Nervenarzt最新文献

{"title":"[Digital applications in the treatment of adolescent patients with borderline personality disorder].","authors":"Juliane Rausch, Han-Tin Kao, Christian Schmahl, Michael Kaess","doi":"10.1007/s00115-026-01957-4","DOIUrl":"https://doi.org/10.1007/s00115-026-01957-4","url":null,"abstract":"<p><strong>Background: </strong>Borderline personality disorder (BPD) is often manifested during adolescence and is associated with substantial morbidity and mortality. Early disorder-specific treatment is considered state of the art but is hampered by discontinuities at the transition to adult services and limited resources. Digital technologies play an increasing key role in adolescents' daily lives.</p><p><strong>Objective: </strong>Presentation of key characteristics of adolescent BPD and psychiatric transition-focused care concepts, an overview of digital applications in BPD treatment and the possibilities and challenges in the clinical practice.</p><p><strong>Methods: </strong>Narrative review article based on selected literature on the prevalence, treatment and digital interventions in adolescent BPD, complemented by two clinical examples: a secure emergency chat for suicidal youths in Bern and digital routine outcome monitoring (ROM) in the Adolescent Center for Emotion Regulation in Mannheim.</p><p><strong>Results: </strong>Meta-analyses show heterogeneous, predominantly small effects of digital interventions on mental health outcomes in children and adolescents; health economic data are limited. For BPD the findings suggest effectiveness for specific symptoms (e.g., suicidal ideation, paranoia) and high acceptance although adherence is variable. Telemedicine and ROM can improve the continuity of care and crisis management when embedded in structured services.</p><p><strong>Conclusion: </strong>Digital applications are promising components of blended care and transition-focused programs. They should complement face-to-face therapy and require careful attention to data protection, financing and technical reliability. Stepped-care approaches tailoring digital and personal contact to individual needs appear useful.</p>","PeriodicalId":49770,"journal":{"name":"Nervenarzt","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147678053","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":"[Autism spectrum disorders-Transition from adolescence into adulthood].","authors":"Christine M Freitag, Ludger Tebartz van Elst","doi":"10.1007/s00115-026-01960-9","DOIUrl":"https://doi.org/10.1007/s00115-026-01960-9","url":null,"abstract":"<p><p>Autism spectrum disorders (ASD) are neurodevelopmental disorders with a prevalence of approximately 0.7%. People with ASD show characteristic social interaction, verbal and nonverbal communication, routine-like and inflexible behavior, special interests and altered perception. ASD manifest in the first decade of life and usually persist throughout life. Like most other neurodevelopmental disorders, they are therefore inevitably not only a topic of child and adolescent psychiatry, psychosomatics and psychotherapy (CAPPP) but also of adult psychiatry, psychosomatics and psychotherapy (APPP); however, the transition from adolescence into adulthood poses a particular challenge for affected individuals, their caregivers, as well as for professionals in the healthcare and social welfare systems. Key aspects of the transition period include the treatment of comorbid mental, cognitive and language disorders as well as social legislation and healthcare aspects. This article depicts these aspects from the perspective of CAPPP and APPP.</p>","PeriodicalId":49770,"journal":{"name":"Nervenarzt","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147677356","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":"Nachruf auf Prof. Dr. med. Stefan Bleich : 17.10.1968–24.02.2026.","authors":"Johannes Kornhuber, Jens Wiltfang","doi":"10.1007/s00115-026-01964-5","DOIUrl":"https://doi.org/10.1007/s00115-026-01964-5","url":null,"abstract":"","PeriodicalId":49770,"journal":{"name":"Nervenarzt","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147646911","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":"[Repetitive intentional foreign body ingestion: Risk of abuse of propofol in endoscopic procedures].","authors":"Elena Böttcher, Tim Papenfuß, Maximilian Gahr","doi":"10.1007/s00115-026-01967-2","DOIUrl":"https://doi.org/10.1007/s00115-026-01967-2","url":null,"abstract":"<p><strong>Background: </strong>Intentional foreign body ingestion (iFBI) represents an increasingly relevant clinical challenge that remains insufficiently evidence based in terms of treatment. Existing somatic (gastroenterologic) and psychiatric care structures may contribute to the maintenance of this behavior.</p><p><strong>Objective: </strong>The aim of the present study is to highlight an aspect of the treatment of iFBI that has received little attention to date: the potential risk of misuse and dependence associated with propofol in the context of repeated endoscopic interventions. Our goal is to raise awareness that for vulnerable patient groups with iFBI such as individuals with borderline personality disorder (BPD), propofol should be considered not only as an anesthetic agent but also as a substance with dependency potential and as a positive dysfunctional reinforcer within complex behavioral patterns.</p><p><strong>Material and methods: </strong>Narrative review of the pharmacological characteristics as well as the potential for misuse and addictive potential of propofol in the context of endoscopic interventions, based on published literature (case reports and retrospective studies).</p><p><strong>Results and discussion: </strong>The literature reports euphoric and anxiolytic effects of propofol related to endoscopic procedures, which may persist beyond the immediate post-procedural period. In addition, a potential risk of propofol misuse and dependence is discussed in the context of endoscopic interventions. When indirect propofol misuse is suspected in the setting of intentional foreign body ingestion (iFBI), alternative sedation strategies should be considered.</p>","PeriodicalId":49770,"journal":{"name":"Nervenarzt","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147640104","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":"[Mental health status of medical students-A nationwide cross-sectional study].","authors":"Hannah Ramming, Georg Groß, Sophie Bechler, Mareike Lüdtke, Axel Florian Aschenbrenner, Annemarie Kirchgatter, Michael Scholz, Pascal H M Burger, Lena Luibl","doi":"10.1007/s00115-026-01958-3","DOIUrl":"https://doi.org/10.1007/s00115-026-01958-3","url":null,"abstract":"<p><strong>Background: </strong>The mental health status of medical students regarding depressive symptoms suicidal ideation and mental stress has become the subject of increasing scientific research; however, in Germany, no nationwide surveys have so far been performed. The present study presents the results from the first nationwide survey on the mental health of medical students in Germany. The aim of this article is to present the general aspects on psychological and physical health as well as specific data regarding depressive symptoms of German medical students. The data were analyzed in a semester-based and gender-based comparison and possible risk or protective factors were evaluated.</p><p><strong>Methods: </strong>Applying an online survey during the COVID-19 pandemic of 8137 medical students from all German medical faculties and study semesters, we collected diverse sociodemographic variables as well as data on psychological and physical health status based on single item measures and questionnaires. Besides sociodemographic information this paper presents data on the physical and mental health status (using single item measures and the Beck Depression Inventory II, BDI-II) as well as correlating influencing factors. Group differences were measured by comparison of mean values and the multivariate dependencies between BDI-II scores and further covariates were analyzed. The survey was completed by 48.3% of the respondents.</p><p><strong>Results: </strong>Of the respondents 13.8% stated that they were not physically healthy and 36.1% stated that they felt mentally unwell. Using the BDI-II questionnaire, at least mild depressive symptoms were identified in 51.1% of respondents in the first semester. Of the respondents 22% reported current suicidal thoughts. Potential risk and protective factors could be identified, which significantly correlated with the BDI-II scores. Among those risk factors were female gender, lower age, physical complaints, need of university support and the presence of a migration background. In contrast, social support, sports and social engagement seem to be potential protective factors.</p><p><strong>Conclusion: </strong>Our analyses showed that medical students have a higher prevalence of depressive symptoms compared to the general population, whereby the survey during the pandemic hindered the direct comparison with pre-pandemic data. The possible risk and protective factors identified can serve as a basis for the development of preventive programs to improve the mental health of medical students.</p>","PeriodicalId":49770,"journal":{"name":"Nervenarzt","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147582851","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":"[Olanzapine long acting injectable in new application form-Hope for the absence of post-injection delirium/sedation syndromes].","authors":"Michael Paulzen, Georgios Schoretsanitis","doi":"10.1007/s00115-026-01961-8","DOIUrl":"10.1007/s00115-026-01961-8","url":null,"abstract":"","PeriodicalId":49770,"journal":{"name":"Nervenarzt","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147576285","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":"[ADHS in transition: how can continuity in treatment succeed?]","authors":"Sarah Hohmann, Alexandra Philipsen","doi":"10.1007/s00115-026-01956-5","DOIUrl":"https://doi.org/10.1007/s00115-026-01956-5","url":null,"abstract":"<p><strong>Background: </strong>The transition from child and adolescent to adult psychiatric care constitutes a high-risk period for young people with attention deficit hyperactivity disorders (ADHD). Differences in healthcare service structures, therapeutic concepts and responsibility allocation frequently result in discontinuity and termination of treatment.</p><p><strong>Aim: </strong>To summarize key challenges of ADHD transition and derive practice-oriented recommendations to improve continuity of care.</p><p><strong>Material and methods: </strong>Narrative review of current guidelines (AWMF, NICE), relevant empirical literature and qualitative studies addressing patient, family and clinician perspectives.</p><p><strong>Results: </strong>Major barriers include limited patient knowledge of ADHD, marked organizational difficulties, insufficient intersectoral coordination, lack of awareness of adult services and regional shortages of specialized ADHD care. Divergent treatment cultures and the abrupt reduction of parental involvement further complicate the process.</p><p><strong>Discussion: </strong>The ADHD is a persistent neurodevelopmental disorder requiring age-spanning, continuous care. Effective transition depends on structured procedures, reliable communication between services, developmentally adjusted family involvement and specialized treatment options. Future models should integrate developmental and autonomy-focused approaches from pediatric, juvenile and adult psychiatry.</p>","PeriodicalId":49770,"journal":{"name":"Nervenarzt","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147576357","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":"[The importance of psychiatry in the care and research of Post-COVID].","authors":"Martin Walter, Kristina Adorjan, Malek Bajbouj, Jürgen Deckert, Sabine Köhler, Klaus Lieb, Josef Priller, Claudia Schillig, Anna-Karina Schomburg, Georg Schomerus, Meryam Schouler-Ocak, Andreas Meyer-Lindenberg","doi":"10.1007/s00115-026-01951-w","DOIUrl":"https://doi.org/10.1007/s00115-026-01951-w","url":null,"abstract":"","PeriodicalId":49770,"journal":{"name":"Nervenarzt","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147475889","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":"[DiGA, non-DiGA and realities of practice : A questionnaire study on opportunities and challenges of health apps in the field of mental healthcare].","authors":"Gina Vollert, Bianca Jansky, Ömer Akif, Paul Wolf, Verina Wild","doi":"10.1007/s00115-026-01955-6","DOIUrl":"https://doi.org/10.1007/s00115-026-01955-6","url":null,"abstract":"<p><strong>Background: </strong>Digitalization in the German healthcare system is advancing. Digital services are increasingly being incorporated into mental healthcare.</p><p><strong>Research question: </strong>This questionnaire study examined the assessment of professionals working in mental healthcare regarding the opportunities and challenges of digital health services. It takes digital health applications (DiGA) and non-DiGA (apps and web services without reimbursement and governmental regulation) into account.</p><p><strong>Method: </strong>The online questionnaire included e.g. Likert scales for assessing the success of therapy, the quality of care, the doctor-patient relationship and the willingness to undergo further training. The quantitative questions were supplemented by free text comment fields.</p><p><strong>Results: </strong>Based on 200 participants the analysis shows that a slight majority do not incorporate digital services into their therapy. The majority of respondents stated that digital services can support prevention and psychoeducation; however, whether they could meet the requirements in other areas of psychotherapy was mostly considered questionable. Challenges were largely seen in the high costs and insufficient information available to practitioners. In addition, the risk of exacerbating health inequalities (e.g., due to insufficient digital literacy) was discussed.</p><p><strong>Discussion: </strong>It can be concluded that digital services can certainly add value to mental healthcare; however, the sustainable integration into care is linked to improvements in structural conditions (such as the cost-benefit ratio and better information for those providing treatment) as well as consideration and compensation for socially unequal access conditions.</p>","PeriodicalId":49770,"journal":{"name":"Nervenarzt","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147366943","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":"[Association between temperature, duration of sunshine and suicidal mortality in Germany (2015-2023)].","authors":"Jens Bohlken, Karel Kostev","doi":"10.1007/s00115-026-01953-8","DOIUrl":"https://doi.org/10.1007/s00115-026-01953-8","url":null,"abstract":"<p><strong>Background: </strong>Climate change is considered one of the central public health challenges of the twenty-first century. While the somatic consequences of heat exposure are well documented, the evidence on mental health effects, particularly suicidal mortality, is so far limited in Germany.</p><p><strong>Objective: </strong>The aim of this study was to examine the association between temperature, sunshine duration and the number of suicides in Germany during the period 2015-2023.</p><p><strong>Methods: </strong>Data from the official cause of death statistics (International Classification of Diseases (ICD-10): X60-X84 intentional self-harm and suicide) were linked with monthly meteorological data from the German Weather Service (DWD). Correlations between meteorological variables and monthly suicide cases were analyzed complemented by a comparison of pandemic and nonpandemic years.</p><p><strong>Results: </strong>On a monthly level both mean temperature (r = 0.34; p < 0.001) and sunshine duration (r = 0.36; p < 0.001) were significantly correlated with the number of monthly suicides. The correlation was particularly strong in 2020-2021 (r = 0.53).</p><p><strong>Conclusion: </strong>Continuous monthly meteorological variables, such as temperature and sunshine duration are associated with suicidal mortality in Germany. These are exploratory findings describing concurrent associations and do not establish causality. The findings highlight the need to incorporate mental health vulnerability into heat action plans.</p>","PeriodicalId":49770,"journal":{"name":"Nervenarzt","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147357258","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}