Nervenarzt最新文献_第5页

[In the shadow of the parades: memories of an instrumentalized psychiatry in the GDR]. [在游行的阴影下：德意志民主共和国工具化精神病学的记忆]。

IF 1.1 4区医学

Nervenarzt Pub Date : 2025-08-28 DOI: 10.1007/s00115-025-01892-w

Ekkehardt Kumbier, Lillian Osel, Olaf Reis, Kathleen Haack

{"title":"[In the shadow of the parades: memories of an instrumentalized psychiatry in the GDR].","authors":"Ekkehardt Kumbier, Lillian Osel, Olaf Reis, Kathleen Haack","doi":"10.1007/s00115-025-01892-w","DOIUrl":"https://doi.org/10.1007/s00115-025-01892-w","url":null,"abstract":"Objective: Based on contemporary witness statements, the study examines how employees in the psychiatric institutions of the German Democratic Republic (GDR) dealt with mentally ill people at social events.Methodology: In this study 63 contemporary witnesses who worked in psychiatric institutions in the GDR were interviewed. The interviews were evaluated qualitatively.Results: The interviews show that there were restrictions and admissions for certain social events, such as national holidays or state visits, that were not medically indicated. These instructions were handled differently. Noncompliance with these instructions was largely not reported as having serious consequences.Conclusion: People with mental illnesses were supposed to be kept away from public events during certain social events. The staff in psychiatric institutions dealt with this differently. This indicates a certain degree of flexibility. The removal from society represents a stigmatization of mentally ill people. Psychiatry in the GDR was also instrumentalized for political purposes.","PeriodicalId":49770,"journal":{"name":"Nervenarzt","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144976554","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

Electroconvulsive therapy and the WHO: patients and professionals deserve expertise and facts, not ideology. 电休克疗法和世界卫生组织：患者和专业人员应该得到专业知识和事实，而不是意识形态。

IF 1.1 4区医学

Nervenarzt Pub Date : 2025-08-25 DOI: 10.1007/s00115-025-01891-x

David Zilles-Wegner, Alexander Sartorius

引用次数: 0

How many psychiatric beds are needed-and for what? 到底需要多少张精神科病床？

IF 1.1 4区医学

Nervenarzt Pub Date : 2025-08-25 DOI: 10.1007/s00115-025-01875-x

Stefan Priebe

引用次数: 0

[Affective disorders: Developments of ICD-11 in comparison to ICD-10. German version]. 情感性障碍：ICD-11与ICD-10的比较进展。德国版)。

IF 1.1 4区医学

Nervenarzt Pub Date : 2025-08-20 DOI: 10.1007/s00115-025-01874-y

Martin Härter, Frank Schneider

{"title":"[Affective disorders: Developments of ICD-11 in comparison to ICD-10. German version].","authors":"Martin Härter, Frank Schneider","doi":"10.1007/s00115-025-01874-y","DOIUrl":"https://doi.org/10.1007/s00115-025-01874-y","url":null,"abstract":"With the introduction of the 11th revision of the World Health Organization (WHO) \"International Statistical Classification of Diseases and Related Health Problems\" (ICD-11), structural and content-related adjustments were made to the diagnostic guidelines for affective disorders, which are presented in this review article. The update has resulted in some changes to the diagnostic classification of affective disorders, based on the American Diagnostic and Statistical Manual of Mental Disorders 5 (DSM-5). The ICD-11 assigns depressive symptoms to so-called clusters, the main symptoms of depressed mood and joylessness can be accompanied by cognitive, behavioral or neurovegetative symptoms. In the case of remission of depressive episodes, the ICD-11 distinguishes between partial and complete remission. A persistent depressive disorder is present if the depressive episode lasts continuously for more than 2 years. In future, bipolar disorder will be divided into type I and type II. Manic episodes can still only be coded in the context of bipolar disorders and cannot be diagnosed as an independent, separate disorder. The concept of persistent affective disorders in the ICD-10 is abandoned, dysthymia is categorized as a depressive disorder and cyclothymia as a bipolar disorder.","PeriodicalId":49770,"journal":{"name":"Nervenarzt","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144976617","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

[Sexual abuse of children also by women? Study protocol of an investigation in a Catholic women's order (MKF study)]. [儿童性侵也是女性所为？天主教妇女修道会调查研究方案[MKF研究]。

IF 1.1 4区医学

Nervenarzt Pub Date : 2025-08-20 DOI: 10.1007/s00115-025-01887-7

H Dreßing, L Scharmann, E Voss, A Hoell

引用次数: 0

[The effectiveness of inpatient treatment of psychoses-Initial results of a naturalistic study]. [精神病住院治疗的有效性——自然主义研究的初步结果]。

IF 1.1 4区医学

Nervenarzt Pub Date : 2025-08-19 DOI: 10.1007/s00115-025-01871-1

Lara A Wallenwein, Alexander H J Sahm, Michael Odenwald, Anna Becker, Daniela Mier

{"title":"[The effectiveness of inpatient treatment of psychoses-Initial results of a naturalistic study].","authors":"Lara A Wallenwein, Alexander H J Sahm, Michael Odenwald, Anna Becker, Daniela Mier","doi":"10.1007/s00115-025-01871-1","DOIUrl":"10.1007/s00115-025-01871-1","url":null,"abstract":"Background: An important pillar in the treatment of patients with psychotic disorders is inpatient care. While the efficacy of psychotherapeutic and pharmacological interventions for psychotic disorders is based on broad scientific evidence, there is a lack of naturalistic studies demonstrating the effectiveness of inpatient treatment.Methodology: Interviews and questionnaires on symptoms, quality of life, and level of functioning were collected from 65 patients with psychotic disorders who were treated on a specialized ward according to current guidelines at the beginning of the hospital stay and on discharge.Results: The inpatient stay led to an improvement in overall symptoms as well as positive and affective symptoms, disorganization, level of functioning, and quality of life, but not in negative symptoms. In addition, an improvement of insights into the disorder was observed. The self-rating of positive symptoms was consistent with the observer rating at both time points.Discussion: Improvements were apparent in all symptom categories, except for negative symptoms. The results demonstrate the effectiveness of inpatient therapy according to current guidelines for the treatment of schizophrenia and underline the necessity of providing patients with psychosis with a comprehensive therapeutic offer also in the inpatient context.","PeriodicalId":49770,"journal":{"name":"Nervenarzt","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144876413","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

Impulsive suicide in methamphetamine intoxication and self-reported ADHD: a case report. 甲基苯丙胺中毒的冲动自杀和自我报告的ADHD：一例报告。

IF 1.1 4区医学

Nervenarzt Pub Date : 2025-08-05 DOI: 10.1007/s00115-025-01882-y

Max Schallenberg, Jörg Pietsch, Maik Spreer, Maximilian Pilhatsch, Johannes Petzold

引用次数: 0

[Sleep disorders: comparison of ICD-11 and ICD-10. German version]. 睡眠障碍：比较ICD-11和ICD-10。德国版)。

IF 1.1 4区医学

Nervenarzt Pub Date : 2025-07-31 DOI: 10.1007/s00115-025-01858-y

Kai Spiegelhalder, Dieter Riemann

{"title":"[Sleep disorders: comparison of ICD-11 and ICD-10. German version].","authors":"Kai Spiegelhalder, Dieter Riemann","doi":"10.1007/s00115-025-01858-y","DOIUrl":"10.1007/s00115-025-01858-y","url":null,"abstract":"The current article reviews adjustments that were made to the classification of sleep disorders in the 11th revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-11) in comparison to the 10th revision of the coding system (ICD-10). A new chapter on sleep-wake disorders was introduced as chapter 7 in ICD-11, removing the distinction in nonorganic and organic sleep disorders that was used in ICD-10. The rationale for this was the commonsense notion that clinicians and researchers have difficulties to identify the etiology of insomnia and to establish causality between insomnia and coexisting conditions. With respect to sleep disorders that were previously included in chapter V \"Mental and behavioural disorders\" of the ICD-10, the following important changes were made: the diagnosis of insomnia disorder can now be made as comorbid with other mental disorders or physical illnesses if the insomnia symptoms are a focus of independent clinical attention, non-restorative sleep alone without difficulties initiating or maintaining sleep is not sufficient anymore to diagnose insomnia disorder and new diagnostic categories have been created, including insufficient sleep syndrome and sleep-related eating disorder. Future research will show whether the adjustments in ICD-11 will help clinicians to make reliable and clinically useful diagnoses and whether this improves routine clinical care for sleep disorders.","PeriodicalId":49770,"journal":{"name":"Nervenarzt","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144754954","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

[Ego documents of people with epilepsy during National Socialism]. [国家社会主义时期癫痫患者的自我档案]。

IF 1.1 4区医学

Nervenarzt Pub Date : 2025-07-31 DOI: 10.1007/s00115-025-01865-z

T Baumann, A Karenberg, H Fangerau

{"title":"[Ego documents of people with epilepsy during National Socialism].","authors":"T Baumann, A Karenberg, H Fangerau","doi":"10.1007/s00115-025-01865-z","DOIUrl":"https://doi.org/10.1007/s00115-025-01865-z","url":null,"abstract":"Background: People with epilepsy were a stigmatized and persecuted group under National Socialism. Nevertheless, there are only a few historical works that specifically address the reality of life for this group in Nazi Germany.Objective: In the sense of a heuristic pioneer study, the reality of life of in-patients with epilepsy in a selected institution is systematically researched and presented.Material and methods: Numerous patient files from the Bonn sanatorium (Heil- und Pflege-Anstalt Bonn) were analyzed using the historical-critical method. Some of these files contain letters and other testimonies from the patients. This study concentrates on these ego documents and on letters from relatives.Results: While coping with everyday life was central to the patients, some relatives were more concerned with the question of the hereditary nature of the epilepsy; others, who wanted to help their hospitalized relatives were increasingly unable to do so after 1939.Conclusion: Only an overall view of all types of sources in medical records (medical history forms, nursing reports, ego documents and letters from relatives), which has so far often been neglected, enables an approximate understanding of the situation of hospitalized patients with epilepsy during the National Socialist era and the post-war period.","PeriodicalId":49770,"journal":{"name":"Nervenarzt","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144754953","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

[Schizophrenia and catatonia: from ICD-10 to ICD-11. German version]. 精神分裂症和紧张症：从ICD-10到ICD-11。德国版)。

IF 1.1 4区医学

Nervenarzt Pub Date : 2025-07-29 DOI: 10.1007/s00115-025-01860-4

T Nickl-Jockschat, J Steiner, D Hirjak, A Hasan

{"title":"[Schizophrenia and catatonia: from ICD-10 to ICD-11. German version].","authors":"T Nickl-Jockschat, J Steiner, D Hirjak, A Hasan","doi":"10.1007/s00115-025-01860-4","DOIUrl":"10.1007/s00115-025-01860-4","url":null,"abstract":"The classification of psychotic disorders has undergone a variety of changes. Since Karl Ludwig Kahlbaum's (Kahlbaum 1874) first descriptions of catatonic states and Emil Kraepelin's (Kraepelin 1883) nosological classification of psychotic syndromes in the second half of the nineteenth century, the diagnostic criteria for these disorders have been repeatedly modified, significantly impacting clinical practice. Eugen Bleuler (Bleuler 1911) coined the term \"schizophrenia\", emphasizing the disturbances in thinking, feeling and acting that he had observed. With the introduction of the 11th version of the International Classification of Diseases (ICD-11), several significant changes to the diagnostic criteria were introduced. First-line symptoms according to Schneider lost importance. The subtypes (e.g., paranoid, hebephrenic and catatonic schizophrenia) were also omitted and symptom and progression classifiers have been introduced instead. Finally, catatonia is now defined as an independent diagnostic entity, while in ICD-10 it was still assigned to schizophrenia under the code F20.2. This recognizes catatonia's independent, cross-diagnostic nature. Due to these symptom and progression classifiers, the ICD-11 now takes a more a hybrid categorical and dimensional approach to the diagnosis than the previous version.","PeriodicalId":49770,"journal":{"name":"Nervenarzt","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144734948","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