Zeitschrift Fur Kinder-Und Jugendpsychiatrie Und Psychotherapie最新文献

{"title":"Professorin Dr. Christine M. Freitag ist Kandidatin der DGKJP für die Wahl des Fachkollegiums der DFG im Herbst 2023.","authors":"","doi":"10.1024/1422-4917/a000939","DOIUrl":"https://doi.org/10.1024/1422-4917/a000939","url":null,"abstract":"","PeriodicalId":54189,"journal":{"name":"Zeitschrift Fur Kinder-Und Jugendpsychiatrie Und Psychotherapie","volume":"51 4","pages":"341-342"},"PeriodicalIF":1.2,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9754126","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":"[COVID-19 and Psychiatric Disorders in Minors: Changes in Inpatient Treatment According to Hospital Statistics].","authors":"Michael G Kölch,&nbsp;Olaf Reis,&nbsp;Lisa Ulbrich,&nbsp;Renate Schepker","doi":"10.1024/1422-4917/a000935","DOIUrl":"https://doi.org/10.1024/1422-4917/a000935","url":null,"abstract":"<p><p>COVID-19 and Psychiatric Disorders in Minors: Changes in Inpatient Treatment According to Hospital Statistics <b>Abstract:</b> Increased rates of psychiatric disorders and psychiatric emergencies in children and adolescents stemming from the COVID-19 pandemic have been reported, with more children and adolescents suffering from internalizing disorders. This study analyzes whether the increased rates led to increased rates of inpatient treatment in child and adolescent psychiatric and pediatric hospitals in Germany as well as a change in diagnoses of the treated patients. We analyzed routine hospital data (\"InEK\" data, § 21 KHG data files) from a prepandemic (2019) and a pandemic (2021) half-year regarding changes in the number of cases, diagnoses, and length of stay (LoS) in child and adolescent psychiatry and pediatrics. We also investigated the development of psychiatric emergencies in minors. We found an increase in internalizing problems (depression, anorexia nervosa, trauma-related disorders) and a decrease in externalizing problems among the admitted psychiatric inpatients. Further, we observed a halving of cases treated for alcohol intoxication. However, we discovered no change for the frequency of psychiatric emergency treatments nationwide. A more detailed analysis revealed that, in areas with a low number of child and adolescent psychiatry inpatient beds, emergency care was prioritized and LoS decreased, whereas in areas with a fair bed-to-inhabitant ratio among minors, there was a trend toward increased LoS, also in pediatric departments. We recommend continued monitoring of inpatient care after the pandemic, with special attention paid to underprivileged children and adolescents such as those with externalizing problems.</p>","PeriodicalId":54189,"journal":{"name":"Zeitschrift Fur Kinder-Und Jugendpsychiatrie Und Psychotherapie","volume":"51 4","pages":"295-309"},"PeriodicalIF":1.2,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9790208","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":"[Functional Constipation and Nonretentive Fecal Incontinence in Children and Adolescents: Clinical Guideline for Assessment and Treatment].","authors":"Alexander von Gontard,&nbsp;Martin Claßen","doi":"10.1024/1422-4917/a000920","DOIUrl":"https://doi.org/10.1024/1422-4917/a000920","url":null,"abstract":"<p><p>Functional Constipation and Nonretentive Fecal Incontinence in Children and Adolescents: Clinical Guideline for Assessment and Treatment <b>Abstract.</b> <i>Objective:</i> Constipation and fecal incontinence are common disorders in children and adolescents and are associated with incapacitation and a high rate of comorbid psychological disorders. Functional constipation and nonretentive fecal incontinence can be differentiated according to the current Rome-IV classification systems. This interdisciplinary guideline aims to summarize the current state of knowledge regarding somatic and psychiatric assessment and treatment. It formulates consensus-based, practical recommendations. <i>Methods:</i> The members of the Guideline Commission consisted of 11 professional associations and a parental organization. The guideline was based on current literature searches, several online surveys, and consensus conferences based on standard procedures. <i>Results:</i> Functional constipation is much more common than nonretentive fecal incontinence. Constipation requires a detailed medical assessment to exclude somatic causes, especially in young children. Red flags are useful indicators of organic causes to be considered. Most cases of constipation are functional (approximately 95 %). Counseling, toilet training, disimpaction, and long-term oral laxatives, combined with cognitive-behavioral interventions, are most effective. The assessment and treatment of nonretentive fecal incontinence are similar. The rate of somatic factors is much lower (approximately 1 %). Laxatives can worsen outcomes and should be avoided. Comorbid psychological disorders are common (approximately 30 % to 50 %). They should be assessed and treated additionally according to evidence-based guidelines. <i>Conclusions:</i> The recommendations of this guideline were approved with a high consensus. Interdisciplinary cooperation is especially important, as somatic factors and comorbid psychological disorders and symptoms need to be considered. More research is required, especially regarding nonretentive fecal incontinence.</p>","PeriodicalId":54189,"journal":{"name":"Zeitschrift Fur Kinder-Und Jugendpsychiatrie Und Psychotherapie","volume":"51 3","pages":"233-250"},"PeriodicalIF":1.2,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9478785","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":"[Psychoses on the Schizophrenia Spectrum in Adolescence: A Cross-sectional Study of Factors Influencing Neuropsychology, Treatment Outcome, and Negative Symptoms].","authors":"Lisette Herwerth,&nbsp;Katharina Prinz,&nbsp;Heike Brauner,&nbsp;Katarina Müller,&nbsp;Christian Fleischhaker","doi":"10.1024/1422-4917/a000903","DOIUrl":"https://doi.org/10.1024/1422-4917/a000903","url":null,"abstract":"<p><p>Psychoses on the Schizophrenia Spectrum in Adolescence: A Cross-sectional Study of Factors Influencing Neuropsychology, Treatment Outcome, and Negative Symptoms <b>Abstract:</b> <i>Objective:</i> The present study evaluated the factors influencing the course of disease of children and adolescents in an inpatient rehabilitation suffering from psychosis within the schizophrenia spectrum. <i>Methods:</i> 33 patients (mean age 19.4 years, <i>SD</i> = 2.3), 12 of (36 %) were female, participated. They were assessed with clinical interviews (IRAOS, SANS/SAPS), neuropsychological tests (WAIS-IV, TMT), and questionnaires (FBB, BSCL). <i>Results:</i> The neuropsychological functioning level and the premorbid cognitive performance were correlated, as were treatment success from the patient's perspective with a good relationship with the therapist, and greater negative symptomatology with a longer duration of untreated psychosis (DUP) and a longer initial hospital stay. <i>Conclusion:</i> Possible approaches to improving the treatment of adolescents with psychosis of the schizophrenic spectrum include a shortening of the DUP and a good therapeutic relationship.</p>","PeriodicalId":54189,"journal":{"name":"Zeitschrift Fur Kinder-Und Jugendpsychiatrie Und Psychotherapie","volume":"51 3","pages":"196-206"},"PeriodicalIF":1.2,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9848653","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.","authors":"","doi":"10.1024/1422-4917/a000933","DOIUrl":"https://doi.org/10.1024/1422-4917/a000933","url":null,"abstract":"","PeriodicalId":54189,"journal":{"name":"Zeitschrift Fur Kinder-Und Jugendpsychiatrie Und Psychotherapie","volume":"51 3","pages":"259-261"},"PeriodicalIF":1.2,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9850772","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":"Stellungnahme der DGKJP und der BAG KJPP zur geplanten Krankenhausreform bezogen auf die Kinder- und Jugendpsychiatrie und Psychotherapie.","authors":"","doi":"10.1024/1422-4917/a000932","DOIUrl":"10.1024/1422-4917/a000932","url":null,"abstract":"","PeriodicalId":54189,"journal":{"name":"Zeitschrift Fur Kinder-Und Jugendpsychiatrie Und Psychotherapie","volume":"51 3","pages":"252-258"},"PeriodicalIF":0.8,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9833382","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":"[Social Networks of Children with Mental Disorders].","authors":"Karl Titze,&nbsp;Charlotte Jaite,&nbsp;Sibylle Maria Winter","doi":"10.1024/1422-4917/a000902","DOIUrl":"https://doi.org/10.1024/1422-4917/a000902","url":null,"abstract":"<p><p>Social Networks of Children with Mental Disorders <b>Abstract.</b> The study compares the social networks of children with mental disorders with a matched control group (<i>n</i> = 75/75, male 69 %/69 %, age: 9.4/9.0 years). In addition, we examined the quantity and structure of social networks as well as the stresses and resources in the respective patient group in general and regarding specific disorders (hyperkinetic disorder, HKS, and childhood emotional disorder). We assessed their use of social networks with a revision of the Social Relationship Test for Children (SoBeKi-R) and their mental disorders via clinical diagnoses, CBCL, and SDQ. The patients reported significantly smaller networks overall and fewer social resources, particularly in the nonfamily domains. While children with emotional disorders were found to have fewer social strains than the comparison group, children with ADHD tended to have higher strain scores per network person, and externalizing symptoms were significantly associated with higher network strains. The results, which vary by disorder, suggest complex disorder-specific associations between the syndromes and the reported social network resources and strains.</p>","PeriodicalId":54189,"journal":{"name":"Zeitschrift Fur Kinder-Und Jugendpsychiatrie Und Psychotherapie","volume":"51 3","pages":"181-195"},"PeriodicalIF":1.2,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9830792","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":"Kinderrechte ins Grundgesetz!!","authors":"","doi":"10.1024/1422-4917/a000931","DOIUrl":"https://doi.org/10.1024/1422-4917/a000931","url":null,"abstract":"","PeriodicalId":54189,"journal":{"name":"Zeitschrift Fur Kinder-Und Jugendpsychiatrie Und Psychotherapie","volume":"51 3","pages":"251"},"PeriodicalIF":1.2,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9476968","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":"[Misophonia in Childhood and Adolescence: A Narrative Review].","authors":"Elisa Pfeiffer,&nbsp;Marc Allroggen,&nbsp;Cedric Sachser","doi":"10.1024/1422-4917/a000885","DOIUrl":"https://doi.org/10.1024/1422-4917/a000885","url":null,"abstract":"<p><p>Misophonia in Childhood and Adolescence: A Narrative Review <b>Abstract.</b> Misophonia describes a phenomenon in which the affected children and adolescents show a strong negative physiological and emotional reaction when confronted with specific (misophonic) auditory stimuli (most commonly eating or breathing sounds). Several studies with adults yielded prevalence rates between 6 % and 20 % in various (clinical) samples, but the representativeness of samples was largely limited. More than 80 % of the first manifestation of symptoms occurs during childhood and adolescence. Regarding comorbid disorders, studies show great heterogeneity, with estimates ranging from 28-76 % of comorbid mental disorders and approximately 25 % with comorbid physical disorders. The exact etiology is currently not well studied. Initial neurophysiological explanations and imaging studies point to a specific physiological response in misophonia patients. Although many case reports are now available, and diagnostic criteria and measurement tools have been developed, misophonia currently does not represent a distinct neurological, audiological, or psychiatric disorder in the DSM-5 or ICD-11.</p>","PeriodicalId":54189,"journal":{"name":"Zeitschrift Fur Kinder-Und Jugendpsychiatrie Und Psychotherapie","volume":"51 3","pages":"222-232"},"PeriodicalIF":1.2,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9848642","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":"Webcam-Based Online Coaching with Children and Adolescents with Obsessive-Compulsive Disorders - A Single-Case Study.","authors":"Julia Adam,&nbsp;Hildegard Goletz,&nbsp;Paula Viefhaus,&nbsp;Katrin Woitecki,&nbsp;Manfred Döpfner","doi":"10.1024/1422-4917/a000904","DOIUrl":"https://doi.org/10.1024/1422-4917/a000904","url":null,"abstract":"<p><p><b></b> <i>Objective:</i> Although there is clear evidence-based knowledge regarding state-of-the-art treatment for pediatric obsessive-compulsive disorder (OCD), two main issues remain in clinical practice: (1) Exposure-based cognitive behavioral therapy (CBT) is limited in terms of availability and accessibility or is not adequately provided, and (2) despite large effect sizes of exposure-based CBT, the achieved recovery rates of 50-60 % still show room for improvement. These issues have prompted an increasing focus on delivering exposure-based CBT in new and innovative ways. This study aims to evaluate an intensive therapist-administered online coaching program consisting of exposure with response prevention via video teleconferencing (VTC) as an add-on to weekly outpatient CBT (blended therapy). <i>Method:</i> The blended therapy is examined in <i>n</i> = 5 children and adolescents with OCD using an AB design and multi-informant ratings. <i>Results:</i> This single-case study shows promising results, indicating that a decrease in OCD severity and related functional impairment can be attributed to blended therapy. Moreover, satisfaction with online coaching was high. <i>Conclusions:</i> Despite some principal limitations, the results support the effectiveness and feasibility of blended therapy.</p>","PeriodicalId":54189,"journal":{"name":"Zeitschrift Fur Kinder-Und Jugendpsychiatrie Und Psychotherapie","volume":"51 3","pages":"207-221"},"PeriodicalIF":1.2,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9830798","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}