Nervenarzt最新文献_第10页

[Discontinuation of antiseizure medication in patients with epilepsy]. [癫痫患者停用抗癫痫药物]。

IF 0.9 4区医学

Nervenarzt Pub Date : 2024-07-18 DOI: 10.1007/s00115-024-01708-3

Maria Ilyas-Feldmann, Luise Graf, Thea Hüsing, Jakob Dörrfuß, Martin Holtkamp

{"title":"[Discontinuation of antiseizure medication in patients with epilepsy].","authors":"Maria Ilyas-Feldmann, Luise Graf, Thea Hüsing, Jakob Dörrfuß, Martin Holtkamp","doi":"10.1007/s00115-024-01708-3","DOIUrl":"https://doi.org/10.1007/s00115-024-01708-3","url":null,"abstract":"Background: Approximately two thirds of patients with epilepsy become seizure-free with antiseizure medication (ASM). A central question is whether and when ASM can be discontinued.Objective: To present an overview of the current knowledge about risks and benefits of discontinuation of ASM.Material and methods: Review of the current literature, discussion of data on and recommendations for discontinuation of ASM.Results: The risk of seizure recurrence after discontinuation of ASM is approximately 40-50% and thus twice as high as continuing with ASM. Guidelines recommend considering discontinuation of ASM at earliest after a seizure-free period of 2 years. Predictive variables for seizure recurrence after stopping ASM include longer duration of epilepsy and higher number of seizures until remission, a shorter seizure-free interval until stopping ASM, older age at epilepsy onset, developmental delay or IQ < 70, febrile seizures in childhood, absence of a self-limiting epilepsy syndrome, and evidence of epileptiform activity in the electroencephalograph (EEG). The individual risk of seizure recurrence after stopping ASM can be estimated using an online prediction tool.Conclusion: Discontinuation of ASM should be discussed with patients at the earliest after 2 years of seizure freedom in a shared decision-making process weighing up the risks and benefits. The risk of a seizure recurrence depends on a number of clinical variables. Psychosocial aspects, such as impact on driving and occupational issues must be taken into consideration as well as individual fears and concerns of patients about seizure recurrence or the long-term use of ASM.","PeriodicalId":49770,"journal":{"name":"Nervenarzt","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141635539","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

[Nutrition, metabolism, brain and mental health]. [营养、新陈代谢、大脑和心理健康]。

IF 0.9 4区医学

Nervenarzt Pub Date : 2024-07-01 Epub Date: 2024-06-17 DOI: 10.1007/s00115-024-01678-6

Denise Linsmayer, Gunter P Eckert, Julia Reiff, Dieter F Braus

引用次数: 0

[Evidence-based psychotherapy of posttraumatic stress syndrome-An update]. [创伤后应激综合征的循证心理疗法--最新进展]。

IF 0.9 4区医学

Nervenarzt Pub Date : 2024-07-01 Epub Date: 2024-06-21 DOI: 10.1007/s00115-024-01694-6

Regina Steil, Andreas Maercker, Lena Jaworski, Rahel Bachem, David Eberle

{"title":"[Evidence-based psychotherapy of posttraumatic stress syndrome-An update].","authors":"Regina Steil, Andreas Maercker, Lena Jaworski, Rahel Bachem, David Eberle","doi":"10.1007/s00115-024-01694-6","DOIUrl":"10.1007/s00115-024-01694-6","url":null,"abstract":"Background: The aim of this article is to summarize the current state of research on the effectiveness of psychotherapeutic treatment of posttraumatic stress disorder (PTSD).Methods: The results of current meta-analyses and trend-setting individual studies are summarized and the most important forms of intervention are explained.Results: The psychotherapeutic treatment methods for PTSD are very effective, the effect sizes are large and superior to those of pharmacotherapy. Trauma exposure and cognitive restructuring are most effective. Trauma-focused procedures are generally superior to other forms of psychotherapy. A range of different cognitive behavioral procedures as well as eye movement desensitization and reprocessing are recommended. The most recent initial findings confirm a very good effectiveness for imagery rescripting methods as protective interventions without a formal confrontation with trauma. Individual therapy works better than group psychotherapy. In the group setting cognitive processing therapy has proven to be the best intervention. Trauma-focused treatment should also be used when comorbid conditions such as schizophrenia, bipolar disorder or addiction are present.Discussion: Trauma-focused psychotherapy in an individual setting is the treatment of choice for PTSD. A large selection of effective methods and well-reviewed manuals are available. The German language S3 guidelines are currently being updated.","PeriodicalId":49770,"journal":{"name":"Nervenarzt","volume":" ","pages":"616-621"},"PeriodicalIF":0.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141437765","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

[Treatment of sequelae of trauma]. [治疗创伤后遗症]。

IF 0.9 4区医学

Nervenarzt Pub Date : 2024-07-01 Epub Date: 2024-07-03 DOI: 10.1007/s00115-024-01677-7

Ingo Schäfer, Ulrich Voderholzer

引用次数: 0

[Changes in the perception of benefits and risks of antidepressive pharmacotherapy]. [对抗抑郁药物治疗的益处和风险认识的变化]。

IF 0.9 4区医学

Nervenarzt Pub Date : 2024-07-01 Epub Date: 2024-05-16 DOI: 10.1007/s00115-024-01672-y

Christopher Baethge

引用次数: 0

[Introduction to the topic: psychiatry in the course of time]. [专题介绍：精神病学的发展历程]。

IF 0.9 4区医学

Nervenarzt Pub Date : 2024-07-01 Epub Date: 2024-07-03 DOI: 10.1007/s00115-024-01656-y

Andreas Heinz

引用次数: 0

[Rapid assistance for victims of acute violence-Current treatment in outpatient trauma clinics in Germany]. [为急性暴力受害者提供快速援助--德国创伤门诊的现行治疗方法]。

IF 0.9 4区医学

Nervenarzt Pub Date : 2024-07-01 Epub Date: 2024-06-04 DOI: 10.1007/s00115-024-01676-8

Marc Giesmann, Isabella Flatten-Whitehead, Lina Specht, Jörg M Fegert, Julia Schellong, Miriam Rassenhofer, Ingo Schäfer

{"title":"[Rapid assistance for victims of acute violence-Current treatment in outpatient trauma clinics in Germany].","authors":"Marc Giesmann, Isabella Flatten-Whitehead, Lina Specht, Jörg M Fegert, Julia Schellong, Miriam Rassenhofer, Ingo Schäfer","doi":"10.1007/s00115-024-01676-8","DOIUrl":"10.1007/s00115-024-01676-8","url":null,"abstract":"Background: Assistance following acute violence was previously regulated by the Victim Compensation Act (OEG). At the beginning of the current year it was replaced by the Social Code XIV (SGB XIV). The SGB XIV defines new groups of beneficiaries, outpatient trauma clinics must be provided nationwide and binding criteria for the quality of care were established. The aim of this study was to map the current status of care in outpatient trauma clinics in accordance with the requirements of the new SGB XIV. With respect to new beneficiaries, the status of services for victims of human trafficking was recorded as an example.Methods: Outpatient clinics that provide rapid assistance under the OEG or SGB XIV were surveyed on structural and content-related aspects of their work. An online survey consisting of 10 thematic modules was used. Data were obtained from a total of N = 110 outpatient clinics (response rate 50%).Results: The participating outpatient clinics reported a wide range in terms of the number of staff and the number of people seeking counselling. Some of the outpatient clinics reported deficits with respect to structural aspects, such as the waiting time for the initial consultation and specific training in trauma treatment for staff. The majority of outpatient clinics were uncertain about how to deal with victims of human trafficking.Discussion: Outpatient trauma clinics appear to reach their target population and provide appropriate services for their care; however, a significant number of outpatient clinics need to make improvements in order to fulfil the quality criteria of SGB XIV and provide adequate care to new groups of beneficiaries.","PeriodicalId":49770,"journal":{"name":"Nervenarzt","volume":" ","pages":"597-606"},"PeriodicalIF":0.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11222281/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141236196","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Education of psychotherapists in hospitals for psychiatry and psychotherapy : Survey on the implementation of different aspects of the old and new education pathways]. [精神病学和心理治疗医院的心理治疗师教育：关于新旧教育途径不同方面实施情况的调查]。

IF 0.9 4区医学

Nervenarzt Pub Date : 2024-07-01 DOI: 10.1007/s00115-024-01697-3

Andreas Schuld, Thomas Pollmächer, Knut Schnell, Bettina Wilms, Sylvia Claus

引用次数: 0

Mitteilungen der DGPPN 7/2024. DGPPN 通讯 7/2024。

IF 0.9 4区医学

Nervenarzt Pub Date : 2024-07-01 DOI: 10.1007/s00115-024-01699-1

引用次数: 0

Erratum zu: Schnelle Hilfen für Betroffene von akuter Gewalt – aktuelle Versorgung in Traumaambulanzen in Deutschland. 勘误：对急性暴力事件受害者的快速救助--德国创伤门诊的护理现状。

IF 0.9 4区医学

Nervenarzt Pub Date : 2024-07-01 DOI: 10.1007/s00115-024-01704-7

Marc Giesmann, Isabella Flatten-Whitehead, Lina Specht, Jörg M Fegert, Julia Schellong, Miriam Rassenhofer, Ingo Schäfer

引用次数: 0