Zeitschrift Fur Kinder-Und Jugendpsychiatrie Und Psychotherapie最新文献

{"title":"Child Protection Competencies in Medical Education.","authors":"Ruth Helena Fellmeth, Sophie Schlüter, Julia Hubbert, Judith Fernholz, Manuel Föcker, Udo Dannlowski, Georg Romer, Linda Meredith Bonnekoh","doi":"10.1024/1422-4917/a001100","DOIUrl":"https://doi.org/10.1024/1422-4917/a001100","url":null,"abstract":"<p><p><b></b> <i>Background:</i> Child maltreatment is a major global public health concern with severe physical, psychological, and developmental consequences. Physicians across many medical specialties may encounter affected children, making child protection an important component of medical education. However, many medical students and early-career physicians feel insufficiently prepared to recognize and manage suspected cases. <i>Methods:</i> We conducted a cross-sectional online survey using self-developed questions among medical students at the University of Münster (September-November 2025). The survey assessed experiences with child protection, perceived preparedness, and preferences regarding curricular content and teaching formats. Of the 376 respondents, we analyzed 323 complete responses (11.4 % of enrolled students). Via descriptive statistics, ANOVA, and MANOVA, we examined differences across academic years. <i>Results:</i> Students strongly supported integrating child protection as a mandatory standalone course (92.3 %). Preferred teaching formats were communication training (88 %), simulations (83.3 %), and case-based discussions (82 %). Many students reported uncertainty in handling suspected cases, particularly regarding communication with affected children and caregivers (84.8 %) and legal aspects (80.2 %). Perceived preparedness increased significantly with academic progression (<i>p</i> < .001). <i>Conclusions:</i> Medical students demonstrate a strong interest in structured child protection education. Practice-oriented and interdisciplinary teaching approaches may strengthen competencies required to recognize and manage suspected child maltreatment.</p>","PeriodicalId":54189,"journal":{"name":"Zeitschrift Fur Kinder-Und Jugendpsychiatrie Und Psychotherapie","volume":" ","pages":"1-9"},"PeriodicalIF":1.1,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149197925","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":"Präzisionsmedizin in der Kinder- und Jugendpsychiatrie.","authors":"Manuel Munz","doi":"10.1024/1422-4917/a001103","DOIUrl":"https://doi.org/10.1024/1422-4917/a001103","url":null,"abstract":"<p><p>Precision Medicine in Child and Adolescent Psychiatry: The Potential, Limitations, and Prospects for Diagnosis and Treatment<b>Abstract:</b> Precision medicine has transformed several areas of pediatrics, whereas diagnostic assessment and treatment in child and adolescent psychiatry continue to rely predominantly on syndrome-based classification systems. This narrative review examines the opportunities and limitations of applying precision psychiatry in children and adolescents. We summarize key conceptual frameworks, including the Research Domain Criteria (RDoC), the Hierarchical Taxonomy of Psychopathology (HiTOP), and developmental psychopathology as well as methodological approaches such as genetics, neurophysiology, digital phenotyping, and machine learning. We further discuss potential clinical applications in attention-deficit/hyperactivity disorder (ADHD), autism spectrum disorder, depressive disorders, and the early detection of psychosis. In addition, this article critically reviews the methodological, developmental, ethical, and practical challenges associated with implementing precision psychiatry in routine clinical care. Although precision psychiatry holds considerable promise for improving early detection, prognostic assessment, and individualized treatment selection, most approaches remain at the research stage. The integration of biological markers with developmental psychopathology and comprehensive clinical assessment appears particularly promising for advancing personalized diagnosis and treatment in child and adolescent psychiatry.</p>","PeriodicalId":54189,"journal":{"name":"Zeitschrift Fur Kinder-Und Jugendpsychiatrie Und Psychotherapie","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149042063","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":"10 Jahre Multisystemische Therapie Kinderschutz (MST-CAN).","authors":"Corinna Buderer, Tom Kirsch, Tania Pérez, Cindy Cupit Swenson, Marc Schmid","doi":"10.1024/1422-4917/a001101","DOIUrl":"https://doi.org/10.1024/1422-4917/a001101","url":null,"abstract":"<p><p>10 Years of Multisystemic Therapy for Child Abuse and Neglect (MST-CAN): Do families and their children continue to benefit? <b>Abstract:</b> <i>Objective:</i> Multisystemic Therapy for Child Abuse and Neglect (MST-CAN) is one of the few evidence-based treatment programs aimed at reducing child neglect and maltreatment. It has been implemented in the Canton of Basel-Stadt for 10 years. To justify both the high treatment intensity provided to individual families and the comparatively high per-family treatment costs associated with this approach, multisystemic therapy programs have long been required to demonstrate their effectiveness. This study examines the treatment outcomes of MST-CAN in Basel over the past decade. <i>Methods:</i> Using a longitudinal study design with four measurement time points (MTP), we collected sociodemographic data from 124 parent-child dyads (children's age <i>M</i> = 11.2; parents' age <i>M</i> = 43.5), along with primary treatment outcomes, children's emotional and behavioral problems, neglect, and therapist adherence. We analyzed the differences between MTP and three defined time periods using analyses of variance. To examine therapist effects, we calculated multiple linear regressions. <i>Results:</i> The sociodemographic characteristics of the families changed over time. Overall, the primary treatment outcomes met MST standards. Child emotional and behavioral problems as well as neglect decreased with large and moderate effect sizes, showed no differences between the periods, and remained largely independent of the treating therapists. <i>Conclusions:</i> MST-CAN demonstrated consistently high treatment quality over the past 10 years.</p>","PeriodicalId":54189,"journal":{"name":"Zeitschrift Fur Kinder-Und Jugendpsychiatrie Und Psychotherapie","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149026780","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":"Geschlechtsdysphorie im Jugendalter: Konzeptuelle, diagnostische und normative Spannungsfelder in der klinischen Versorgung.","authors":"André Leonhardt","doi":"10.1024/1422-4917/a001102","DOIUrl":"https://doi.org/10.1024/1422-4917/a001102","url":null,"abstract":"<p><p>Gender Dysphoria in Adolescence: Conceptual, Diagnostic and Normative Tensions in Clinical Care <b>Abstract:</b> The clinical care of minors with gender dysphoria is the subject of ongoing professional debate and controversy. These controversies surround the uncertain evidence base regarding the efficacy and safety of body-modifying medical interventions for young people identifying as transgender as well as fundamental questions about the clinical conceptualization of gender-related distress in adolescence, appropriate diagnostic approaches, and the normative and ethical assumptions underlying clinical practice in this field. This article examines these key areas of tension in the current professional discourse to offer a nuanced conceptual orientation in this complex clinical field of care.</p>","PeriodicalId":54189,"journal":{"name":"Zeitschrift Fur Kinder-Und Jugendpsychiatrie Und Psychotherapie","volume":" ","pages":"1-10"},"PeriodicalIF":1.1,"publicationDate":"2026-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148978703","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":"Sex-Specific Changes in Outpatient and Inpatient Care for Depressive Disorders in Children and Adolescents in Germany During the COVID-19 Pandemic.","authors":"Stephan Zillmer, Jule Leickert, Christian J Bachmann, Annika Vivirito, Dirk Enders, Elianna Mitchnik, Christoph U Correll, Charlotte Jaite","doi":"10.1024/1422-4917/a001096","DOIUrl":"10.1024/1422-4917/a001096","url":null,"abstract":"<p><p><b></b> <i>Objectives:</i> The coronavirus disease 2019 (COVID-19) pandemic affected the mental health of children and adolescents in Germany by increasing depressive symptoms and altering their access to treatment. However, representative data on pandemic-related changes in care for children and adolescents are scarce. This study examines the service utilization of children and adolescents with depressive disorders during the COVID-19 pandemic. <i>Methods:</i> We analyzed anonymized insurance data (outpatient and inpatient cases) for depressive disorders in children and adolescents during pre-COVID (01/2018 - 03/2020; <i>N</i> = 142,257) and intra-COVID (04/2020 - 12/2021; <i>N</i> = 139,690) periods, stratified by age (0.0 - 9.9; 10.0 - 13.9; 14.0 - 17.9 years) and sex. We analyzed the differences between time periods descriptively (%-changes, odds ratios) and using χ² tests, Welch tests, and interrupted time series analysis. <i>Results:</i> The prevalence of depressive disorders decreased from pre-COVID to intra-COVID periods, particularly among males (female children: 2.8 %, <i>n</i> = 1,932 vs. 2.8 %, <i>n</i> = 1,964; female adolescents: 8.9 %, <i>n</i> = 6,149 vs. 8.7 %, <i>n</i> = 5,914; male children: 1.6 %, <i>n</i> = 1,165 vs. 1.2 %, <i>n</i> = 914; male adolescents: 4.0 %, <i>n</i> = 2,888 vs. 3.0 %, <i>n</i> = 2,205). The quarterly incidence showed significant positive trends for female children (β₁ = +2.83, <i>p</i> < .01; β₃ = +2.93, <i>p</i> = .030) and adolescents (β₃ = +5.52, <i>p </i>= .031) following the onset of the intra-COVID period (Q2/2020). There were significant proportional increases in inpatient and outpatient cases for female and male adolescents in child and adolescent psychiatry as well as among specialized providers, i.e., pediatricians, child and adolescent psychiatrists/psychotherapists. <i>Conclusions:</i> The data showed declines in the prevalence and incidence of depressive disorders, potentially reflecting care avoidance or reduced treatment capacities, particularly among boys. Differences emerged in service utilization by care provider, with proportionate increases for specialized providers and reductions for general practitioners. We need further research to address potential ongoing treatment gaps and to support at-risk children and adolescents.</p>","PeriodicalId":54189,"journal":{"name":"Zeitschrift Fur Kinder-Und Jugendpsychiatrie Und Psychotherapie","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148972339","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":"Die Aussagekraft von Prognoseinstrumenten innerhalb einer Risikogruppe von begutachteten jugendlichen Straftätern: Eine Pilotstudie.","authors":"Rebecca Stichter, Elmar Habermeyer, Leonardo Vertone, Nathalie Brackmann","doi":"10.1024/1422-4917/a001095","DOIUrl":"https://doi.org/10.1024/1422-4917/a001095","url":null,"abstract":"<p><p>A Pilot Study on the Predictive Validity of Prognostic Tools in a Risk Group of Assessed Young Offenders <b>Abstract:</b> <i>Background:</i> This pilot study examined associations between established risk assessment instruments (PCL-YV/R, SAVRY, HCR-20 V3) and later criminal outcomes in a sample of 20 justice-referred adolescents, comparing those who reoffended in adulthood with those who did not. In addition to instrument scores, we assessed psychiatric diagnoses and social/criminological factors. <i>Methods:</i> We conducted a matched case-control and longitudinal analysis using data from forensic psychiatric/psychological evaluations in adolescence and, for the recidivist group, follow-up assessments in adulthood. We tested group differences at both the scale and domain levels. <i>Results:</i> Total instrument scores showed no significant group differences, though higher SAVRY total scores were linked with a greater frequency of subsequent violent convictions. In addition, a higher risk management factor score on the HCR-20 V3 was associated with later delinquency, indicating an increased need for support and intervention. This finding can be interpreted both as reflecting individual risk constellations and as potentially indicating insufficient structural conditions. Psychiatric diagnoses as well as social and criminological risk factors were highly prevalent in both groups. Conduct disorders occurred more frequently in the recidivism group, which also committed more violent offenses - a finding that underscores the importance of targeted tertiary preventive measures. Over time, risk assessments remained stable or increased slightly. Larger studies are needed to further examine the associations between risk assessment scores and later delinquency in high-risk groups of juvenile offenders.</p>","PeriodicalId":54189,"journal":{"name":"Zeitschrift Fur Kinder-Und Jugendpsychiatrie Und Psychotherapie","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148889196","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":"Kommentar zum Feature von Schepker & Schepker (2026).","authors":"Klaus Hennicke","doi":"10.1024/1422-4917/a001092","DOIUrl":"https://doi.org/10.1024/1422-4917/a001092","url":null,"abstract":"","PeriodicalId":54189,"journal":{"name":"Zeitschrift Fur Kinder-Und Jugendpsychiatrie Und Psychotherapie","volume":"54 5","pages":"305-307"},"PeriodicalIF":1.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148889256","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":"Replik auf Hennicke (2026).","authors":"Klaus Schepker, Renate Schepker","doi":"10.1024/1422-4917/a001093","DOIUrl":"https://doi.org/10.1024/1422-4917/a001093","url":null,"abstract":"","PeriodicalId":54189,"journal":{"name":"Zeitschrift Fur Kinder-Und Jugendpsychiatrie Und Psychotherapie","volume":"54 5","pages":"308-310"},"PeriodicalIF":1.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148889339","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":"Kinder mit Neuroentwicklungsstörungen und Pflegegrade.","authors":"Sarah Hohmann, Michael Kölch, Tobias Renner","doi":"10.1024/1422-4917/a001091","DOIUrl":"https://doi.org/10.1024/1422-4917/a001091","url":null,"abstract":"","PeriodicalId":54189,"journal":{"name":"Zeitschrift Fur Kinder-Und Jugendpsychiatrie Und Psychotherapie","volume":"54 5","pages":"311-314"},"PeriodicalIF":1.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148889180","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":"Schulbegleitung als Instrument inklusiver Schulentwicklung in Deutschland.","authors":"Veit Roessner, Victoria Weise, Anke Voigt, Josefine Rothe, Telse Nagler, Amadeus Balzer, Martin Holtmann","doi":"10.1024/1422-4917/a001077","DOIUrl":"10.1024/1422-4917/a001077","url":null,"abstract":"<p><p>School Support Assistance as an Instrument for Inclusive Schooling in Germany: A Pedagogical and Child and Adolescent Psychiatric Perspective <b>Abstract:</b> This article examines the role of school support assistance in Germany from both a pedagogical and a child and adolescent psychiatric and psychotherapeutic perspective. It analyzes its conditions, potentials, and limitations based on legal and structural-systemic considerations. The findings indicate that school support services too often serve as a central prerequisite for attendance in mainstream schools, as they are frequently deployed when schools are unable to provide the structural conditions for inclusive education. As a result, the responsibility for ensuring educational participation is shifted from the institutional level of the school system to individually approved services within the child and youth welfare system. Coordination and delineation problems emerge at the interface of these two systems. These problems are further intensified by heterogeneous qualification levels and role conflicts and increase the risk of unintended exclusionary effects. Particularly for students experiencing psychological distress, school support assistance often assumes tasks that would require a continuous and professionally grounded integration of child and adolescent psychiatric and psychotherapeutic expertise in school-based support processes. This situation points to the need for a quantitatively and qualitatively stronger presence of relevant professional expertise in everyday school practice as well as for systematically coordinated cooperation with the therapeutic systems involved in treatment. From the perspective of child and adolescent psychiatry and psychotherapy, binding cooperation structures between schools, child and youth welfare services, and child and adolescent psychiatry and psychotherapy as well as clearly defined qualification standards and an increased emphasis on structurally oriented support models must therefore be developed and consistently implemented to secure inclusive education in a sustainable and participation-oriented manner.</p>","PeriodicalId":54189,"journal":{"name":"Zeitschrift Fur Kinder-Und Jugendpsychiatrie Und Psychotherapie","volume":" ","pages":"292-304"},"PeriodicalIF":1.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148158939","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}