NEUROPSYCHIATRIE最新文献

{"title":"Multinational perspectives on changes to psychiatric care during the COVID-19 pandemic: a survey of practicing psychiatrists.","authors":"Abhishek Jaywant,&nbsp;Wolfgang Aulitzky,&nbsp;Jimmy Avari,&nbsp;Anna Buchheim,&nbsp;Marc Dubin,&nbsp;Matyas Galffy,&nbsp;Mohamed Adil Shah Khoodoruth,&nbsp;Guy Maytal,&nbsp;Marta Skelin,&nbsp;Barbara Sperner-Unterweger,&nbsp;John W Barnhill,&nbsp;W Wolfgang Fleischhacker","doi":"10.1007/s40211-022-00452-x","DOIUrl":"10.1007/s40211-022-00452-x","url":null,"abstract":"<p><strong>Background: </strong>The coronavirus disease 2019 (COVID-19) pandemic has resulted in significant upheaval in psychiatric care. Despite survey data collected from psychiatric patients and broad samples of individuals in single countries, there is little quantitative or qualitative data on changes to psychiatric care from the perspective of mental health providers themselves across developing countries.</p><p><strong>Methods: </strong>To address this gap, we surveyed 27 practicing psychiatrists from Central and Eastern Europe, as well as Africa, the Middle East, and Latin America.</p><p><strong>Results: </strong>Respondents observed a marked increase in anxiety in their patients, with increased (though less prominent) symptoms of depression, somatization, and addiction. They reported largescale changes in the structure of psychiatric treatment, chiefly a decline in psychiatric admissions and closing/repurposing of psychiatric beds. Results supported strong \"buy in\" from clinicians regarding the use of telehealth, though some clinicians perceived a reduction in the ability to connect with, and build alliances with, their patients. Finally, clinicians described an improvement in the image and meaning of psychiatry in society, increased awareness of mental illness, and greater value placed on mental health in the general population.</p><p><strong>Conclusions: </strong>These changes warrant further empirical study as to their potential long-term ramifications, particularly as the COVID-19 pandemic persists and new waves of infection occur periodically throughout the world. The increased psychiatric burden on the population coupled with the apparent salience of mental health and well-being in the public consciousness represents a global opportunity for psychiatry to advocate for further treatment, research, and education.</p>","PeriodicalId":44560,"journal":{"name":"NEUROPSYCHIATRIE","volume":"37 3","pages":"115-121"},"PeriodicalIF":2.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9812354/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10190320","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}

{"title":"Berlinde de Bruyckere. City of Refuge II.","authors":"","doi":"10.1007/s40211-023-00481-0","DOIUrl":"10.1007/s40211-023-00481-0","url":null,"abstract":"","PeriodicalId":44560,"journal":{"name":"NEUROPSYCHIATRIE","volume":"37 3","pages":"171-173"},"PeriodicalIF":1.1,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10566635","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":"[Safety aspects during treatment with clozapine: : Adverse effects, titration, and therapeutic drug monitoring - a narrative review].","authors":"Stefan J Berger,&nbsp;Alex Hofer","doi":"10.1007/s40211-023-00474-z","DOIUrl":"10.1007/s40211-023-00474-z","url":null,"abstract":"<p><strong>Background: </strong>According to current guidelines, clozapine should be used as a third step in treatment resistant schizophrenia (TRS). In everyday clinical practice, however, it is frequently used at a much later stage, which leads to a significant deterioration of prognosis. The first part of this narrative overview focuses on the most frequent side effects of clozapine, on the relevance of slow titration, and on specific aspects of therapeutic drug monitoring (TDM).</p><p><strong>Material and methods: </strong>Medline, the Guideline for the use of clozapine 2013 of the Netherlands Clozapine Collaboration Group, and the S3 Guideline for Schizophrenia of the German Association for Psychiatry, Psychotherapy and Psychosomatics were searched for relevant literature, the last query dating from April 28th, 2023.</p><p><strong>Results: </strong>Despite its unique efficacy clozapine is underused in clinical practice and prescription varies between and within countries. Next to hematological, metabolic, and vegetative side effects, clozapine induced inflammation manifesting in the form of pneumonia or myocarditis, which is mainly associated with rapid titration, represents a major clinical challenge with CRP monitoring being of particular relevance. In this context, it also has to be noted that sex, smoking behavior, and ethnic origin impact clozapine metabolism, thus requiring personalized dosing.</p><p><strong>Conclusion: </strong>Slow titration when possible, TDM, and CYP diagnostics when appropriate increase patient safety during treatment with clozapine and thus the likelihood of early prescription of this compound in TRS.</p>","PeriodicalId":44560,"journal":{"name":"NEUROPSYCHIATRIE","volume":"37 3","pages":"122-129"},"PeriodicalIF":2.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10491532/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10557857","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}

{"title":"bericht aus dem ögkjp-vorstand.","authors":"","doi":"10.1007/s40211-023-00480-1","DOIUrl":"10.1007/s40211-023-00480-1","url":null,"abstract":"","PeriodicalId":44560,"journal":{"name":"NEUROPSYCHIATRIE","volume":"37 3","pages":"166-170"},"PeriodicalIF":1.1,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10189209","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":"[Richard Semon (1859-1918): expeditions, engrams and epigenetics].","authors":"Hans Förstl","doi":"10.1007/s40211-022-00454-9","DOIUrl":"10.1007/s40211-022-00454-9","url":null,"abstract":"<p><p>Richard Semon (1859-1918) was a student of Ernst Haeckel and began his career as a zoologist with work on sea urchins, starfish, chicken and lung fish, which he collected at the Mediterranean Sea and in Australia. After his return to Germany he was forced to leave Jena and the university due to private reasons, and settled in Munich, where Semon devoted most of his time to the more philosophical aspects of biology, developed the theory of \"mneme\" (1904), which he extended towards the inheritance of acquired characteristics (1912). Semon's concept of memory reached far beyond the brain and the individual person. In 1918 he took his life, despondent because of a surmised lack of scientific appreciation, the death of his beloved wife, the political turmoil at the end of WWI, and his-the memory researcher's-suspected loss of memory. Eight years later, the experimental biologist Paul Kammerer (1880-1926) from Vienna, Semon's must trusted source for the inheritance of acquired characteristics, also shot himself. Serious doubts increasingly overshadowed his work on salamanders and midwife toads. Epigenetics, the nature of memory, the fear of cognitive impairment, depression, the impact of private and political matters on scientific work, suspected scientific errors, fraud and a scientists' suicides are condensed in Semon's life and death.</p>","PeriodicalId":44560,"journal":{"name":"NEUROPSYCHIATRIE","volume":"37 3","pages":"147-155"},"PeriodicalIF":2.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10491508/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10203003","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}

{"title":"Bilingual children acquiring Russian and German in Vienna: nonword repetition correlates with stronger but not with weaker language.","authors":"Brigitte Eisenwort,&nbsp;Maksim Tilis,&nbsp;Carolin Schmid,&nbsp;Gabriela Diendorfer-Radner","doi":"10.1007/s40211-023-00456-1","DOIUrl":"10.1007/s40211-023-00456-1","url":null,"abstract":"<p><strong>Purpose: </strong>Nonword repetition tests (NWRT) can be useful tools together with other assessment procedures for diagnosing a developmental learning disorder in bilingual children. Concerning typically developing children, however, the link between NWRT performance and language development is still unclear. The present study contributes to this discussion by investigating the link between language-dependent NWRT performance, language development, and language exposure.</p><p><strong>Methods: </strong>A total of 20 simultaneously bilingual Russian-German children, aged 4-6 years, were tested with \"The Russian language proficiency test for multilingual children (SRUK)\" and \"Patholinguistische Diagnostik bei Sprachentwicklungsstörungen (PDSS)\" as well as language-specific nonwords for Russian and German.</p><p><strong>Results: </strong>Most children scored within the mean range in SRUK. In PDSS they scored two standard deviations below the mean range in most of the subtests. NWRT in Russian significantly correlated with the NWRT in German and also positively correlated with both comprehension and production in Russian. In contrast, the German NWRT did not correlate with comprehension or with production in German. Moreover, the correlation between the German NWRT and the comprehension of grammatical structures in Russian was significant, and the correlations between the German NWRT and the two other Russian language development tests just failed to reach significance.</p><p><strong>Conclusion: </strong>High scores in both the Russian and the German NWRT offer evidence that the ability to repeat language-specific nonwords does not differ depending on language exposure. The aim to distinguish between typical and atypical language development based on NWRT can be reached only when NWRT and all possible influencing factors in typically developed children are analyzed.</p>","PeriodicalId":44560,"journal":{"name":"NEUROPSYCHIATRIE","volume":"37 3","pages":"136-144"},"PeriodicalIF":2.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10491516/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10563127","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}

{"title":"Prof. Dr. Peter König (1944–2022).","authors":"Jan Di Pauli,&nbsp;Petra Steger-Adami","doi":"10.1007/s40211-023-00470-3","DOIUrl":"https://doi.org/10.1007/s40211-023-00470-3","url":null,"abstract":"","PeriodicalId":44560,"journal":{"name":"NEUROPSYCHIATRIE","volume":"37 2","pages":"105-106"},"PeriodicalIF":2.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9694442","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":"Erratum zu: Das Zusammenwirken von Rhodiola rosea (Rosenwurz) und Antidepressiva.","authors":"Ignazio Maniscalco,&nbsp;Elda Toffol,&nbsp;Giancarlo Giupponi,&nbsp;Andreas Conca","doi":"10.1007/s40211-023-00465-0","DOIUrl":"https://doi.org/10.1007/s40211-023-00465-0","url":null,"abstract":"","PeriodicalId":44560,"journal":{"name":"NEUROPSYCHIATRIE","volume":"37 2","pages":"107"},"PeriodicalIF":2.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9619846","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":"Bericht aus dem Vorstand der ÖGKJP.","authors":"","doi":"10.1007/s40211-023-00468-x","DOIUrl":"https://doi.org/10.1007/s40211-023-00468-x","url":null,"abstract":"","PeriodicalId":44560,"journal":{"name":"NEUROPSYCHIATRIE","volume":"37 2","pages":"110-111"},"PeriodicalIF":2.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10069561","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":"Poststroke psychosis: a case report.","authors":"Rodrigo Mota Freitas,&nbsp;Diogo Reis Gomes,&nbsp;João Antunes Pedro,&nbsp;Ana Guerra","doi":"10.1007/s40211-022-00432-1","DOIUrl":"https://doi.org/10.1007/s40211-022-00432-1","url":null,"abstract":"<p><strong>Background: </strong>Stroke is currently the second leading cause of death in the elderly population. Neuropsychiatric complications following stroke are common, can be overlooked, and are associated with low quality of life, increase in the burden of caregiving and impaired functional status.</p><p><strong>Methods: </strong>We report a case of poststroke psychosis in a woman without prior psychiatric history. In addition, a brief, nonsystematic review of the pertinent literature was performed.</p><p><strong>Results: </strong>Psychosis can present in almost 5% of stroke survivors. Many patients with poststroke psychosis have no previous psychiatric history and the most common lesion locations include the right frontal, temporal and parietal lobes, the white matter connecting those areas, as well as the right caudate nucleus. Compared to other stroke survivors, patients with poststroke psychosis are more likely to depend on assistance in their everyday lives, can have more difficulty coping with the sequelae of stroke, and have an increased 10-year mortality risk. Guidelines for diagnosing and managing poststroke psychosis are needed.</p><p><strong>Conclusion: </strong>Psychosis is a possible complication of stroke and is associated with impairment and increased mortality. Guidelines for diagnosing and managing poststroke psychosis are currently lacking. To assure evidence-based care, further research is needed.</p>","PeriodicalId":44560,"journal":{"name":"NEUROPSYCHIATRIE","volume":"37 2","pages":"101-104"},"PeriodicalIF":2.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9510268/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9573437","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}