Nervenarzt最新文献_第6页

[Procedural modalities of coercive treatment]. [强制治疗的程序模式]。

IF 1.1 4区医学

Nervenarzt Pub Date : 2026-07-01 Epub Date: 2025-07-24 DOI: 10.1007/s00115-025-01870-2

Thomas Pollmächer, Felizitas Schweitzer, Andreas Sarropoulos, Andreas Schuld

引用次数: 0

[Liability in cases of suicide during inpatient treatment]. 【住院治疗期间自杀的责任】。

IF 1.1 4区医学

Nervenarzt Pub Date : 2026-07-01 Epub Date: 2025-09-01 DOI: 10.1007/s00115-025-01889-5

Johannes Kornhuber, Antonia Stummvoll

{"title":"[Liability in cases of suicide during inpatient treatment].","authors":"Johannes Kornhuber, Antonia Stummvoll","doi":"10.1007/s00115-025-01889-5","DOIUrl":"10.1007/s00115-025-01889-5","url":null,"abstract":"Background: Suicide during inpatient treatment represents distressing events for clinics and medical staff while raising questions about liability consequences. They require a differentiated approach balancing patient protection and therapeutic necessities.Objective: To analyze long-standing case law to identify practice-relevant principles for clinical risk management regarding suicidal ideation.Material and methods: Systematic evaluation of 22 decisions from German high and supreme courts (1985-2025) concerning suicides during inpatient treatment.Results: Case law acknowledges the impossibility of absolute suicide prevention and grants psychiatric treatment teams considerable discretionary latitude. The legal assessment is based on the treating physician's ex-ante perspective. Specific duties of care arise in cases of acute suicidal ideation, risk situations such as therapeutic relaxations and necessary structural and organizational measures. The balance between security interests and therapeutic requirements remains central.Conclusion: The jurisprudence demonstrates a nuanced understanding of the clinical challenges in suicide prevention. The identified assessment standards provide orientation for the clinical practice and emphasize the necessity of individual risk assessments and documentation of all relevant decisions.","PeriodicalId":49770,"journal":{"name":"Nervenarzt","volume":" ","pages":"370-376"},"PeriodicalIF":1.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13315102/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144976595","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

[The diamorphine treatment of opioid addicts-On the amendment of the indication criteria according to the narcotics prescription regulation]. 阿片类药物依赖者的吗啡治疗——兼论《麻醉药品处方条例》适应症标准的修改

IF 1.1 4区医学

Nervenarzt Pub Date : 2026-07-01 Epub Date: 2025-09-12 DOI: 10.1007/s00115-025-01888-6

N Scherbaum, M Specka, N Wodarz, U Bonnet, P Roser

引用次数: 0

[Associations Between Genetic Causes of Psychiatric Disorders and Rare Monogenic Epilepsies]. [精神疾病的遗传原因与罕见的单基因癫痫之间的关联]。

IF 1.1 4区医学

Nervenarzt Pub Date : 2026-07-01 Epub Date: 2026-05-29 DOI: 10.1007/s00115-026-01982-3

Caroline Baumgartner, Tobias Baumgartner, Alexandra Philipsen, Rainer Surges, Eva C Schulte

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 : 2026-07-01 Epub Date: 2025-08-20 DOI: 10.1007/s00115-025-01887-7

H Dreßing, L Scharmann, E Voss, A Hoell

引用次数: 0

[Rare genetic diseases with frequent mental symptoms]. [伴有频繁精神症状的罕见遗传疾病]。

IF 1.1 4区医学

Nervenarzt Pub Date : 2026-07-01 Epub Date: 2026-06-29 DOI: 10.1007/s00115-026-01981-4

Urs Heilbronner, Jürgen Deckert, Eva C Schulte

引用次数: 0

[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 : 2026-07-01 Epub 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":"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":"400-406"},"PeriodicalIF":1.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13314677/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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 : 2026-07-01 Epub Date: 2025-08-19 DOI: 10.1007/s00115-025-01871-1

Lara A Martini, 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 Martini, 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":"363-369"},"PeriodicalIF":1.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13314691/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Assessment of recommendations for low-risk use of alcohol, cannabis, gambling and gaming: state of knowledge]. [评估关于低风险使用酒精、大麻、赌博和游戏的建议：目前的知识状况]。

IF 1.1 4区医学

Nervenarzt Pub Date : 2026-07-01 Epub Date: 2025-09-03 DOI: 10.1007/s00115-025-01893-9

Hans-Jürgen Rumpf, Ulrich John, Helmut Seitz, Florian Rehbein, Norbert Scherbaum, Ursula Havemann-Reinecke, Tobias Hayer

{"title":"[Assessment of recommendations for low-risk use of alcohol, cannabis, gambling and gaming: state of knowledge].","authors":"Hans-Jürgen Rumpf, Ulrich John, Helmut Seitz, Florian Rehbein, Norbert Scherbaum, Ursula Havemann-Reinecke, Tobias Hayer","doi":"10.1007/s00115-025-01893-9","DOIUrl":"10.1007/s00115-025-01893-9","url":null,"abstract":"Aim: From a public health perspective, the provision of information on low-risk consumption is highly relevant for behavior with addictive potential and negative health, psychological or social consequences. This article provides an overview of the effectiveness and benefits of such recommendations for alcohol, cannabis, gambling and gaming.Methods: An overview based on a narrative review.Results: The recommendation for alcohol consumption limits can no longer be upheld on the basis of current evidence. Instead, abstinence is recommended. In the case of cannabis, it is currently not possible to determine thresholds for the frequency and quantity of use with regard to consequential harms. Current recommendations, therefore, relate to \"safer use\". With respect to gambling, initial but not yet reliable empirical data are available. Thresholds of varying consumption dimensions, such as the involvement in different forms of gambling, the regularity or duration of gambling as well as the amount of money spent, must be taken into account. There are no evidence-based consumption recommendations for gaming. Furthermore, a consideration of the media content that goes beyond pure usage time is essential before any recommendations can be derived. Overall, the effectiveness of recommendations depends on the perception and acceptance of the population.Conclusion: Recommendations for consumption are based on the available evidence and must be continuously reviewed and adapted, as can be seen from the example of alcohol consumption. Behavioral recommendations must be communicated in a suitable form so that they are understood without bias and are accepted by the general population.","PeriodicalId":49770,"journal":{"name":"Nervenarzt","volume":" ","pages":"382-387"},"PeriodicalIF":1.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144976597","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

[Psychiatric challenges in Prader-Willi syndrome]. [普瑞德-威利综合征的精神挑战]。

IF 1.1 4区医学

Nervenarzt Pub Date : 2026-07-01 Epub Date: 2026-04-23 DOI: 10.1007/s00115-026-01971-6

Christian Karl Eberlein, Maximilian Jakob, Angelina Jechalke, Gesa Ordon

{"title":"[Psychiatric challenges in Prader-Willi syndrome].","authors":"Christian Karl Eberlein, Maximilian Jakob, Angelina Jechalke, Gesa Ordon","doi":"10.1007/s00115-026-01971-6","DOIUrl":"10.1007/s00115-026-01971-6","url":null,"abstract":"Background: Prader-Willi syndrome (PWS) is highly associated with psychiatric comorbidity.Objectives: This article investigates the prevalence of mental disorders in PWS, explores their association with neurobiological foundations, and outlines the resulting clinical recommendations.Methods: An evaluation of the scientific literature in the context of clinical experience from the special outpatient clinic for mental health in rare syndromic disorders at Hannover Medical School.Results: Psychiatric manifestations are present in 44-89% of PWS patients, with disruptive behavior, skin picking, psychosis, compulsive symptoms, and affective disorders being the most common. PWS psychosis differs from schizophrenic psychosis and can be difficult to treat in some cases. Treatment approaches exist for disruptive behavior, affective symptoms, and compulsive symptoms.Conclusions: Knowledge of the neurobiological basis of PWS is necessary for the adequate treatment of psychiatric disorders. In addition to pharmacological therapies, behavioral interventions and environmental control should also be included.","PeriodicalId":49770,"journal":{"name":"Nervenarzt","volume":" ","pages":"339-344"},"PeriodicalIF":1.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786876","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