NervenarztPub Date : 2025-10-14DOI: 10.1007/s00115-025-01885-9
Frank Jessen, Karl Broich
{"title":"Dementia: changes from ICD-10 to ICD-11.","authors":"Frank Jessen, Karl Broich","doi":"10.1007/s00115-025-01885-9","DOIUrl":"https://doi.org/10.1007/s00115-025-01885-9","url":null,"abstract":"<p><p>The International Statistical Classification of Diseases and Related Health Problems version 11 (ICD-11) represents a conceptual advance over ICD-10 in the classification of dementias. Although the syndromic classification in the chapter \"Neurocognitive disorders\" remains in principle unchanged, the introduction of severity levels and the central positioning of mental and behavioral symptoms enables a more precise coding of the clinical diagnoses. Furthermore, the introduction of mild neurocognitive disorder as a prodromal state of dementia is new. The clinical criteria developed by international experts, e.g., for frontotemporal dementia or Lewy body disease, are not yet sufficiently included in ICD-11. Biomarkers for the etiological diagnostics of dementia are also not mentioned, so that it is unclear which role they play in the disease classification in ICD-11. Due to the rapid development in the field of neurodegenerative diseases, regular updates would be desirable.</p>","PeriodicalId":49770,"journal":{"name":"Nervenarzt","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145287550","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}
NervenarztPub Date : 2025-10-10DOI: 10.1007/s00115-025-01909-4
Marc Augustin
{"title":"[AI-associated psychosis: evidence from first cases].","authors":"Marc Augustin","doi":"10.1007/s00115-025-01909-4","DOIUrl":"https://doi.org/10.1007/s00115-025-01909-4","url":null,"abstract":"","PeriodicalId":49770,"journal":{"name":"Nervenarzt","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145276445","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}
NervenarztPub Date : 2025-10-07DOI: 10.1007/s00115-025-01906-7
Michael Paulzen
{"title":"[Z-drugs and the risk of sleep driving].","authors":"Michael Paulzen","doi":"10.1007/s00115-025-01906-7","DOIUrl":"https://doi.org/10.1007/s00115-025-01906-7","url":null,"abstract":"","PeriodicalId":49770,"journal":{"name":"Nervenarzt","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145245774","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}
NervenarztPub Date : 2025-10-06DOI: 10.1007/s00115-025-01907-6
Stephanie Haering, Caroline Meyer, Christine Knaevelsrud, Sinha Engel
{"title":"[Sex and gender differences in posttraumatic stress disorder: current evidence on etiology, trajectory and treatment].","authors":"Stephanie Haering, Caroline Meyer, Christine Knaevelsrud, Sinha Engel","doi":"10.1007/s00115-025-01907-6","DOIUrl":"https://doi.org/10.1007/s00115-025-01907-6","url":null,"abstract":"<p><strong>Background: </strong>Sex and gender differences in mental disorders are widespread. Posttraumatic stress disorder (PTSD) is one of the mental disorders with the largest prevalence differences between women and men.</p><p><strong>Aim of the paper and methods: </strong>This narrative review article highlights the current scientific evidence on sex and gender differences in the development, diagnostics and treatment of PTSD.</p><p><strong>Results: </strong>Although men more frequently experience traumatic events women have a twofold to threefold higher risk of developing PTSD and experience more severe PTSD symptoms than men. The increased vulnerability of women is not yet fully understood and can be attributed to a combination of biological and psychosocial factors. Despite the higher risk, women and female-specific risk factors are underrepresented in relevant research, a gender data gap exists. Men are more likely to experience accidental and weapon-related trauma and women are more likely to be exposed to sexual violence. While women more frequently suffer from comorbid anxiety and affective disorders, PTSD in men occurs more frequently in combination with substance abuse. Men with PTSD are less likely to seek psychotherapeutic help than women and benefit less from evidence-based trauma-focused interventions.</p><p><strong>Discussion: </strong>The differential consideration of biological and psychosocial factors is crucial to understanding sex and gender differences in PTSD. Sex and gender-sensitive approaches in diagnostics and treatment as well as the consideration of sex/gender beyond binary classifications can help to close knowledge gaps and enable more targeted care.</p>","PeriodicalId":49770,"journal":{"name":"Nervenarzt","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145233915","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}
NervenarztPub Date : 2025-10-01DOI: 10.1007/s00115-025-01876-w
L Tebartz van Elst, Andreas Riedel, Monica Biscaldi-Schäfer
{"title":"The reclassification of neurodevelopmental disorders in ICD-11.","authors":"L Tebartz van Elst, Andreas Riedel, Monica Biscaldi-Schäfer","doi":"10.1007/s00115-025-01876-w","DOIUrl":"https://doi.org/10.1007/s00115-025-01876-w","url":null,"abstract":"<p><p>In the ICD-10 the developmental disorders are categorized under three different chapters: F7 for mental retardation, F8 for developmental disorders and F9 for disorders with onset in childhood and adolescence. In ICD-11 neurodevelopmental disorders represent the first new main classification group. The disorders grouped in these categories are all characterized by essentially genetically related atypical patterns of perception, emotional processing, cognition (general and social), language and motor skills. These patterns of mental functioning usually manifest in the first decade of development. They represent persisting characteristics of mental functioning, which can be understood as structural diagnoses. As such, they do not always have pathological significance but must be understood as variants of the norm, at least in less severe cases. In such constellations, they often form the psychodynamic basis for characteristic patterns of interpersonal relationship and communication problems in a subsyndromic expression and hinder the development of valid and constructive identities. These psychodynamics are often associated with interpersonal problems and conflicts as well as classical psychiatric comorbidities, such as stress reactions, adjustment disorders, anxiety disorders, obsessive-compulsive disorders, depression, personality disorders or impulsive and psychotic states. Developmental disorders have a high degree of overlap and comorbidity. This article summarizes the conceptual changes in ICD-11 compared to ICD-10, particularly with respect to the four main subgroups: intellectual disability, autism spectrum disorders, ADHD and tic disorders.</p>","PeriodicalId":49770,"journal":{"name":"Nervenarzt","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145202084","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}
NervenarztPub Date : 2025-09-29DOI: 10.1007/s00115-025-01904-9
Eva Friedel, Nina Müller-Wirth, Pichit Buspavanich, Maximilian Berger, Pauline Meurer, Philine Claussen, Julie L O'Sullivan, Sandy Doll, Frank Schulte-Derne, Ingar Abels
{"title":"[Impact of gender roles on alcohol dependence].","authors":"Eva Friedel, Nina Müller-Wirth, Pichit Buspavanich, Maximilian Berger, Pauline Meurer, Philine Claussen, Julie L O'Sullivan, Sandy Doll, Frank Schulte-Derne, Ingar Abels","doi":"10.1007/s00115-025-01904-9","DOIUrl":"https://doi.org/10.1007/s00115-025-01904-9","url":null,"abstract":"<p><p>This article explores the impact of gender roles on the development, course, and treatment of alcohol use disorders. Epidemiological data reveal significant gender differences in prevalence, patterns of use, and comorbidities related to alcohol dependence. These differences are not solely biologically determined but also reflect the social construction of gender and culturally specific role expectations. Traditional masculinity norms are associated with increased alcohol consumption, reduced help-seeking behavior, and greater propensity for violence, while women are more likely to experience internalizing mental illnes and societal stigma. LGBTIQ* individuals are particularly vulnerable due to minority stress and structural barriers. This article advocates for gender-sensitive addiction care that addresses psychosocial stressors, trauma, and systemic inequalities. It emphasizes the need to critically examine rigid gender roles, which may exacerbate problems and hinder effective treatment.</p>","PeriodicalId":49770,"journal":{"name":"Nervenarzt","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193707","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}
NervenarztPub Date : 2025-09-26DOI: 10.1007/s00115-025-01905-8
Anil Batra, Andreas J Fallgatter
{"title":"[Scientific attitude and patient orientation-The legacy of Gerhard Buchkremer].","authors":"Anil Batra, Andreas J Fallgatter","doi":"10.1007/s00115-025-01905-8","DOIUrl":"https://doi.org/10.1007/s00115-025-01905-8","url":null,"abstract":"","PeriodicalId":49770,"journal":{"name":"Nervenarzt","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151785","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}
NervenarztPub Date : 2025-09-25DOI: 10.1007/s00115-025-01901-y
Dennis Henkel, Walter Stehling, Katja Wagemans
{"title":"[Female psychiatrists in films: origin and evolution of a gender-specific character stereotype (1935-2020)].","authors":"Dennis Henkel, Walter Stehling, Katja Wagemans","doi":"10.1007/s00115-025-01901-y","DOIUrl":"https://doi.org/10.1007/s00115-025-01901-y","url":null,"abstract":"<p><strong>Background: </strong>In the medical world women have taken on a steadily increasing role over the last decades and are now numerically superior to men in many specialized fields. In this context psychiatry is no exception. As cinematics always reflect social developments, this fact raises the question of whether the representation of female psychiatrists in films and series takes this trend into account.</p><p><strong>Methods: </strong>Film productions presenting female psychiatrist characters were systematically identified by means of a targeted search in relevant databases and a supplementary literature search. In addition, pertinent film examples up to the twenty-first century were analyzed.</p><p><strong>Objective: </strong>The focus is on research questions relevant to social, medical and film history: Does the image of screen psychiatrists correspond to reality? Are stereotypes served or initiated? How does the portrayal differ from the male counterpart?</p><p><strong>Results and conclusion: </strong>The exemplary examination of 18 films and 1 series reveals the early emergence of a gender-specific character cliché which is still influential today: the female psychiatrist as an empathic, sensitive and emotionally active doctor who can make a successful career by virtue of these character traits but who is also emotionally and socially marginalized as a result. A chronologically structured analysis not only reveals social contexts of this stereotype but also shows mechanisms of media transmission. Reflecting on this distorted image in professional settings can help to recognize and specifically address media-induced reservations in patients.</p>","PeriodicalId":49770,"journal":{"name":"Nervenarzt","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145138784","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}
NervenarztPub Date : 2025-09-24DOI: 10.1007/s00115-025-01884-w
Frank Jessen, Karl Broich
{"title":"[Dementia: changes from ICD-10 to ICD-11. German Version].","authors":"Frank Jessen, Karl Broich","doi":"10.1007/s00115-025-01884-w","DOIUrl":"https://doi.org/10.1007/s00115-025-01884-w","url":null,"abstract":"<p><p>The International Statistical Classification of Diseases and Related Health Problems version 11 (ICD-11) represents a conceptual advance over ICD-10 in the classification of dementias. Although the syndromic classification in the chapter \"Neurocognitive disorders\" remains in principle unchanged, the introduction of severity levels and the central positioning of mental and behavioral symptoms enables a more precise coding of the clinical diagnoses. Furthermore, the introduction of mild neurocognitive disorder as a prodromal state of dementia is new. The clinical criteria developed by international experts, e.g., for frontotemporal dementia or Lewy body disease, are not yet sufficiently included in ICD-11. Biomarkers for the etiological diagnostics of dementia are also not mentioned, so that it is unclear which role they play in the disease classification in ICD-11. Due to the rapid development in the field of neurodegenerative diseases, regular updates would be desirable.</p>","PeriodicalId":49770,"journal":{"name":"Nervenarzt","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132278","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}
NervenarztPub Date : 2025-09-24DOI: 10.1007/s00115-025-01902-x
Daniel Kamp, Timo Jendrik Faustmann, Juha Marko Lahnakoski, Claus Lamm, Boryana Todorova, Michaela Jänner, Leonhard Schilbach
{"title":"[Associations between involuntary commitment measures and the ambient temperature in inpatient psychiatric standard care : A retrospective data analysis].","authors":"Daniel Kamp, Timo Jendrik Faustmann, Juha Marko Lahnakoski, Claus Lamm, Boryana Todorova, Michaela Jänner, Leonhard Schilbach","doi":"10.1007/s00115-025-01902-x","DOIUrl":"https://doi.org/10.1007/s00115-025-01902-x","url":null,"abstract":"","PeriodicalId":49770,"journal":{"name":"Nervenarzt","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132197","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}