IF 1.1 4区医学

Nervenarzt Pub Date : 2025-07-31 DOI: 10.1007/s00115-025-01866-y

Lena Sophia Steubl, Jan Philipp Klein, Harald Baumeister

{"title":"[Digital health applications for the treatment of posttraumatic stress disorder : Current state, opportunities, and challenges].","authors":"Lena Sophia Steubl, Jan Philipp Klein, Harald Baumeister","doi":"10.1007/s00115-025-01866-y","DOIUrl":"https://doi.org/10.1007/s00115-025-01866-y","url":null,"abstract":"Background: Despite the high prevalence of posttraumatic stress disorder (PTSD), no digital health application (digitale Gesundheitsanwendung, DiGA) prescribable within the German statutory health insurance system is currently available to treat the disorder.Objective: Overview of digital intervention options for the treatment of PTSD and potential challenges in developing an effective DiGA.Material and method: Narrative review of the current literature.Results: Internet- and mobile-based interventions for PTSD have the potential to serve as an effective treatment option, as demonstrated by a series of meta-analyses comparing them to waiting list control groups, conditions involving no or minimal usual care, and active control groups (e.g., psychoeducation); however, specific challenges exist within the target population that go beyond commonly known barriers, such as pronounced concerns of developers and medical professionals regarding safety and potentially even lower adherence of patients.Conclusion: The development of DiGAs for the treatment of PTSD might be perspectively promising but the aforementioned challenges must be considered in the design and implementation to ensure an effective application.","PeriodicalId":49770,"journal":{"name":"Nervenarzt","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144754952","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}

引用次数: 0

[Sleep disorders: comparison of ICD-11 and ICD-10. German version]. 睡眠障碍：比较ICD-11和ICD-10。德国版)。

IF 1.1 4区医学

Nervenarzt Pub Date : 2025-07-31 DOI: 10.1007/s00115-025-01858-y

Kai Spiegelhalder, Dieter Riemann

{"title":"[Sleep disorders: comparison of ICD-11 and ICD-10. German version].","authors":"Kai Spiegelhalder, Dieter Riemann","doi":"10.1007/s00115-025-01858-y","DOIUrl":"https://doi.org/10.1007/s00115-025-01858-y","url":null,"abstract":"The current article reviews adjustments that were made to the classification of sleep disorders in the 11th revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-11) in comparison to the 10th revision of the coding system (ICD-10). A new chapter on sleep-wake disorders was introduced as chapter 7 in ICD-11, removing the distinction in nonorganic and organic sleep disorders that was used in ICD-10. The rationale for this was the commonsense notion that clinicians and researchers have difficulties to identify the etiology of insomnia and to establish causality between insomnia and coexisting conditions. With respect to sleep disorders that were previously included in chapter V \"Mental and behavioural disorders\" of the ICD-10, the following important changes were made: the diagnosis of insomnia disorder can now be made as comorbid with other mental disorders or physical illnesses if the insomnia symptoms are a focus of independent clinical attention, non-restorative sleep alone without difficulties initiating or maintaining sleep is not sufficient anymore to diagnose insomnia disorder and new diagnostic categories have been created, including insufficient sleep syndrome and sleep-related eating disorder. Future research will show whether the adjustments in ICD-11 will help clinicians to make reliable and clinically useful diagnoses and whether this improves routine clinical care for sleep disorders.","PeriodicalId":49770,"journal":{"name":"Nervenarzt","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144754954","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}

引用次数: 0

[Ego documents of people with epilepsy during National Socialism]. [国家社会主义时期癫痫患者的自我档案]。

IF 1.1 4区医学

Nervenarzt Pub Date : 2025-07-31 DOI: 10.1007/s00115-025-01865-z

T Baumann, A Karenberg, H Fangerau

{"title":"[Ego documents of people with epilepsy during National Socialism].","authors":"T Baumann, A Karenberg, H Fangerau","doi":"10.1007/s00115-025-01865-z","DOIUrl":"https://doi.org/10.1007/s00115-025-01865-z","url":null,"abstract":"Background: People with epilepsy were a stigmatized and persecuted group under National Socialism. Nevertheless, there are only a few historical works that specifically address the reality of life for this group in Nazi Germany.Objective: In the sense of a heuristic pioneer study, the reality of life of in-patients with epilepsy in a selected institution is systematically researched and presented.Material and methods: Numerous patient files from the Bonn sanatorium (Heil- und Pflege-Anstalt Bonn) were analyzed using the historical-critical method. Some of these files contain letters and other testimonies from the patients. This study concentrates on these ego documents and on letters from relatives.Results: While coping with everyday life was central to the patients, some relatives were more concerned with the question of the hereditary nature of the epilepsy; others, who wanted to help their hospitalized relatives were increasingly unable to do so after 1939.Conclusion: Only an overall view of all types of sources in medical records (medical history forms, nursing reports, ego documents and letters from relatives), which has so far often been neglected, enables an approximate understanding of the situation of hospitalized patients with epilepsy during the National Socialist era and the post-war period.","PeriodicalId":49770,"journal":{"name":"Nervenarzt","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144754953","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}

引用次数: 0

[Schizophrenia and catatonia: from ICD-10 to ICD-11. German version]. 精神分裂症和紧张症：从ICD-10到ICD-11。德国版)。

IF 1.1 4区医学

Nervenarzt Pub Date : 2025-07-29 DOI: 10.1007/s00115-025-01860-4

T Nickl-Jockschat, J Steiner, D Hirjak, A Hasan

{"title":"[Schizophrenia and catatonia: from ICD-10 to ICD-11. German version].","authors":"T Nickl-Jockschat, J Steiner, D Hirjak, A Hasan","doi":"10.1007/s00115-025-01860-4","DOIUrl":"https://doi.org/10.1007/s00115-025-01860-4","url":null,"abstract":"The classification of psychotic disorders has undergone a variety of changes. Since Karl Ludwig Kahlbaum's (Kahlbaum 1874) first descriptions of catatonic states and Emil Kraepelin's (Kraepelin 1883) nosological classification of psychotic syndromes in the second half of the nineteenth century, the diagnostic criteria for these disorders have been repeatedly modified, significantly impacting clinical practice. Eugen Bleuler (Bleuler 1911) coined the term \"schizophrenia\", emphasizing the disturbances in thinking, feeling and acting that he had observed. With the introduction of the 11th version of the International Classification of Diseases (ICD-11), several significant changes to the diagnostic criteria were introduced. First-line symptoms according to Schneider lost importance. The subtypes (e.g., paranoid, hebephrenic and catatonic schizophrenia) were also omitted and symptom and progression classifiers have been introduced instead. Finally, catatonia is now defined as an independent diagnostic entity, while in ICD-10 it was still assigned to schizophrenia under the code F20.2. This recognizes catatonia's independent, cross-diagnostic nature. Due to these symptom and progression classifiers, the ICD-11 now takes a more a hybrid categorical and dimensional approach to the diagnosis than the previous version.","PeriodicalId":49770,"journal":{"name":"Nervenarzt","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144734948","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}

引用次数: 0

[Psychosocial crisis services-A special case of transsectoral healthcare]. [社会心理危机服务——跨部门保健的一个特例]。

IF 1.1 4区医学

Nervenarzt Pub Date : 2025-07-29 DOI: 10.1007/s00115-025-01863-1

Jürgen Zielasek, Tamara L Orschler, Mechthild Pott, Monika Schröder, Euphrosyne Gouzoulis-Mayfrank

{"title":"[Psychosocial crisis services-A special case of transsectoral healthcare].","authors":"Jürgen Zielasek, Tamara L Orschler, Mechthild Pott, Monika Schröder, Euphrosyne Gouzoulis-Mayfrank","doi":"10.1007/s00115-025-01863-1","DOIUrl":"10.1007/s00115-025-01863-1","url":null,"abstract":"Background: The psychosocial burden of the population is increasing and psychosocial crisis intervention teams already play an important supportive role in the care in some regions in Germany. A comprehensive description of existing psychosocial crisis services in Germany is lacking.Objective: Description of the experiences of selected psychosocial crisis services in Germany and development of a concept for the implementation of new psychosocial crisis services.Material and methods: A narrative synthesis of the experiences of established psychosocial crisis intervention services in Germany was carried out based on searches in the scientific literature, perusal of information available on the internet regarding the activities of existing services and conversations with their representatives. We developed an experience-based concept for psychosocial crisis services in Germany.Results: The search for scientific evidence in the literature showed only limited evidence for the efficacy of psychosocial crisis intervention services. There is a broad diversity of types of services and models of financing. Barriers and facilitators of the implementation of psychosocial crisis services could be identified. These were included in a modular, experience-based transsectoral concept for psychosocial crisis intervention services in Germany.Conclusion: An experience-based modular concept for the implementation of a mental health crisis intervention service was developed. The modularity facilitates the adaptation to local and regional needs and resources and can promote a broader implementation.","PeriodicalId":49770,"journal":{"name":"Nervenarzt","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144734947","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}

引用次数: 0

Taxonomy of anxiety disorders-a comparison of ICD‑10 and ICD‑11. 焦虑障碍的分类——ICD - 10和ICD - 11的比较。

IF 1.1 4区医学

Nervenarzt Pub Date : 2025-07-29 DOI: 10.1007/s00115-025-01842-6

Katharina Domschke, Peter Zwanzger

{"title":"Taxonomy of anxiety disorders-a comparison of ICD‑10 and ICD‑11.","authors":"Katharina Domschke, Peter Zwanzger","doi":"10.1007/s00115-025-01842-6","DOIUrl":"10.1007/s00115-025-01842-6","url":null,"abstract":"With the introduction of the 11th revision of the World Health Organization International Statistical Classification of Diseases and Related Health Problems (ICD-11), structural and content-related adjustments to the diagnostic guidelines for anxiety disorders were made, which are presented in this review article. Previously classified as \"phobic disorders\" and \"other anxiety disorders\" within the group \"neurotic, stress-related, and somatoform disorders\", in ICD-11 \"anxiety- or fear-related disorders\" now constitute a separate group. The core diagnoses of agoraphobia, social anxiety disorder, specific phobia, panic disorder and generalized anxiety disorder are retained, with the modification that agoraphobia and panic disorder can now be diagnosed separately and comorbidly. Within the framework of the lifespan perspective, separation anxiety disorder and selective mutism have been moved to the group \"anxiety- or fear-related disorders\". The diagnosis \"mixed anxiety and depressive disorder\" is now classified as \"mixed depressive and anxiety disorder\" in the group \"affective disorders\". In accordance with the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM‑5), it is possible to code isolated panic attacks in addition to other mental or somatic disorders. Overall, ICD-11 follows the DSM‑5 classification of anxiety- and fear-related disorders in many respects. Furthermore, the omission of subcategorizations and a precise minimum number of required symptoms simplify the diagnostic criteria. Future studies will need to address questions regarding the diagnostic accuracy, clinical practicability and further operationalization of the ICD-11 diagnostic criteria for anxiety- or fear-related disorders.","PeriodicalId":49770,"journal":{"name":"Nervenarzt","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144734950","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}

引用次数: 0

[Severe disabling ballism after stroke-An interdisciplinary challenge for rehabilitation and outpatient neuropsychiatric care]. [中风后严重致残性弹道-康复和门诊神经精神护理的跨学科挑战]。

IF 1.1 4区医学

Nervenarzt Pub Date : 2025-07-28 DOI: 10.1007/s00115-025-01869-9

Hans-Jürgen Gdynia, Peter Schneiderat, Martin Hinterseer, Michael Ertl

引用次数: 0

[Procedural modalities of coercive treatment]. [强制治疗的程序模式]。

IF 0.9 4区医学

Nervenarzt Pub Date : 2025-07-24 DOI: 10.1007/s00115-025-01870-2

Thomas Pollmächer, Felizitas Schweitzer, Andreas Sarropoulos, Andreas Schuld

引用次数: 0

IF 0.9 4区医学