Nervenarzt最新文献

{"title":"[From feeblemindedness to intellectual deficiency : Some comments from the forensic-psychiatric perspective on the replacement of the juridical term in the German Criminal Code (the criminal liability paragraph 20 StGB)].","authors":"Dieter Seifert","doi":"10.1007/s00115-026-01987-y","DOIUrl":"10.1007/s00115-026-01987-y","url":null,"abstract":"","PeriodicalId":49770,"journal":{"name":"Nervenarzt","volume":" ","pages":"452-454"},"PeriodicalIF":1.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13550023/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148260476","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}

{"title":"Körperlichkeit anerkennen, psychosomatische Verkürzungen zurückweisen.","authors":"Mirja Nicolas, Diana Schneider, Fabian Fritz, Sabine Hermisson, Ronja Büchner, Vivienne Matthies-Boon","doi":"10.1007/s00115-026-01989-w","DOIUrl":"10.1007/s00115-026-01989-w","url":null,"abstract":"","PeriodicalId":49770,"journal":{"name":"Nervenarzt","volume":" ","pages":"513-514"},"PeriodicalIF":1.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148273464","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":"[Vitamin D supplementation in depression-Meaningful, evidence-based or guideline-compliant?]","authors":"Astrid Röh, Ramona Hiltensperger, Michael Schepp, Theresa Halms, Alkomiet Hasan, Annabel Sandra Mueller-Stierlin","doi":"10.1007/s00115-026-02000-2","DOIUrl":"10.1007/s00115-026-02000-2","url":null,"abstract":"","PeriodicalId":49770,"journal":{"name":"Nervenarzt","volume":" ","pages":"501-503"},"PeriodicalIF":1.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13550080/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148632411","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}

{"title":"[The new S3 guideline on schizophrenia (living) 2025].","authors":"Theresa Halms, Wolfgang Gaebel, Stefan Leucht, Peter Falkai, Tania Lincoln, Andreas Bechdolf, Christoph U Correll, Stefanie J Schmidt, Martin Lambert, Thomas Wobrock, Alkomiet Hasan","doi":"10.1007/s00115-026-01946-7","DOIUrl":"10.1007/s00115-026-01946-7","url":null,"abstract":"<p><strong>Background: </strong>On 15 October 2025, the revised S3 guideline on schizophrenia (living) was published and transferred to the MAGICapp evidence ecosystem and will be updated annually in the future.</p><p><strong>Objective: </strong>This narrative review summarizes essential innovations and explains their development.</p><p><strong>Material and methods: </strong>New and revised recommendations and MAGICapp background information were extracted and summarized.</p><p><strong>Results and conclusion: </strong>The guideline is now fully integrated into MAGICapp and annually updated. Key changes include a downgrading of the recommendation for antipsychotic monotherapy, a substantial expansion of guidance on adverse effect monitoring and management and a strengthened emphasis on evidence-based psychotherapeutic interventions, such as metacognitive training and systemic therapy. Additionally, 4 new recommendations (digital/technology-assisted interventions, mindfulness-based procedures, acceptance and commitment therapy [ACT], trauma-focussed therapy for post-traumatic stress disorder [PTSD]) were implemented and 12 were removed. All chapters were comprehensively revised.</p>","PeriodicalId":49770,"journal":{"name":"Nervenarzt","volume":" ","pages":"474-478"},"PeriodicalIF":1.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13550050/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146108141","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}

{"title":"[From the diagnostic category \"mental deficiency\" (ICD-6) to the diagnostic category \"disorder of intellectual development\" (ICD-11)].","authors":"Michael Seidel","doi":"10.1007/s00115-026-01963-6","DOIUrl":"10.1007/s00115-026-01963-6","url":null,"abstract":"<p><p>The diagnostic category Disorder of Intellectual Development in the International Classification of Diseases (ICD)-11 had precursors in all previous ICD versions from ICD‑6 onwards. In the successive ICD versions up to ICD-11, there have been considerable modifications to this diagnostic category: changes in terminology, changes in the upper limit (intelligence quotient, IQ) and internal differentiation of the category, and, especially in ICD-10 and ICD-11, additions and clarifications to the diagnostic criteria for the category. Below-average intelligence has been a central feature from the outset, despite modified IQ thresholds in some ICD versions. These IQ thresholds are repeatedly relativized as mere guidelines. Inexactitudes due to, for example, communication problems or additional impairments, may play a role. The IQ thresholds should thus not be interpreted rigidly, e.g., the ICD-10 emphasizes that the assessment of intelligence should be based on comprehensive evaluations of abilities. The criteria established in ICD-11 should enable sufficiently reliable application of the diagnostic category of intellectual development disorder.</p>","PeriodicalId":49770,"journal":{"name":"Nervenarzt","volume":" ","pages":"455-460"},"PeriodicalIF":1.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148037117","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":"[Reduction and discontinuation of antipsychotic drugs in outpatient practice: perspectives of psychiatrists].","authors":"Guillermo Ruiz-Pérez, Nastja Ulrich, Joshua Bettin, Julia Lippert, Thomas Koch, Sebastian von Peter","doi":"10.1007/s00115-025-01922-7","DOIUrl":"10.1007/s00115-025-01922-7","url":null,"abstract":"<p><strong>Background: </strong>Antipsychotic medications (AP) are a central component in the treatment of psychotic disorders. The question arises how to balance long-term pharmacological treatment with the possibility of reduction or discontinuation (R&D). The German S3 guidelines for schizophrenia provide a general framework for R&D but concrete recommendations for practical implementation are still lacking.</p><p><strong>Objective: </strong>This qualitative study aims to explore the attitudes, challenges and reduction strategies of outpatient psychiatrists in Berlin and Brandenburg regarding the R&D of antipsychotics, in order to draw conclusions about the current state of care and potential gaps in service provision.</p><p><strong>Material and methods: </strong>In this study 10 semi-structured interviews with outpatient psychiatrists and one focus group with psychiatrists were conducted. The data were analyzed using thematic analysis.</p><p><strong>Results: </strong>The participating psychiatrists predominantly favored an individualized and gradual approach to reducing antipsychotics. While some reported feeling confident and drew on their own clinical experience, others expressed considerable uncertainty and concern regarding the discontinuation process. This uncertainty was partly attributed to a perceived lack of specific guidance for practical implementation, which led to a sense of individual responsibility. Structural barriers, such as limited psychosocial support services and the lack of availability of finely graduated dosage forms, further hinder the implementation of effective reduction strategies.</p><p><strong>Discussion: </strong>A clearer position in clinical guidelines, including more specific recommendations on R&D, could help reduce uncertainty among psychiatrists. Furthermore, enhanced psychosocial and psychotherapeutic support services would be necessary to enable a safe R&D process in outpatient settings.</p>","PeriodicalId":49770,"journal":{"name":"Nervenarzt","volume":" ","pages":"468-473"},"PeriodicalIF":1.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13550059/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145524526","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}

{"title":"[Emotional development in individuals with intellectual disability: clinical and therapeutic perspectives].","authors":"Tanja Sappok","doi":"10.1007/s00115-026-01978-z","DOIUrl":"10.1007/s00115-026-01978-z","url":null,"abstract":"<p><strong>Background: </strong>Individuals with intellectual disabilities (ID) show not only cognitive but also emotional developmental delays, which can be associated with challenging behavior, unnecessary psychopharmacological treatment and restricted participation. The emotional development approach provides a framework for understanding behavior associated with a certain developmental level, differentiating it from mental disorders and making it usable for diagnostics, treatment and support.</p><p><strong>Aim: </strong>The objective is to present the theoretical foundations, diagnostics and clinical relevance of emotional developmental level for behavioral problems, mental disorders and treatment or intervention planning in adults with ID.</p><p><strong>Method: </strong>The emotional development approach and current empirical studies on challenging behavior, mental disorders and developmentally appropriate treatment options in people with DID are presented.</p><p><strong>Results: </strong>In addition to intellectual development, socioemotional abilities are also impaired in people with ID, with the severity of behavioral disorders increasing in lower developmental stages. Depending on the emotional reference age, development typical behavior, so-called behavioral phenomena, can be found, knowledge of which is helpful for distinguishing them from mental illnesses. Certain clinical pictures, such as autism spectrum disorders, feeding or tic disorders occur more frequently in early developmental stages, whereas others such as dissociative disorders, social phobias or personality disorders are only observed above a developmental age of 4 years. Disorders such as depression, posttraumatic stress disorder and schizophrenia occur in all developmental stages, independent of the emotional reference age. Developmentally appropriate treatment planning reduces the use of psychotropic medication, particularly in behavioral disorders, while simultaneously improving behavior, mood and adaptive skills.</p><p><strong>Discussion: </strong>The emotional development approach enables practitioners to engage in developmentally appropriate communication and interaction, supports differential diagnostic clarification and facilitates tailored therapy and treatment planning.</p>","PeriodicalId":49770,"journal":{"name":"Nervenarzt","volume":" ","pages":"438-443"},"PeriodicalIF":1.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13550052/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147870103","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}

{"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":"10.1007/s00115-026-01969-0","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":49770,"journal":{"name":"Nervenarzt","volume":" ","pages":"432-437"},"PeriodicalIF":1.1,"publicationDate":"2026-09-01","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}

{"title":"Mitteilungen der DGPPN 5/2026.","authors":"","doi":"10.1007/s00115-026-02012-y","DOIUrl":"https://doi.org/10.1007/s00115-026-02012-y","url":null,"abstract":"","PeriodicalId":49770,"journal":{"name":"Nervenarzt","volume":"97 5","pages":"515-518"},"PeriodicalIF":1.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148907979","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":"[Psychotherapy in inpatient psychiatry: from staffing levels to patient contact time].","authors":"Johannes Kornhuber, Manuel Maler, Timo Oberstein","doi":"10.1007/s00115-026-01939-6","DOIUrl":"10.1007/s00115-026-01939-6","url":null,"abstract":"","PeriodicalId":49770,"journal":{"name":"Nervenarzt","volume":" ","pages":"494-496"},"PeriodicalIF":1.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13550057/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146047333","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}