesh Bhugra
{"title":"Climate change and its impact on mental health.","authors":"Dinesh Bhugra","doi":"10.1007/s40211-025-00537-3","DOIUrl":"10.1007/s40211-025-00537-3","url":null,"abstract":"<p><p>Climate change is the predominant global crisis of the 21st century and yet it appears as if not enough attention is being paid to its impact on health including mental health and wellbeing of populations globally. There is an increasing acknowledgement that eco-anxiety, solastalgia and other related conditions are emerging. However, more importantly the international impact of climate change with increasing internal and external migration places increasing strain on healthcare systems and healthcare professionals. The sheer speed of change related to climate factors started over 200 years ago but has accelerated in the past few decades and impacts human beings at multiple levels. Extreme weather events, rising temperatures, and environmental degradation contribute very strongly to both existing and newer psychiatric disorders. Recommendations are made for policymakers, researchers and clinicians about what is needed and how to deliver it.</p>","PeriodicalId":44560,"journal":{"name":"NEUROPSYCHIATRIE","volume":" ","pages":"31-36"},"PeriodicalIF":1.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12960346/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144785592","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
NEUROPSYCHIATRIEPub Date : 2026-03-01Epub Date: 2026-03-04DOI: 10.1007/s40211-025-00565-z
Afzal Javed, Normal Sartorius, Johannes Wancata
{"title":"Preface.","authors":"Afzal Javed, Normal Sartorius, Johannes Wancata","doi":"10.1007/s40211-025-00565-z","DOIUrl":"https://doi.org/10.1007/s40211-025-00565-z","url":null,"abstract":"","PeriodicalId":44560,"journal":{"name":"NEUROPSYCHIATRIE","volume":"40 1","pages":"1"},"PeriodicalIF":1.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147356717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
NEUROPSYCHIATRIEPub Date : 2026-03-01Epub Date: 2025-11-09DOI: 10.1007/s40211-025-00557-z
Helen Herrman
{"title":"The World Psychiatric Association calls for action on supporting alternatives to coercion in mental health care.","authors":"Helen Herrman","doi":"10.1007/s40211-025-00557-z","DOIUrl":"10.1007/s40211-025-00557-z","url":null,"abstract":"<p><p>The World Psychiatric Association (WPA) advocates for a practical approach to implementing alternatives to coercion in mental health care. It adopted a Position Statement and Call to Action in 2020 that give special attention to provisions of the United Nations Convention on the Rights of Persons with Disabilities (CRPD). The WPA aims to continue promoting rights-based policies and practices through mutual support across its member societies in more than 120 countries. Collaborating with people with lived experience of mental health conditions and their families, and other government, research, and civil society groups is a prerequisite for this process. The call to action is relevant for people at all life stages and in all countries irrespective of resources available. The work aims to demonstrate how shared experiences and outcomes assessments can promote the spread of good practices and improved quality of mental health care. Culturally sensitive changes to treatment and care including priority for early intervention and personalised care are needed in most places. Changes are needed to policy, laws, attitudes, human and financial resources, training and research, open access to data about coercive practices, and above all readiness and capacity to work with people with lived experience and their families.</p>","PeriodicalId":44560,"journal":{"name":"NEUROPSYCHIATRIE","volume":" ","pages":"17-22"},"PeriodicalIF":1.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145482425","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
NEUROPSYCHIATRIEPub Date : 2026-01-26DOI: 10.1007/s40211-025-00568-w
Paul Schögl, Martin Fuchs, Mathias Hartmann, Magdalena Iwanowytsch, Monika Leitner, Christian Müller, Thomas Trabi, Wolfgang Wladika, Katrin Skala, Valentin Wollenek
{"title":"[Nicotine consumption in childhood and adolescence-fundamentals and considerations for handling the topic in child and adolescent psychiatric settings].","authors":"Paul Schögl, Martin Fuchs, Mathias Hartmann, Magdalena Iwanowytsch, Monika Leitner, Christian Müller, Thomas Trabi, Wolfgang Wladika, Katrin Skala, Valentin Wollenek","doi":"10.1007/s40211-025-00568-w","DOIUrl":"https://doi.org/10.1007/s40211-025-00568-w","url":null,"abstract":"<p><p>Among mentally ill young people, the rate of nicotine consumptionremains high despite an overall decline in numbers. Within the group ofyoung people with mental illness the proportion is 38% and in a population receiving child and adolescent psychiatric care the proportion of consumers is as high as 63%. Thelegal ban on tobacco products for young people therefore presents staff in child andadolescent psychiatric institutions with the ongoing challenge ofenforcing rules and prohibitions, while at the same time perceivingperceive consumption as an addiction. In this paper we will discussthe specifics of the substance nicotine, current forms of consumption and epidemiology, but above all we will consider how to deal withnicotine consumption by underage patients in the often highly complex situations ofpsychiatric and acute psychiatric settings.</p>","PeriodicalId":44560,"journal":{"name":"NEUROPSYCHIATRIE","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146054368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
NEUROPSYCHIATRIEPub Date : 2026-01-22DOI: 10.1007/s40211-025-00570-2
Stanley Lyndon
{"title":"Management challenges in delirium in genetically confirmed long QT syndrome: a case report and discussion.","authors":"Stanley Lyndon","doi":"10.1007/s40211-025-00570-2","DOIUrl":"https://doi.org/10.1007/s40211-025-00570-2","url":null,"abstract":"<p><strong>Background: </strong>Treating delirium in adolescents with congenital long QT syndrome (LQTS) demands agents that do not aggravate ventricular repolarisation. A 15-year-old girl with genetically confirmed LQT1 and newly diagnosed acute lymphoblastic leukaemia developed hyperactive delirium in the paediatric intensive care unit after sepsis, abdominal surgery and prolonged sedation. Baseline manually calculated QTc in lead II was 533 ms (Bazett), 500 ms (Framingham), and 489 ms (Fridericia). Standard antipsychotics were avoided owing to torsadogenic risk. Low-dose aripiprazole (2 mg p.o. initially, up to 2 mg every 2 h as needed) was introduced, with twice-daily 12-lead ECGs. Agitation resolved within 48 h; QTc fluctuated between 460 and 490 ms (all three formulas) without ventricular arrhythmia. Serial serum aripiprazole levels were monitored for toxicity during intermittent dosing (cumulative dose 42 mg over 6 days). No extrapyramidal or haemodynamic adverse effects occurred, and aripiprazole was discontinued after a further 8 days.</p><p><strong>Conclusion: </strong>This case illustrates a structured approach to delirium in adolescent LQTS and supports aripiprazole as a pragmatic option when QT-prolonging antipsychotics are contraindicated.</p>","PeriodicalId":44560,"journal":{"name":"NEUROPSYCHIATRIE","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146031132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
NEUROPSYCHIATRIEPub Date : 2026-01-15DOI: 10.1007/s40211-025-00569-9
Michaela Defrancesco, Simone Schütz, Laetizia Debora Schrezenmeier, Markus Canazei, Verena Dresen, Laura Staller, Katrin Paldán, Burak Doganyigit
{"title":"[Low care burden and high self-efficacy are essential for preparing family carers to care for people with dementia-findings from the TeleCareHub project].","authors":"Michaela Defrancesco, Simone Schütz, Laetizia Debora Schrezenmeier, Markus Canazei, Verena Dresen, Laura Staller, Katrin Paldán, Burak Doganyigit","doi":"10.1007/s40211-025-00569-9","DOIUrl":"https://doi.org/10.1007/s40211-025-00569-9","url":null,"abstract":"<p><strong>Background: </strong>The care and support of people with dementia (PwD) is predominantly provided by informal carers and support workers (iPuB). A high degree of preparedness for caregiving improves the care of PwD and reduces the burden of care. The development of support and information services to increase preparedness is one of the goals of the FFG-funded TeleCareHub project.</p><p><strong>Methods: </strong>In this multicentre cross-sectional study, iPuB were examined using the following questionnaires: General Self-Efficacy Short Scale (ASKU-3), Affinity for Technology Interaction Scale (ATI-8), Zarit Burden Interview (ZBI-7), Loneliness Scale (UCLA-3), Patient Health Questionnaire (PHQ-9), Scale for the Quality of the Current Relationship in Caregiving (SQCRC-14) and the Preparedness for Caregiving Scale (PCS-8). Data analysis was performed using correlation, variance and linear regression analyses (including mediation and moderation models).</p><p><strong>Results: </strong>This study analysed data from 308 iPuBs (76% female, PCS-8: 20.8 ± 6.4). Self-efficacy (ASKU-3) and relationship quality (SQCRC-14) correlated significantly positively with preparedness (PCS-8), whereas caregiver burden (ZBI-7), loneliness (UCLA-3) and depression (PHQ-9) correlated negatively with PCS‑8. In non-burdened iPuB (ZBI-7 < 11), but not in burdened iPuB, a low ZBI‑7 score and a short duration of care were predictive of high preparedness (β = -0.318; SE = 0.077; p < 0.001). Results from SQCRC-14, ASKU‑3 and PHQ‑9 showed significant modulating effects on the PCS‑8.</p><p><strong>Conclusion: </strong>The results highlight the influence of multiple personal factors of iPuB on the feeling of preparedness for caregiving. Interventions to strengthen self-efficacy and reduce depression in iPuB, who are not yet under significant stress, could improve preparedness.</p>","PeriodicalId":44560,"journal":{"name":"NEUROPSYCHIATRIE","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145985884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[The amendment to Austria's medical training regulation permitting continued care by child and adolescent psychiatrists after reaching legal adulthood: a qualitative study on professional attitudes and clinical practice].","authors":"Matthias Neumann, Sylvia Dörfler, Anita Holzinger, Verena Steiner-Hofbauer","doi":"10.1007/s40211-025-00527-5","DOIUrl":"10.1007/s40211-025-00527-5","url":null,"abstract":"<p><strong>Background: </strong>Adolescents with mental health conditions need stable care structures during their transition to adulthood. The traditionally mandated transfer from child and adolescent psychiatry to adult psychiatric care at the age of 18 does not satisfy this need. A new amendment to the medical training regulations (Ärztinnen/Ärzte-Ausbildungsordnung), effective May 15, 2024, now officially allows child and adolescent psychiatrists (CAPs) in Austria to continue treatment after their patients reach legal adulthood. This study is the first to analyze CAPs' assessments of the amendment and aims to document initial effects on care provision.</p><p><strong>Methodology: </strong>Semi-structured interviews were conducted with 16 child and adolescent psychiatrists (CAPs) working in various settings. Data analysis was performed using Reflexive Thematic Analysis.</p><p><strong>Results: </strong>The study shows that the amendment was introduced unexpectedly for many CAPs, with some private practitioners expressing frustration over the lack of preparation time. Despite this, the reform was largely welcomed and even considered overdue by some. However, given the high patient load, many CAPs still allocate their limited resources to minors, leaving the amendment's impact minimal. In the inpatient sector, persistent shortages of beds have also hindered any substantial changes.</p><p><strong>Conclusions: </strong>While the amendment receives substantive approval from the interviewed CAPs, existing resource constraints in both inpatient and outpatient sectors prevent the realization of its potential. The improvements in psychiatric care for transition-age patients intended by the amendment will likely not materialize without capacity expansion.</p>","PeriodicalId":44560,"journal":{"name":"NEUROPSYCHIATRIE","volume":" ","pages":"192-198"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12660427/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144188216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}