Nervenarzt最新文献_第2页

[Management of complex anxiety disorders-A case for inpatient treatment?] [复杂焦虑症的管理--住院治疗的案例？］

IF 0.9 4区医学

Nervenarzt Pub Date : 2024-11-14 DOI: 10.1007/s00115-024-01764-9

K Feldker-Kasperek, J Diemer, P Zwanzger

{"title":"[Management of complex anxiety disorders-A case for inpatient treatment?]","authors":"K Feldker-Kasperek, J Diemer, P Zwanzger","doi":"10.1007/s00115-024-01764-9","DOIUrl":"https://doi.org/10.1007/s00115-024-01764-9","url":null,"abstract":"Background: Anxiety disorders are among the most frequent psychiatric disorders. Although the vast majority of patients in Germany are treated on an outpatient basis, anxiety disorders also play an important role in day care and inpatient care. Among other aspects, this is against the background of comorbidities, treatment-resistant courses or complications such as suicidal ideation.Material and methods: As part of an evaluation of the basic psychiatric documentation (BADO) data from 894 patients with anxiety disorders treated in a day care or inpatient setting in a German psychiatric community hospital were evaluated over a period of 7 years.Results: It was found that 89% of the patients had already been treated before admission and that 70% had been under medication prior to admission: patients with panic disorder made up the largest group of patients with 48%. On the date of admission 48% of patients had been treated with a selective serotonin reuptake inhibitor (SSRI) and 37% had received a benzodiazepine. Furthermore, 75% of the patients had psychiatric comorbidities. Somatic illnesses played an important role in 40% of the patients.Discussion: The present results underline that a significant proportion of patients with anxiety disorders also require inpatient or day care treatment. Most patients had been previously treated and had not responded to therapy in an outpatient setting. Possible consequences with respect to the optimization of outpatient treatment options and the need to maintain day care and inpatient resources for this patient group, are discussed.","PeriodicalId":49770,"journal":{"name":"Nervenarzt","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631424","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

[POEMS syndrome mimicking CIDP]. [模仿 CIDP 的 POEMS 综合征]。

IF 0.9 4区医学

Nervenarzt Pub Date : 2024-11-14 DOI: 10.1007/s00115-024-01776-5

Marcus Ohlrich, Merwe Carstens, Jan P Goltz, Jens Schaumberg

引用次数: 0

[Characterization of a German cohort with visual snow syndrome]. [德国一组视觉雪综合症患者的特征]。

IF 0.9 4区医学

Nervenarzt Pub Date : 2024-11-12 DOI: 10.1007/s00115-024-01768-5

Felix Fay, Andreas Straube, Ruth Ruscheweyh, Ozan Emre Eren

{"title":"[Characterization of a German cohort with visual snow syndrome].","authors":"Felix Fay, Andreas Straube, Ruth Ruscheweyh, Ozan Emre Eren","doi":"10.1007/s00115-024-01768-5","DOIUrl":"https://doi.org/10.1007/s00115-024-01768-5","url":null,"abstract":"Background: Visual snow is a disorder of visual perception that is manifested as a constant flickering or \"TV-like\" noise in the entire visual field. Visual snow syndrome (VSS) describes a combination with other additional visual symptoms, such as sensitivity to light, afterimages, night blindness and entoptic phenomena. Cases of VS have been described in the literature using a wide variety of terms, often misunderstood as persistent migraine aura. Established diagnostic criteria have existed for more than 10 years now; however, the pathophysiology is still incompletely understood. The exact prevalence also remains unknown and high numbers of unreported cases are suspected. This is the first detailed description of a cohort of VSS patients from Germany.Methods: Patients with VSS from several studies conducted at our center were pooled and retrospectively evaluated with respect to demographic, epidemiological and clinical data.Results: In this study 66 patients with VSS were included (age 31.3 ± 8.3 years, 30 women). The most commonly associated visual symptoms were photophobia (67%) and afterimages (65%). Of the patients 36 (54%) had comorbid migraine of whom 25 (70%) had migraine with aura, 26 (39%) reported depressive symptoms and 32 (48%) symptoms of an anxiety disorder. Tinnitus was reported by 32 (48%) patients.Conclusion: The characteristics of the German cohort described here are similar to other international descriptions. Due to the frequent psychological comorbidity there is still a risk of psychosomatic stigmatization.","PeriodicalId":49770,"journal":{"name":"Nervenarzt","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631420","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

[Emotional distress in medical students in the context of university teaching on mental disorders]. [大学精神障碍教学背景下医学生的情绪困扰]。

IF 0.9 4区医学

Nervenarzt Pub Date : 2024-11-11 DOI: 10.1007/s00115-024-01774-7

Matthias Besse, Michael Belz

{"title":"[Emotional distress in medical students in the context of university teaching on mental disorders].","authors":"Matthias Besse, Michael Belz","doi":"10.1007/s00115-024-01774-7","DOIUrl":"https://doi.org/10.1007/s00115-024-01774-7","url":null,"abstract":"Background: Numerous studies have shown a high incidence and increase in stress-related symptoms and depression-like complaints among students. During teaching on mental disorders at our medical faculty, students repeatedly reported emotionally stressful situations and expressed a desire for support services. The aim of the present study was to objectify the level of stress and the need for such support services.Material and methods: A total of 118 students in the 9th semester (winter semester 2022/2023) were surveyed using a questionnaire on their emotional stress. The online questionnaire was conducted via LimeSurvey (LimeSurvey GmbH, Hamburg, Germany) and contained a total of 18 items formulated as statements as well as other items. The students rated the individual items on 11-point numerical scales with external anchor ratings.Results: The respondents rated their own stress as increased compared to other modules, particularly for the subject of psychiatry (> 5 out of 10). Bedside teaching was estimated as being the most stressful, followed by seminars and lectures (all pairwise comparisons p < 0.001). The contents on depression predominantly caused the most stress. Approximately half of the students would like to be offered support services and most frequently a consultation session (78.0%) and defined contact persons (70.7%).Conclusion: The emotional stress of students in the context of teaching on mental disorders is particularly high in psychiatry and higher with increasing patient contact; offers of support services are needed. Teachers should be sensitized to this and create offers such as open consultation sessions and the provision of defined contact persons.","PeriodicalId":49770,"journal":{"name":"Nervenarzt","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631421","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

Erratum zu: Geringeres Risiko für Postinjektionssyndrome nach Vergabe von Olanzapin-Depot. 勘误：使用奥氮平片后注射后综合征的风险较低。

IF 0.9 4区医学

Nervenarzt Pub Date : 2024-11-07 DOI: 10.1007/s00115-024-01766-7

Wolfgang Strube, Elias Wagner, Andreas Gartenmaier, Antje Grünemeyer, Klaus Peter Schmelzer, Alkomiet Hasan

引用次数: 0

[Digital diagnosis instruments-Validation of a self-rating on diagnosis confirmation]. [数字诊断仪器--诊断确认自我评分的验证]。

IF 0.9 4区医学

Nervenarzt Pub Date : 2024-11-06 DOI: 10.1007/s00115-024-01762-x

Madlen von Fintel, Steffen Moritz, Lea Schuurmans

引用次数: 0

[Overlooked professionalism-Individual factors for success of peer support workers]. [被忽视的专业精神--同伴互助工作者成功的个人因素]。

IF 0.9 4区医学

Nervenarzt Pub Date : 2024-11-06 DOI: 10.1007/s00115-024-01754-x

Daniela Schmidt, Imke Heuer, Madeleine Küsel, Guillermo Ruiz Perez, Sebastian von Peter

{"title":"[Overlooked professionalism-Individual factors for success of peer support workers].","authors":"Daniela Schmidt, Imke Heuer, Madeleine Küsel, Guillermo Ruiz Perez, Sebastian von Peter","doi":"10.1007/s00115-024-01754-x","DOIUrl":"https://doi.org/10.1007/s00115-024-01754-x","url":null,"abstract":"Background: The peer support worker is becoming increasingly more relevant also due to the new personnel regulations. Therefore, the question arises which individual conditions for success are available for the implementation of peer support workers.Method: This study is a subproject of ImpPeer-Psy5 study financed by Innovation Funds, which investigates the nationwide requirements for the implementation of peer support workers in care financed by health insurance funds (German Social Act V, SGB V). Using a comparative thematic analysis, 57 problem-oriented interviews with peer support workers (PSW), employees and users as well as a focus group based on this were examined. This study was predominantly implemented by a researcher who already had experience in psychiatry and crises.Results: From the perspective of the employees interviewed, sympathy and personality are the core factors for a successful implementation of peer support workers. In contrast, a professional coping with one's own crisis and recovery experience as well as diverse previous life and occupational experiences were prioritized by the PSWs.Conclusion: In order to effectively incorporate the impulse of peer support workers, a recognition of the professional identity of the PSWs is necessary. In particular, settings that separate the tasks between the professional groups in a less hierarchical manner and rely on building relationships, such as domestic treatment, are particularly suited for the implementation of PSWs.","PeriodicalId":49770,"journal":{"name":"Nervenarzt","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142584775","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

[Critical alterations in the brain and psyche]. [大脑和心理的重大变化]。

IF 0.9 4区医学

Nervenarzt Pub Date : 2024-11-01 Epub Date: 2024-10-22 DOI: 10.1007/s00115-024-01770-x

Manuel Brenner, Daniel Durstewitz

引用次数: 0

[Psychotherapeutic approaches to crises]. [危机的心理治疗方法]。

IF 0.9 4区医学

Nervenarzt Pub Date : 2024-11-01 Epub Date: 2024-09-26 DOI: 10.1007/s00115-024-01747-w

Katharina M Kubera, Sabine C Herpertz

引用次数: 0

[Introduction to the topic: clinical ethics consultation in psychiatry]. [主题介绍：精神病学临床伦理咨询]。

IF 0.9 4区医学

Nervenarzt Pub Date : 2024-11-01 Epub Date: 2024-10-30 DOI: 10.1007/s00115-024-01731-4

Thomas Pollmächer, Jakov Gather

引用次数: 0