Zeitschrift Fur Kinder-Und Jugendpsychiatrie Und Psychotherapie最新文献

{"title":"Analyzing Access to Child and Adolescent Psychiatric Care Institutes in Germany Based on Driving Time.","authors":"Lars Masanneck, Jonathan Repple, Sven G Meuth, Martin Holtmann, Manuel Föcker, Marc Pawlitzki","doi":"10.1024/1422-4917/a001037","DOIUrl":"https://doi.org/10.1024/1422-4917/a001037","url":null,"abstract":"<p><p><b></b> <i>Objective:</i> While structured treatment programs for children and adolescents with psychiatric disorders exist, their geographic distribution remains unclear. Specialized addiction treatment facilities for young patients are particularly scarce in Germany. This study examines access to child and adolescent psychiatric care using a driving time-based isochrone analysis to identify regional disparities. <i>Methods:</i> We mapped outpatient clinics, inpatient departments, day clinics as well as specialized addiction centers and calculated the isochrones for 30, 60, 90, and 120 minutes of driving time. We then aggregated the resulting geometric areas and applied them to the Global Human Settlement Population Grid 2025 to estimate the number of German inhabitants with access to these centers within the specified time frames. <i>Results:</i> While 98 % of Germans can reach a psychiatric care unit within 1 hour, the coverage is lower for specialized addiction clinics (60.5%). Within 120 minutes, more than 95 % of Germans can reach a center of any network. In addition to the generally underserved rural areas, such as those in northeastern Germany, specialized addiction clinics are underrepresented across all regions. <i>Conclusion:</i> Germany's adolescent psychiatric care is relatively strong, though some regions still face limited access and pose challenges to patients, especially regarding acute crisis interventions, where long travel times delay urgent care.</p>","PeriodicalId":54189,"journal":{"name":"Zeitschrift Fur Kinder-Und Jugendpsychiatrie Und Psychotherapie","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144776914","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":"[Patients with Extremist Attitudes During Child and Adolescent Psychiatric and Psychotherapeutic Treatment].","authors":"Marc Allroggen","doi":"10.1024/1422-4917/a001036","DOIUrl":"https://doi.org/10.1024/1422-4917/a001036","url":null,"abstract":"<p><p>Patients with Extremist Attitudes During Child and Adolescent Psychiatric and Psychotherapeutic Treatment <b>Abstract:</b> Extremist attitudes are widespread in the general population. Children and adolescents not only have a significant risk of growing up in families with extremist attitudes and being confronted with extremist content in their social environment, but they also often display the respective attitudes themselves. Extremist attitudes are often rooted in problematic developmental paths and experiences of crisis. They can also be associated with the presence of mental disorders, be exacerbated by them, or trigger them. There is also a risk of their committing crimes and violent acts in connection with extremist attitudes. Based on a selective literature review, this article explains the role child and adolescent psychiatrists and psychotherapists can play in preventing extremism, the complex mechanisms and developmental paths that underlie extremism, and how to address extremism and related risk situations during treatment.</p>","PeriodicalId":54189,"journal":{"name":"Zeitschrift Fur Kinder-Und Jugendpsychiatrie Und Psychotherapie","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144755111","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":"[Changes in the Psychiatric Prevalence and Stress Level Among Clients of Residential Youth Care Centers in Switzerland? An Evaluation of the Routine Diagnostics of a Swiss Youth Home].","authors":"Andreas Wepfer, Carmelo Campanello, Andreas Andreae","doi":"10.1024/1422-4917/a001035","DOIUrl":"10.1024/1422-4917/a001035","url":null,"abstract":"<p><p>Changes in the Psychiatric Prevalence and Stress Level Among Clients of Residential Youth Care Centers in Switzerland? An Evaluation of the Routine Diagnostics of a Swiss Youth Home <b>Abstract:</b> <i>Objective:</i> The sharp rise in inpatient admissions of adolescents poses a challenge for both psychiatric care and policymakers. Residential facilities within the youth welfare system are becoming increasingly burdened at the care interfaces. However, we cannot determine the extent of the problem because of the broad lack of studies on the prevalence of mental disorders and their severity in residential youth homes - especially in light of the lack of long-term studies of their presumed increase. An analysis of data from the Burghof Pestalozzi-Jugendstätte - an institution of the youth welfare system in German-speaking Switzerland providing comprehensive psychiatric and psychological care - should result in better information. <i>Method:</i> We analyzed the frequency of ICD-10 diagnosis categories, the global psychosocial functioning level according to MAS Axis VI, a so-called dissocialization index, and other variables statistically using systematically documented retrospective data on all 448 admissions between 2008 and 2022. <i>Results:</i> The prevalence of mental disorders was very high at 80-90 %. It was both cumulatively comorbid, with a shift from mainly externalizing to increasingly internalizing symptoms, a deterioration in the level of psychosocial functioning and performance on socialization pathways, and a decrease in age at admission. <i>Conclusions:</i> Increasing the pressure to address the psychiatric care needs of young people is becoming more and more noticeable in residential youth care facilities, which are confronted with a growing responsibility for psychiatric care tasks. Because the demands on social and vocational integration remain unchanged, these facilities must be able to respond by increasing both their effectiveness and their capacity.</p>","PeriodicalId":54189,"journal":{"name":"Zeitschrift Fur Kinder-Und Jugendpsychiatrie Und Psychotherapie","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144745958","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 zu dem Brief an die Autoren und Herausgeber der Artikel Herpertz-Dahlmann (2025) und Herpertz-Dahlmann & Zielinski-Gussen (2025).","authors":"Beate Herpertz-Dahlmann, Ingar Zielinski-Gussen","doi":"10.1024/1422-4917/a001030","DOIUrl":"10.1024/1422-4917/a001030","url":null,"abstract":"","PeriodicalId":54189,"journal":{"name":"Zeitschrift Fur Kinder-Und Jugendpsychiatrie Und Psychotherapie","volume":"53 4","pages":"230-232"},"PeriodicalIF":1.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144561957","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 zu Herpertz-Dahlmann (2025) und Herpertz-Dahlmann & Zielinski-Gussen (2025).","authors":"Andrea Bolewski, Bastian Claaßen, Marc Dupont, Henning Flechtner, Matthias Wildermuth","doi":"10.1024/1422-4917/a001029","DOIUrl":"10.1024/1422-4917/a001029","url":null,"abstract":"","PeriodicalId":54189,"journal":{"name":"Zeitschrift Fur Kinder-Und Jugendpsychiatrie Und Psychotherapie","volume":"53 4","pages":"228-229"},"PeriodicalIF":1.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144561956","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":"Keine Stigmatisierung von Menschen mit psychischen Erkrankungen, sondern wirksame Prävention: aktuelle Tendenzen.","authors":"","doi":"10.1024/1422-4917/a001032","DOIUrl":"https://doi.org/10.1024/1422-4917/a001032","url":null,"abstract":"","PeriodicalId":54189,"journal":{"name":"Zeitschrift Fur Kinder-Und Jugendpsychiatrie Und Psychotherapie","volume":"53 4","pages":"243"},"PeriodicalIF":0.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144561955","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":"Für KJPP relevante Vorhaben der neuen Bundesregierung.","authors":"","doi":"10.1024/1422-4917/a001031","DOIUrl":"https://doi.org/10.1024/1422-4917/a001031","url":null,"abstract":"","PeriodicalId":54189,"journal":{"name":"Zeitschrift Fur Kinder-Und Jugendpsychiatrie Und Psychotherapie","volume":"53 4","pages":"235-241"},"PeriodicalIF":0.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144561954","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":"[The Role of Parental Emotional Communication in the Socioemotional Development of Deaf and Hard-of-Hearing Preschoolers].","authors":"Manfred Hintermair, Vanessa Hoffmann, Karolin Schäfer","doi":"10.1024/1422-4917/a001028","DOIUrl":"10.1024/1422-4917/a001028","url":null,"abstract":"<p><p>The Role of Parental Emotional Communication in the Socioemotional Development of Deaf and Hard-of-Hearing Preschoolers <b>Abstract:</b> <i>Objectives:</i> Parents' communication with their children about emotions plays an important role in children's socioemotional development. In deaf and hard-of-hearing (DHH) children, emotional communication may be complicated by the effects of hearing loss. This study investigated the importance of emotional communication for the socioemotional development of DHH children and their parents' experience of stress. <i>Methods:</i> We interviewed the parents of 102 DHH preschool children aged 3;0 to 6;11 years in writing about parental emotional communication, parental responsiveness, children's communicative competence, parental stress, and their children's socioemotional development. We analyzed the data using path analysis. <i>Results:</i> The results show that emotional communication has no direct effects on parental stress and children's socioemotional development, although there are some indirect effects. Emotional communication contributes to a lower parental stress level (<b>β</b> = -.06, <i>p</i> = .04) via parental responsiveness and to fewer behavioral problems in the children (<b>β</b> = -.07, <i>p</i> = .04). Emotional communication also contributes to better socioemotional skills of the children via the children's communicative competence (<b>β</b> = .08, <i>p</i> = .04). Children with additional needs and their families are particularly at risk. Higher parental stress (<b>β</b> = .25, <i>p</i> < .001) and lower socioemotional skills in the children (<b>β</b> = -.18, <i>p</i> = .02) are evident. <i>Conclusions:</i> The results support previous findings in the literature regarding the role of parental responsiveness and communicative competence in the development of DHH children. In the context of family-centered early intervention, in addition to these important skills, parental support in communicating about feelings with their child should also be considered as a development-strengthening factor.</p>","PeriodicalId":54189,"journal":{"name":"Zeitschrift Fur Kinder-Und Jugendpsychiatrie Und Psychotherapie","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144217581","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":"[Analyzing the Care Situation for Children and Adolescents with Gender Dysphoria from the Perspective of Clinical Experts].","authors":"Ulla Stelling, Lea Sundsgaard, Agnes von Strachwitz, Georg Romer, Angela Rölver","doi":"10.1024/1422-4917/a001026","DOIUrl":"10.1024/1422-4917/a001026","url":null,"abstract":"<p><p>Analyzing the Care Situation for Children and Adolescents with Gender Dysphoria from the Perspective of Clinical Experts <b>Abstract:</b> Abstract. Objective: The use of healthcare services by minors with gender dysphoria has steadily increased in recent years. Long waiting times indicate the difficulties in providing professional care for this vulnerable patient group. The study analyzed the medical care situation in the German-speaking countries according to medical and/or therapeutic experts primarily treating minors with gender dysphoria. Method: We conducted 41 guideline-based interviews with experts and prepared a subsequent content analysis. Results: We could confirm an increasing demand over the last 10 years. Patients nowadays have more specific ideas and seem to be better informed. The experts attribute changes in demand to increased public presence of gender diversity, increasing tolerance and acceptance, and easier access to information. They assessed the care situation as inadequate; particularly care capacity is insufficient, and previous experiences in healthcare are often negative. The young age of the patients, comorbidities, and research gaps pose challenges regarding the indication. Patient satisfaction with somatomedical measures is rated as rather high, and experiences with detransitions are rare. Conclusions: From the experts' view, the need for health care is high and requires more research in addition to further education for social/educational and medical/psychological/therapeutic professionals.</p>","PeriodicalId":54189,"journal":{"name":"Zeitschrift Fur Kinder-Und Jugendpsychiatrie Und Psychotherapie","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781904","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":"[Attitudes Toward Coercive Measures in Psychiatry: Indicators of Polarized Attitudes from a Representative German Sample].","authors":"Elisa Wandinger, Olaf Reis, Lena Lincke, Elmar Brähler, Steffen Weirich, Alexander Dück, Michael Kölch","doi":"10.1024/1422-4917/a001021","DOIUrl":"https://doi.org/10.1024/1422-4917/a001021","url":null,"abstract":"<p><p>Attitudes Toward Coercive Measures in Psychiatry: Indicators of Polarized Attitudes from a Representative German Sample <b>Abstract:</b> <i>Objective:</i> This study examined the attitudes of the German general population toward physical restraint (PR) and chemical restraint (CR) used in psychiatric settings to protect against self-endangerment and endangerment of others. <i>Method:</i> We analyzed attitudes toward coercive measures (CM) in a representative German sample (<i>N</i> = 2.485), exploring their distribution and association with sociodemographic factors using chi² tests and multinomial logistic regressions. <i>Results:</i> Two-thirds of subjects indicated acceptance of CR, whereas only 6 % approved PR. Rejection of CM was more common in people from West Germany (<b>χ</b>²(3) = 33.396, <i>adj</i> <i>p</i> < .001, <b>φ</b> = .116), rural areas (<b>χ</b>²(3) = 14.065, <i>adj p</i> = .018, <b>φ</b> = .057), and among individuals associated with right-wing political parties (<b>χ</b>²(3) = 17.602, <i>adj p</i> = .008, <b>φ</b> = .105). <i>Conclusions:</i> 67 % of the sample accept coercive medication, while a quarter reject it, which illustrates the heterogeneity of attitudes and the need for more information and education. Despite the political tendency toward more coercive elements in psychiatric treatment, this contradicts the professional discourse, which is why a public survey could be useful in sharpening professional policy positions.</p>","PeriodicalId":54189,"journal":{"name":"Zeitschrift Fur Kinder-Und Jugendpsychiatrie Und Psychotherapie","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143702256","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}