Sebastian Hoffmann, Johanna K Loy, Sandra Färber, Maya Krischer
{"title":"Originalarbeiten / Original Articles. Schulabsentismus als Funktionsbeeinträchtigung von Jugendlichen mit Persönlichkeitsstörungen gemäß ICD-11 / School Absence as Functional Impairment of Juveniles with Personality Disorders Based on ICD-11.","authors":"Sebastian Hoffmann, Johanna K Loy, Sandra Färber, Maya Krischer","doi":"10.13109/prkk.2024.73.8.700","DOIUrl":"https://doi.org/10.13109/prkk.2024.73.8.700","url":null,"abstract":"<p><p>School Absence as Functional Impairment of Juveniles with Personality Disorders Based on ICD-11 This longitudinal study focused on the question whether specialized treatment with applied transference focused psychotherapy in a day hospital program can improve school dysfunction in adolescents with borderline and other personality disorders (PD). Moreover, we investigated influential factors for the improvement of school attendance. Among the 175 juvenile patients, before treatment 60 % showed school absence. Our results indicate that the treatment could improve school attendance significantly. At the same time, we could show that some psychological variables can be considered essential predictors for the development of attending school regularly. More conduct problems and dissocial behavior diminished the likelihood to attend school increasingly regular; the higher borderline and avoidance PD criteria were fulfilled, the higher were the odds to improve school attendance. With respect to the changes regarding functional impairment of PD in the upcoming ICD-11 our results could generate knowledge that school dysfunction in adolescents with PD can be improved significantly with applied transference focused psychotherapy in a day hospital program, especially in juveniles with borderline and avoidant PD. The alteration in ICD-11 with its focus on functional impairment enables to assess and treat this problem earlier in adolescence. A specific focus for future research based on ICD-11 should address the issue how juveniles with pd, school dysfunction and conduct problems can benefit more from treatment.</p>","PeriodicalId":45178,"journal":{"name":"Praxis Der Kinderpsychologie Und Kinderpsychiatrie","volume":"73 8","pages":"700-718"},"PeriodicalIF":0.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773513","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":"Übersichtsarbeiten / Review Articles. Die Computerspielstörung in der ICD-11: Hintergründe, Kriterien und mögliche Implikationen / Gaming Disorder According to the ICD-11: Background, Criteria and Possible Implications.","authors":"Martin Fuchs, André Leonhardt, Kathrin Sevecke","doi":"10.13109/prkk.2024.73.8.753","DOIUrl":"https://doi.org/10.13109/prkk.2024.73.8.753","url":null,"abstract":"<p><p>Gaming Disorder According to the ICD-11: Background, Criteria and Possible Implications Within 60 years, playing computer games - online or offline, with a computer, games console or smartphone - has developed from a niche activity for mostly young males into a global industry worth billions. Studies show that children and adolescents in particular tend to play digital games for several hours a day, making gaming one of the most common leisure activities for young people. A small proportion of young gamers may develop addictive behaviour with harmful effects on their psychosocial functioning. Following an intense discussion process lasting several years, the World Health Organisation (WHO) responded by introducing the new disorder category, \"gaming disorder\", which was placed as a second disorder alongside \"gambling disorder\" in the chapter on behavioural addictions. As with substance-related addiction disorders, computer game addiction is conceptualized within an \"addiction triangle\" framework, which considers a combination of individual risk factors, environmental factors and factors intrinsic to the game itself. This article presents a discussion of the recently proposed diagnosis of gaming disorder in the context of its diagnostic criteria and aetiological factors and concludes by discussing possible implications for clinical practice.</p>","PeriodicalId":45178,"journal":{"name":"Praxis Der Kinderpsychologie Und Kinderpsychiatrie","volume":"73 8","pages":"753-771"},"PeriodicalIF":0.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773521","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":"Übersichtsarbeiten / Review Articles. Voreingenommenheiten und Wahrnehmungsverzerrungen (Bias) in der psychiatrisch-psychotherapeutischen Versorgung von Kindern und Jugendlichen mit intellektueller Beeinträchtigung.","authors":"Klaus Hennicke","doi":"10.13109/prkk.2024.73.6.472","DOIUrl":"https://doi.org/10.13109/prkk.2024.73.6.472","url":null,"abstract":"<p><p><i>Bias in Mental Health Care of Children and Adolescents with Intellectual Disabilities</i> Implicit and explicit bias and distortions of perception are partly responsible for the unequal and significantly deficient psychotherapeutic and psychiatric care situation for children and adolescents with intellectual disabilities and additional behavioral problems. The extent to which these biases influence misdiagnoses and treatment errors, refusals and exclusions from professional care, and grossly hostile rejections of people with disabilities requires empirical evidence (Bartig et al., 2021). The fact that all forms occur - probably to a considerable extent - contradicts the ethical principles of the medical and psychotherapeutic profession. In order to avoid misdiagnosis and treatment as a result of bias, this must be openly addressed. Selfawareness, supervision and second views, the concept of working diagnosis and, above all, the full application of child and adolescent psychiatric standards help to reduce bias.</p>","PeriodicalId":45178,"journal":{"name":"Praxis Der Kinderpsychologie Und Kinderpsychiatrie","volume":"73 6","pages":"472-490"},"PeriodicalIF":0.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298081","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":"Inhalt.","authors":"","doi":"10.13109/prkk.2024.73.6.471","DOIUrl":"https://doi.org/10.13109/prkk.2024.73.6.471","url":null,"abstract":"","PeriodicalId":45178,"journal":{"name":"Praxis Der Kinderpsychologie Und Kinderpsychiatrie","volume":"73 6","pages":"471"},"PeriodicalIF":0.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298076","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":"AUTORINNEN UND AUTOREN.","authors":"","doi":"10.13109/prkk.2024.73.6.553","DOIUrl":"https://doi.org/10.13109/prkk.2024.73.6.553","url":null,"abstract":"","PeriodicalId":45178,"journal":{"name":"Praxis Der Kinderpsychologie Und Kinderpsychiatrie","volume":"73 6","pages":"553-554"},"PeriodicalIF":0.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298074","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":"BUCHBESPRECHUNGEN.","authors":"","doi":"10.13109/prkk.2024.73.6.555","DOIUrl":"https://doi.org/10.13109/prkk.2024.73.6.555","url":null,"abstract":"","PeriodicalId":45178,"journal":{"name":"Praxis Der Kinderpsychologie Und Kinderpsychiatrie","volume":"73 6","pages":"555-557"},"PeriodicalIF":0.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298075","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":"Originalarbeiten / Original Articles. Die Behandlung von Kindern und Jugendlichen mit substanzbezogenen Störungen im deutschen Gesundheitssystem – eine Quantitative Studie.","authors":"Florian Peter Moser","doi":"10.13109/prkk.2024.73.6.531","DOIUrl":"https://doi.org/10.13109/prkk.2024.73.6.531","url":null,"abstract":"<p><p>The Treatment of Children and Adolescents with Substance-Related Disorders in the German Health Care System - a Quantitative Study This study evaluates the minimum characteristics of OPS code 9-694 for specific treatment in special settings for substance-related disorders in children and adolescents. The research questions to be answered are the extent to which given minimum characteristics and potentials are assessed as practical, up-to-date, needs-oriented and necessary. The survey was conducted using a nationwide online survey in special wards of child and adolescent psychiatric clinics. Given minimum characteristics reflect everyday clinical practice and are assessed as practical, up-to-date and relevant. Nevertheless, setting- and method-specific potential for further development was identified, most of which has already been implemented in the clinics but has not yet been incorporated into the minimum characteristics. The topic has received little research attention to date. The findings of the original study can provide a basis for the optimization and adaptation of minimum characteristics and treatment offers for children and adolescents with substance-related disorders and lead to the further development of the OPS code. A theory-practice transfer tailored to the target group requires the networking of individual players in the help system as well as the health policy discussion and gradual adaptation of the content of given minimum characteristics and potential for change.</p>","PeriodicalId":45178,"journal":{"name":"Praxis Der Kinderpsychologie Und Kinderpsychiatrie","volume":"73 6","pages":"531-552"},"PeriodicalIF":0.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298077","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":"TAGUNGSKALENDER.","authors":"","doi":"10.13109/prkk.2024.73.6.558","DOIUrl":"https://doi.org/10.13109/prkk.2024.73.6.558","url":null,"abstract":"","PeriodicalId":45178,"journal":{"name":"Praxis Der Kinderpsychologie Und Kinderpsychiatrie","volume":"73 6","pages":"558"},"PeriodicalIF":0.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298080","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}
Matthias Luther, Jan Schürmann, Regine Heimann, Alain Di Gallo
{"title":"Originalarbeiten / Original Articles. Die partizipative, berufsgruppen- und abteilungsübergreifende Entwicklung eines Ethik- Leitbildes in einer kinder- und jugendpsychiatrischen Klinik: Der Ethik-Kompass der UPKKJ Basel.","authors":"Matthias Luther, Jan Schürmann, Regine Heimann, Alain Di Gallo","doi":"10.13109/prkk.2024.73.6.491","DOIUrl":"https://doi.org/10.13109/prkk.2024.73.6.491","url":null,"abstract":"<p><p><i>The Participatory, Cross-Professional and Cross-Departmental Development of an Ethical</i><i>Mission Statement in a Child and Adolescent Psychiatric Clinic: The Ethics Compass of the</i><i>UPKKJ Basel</i> Employees in child and adolescent psychiatry navigate a complex field of ethical requirements. At the Clinic for Children and Adolescents of the University Psychiatric Clinics Basel (UPKKJ), these areas of tension were examined in a project that spanned across numerous departments and professional groups. Based on a survey study and a narrative literature review, ethical guidelines were developed: the UPKKJ Ethics Compass. The Ethics Compass highlights various areas such as participation, child welfare, justice and developmental health, which are relevant to the relationships between children, adolescents, parents, and the treatment team. To implement these principles in everyday clinical practice, the Ethics Compass is now regularly used in case work and as a communication aid with external partners. Furthermore, a procedural action plan was developed for collaboration with the Department of Clinical Ethics at the University Hospitals in Basel.</p>","PeriodicalId":45178,"journal":{"name":"Praxis Der Kinderpsychologie Und Kinderpsychiatrie","volume":"73 6","pages":"491-507"},"PeriodicalIF":0.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298078","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}
Marius Stickel, Teresa Walter, Christian Götzl, Judith Streb, Manuela Dudeck, Jörg M Fegert, Andreas Jud
{"title":"Originalarbeiten / Original Articles. Prävention sexualisierter Gewalt an Kindern und Jugendlichen: Präventionsmaßnahmen und Schutzkonzepte in den Bereichen Sport, Musik und Kirche.","authors":"Marius Stickel, Teresa Walter, Christian Götzl, Judith Streb, Manuela Dudeck, Jörg M Fegert, Andreas Jud","doi":"10.13109/prkk.2024.73.6.508","DOIUrl":"https://doi.org/10.13109/prkk.2024.73.6.508","url":null,"abstract":"<p><p>Prevention of Child Sexual Abuse: Prevention Programs and Safeguarding Concepts in the Context of Sports, Musical Education, and Religious Organizations Prevalence rates of child sexual abuse by caregivers in private and non-public institutions underscore the need for implementing safeguarding concepts. However, factors driving the implementation of prevention and safeguarding in the field are not well understood. What supportive and inhibiting factors can be identified in the implementation of safeguarding concepts and prevention programs? Content analysis of semi-structured interviews with professional and volunteer staff in clubs and institutions (n = 10, 69 % female) as well as with individuals who experienced child sexual abuse during their childhood (n = 3, 66 % female). Safeguarding concepts in clubs or religious institutions were primarily initiated by umbrella organizations. Current incidents of child maltreatment, public pressure, and media attention substantially increased the need for preventive actions. The provision of training, resources, and networking structures by umbrella organizations further facilitated their implementation. Main implementation challenges included limited personnel and time resources, lack of expertise, insufficient training opportunities, and absence of guidelines and support from umbrella organizations. Due to club leaders' limited knowledge and resources an independent implementation of safeguarding concepts is largely lacking without concrete guidelines and support from umbrella organizations. To upscale safeguarding, public policies or incentive systems such as state-funded child protection certifications are thus paramount.</p>","PeriodicalId":45178,"journal":{"name":"Praxis Der Kinderpsychologie Und Kinderpsychiatrie","volume":"73 6","pages":"508-530"},"PeriodicalIF":0.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298079","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}