{"title":"Originalarbeiten / Original Articles. Bindung, Persönlichkeitsstörungen und Depression im Jugendalter / Attachment, Personality Disorders and Depression in Adolescence.","authors":"Manuela Gander, Kathrin Sevecke","doi":"10.13109/prkk.2025.74.3.201","DOIUrl":"https://doi.org/10.13109/prkk.2025.74.3.201","url":null,"abstract":"<p><p>Attachment, Personality Disorders and Depression in Adolescence Depressive disorders are particularly common in child and adolescent psychiatric settings. There are high comorbidity rates, however, research on comorbid personality disorders in adolescent age groups remains limited. Attachment-related dynamics play a significant role in the development of both depression and personality disorders and they represent important indicators of therapeutic outcomes. The present study shows our latest findings on attachment patterns and personality pathology in an adolescent inpatient psychiatric sample with depression. More than half of the adolescents were classified with an unresolved attachment pattern, and one-third met the criteria for a personality disorder. Furthermore, young people with depression showed elevated levels of identity diffusion. Therapeutic approaches that address attachment- related aspects and personality pathology may offer an effective treatment option for adolescents with depression.</p>","PeriodicalId":45178,"journal":{"name":"Praxis Der Kinderpsychologie Und Kinderpsychiatrie","volume":"74 3","pages":"201-214"},"PeriodicalIF":0.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276233","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 / Congress Dates.","authors":"","doi":"10.13109/prkk.2025.74.3.290","DOIUrl":"https://doi.org/10.13109/prkk.2025.74.3.290","url":null,"abstract":"","PeriodicalId":45178,"journal":{"name":"Praxis Der Kinderpsychologie Und Kinderpsychiatrie","volume":"74 3","pages":"290"},"PeriodicalIF":0.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477218","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.2025.74.1.1","DOIUrl":"https://doi.org/10.13109/prkk.2025.74.1.1","url":null,"abstract":"","PeriodicalId":45178,"journal":{"name":"Praxis Der Kinderpsychologie Und Kinderpsychiatrie","volume":"74 1","pages":"1"},"PeriodicalIF":0.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143721841","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 / Congress Dates.","authors":"","doi":"10.13109/prkk.2025.74.3.290","DOIUrl":"https://doi.org/10.13109/prkk.2025.74.3.290","url":null,"abstract":"","PeriodicalId":45178,"journal":{"name":"Praxis Der Kinderpsychologie Und Kinderpsychiatrie","volume":"74 3","pages":"290"},"PeriodicalIF":0.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276235","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. Suchterkrankungen und Persönlichkeitspathologie im Jugendalter / Substance Use Disorders and Personality Pathology in Adolescence.","authors":"Manuela Gander, Kathrin Sevecke","doi":"10.13109/prkk.2025.74.1.21","DOIUrl":"10.13109/prkk.2025.74.1.21","url":null,"abstract":"<p><p>Substance Use Disorders and Personality Pathology in Adolescence Although the use of alcohol or illegal drugs is often considered a common developmental phenomenon of adolescence, some individuals develop clinically relevant forms of dependence or abuse. Substance use disorders often cause psychosocial stress, they have adverse consequences on physical health, reduce life expectancy and increase the risk of developing comorbid psychiatric disorders. Personality disorders represent a severe comorbid disorder for adults, but there is still a lack of data for adolescent age groups. The present study demonstrates our findings on the prevalence of personality pathology in young patients with substance use disorders in a psychiatric setting. Furthermore, we will discuss the relevance of traumatic childhood experiences in these adolescents. Our results show that adolescents with substance use disorders have higher levels of personality pathology than those with eating disorders, stress-related and somatoform disorders. Interestingly, these adolescents show the highest levels of physical abuse compared to patients with other psychiatric disorders. These findings emphasize the importance of comorbid personality disorders and trauma in adolescents with substance use disorders. Thus, disorder-specific treatments with a focus on personality disorders and trauma might be a good therapeutic option for this patient group.</p>","PeriodicalId":45178,"journal":{"name":"Praxis Der Kinderpsychologie Und Kinderpsychiatrie","volume":"74 1","pages":"21-35"},"PeriodicalIF":0.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143721780","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.","authors":"","doi":"10.13109/prkk.2025.74.1.83","DOIUrl":"https://doi.org/10.13109/prkk.2025.74.1.83","url":null,"abstract":"","PeriodicalId":45178,"journal":{"name":"Praxis Der Kinderpsychologie Und Kinderpsychiatrie","volume":"74 1","pages":"83-84"},"PeriodicalIF":0.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143721833","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. Bindung als Teil der psychischen Struktur: Ein Vergleich der Selbst- und Elterneinschätzungen bei Jugendlichen mit Persönlichkeitsstörung, Depression und Anorexia Nervosa / Attachment as Part of Personality Structure: A Comparison of Self- and Parent-Reports in Adolescents with Personality Disorder, Depression, and Anorexia Nervosa.","authors":"Aslı Akın, Lea Sarrar, Carola Cropp, Ruth Weissensteiner, Kirstin Goth","doi":"10.13109/prkk.2025.74.3.215","DOIUrl":"https://doi.org/10.13109/prkk.2025.74.3.215","url":null,"abstract":"<p><p>Attachment as Part of Personality Structure: A Comparison of Self- and Parent-Reports in Adolescents Summarywith Personality Disorder, Depression, and Anorexia Nervosa The present study examines attachment deficits as part of the personality structure in adolescents with personality disorders, depression, and anorexia nervosa using the OPD-CA2 Structure Questionnaire. The aim was to analyze systematic differences between the diagnostic groups and differences between self- and parent-reports and to identify potential discrepancies. The results show remarkable deficits in the dimension attachment of the OPDCA- 2 axis structure across all examined groups while adolescents with AN showed significantly lower impairment. Significant differences between self- and parent-perceptions were observed in depressed adolescents. The study emphasizes the relevance of assessing attachment related to personality structure for diagnostics and treatment planning in adolescent psychotherapy.</p>","PeriodicalId":45178,"journal":{"name":"Praxis Der Kinderpsychologie Und Kinderpsychiatrie","volume":"74 3","pages":"215-232"},"PeriodicalIF":0.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276232","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}
Heidi Eckrich, Lars Wöckel, Jochen Schweitzer, Klaus Schmeck
{"title":"Originalarbeiten / Original Articles. Evaluation der Auswirkungen einer systemischen Weiterbildung für das interdisziplinäre Team einer offenen jugendpsychiatrischen Akutstation / Evaluation of the Effects of Systemic Further Training of an Interdisciplinary Team in an Open Adolescent Psychiatric Acute Ward.","authors":"Heidi Eckrich, Lars Wöckel, Jochen Schweitzer, Klaus Schmeck","doi":"10.13109/prkk.2025.74.3.256","DOIUrl":"https://doi.org/10.13109/prkk.2025.74.3.256","url":null,"abstract":"<p><p>Evaluation of the Effects of Systemic Further Training of an Interdisciplinary Team in an Open Adolescent Psychiatric Acute Ward Staff in inpatient adolescent acute psychiatry face major challenges including assaults, elopements and treatment drop-outs among the youths. In the care team, insufficiently reflected splitting processes, lack of learning culture, problem and deficit orientation as well as insufficient self-efficacy strategies lead to high turnover and low job satisfaction. Additionally, there is dissatisfaction among youth, parents and referrers. This study examined the work situation of employees in an open adolescent psychiatric acute ward and established new treatment routines, at the interface between organizational development and treatment quality. The aim of this study from an evaluation perspective was to test if interdisciplinary team training in systemic theories and techniques improves job satisfaction. This is a non-randomized intervention study with a pre-post design including a control group. Job satisfaction questionnaires were distributed before, 6 months and 5 years after the training. Semi-structured interviews supplemented information on what has proven useful in clinical practice. The training led to measurable team climate improvements and cooperation intensification. Information sharing and usefulness of team goals increased. Systemic handover discussions and adolescents' regular active case discussion participation led to greater transparency and an appreciative communication culture, benefitting both job satisfaction and treatment success.</p>","PeriodicalId":45178,"journal":{"name":"Praxis Der Kinderpsychologie Und Kinderpsychiatrie","volume":"74 3","pages":"256-276"},"PeriodicalIF":0.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276234","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. Informations- und Unterstützungsbedarfe von Trennungseltern / Information and Support Needs of Separated Parents.","authors":"Janin Zimmermann, Stefanie Amberg, Ulrike Lux, Sabine Walper, Heinz Kindler","doi":"10.13109/prkk.2025.74.1.2","DOIUrl":"10.13109/prkk.2025.74.1.2","url":null,"abstract":"<p><p>Information and Support Needs of Separated Parents When parents separate, they have to overcome considerable emotional and organizational challenges, which can be unsettling and might raise many questions. An increased need for support can be assumed, especially in the case of ongoing conflicts or intimate partner violence. An online survey was carried out to investigate the specific questions that parents have following relationship dissolution and the extent to which parents affected by conflict and violence have specific (information) needs. 255 mothers and 104 fathers who had separated from the other parent in the last 5 years took part in the study. Of the participants, 51 % had completed or ongoing family court proceedings, 69 % reported ongoing conflict and 49 % reported partner violence. Overall, parents most frequently had questions about legal regulations, finding a care arrangement for their children, cooperating with the other parent, supporting their children in the separation process and adapting to the new living situation. Parents with ongoing conflicts were more often concerned with questions about how to deal with strong negative feelings, mistrust and the desire for distance. Parents who had been affected by intimate partner violence were more likely to have questions on ensuring safety for themselves and their children and dealing with the children's stress responses. The findings were taken into account in the development of the STARK online information platform and can be used to develop further needs-based support services.</p>","PeriodicalId":45178,"journal":{"name":"Praxis Der Kinderpsychologie Und Kinderpsychiatrie","volume":"74 1","pages":"2-20"},"PeriodicalIF":0.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143721779","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.","authors":"","doi":"10.13109/prkk.2025.74.3.277","DOIUrl":"https://doi.org/10.13109/prkk.2025.74.3.277","url":null,"abstract":"","PeriodicalId":45178,"journal":{"name":"Praxis Der Kinderpsychologie Und Kinderpsychiatrie","volume":"74 3","pages":"277-279"},"PeriodicalIF":0.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276229","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}