Nervenarzt最新文献

{"title":"[A case study-On the relationship between medication and secret police practice in the state security prison hospital in Berlin-Hohenschönhausen].","authors":"Tillmann Wickert, Kathleen Haack, Felicitas Söhner, Ekkehardt Kumbier","doi":"10.1007/s00115-025-01849-z","DOIUrl":"10.1007/s00115-025-01849-z","url":null,"abstract":"","PeriodicalId":49770,"journal":{"name":"Nervenarzt","volume":" ","pages":"291-293"},"PeriodicalIF":1.1,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13171663/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144286946","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":"[A survey on security services in psychiatric hospitals].","authors":"Sabine Müller, Sylvia Claus, Matthias Koller, Jürgen Müller, Brigitte Richter, Dorothea Sauter, Stephan Schieting, Tilman Steinert, Thomas Pollmächer","doi":"10.1007/s00115-025-01840-8","DOIUrl":"10.1007/s00115-025-01840-8","url":null,"abstract":"<p><strong>Background: </strong>Psychiatric clinics use security services to varying degrees and for different tasks; however, empirical data on this do not yet exist.</p><p><strong>Objective: </strong>The aim of the study was to obtain an overview of the frequency, type and extent of the use of security services in psychiatric hospitals in Germany.</p><p><strong>Material and methods: </strong>An online questionnaire developed with the participation of a patient organization was sent to 266 chief physicians of psychiatric clinics.</p><p><strong>Results: </strong>Of the questionnaires 108 were completed in full (response rate: 40.6%). Security services are deployed in 46% of the participating clinics. In 82% of these clinics the security service personnel are employed by external service providers. Security services are most frequently used in outdoor areas of the hospital grounds (70%), followed by the central emergency department (42%) and the general psychiatric wards (38%). Security services are most often used to secure the site (74%); however, they are also used close to patients, e.g., in medical emergency situations, for monitoring/1:1 care during coercive measures and during admission or therapeutic consultations.</p><p><strong>Discussion: </strong>Security services are frequently deployed in psychiatric clinics. The deployment close to patients can be legally problematic. Little is known about the actual benefits of using security services and further research is needed in this area.</p>","PeriodicalId":49770,"journal":{"name":"Nervenarzt","volume":" ","pages":"258-264"},"PeriodicalIF":1.1,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235743","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":"[Current perspectives in electroconvulsive therapy].","authors":"Gereon Johannes Schnellbächer, Andreas Conca, Michael Grözinger","doi":"10.1007/s00115-026-01966-3","DOIUrl":"10.1007/s00115-026-01966-3","url":null,"abstract":"<p><p>Electroconvulsive therapy (ECT) originally stems from the concept of Meduna at the beginning of the 1930s who utilized repeated generalized seizures as a therapeutic agent for schizophrenic disorders. The method has continuously evolved in technical and nontechnical aspects. The ECT could consistently overcome numerous adversities. It has recently been integrated into various guidelines and position papers for severe mental illnesses. The German Institute for Medical Documentation and Information (DIMDI) has established the term Elektrokonvulsionstherapie in Germany to replace older stigmatizing names. Better patient education contributes to a decline in skepticism and reluctance. The rising number of treatments in Germany resulted in capacity shortages in existing ECT centers. Numerous preclinical and clinical research studies are contributing to a better understanding of the mechanism of action. In parallel, innovative forms of anesthesia and muscle relaxation are becoming established.</p>","PeriodicalId":49770,"journal":{"name":"Nervenarzt","volume":" ","pages":"305-314"},"PeriodicalIF":1.1,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147678026","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":"301-304"},"PeriodicalIF":1.1,"publicationDate":"2026-05-01","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":"[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":"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":"232-238"},"PeriodicalIF":1.1,"publicationDate":"2026-05-01","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":"Twilight Zone revisited – gelingt uns die Transition inzwischen besser?","authors":"Luise Poustka, Ulrich Voderholzer","doi":"10.1007/s00115-026-01968-1","DOIUrl":"https://doi.org/10.1007/s00115-026-01968-1","url":null,"abstract":"","PeriodicalId":49770,"journal":{"name":"Nervenarzt","volume":"97 3","pages":"219-222"},"PeriodicalIF":1.1,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147934920","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":"[Transition: challenges and recommendations for adolescents and young adults with schizophrenia].","authors":"Benno Graf Schimmelmann, Alkomiet Hasan","doi":"10.1007/s00115-025-01936-1","DOIUrl":"10.1007/s00115-025-01936-1","url":null,"abstract":"<p><strong>Background: </strong>First acute episodes or severe recurrent courses of schizophrenia often occur in the age of transition, the transition between the pediatric psychiatric and the adult psychiatric care systems.</p><p><strong>Objective: </strong>Examination of the challenges and recommendations for the transition of patients with schizophrenia.</p><p><strong>Material and methods: </strong>A narrative review was carried out taking the current S3 guidelines of the Association of the Scientific Medical Societies in Germany (AWMF) on schizophrenia into consideration.</p><p><strong>Results: </strong>The guideline-conform early detection and treatment of schizophrenia is already a challenge independent of the transition. Recommendations on the transition period for clinics and private service providers concern elements of the disorder itself, the structure of the healthcare system and specialized training and culture, and the concepts and financial compensation for treatment transitions.</p><p><strong>Conclusion: </strong>The updated German S3 guidelines on schizophrenia published in 2025 include numerous recommendations for coordinated treatment in the transition phase but in most parts maintain the age cut-off at 18 years. For optimal care in the age for transition, access to specialized early detection and intervention centers is essential. An overlapping treatment during the transition phase and a bidirectional flexibility of age limits within healthcare systems appear to be beneficial in certain cases.</p>","PeriodicalId":49770,"journal":{"name":"Nervenarzt","volume":" ","pages":"223-231"},"PeriodicalIF":1.1,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146013032","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":"[Galactorrhea with euprolactinemia under SSRI treatment].","authors":"J Schreiber, R Demann, M Paulzen, R Savundararajan, J Kuhn","doi":"10.1007/s00115-025-01848-0","DOIUrl":"10.1007/s00115-025-01848-0","url":null,"abstract":"","PeriodicalId":49770,"journal":{"name":"Nervenarzt","volume":" ","pages":"294-296"},"PeriodicalIF":1.1,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276463","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":"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":"239-245"},"PeriodicalIF":1.1,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13171936/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Transition to adulthood with an eating disorder-Current state of research and recommendations for successful transition].","authors":"Gertraud Gradl-Dietsch, Mara Schneider, Eva Maria Skoda, Martin Teufel, Jochen Seitz, Angels Mayordomo-Aranda, Elisabeth Schulla, Silke Naab, Ulrich Voderholzer","doi":"10.1007/s00115-026-01965-4","DOIUrl":"10.1007/s00115-026-01965-4","url":null,"abstract":"<p><strong>Background: </strong>The transition to adulthood poses particular challenges for healthcare systems. Eating disorders frequently occur during this developmental period and require continuity of care in order to achieve remission and to reduce the risk of relapses as well as long-term psychosocial and physical consequences.</p><p><strong>Aim of the study: </strong>Presentation of the specific challenges of transition in cases of eating disorders and derivation of recommendations for improving transition management.</p><p><strong>Material and methods: </strong>Narrative review of the current state of research and a description of selected models of transitional care. Based on this, practical recommendations for transition management and areas requiring further research are presented.</p><p><strong>Results: </strong>Existing concepts emphasize the importance of structured transition management, including early planning, assessment of transition readiness, active involvement of patients and caregivers, close collaboration between child/adolescent and adult healthcare services, standardized handover procedures and continuity of specialized eating disorder-specific treatment. In addition, psychotherapeutic interventions should address development-related tasks of the transition, such as autonomy, self-management, identity development, and educational, vocational and socio-legal issues. Empirical evidence for the effectiveness of specific transition models remains limited.</p><p><strong>Conclusion: </strong>Structured transition management with clearly defined responsibilities appears essential to reduce treatment discontinuity, relapses, chronicity and the elevated risk of suicidality in this age group. There is a substantial need for further research on the effectiveness of transition concepts, including specialized transition programs or dedicated transition units.</p>","PeriodicalId":49770,"journal":{"name":"Nervenarzt","volume":" ","pages":"252-257"},"PeriodicalIF":1.1,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13171660/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147845330","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}