IF 1.1 4区医学

Nervenarzt Pub Date : 2026-05-07 DOI: 10.1007/s00115-026-01976-1

Sabrina Mörkl, Anna Ramirez-Obermayer, Sonja Mötteli, Florian Hotzy, Nazli Esfahani-Bayerl, Sonja Lackner, Jolana Wagner-Skacel

{"title":"[Nutritional psychiatry and psychosomatics in the DACH region : Clinical treatment concepts and research at the university hospitals of Graz, Berlin and Zurich].","authors":"Sabrina Mörkl, Anna Ramirez-Obermayer, Sonja Mötteli, Florian Hotzy, Nazli Esfahani-Bayerl, Sonja Lackner, Jolana Wagner-Skacel","doi":"10.1007/s00115-026-01976-1","DOIUrl":"https://doi.org/10.1007/s00115-026-01976-1","url":null,"abstract":"Background: Individuals with mental disorders have an increased risk for metabolic disturbances, inflammation and nutrient deficiencies. Nevertheless, nutritional aspects have so far received little attention in psychiatric care. Nutritional psychiatry and nutritional psychosomatics (NP) combine psychiatry with nutritional and lifestyle medicine to systematically integrate the interaction of these domains into the diagnostics and therapy.Objective: Illustration of specialized structures and description of three outpatient clinics in the DACH region (Germany, Austria and Switzerland).Methods: Overview of scientific foundations, international trends and guidelines, along with a description of the clinics based on the locations.Results: The outpatient clinics represent complementary approaches: Graz focuses on nutrition and mental health, the gut-brain axis and integrative therapy; Berlin emphasizes micronutrient diagnostics and functional medicine; Zurich adopts an interdisciplinary, behaviorally and pharmacologically oriented approach. Together, they highlight the need for specialized, multiprofessional structures and scientific evaluation.Discussion: The discipline of NP opens up new avenues for prevention and personalized therapy. To meet the high demand and address existing challenges, greater capacity, interdisciplinary networks, health services research and integration into regional healthcare systems are needed. Close alignment of research and clinical practice is essential to sustainably establish evidence-based care concepts and teaching approaches in psychiatry.","PeriodicalId":49770,"journal":{"name":"Nervenarzt","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147845289","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

[Transition to adulthood with an eating disorder-Current state of research and recommendations for successful transition]. [饮食失调过渡到成年期——研究现状和成功过渡的建议]。

IF 1.1 4区医学

Nervenarzt Pub Date : 2026-05-06 DOI: 10.1007/s00115-026-01965-4

Gertraud Gradl-Dietsch, Mara Schneider, Eva Maria Skoda, Martin Teufel, Jochen Seitz, Angels Mayordomo-Aranda, Elisabeth Schulla, Silke Naab, Ulrich Voderholzer

{"title":"[Transition to adulthood with an eating disorder-Current state of research and recommendations for successful transition].","authors":"Gertraud Gradl-Dietsch, Mara Schneider, Eva Maria Skoda, Martin Teufel, Jochen Seitz, Angels Mayordomo-Aranda, Elisabeth Schulla, Silke Naab, Ulrich Voderholzer","doi":"10.1007/s00115-026-01965-4","DOIUrl":"https://doi.org/10.1007/s00115-026-01965-4","url":null,"abstract":"Background: The transition to adulthood poses particular challenges for healthcare systems. Eating disorders frequently occur during this developmental period and require continuity of care in order to achieve remission and to reduce the risk of relapses as well as long-term psychosocial and physical consequences.Aim of the study: Presentation of the specific challenges of transition in cases of eating disorders and derivation of recommendations for improving transition management.Material and methods: Narrative review of the current state of research and a description of selected models of transitional care. Based on this, practical recommendations for transition management and areas requiring further research are presented.Results: Existing concepts emphasize the importance of structured transition management, including early planning, assessment of transition readiness, active involvement of patients and caregivers, close collaboration between child/adolescent and adult healthcare services, standardized handover procedures and continuity of specialized eating disorder-specific treatment. In addition, psychotherapeutic interventions should address development-related tasks of the transition, such as autonomy, self-management, identity development, and educational, vocational and socio-legal issues. Empirical evidence for the effectiveness of specific transition models remains limited.Conclusion: Structured transition management with clearly defined responsibilities appears essential to reduce treatment discontinuity, relapses, chronicity and the elevated risk of suicidality in this age group. There is a substantial need for further research on the effectiveness of transition concepts, including specialized transition programs or dedicated transition units.","PeriodicalId":49770,"journal":{"name":"Nervenarzt","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147845330","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

[Acute aortic dissection (Stanford A) in temporal association with electroconvulsive therapy]. [急性主动脉夹层（Stanford A）与电休克治疗的颞叶相关性]。

IF 1.1 4区医学

Nervenarzt Pub Date : 2026-04-27 DOI: 10.1007/s00115-026-01975-2

Daniel Ehmke, Christian Stierle, Thomas Eckey, Holger Jahn

引用次数: 0

[Mental diseases and driving ability-An update]. [精神疾病和驾驶能力-更新]。

IF 1.1 4区医学

Nervenarzt Pub Date : 2026-04-23 DOI: 10.1007/s00115-026-01972-5

Alexander Brunnauer, Peter Zwanzger, Gerd Laux

引用次数: 0

[Psychiatric challenges in Prader-Willi syndrome]. [普瑞德-威利综合征的精神挑战]。

IF 1.1 4区医学

Nervenarzt Pub Date : 2026-04-23 DOI: 10.1007/s00115-026-01971-6

Christian Karl Eberlein, Maximilian Jakob, Angelina Jechalke, Gesa Ordon

{"title":"[Psychiatric challenges in Prader-Willi syndrome].","authors":"Christian Karl Eberlein, Maximilian Jakob, Angelina Jechalke, Gesa Ordon","doi":"10.1007/s00115-026-01971-6","DOIUrl":"https://doi.org/10.1007/s00115-026-01971-6","url":null,"abstract":"Background: Prader-Willi syndrome (PWS) is highly associated with psychiatric comorbidity.Objectives: This article investigates the prevalence of mental disorders in PWS, explores their association with neurobiological foundations, and outlines the resulting clinical recommendations.Methods: An evaluation of the scientific literature in the context of clinical experience from the special outpatient clinic for mental health in rare syndromic disorders at Hannover Medical School.Results: Psychiatric manifestations are present in 44-89% of PWS patients, with disruptive behavior, skin picking, psychosis, compulsive symptoms, and affective disorders being the most common. PWS psychosis differs from schizophrenic psychosis and can be difficult to treat in some cases. Treatment approaches exist for disruptive behavior, affective symptoms, and compulsive symptoms.Conclusions: Knowledge of the neurobiological basis of PWS is necessary for the adequate treatment of psychiatric disorders. In addition to pharmacological therapies, behavioral interventions and environmental control should also be included.","PeriodicalId":49770,"journal":{"name":"Nervenarzt","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786876","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

[Specific characteristics of mental disorders in people with disorders of intellectual development-Consequences for psychiatric and psychotherapeutic care]. [智力发育障碍患者精神障碍的特殊特征-精神病学和心理治疗护理的后果]。

IF 1.1 4区医学

Nervenarzt Pub Date : 2026-04-22 DOI: 10.1007/s00115-026-01969-0

Thomas F Dielentheis, Martina Schu, Michael Seidel

{"title":"[Specific characteristics of mental disorders in people with disorders of intellectual development-Consequences for psychiatric and psychotherapeutic care].","authors":"Thomas F Dielentheis, Martina Schu, Michael Seidel","doi":"10.1007/s00115-026-01969-0","DOIUrl":"https://doi.org/10.1007/s00115-026-01969-0","url":null,"abstract":"The group of people with disorders of intellectual development (DID) have an above-average need for psychiatric and psychotherapeutic care. The psychiatric and psychotherapeutic mainstream care system should be regarded as the primary counterpart for professional support. To this end, the mainstream care system must adapt more than before to the specific needs of this group. Specialized services should only be used when the knowledge and available skills in the standard care system, in terms of action, interpretation and communication, do not enable appropriately tailored treatment. The spectrum of mental disorders among individuals with DID is broader than in unaffected individuals. Additional impairments and comorbid illnesses frequently complicate the diagnostics and differential diagnostics. A substantial proportion of behavioral problems arise when the circumstances and demands of the social and physical environment exceed the individual capacities of patients. Delays in emotional development play a major role in the development of mental disorders and behavioral problems as well as in the diagnostics and differential diagnostics. Taking the medical history, collecting findings, achieving diagnostic clarification and further stages in the care are time-consuming. The Diagnostic approach is broad and often requires an interdisciplinary perspective. The involvement of relatives and professional caregivers is essential. Outreach work is very often a useful option. Psychiatric and psychotherapeutic care providers must cooperate with adjacent support systems, such as specialized service providers and integration assistance networks. The psychiatric and psychotherapeutic care of patients with DID provides valuable skills and experience that can be usefully applied to the treatment of other patients.","PeriodicalId":49770,"journal":{"name":"Nervenarzt","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786924","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

[Drug-facilitated sexual violence]. [毒品引发的性暴力]。

IF 1.1 4区医学

Nervenarzt Pub Date : 2026-04-20 DOI: 10.1007/s00115-026-01973-4

Harald Dreßing, Andreas Hoell

引用次数: 0

[Is it all bipolar? Differential diagnosis of mood swings in young adulthood]. 都是躁郁症吗？青年期情绪波动的鉴别诊断[j]。

IF 1.1 4区医学

Nervenarzt Pub Date : 2026-04-15 DOI: 10.1007/s00115-026-01970-7

Matthias Nieberler, Miriam Appel, Catherina Klüpfel, Wiebke Warrings, Sarah Kittel-Schneider

{"title":"[Is it all bipolar? Differential diagnosis of mood swings in young adulthood].","authors":"Matthias Nieberler, Miriam Appel, Catherina Klüpfel, Wiebke Warrings, Sarah Kittel-Schneider","doi":"10.1007/s00115-026-01970-7","DOIUrl":"https://doi.org/10.1007/s00115-026-01970-7","url":null,"abstract":"Background: Mood swings can represent a key symptom of various psychiatric disorders in young adulthood. Due to substantial symptom overlap, clinicians often face diagnostic uncertainty, increasing the risk of misdiagnosis and inappropriate treatment.Objectives: Description of qualitative and quantitative characteristics of mood swings in the most relevant psychiatric disorders.Materials and methods: Narrative review based on the International Classification of Diseases, 11th Revision (ICD-11) and pertinent literature.Results: Bipolar affective disorders exhibit episodic, mostly non-reactive mood swings in clearly defined temporary episodes. In unipolar depression, affective changes are predominantly downward-directed and may show diurnal variation. Emotionally unstable personality disorder is characterized by high-frequency, reactive, and interpersonally triggered affective states, whereas neurodevelopmental disorders typically present with situationally induced, short-lived emotional dysregulation.Conclusions: Differential diagnostic evaluation requires a comprehensive clinical assessment, possibly supported by life charts, mood diaries, or psychometric instruments. Given the frequent comorbidities and symptom overlap, a longitudinal diagnostic approach is recommended in cases of uncertainty.","PeriodicalId":49770,"journal":{"name":"Nervenarzt","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147693232","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

[Neurocognitive profile and vulnerability for mental health problems in selected genetic syndromes with disorders of intellectual development]. [某些智力发育障碍遗传综合征的神经认知特征和心理健康问题的易感性]。

IF 1.1 4区医学

Nervenarzt Pub Date : 2026-04-14 DOI: 10.1007/s00115-026-01962-7

Klaus Sarimski

引用次数: 0

[Current perspectives in electroconvulsive therapy]. [电休克治疗的当前观点]。

IF 1.1 4区医学

Nervenarzt Pub Date : 2026-04-13 DOI: 10.1007/s00115-026-01966-3

Gereon Johannes Schnellbächer, Andreas Conca, Michael Grözinger

引用次数: 0

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