Zeitschrift Fur Kinder-Und Jugendpsychiatrie Und Psychotherapie最新文献

{"title":"ADHS-ZEBRA.","authors":"Johanna Waltereit, Charlotte Borghoff, Martin Schulte-Rüther, Veit Roessner, Robert Waltereit","doi":"10.1024/1422-4917/a001078","DOIUrl":"10.1024/1422-4917/a001078","url":null,"abstract":"<p><strong>Adhs-zebra: </strong>Algorithm for the Retrospective Diagnostic Assessment of ICD-10, ICD-11, and DSM-5 ADHD Symptoms in Primary School Reports <b>Abstract:</b> According to the German S3 guideline, diagnosing attention deficit/hyperactivity disorder (ADHD) requires evidence of symptom onset during childhood. This poses a particular challenge when assessing adolescents and young adults. Primary school reports can provide valuable information about earlier patterns of work and social behavior, thereby allowing a retrospective assessment of ADHD-related symptoms - specifically inattention, impulsivity, and hyperactivity. In our 2025 study (Waltereit et al., 2025), we systematically and quantitatively analyzed primary school reports from a sample in the German federal state of Saxony using the diagnostic criteria for ADHD according to ICD-10, ICD-11, and DSM-5. The results demonstrated high diagnostic discrimination between reports of children with ADHD and those of healthy controls. Based on these findings, we developed the ADHD-ZEBRA (Analysis of Primary School Reports for Symptoms of ADHD) through an iterative design process. This article presents and discusses the procedure that operationalizes the empirical findings for the practical application in clinical settings. The aim is to make this frequently used, but to date nonstandardized source of information more usable and to strengthen the diagnostic validity of ADHD in adolescence and young adulthood.</p>","PeriodicalId":54189,"journal":{"name":"Zeitschrift Fur Kinder-Und Jugendpsychiatrie Und Psychotherapie","volume":" ","pages":"269-279"},"PeriodicalIF":1.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148206874","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":"Intercultural Competence as a Key Qualification in Child and Adolescent Psychiatry and Psychotherapy.","authors":"Matthias Klosinski, Katharina Bernhardt, Andrea Hahnefeld, Volker Mall, Inga Wermuth, Gerd Schulte-Körne","doi":"10.1024/1422-4917/a001079","DOIUrl":"10.1024/1422-4917/a001079","url":null,"abstract":"<p><p><b></b> <i>Objective:</i> This study aimed to assess how relevant mental health professionals consider intercultural competence to be for their work, to evaluate the existing self-rated knowledge in this area, to conduct a needs analysis for additional training opportunities, and to identify influencing variables. <i>Method:</i> We sent a link to an online survey via the mailing list of the German Society for Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy. We supplemented a standardized tool for assessing intercultural competence with aspects relevant to Child and Adolescent Psychiatry and Psychotherapy. <i>Results:</i> Of the <i>N</i> = 142 participants, over 95 % considered cultural aspects to be relevant in their work. Only 20 % had ever attended intercultural training, and over 90 % would like to receive further training. Variables such as age, sex, and experience abroad correlated with some of the item responses. <i>Conclusions:</i> The findings clearly show a need and desire for training in this field. We suggest including intercultural competence in curricula and training offers for all mental health professionals to improve the quality of mental healthcare in Child and Adolescent Psychiatry and Psychotherapy.</p>","PeriodicalId":54189,"journal":{"name":"Zeitschrift Fur Kinder-Und Jugendpsychiatrie Und Psychotherapie","volume":" ","pages":"280-290"},"PeriodicalIF":1.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148267015","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":"Traumaassoziierte Störungen, ADHS, externalisierende und Zwangsstörungen.","authors":"Carola Bindt, Eva Möhler, Alexander von Gontard","doi":"10.1024/1422-4917/a001090","DOIUrl":"10.1024/1422-4917/a001090","url":null,"abstract":"<p><p>Trauma-Associated Disorders, ADHD, Externalizing and Obsessive-Compulsive Disorders - Mental Health Disorders in Infants, Toddlers, and Preschool Children: Clinical Guideline for Assessment, Counseling and Treatment (Part 3) <b>Abstract:</b> <i>Objective:</i> A wide variety of mental health disorders can affect young children aged 0 to 5;11 years. The aim of revising these interdisciplinary guidelines is to present the current state of knowledge regarding the assessment and therapy of the most important disorders. We formulate consensus-based, practical recommendations. The third part focuses on disorders that primarily affect children over the age of 3 years, specifically trauma-associated disorders, ADHD, externalizing and obsessive-compulsive disorders, and other disorders. <i>Methods:</i> The Guideline Commission consisted of 18 professional associations. The guideline was based on current literature searches and several online consensus conferences, following standard procedures. <i>Results:</i> The prevalence and variety of disorders according to DC: 0 - 5 and/or ICD-10 increase with age among preschool children. Trauma-associated disorders can be highly incapacitating. ADHD and externalizing disorders can become chronic if untreated. Obsessive-compulsive disorders have been overlooked among young children. Counseling should be offered in every case. If indicated, specific psychotherapeutic approaches for each disorder are recommended, involving parents and other caregivers. Except for ADHD, medication is usually not indicated. All disorders can be treated effectively. <i>Conclusions:</i> The recommendations of this guideline were adopted with a high consensus. The recommendations regarding assessment, counseling, and treatment can be implemented effectively in different clinical contexts and by various professional groups.</p>","PeriodicalId":54189,"journal":{"name":"Zeitschrift Fur Kinder-Und Jugendpsychiatrie Und Psychotherapie","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148438890","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":"Grundlagen der Diagnostik und Therapie, Beziehungs-, Schrei- und Schlafstörungen.","authors":"Carola Bindt, Eva Möhler, Alexander von Gontard","doi":"10.1024/1422-4917/a001088","DOIUrl":"https://doi.org/10.1024/1422-4917/a001088","url":null,"abstract":"<p><p>Mental Health Disorders in Infants, Toddlers, and Preschool Children: Basic Aspects of Their Assessment and Treatment as well as Relationships, Crying, and Sleep Disorders. A Clinical Guideline for Assessment, Counseling, and Treatment (Part 1) <b>Abstract:</b> <i>Objective:</i> Mental health disorders are just as common among young children aged 0 to 5;11 years as in older children and adolescents. These disorders are heterogeneous and can be incapacitating. They vary depending on the developmental stage of the child but can be diagnosed and treated effectively. The aim of revising these interdisciplinary guidelines is to present the current state of knowledge on the assessment and therapy of the most important disorders. We formulate consensus-based, practical recommendations. The first part focuses on the basic principles of assessment, counseling, and treatment. In addition, it covers relationships, crying, and sleep disorders. <i>Methods:</i> The Guideline Commission consisted of 18 professional associations. The guideline was based on current literature searches and several online consensus conferences, following standard procedures. <i>Results:</i> A total of 16 different groups of mental health disorders could be identified among young children. Relationship disorders and the relational context play an important role in this age group. In addition to standard assessment procedures, specific diagnostic approaches can be helpful if indicated. The diagnoses should be based on the DC: 0 - 5 and/or other classification systems such as the ICD-10. Counseling should be offered in every case. If indicated, specific psychotherapeutic approaches for each disorder are recommended, including the involvement of parents and other caregivers. Medication is usually not indicated. Specifically, excessive crying and sleep disorders, which predominantly affect infants and toddlers, can be treated effectively. <i>Conclusions:</i> The recommendations of this guideline were adopted with a high consensus. The recommendations regarding assessment, counseling, and treatment can be implemented in different clinical contexts and by various professional groups. More research is required for some disorders.</p>","PeriodicalId":54189,"journal":{"name":"Zeitschrift Fur Kinder-Und Jugendpsychiatrie Und Psychotherapie","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148438879","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":"Ess- und Fütter-, Regulations- und sensorische Verarbeitungs-, Ausscheidungs-, depressive und Angststörungen.","authors":"Carola Bindt, Eva Möhler, Alexander von Gontard","doi":"10.1024/1422-4917/a001089","DOIUrl":"https://doi.org/10.1024/1422-4917/a001089","url":null,"abstract":"<p><p>Eating and Feeding, Regulation and Sensory Processing, Elimination, Depressive and Anxiety Disorders - Mental Health Disorders in Infants, Toddlers, and Preschool Children: Clinical Guideline for Assessment, Counseling, and Treatment (Part 2) <b>Abstract:</b> <i>Objective:</i> Mental health disorders are just as common among young children aged 0 to 5;11 years and are heterogeneous and can be incapacitating. The aim of revising these interdisciplinary guidelines is to present the current state of knowledge regarding the assessment and therapy of the most important disorders. We formulate consensus-based, practical recommendations. The second part focuses on eating and feeding, regulation, sensory processing, elimination, depressive and anxiety disorders. <i>Methods:</i> The Guideline Commission consisted of 18 professional associations. The guideline was based on current literature searches and several online consensus conferences, following standard procedures. <i>Results:</i> A wide variety of specific disorders can be diagnosed according to the DC: 0 - 5 and/or other classification systems such as the ICD-10. Counseling should be offered in every case. If indicated, specific psychotherapeutic approaches for each disorder are recommended, involving parents and other caregivers. Eating and feeding, regulation, and sensory processing disorders primarily affect infants and toddlers; elimination, depressive, and anxiety disorders occur predominantly among toddlers and preschoolers. Each of these disorders can be treated effectively. <i>Conclusions:</i> The recommendations of this guideline were adopted with a high consensus. The recommendations regarding assessment, counseling, and treatment can be implemented effectively in different clinical contexts and by various professional groups.</p>","PeriodicalId":54189,"journal":{"name":"Zeitschrift Fur Kinder-Und Jugendpsychiatrie Und Psychotherapie","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148438824","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-Media Use and Mental Health in Children and Adolescents.","authors":"Isabel Brandhorst, Katajun Lindenberg, Kerstin Paschke, Frank W Paulus, Andrea Reiter, Tobias Renner, Marianne Klein, Luise Poustka, Tanja Legenbauer, Cordula Gimm, Eva Möhler","doi":"10.1024/1422-4917/a001082","DOIUrl":"https://doi.org/10.1024/1422-4917/a001082","url":null,"abstract":"<p><p><b></b> Digital media have become a central part of children's and adolescents' daily lives, with increasing usage time and decreasing age of first exposure in recent years. While digital technologies offer opportunities for social participation, access to information, education, and therapeutic support, they are also associated with several risks to mental health. These include problematic use patterns, cyberbullying, exposure to harmful content and hazardous contacts as well as commercial exploitation through manipulative design practices (\"dark patterns\"). This evidence review summarizes current research on the opportunities and risks of digital media use from a developmental perspective across three age groups (0 - 5, 6 - 13, and 14 - 18 years). Evidence suggests associations between intensive media use and risks for sleep, attention, language development, psychosocial well-being, and academic performance. In adolescence, problematic internet use is also associated with behavioral addictions and mental health problems. Overall, the findings highlight the need for a balanced approach to digital media use, including age-appropriate protection, media literacy, and regulatory measures to safeguard the mental health of young people. This overview forms the basis for the position statement of the German Scientific Society and Associations for Child and Adolescent Psychiatry, Psychosomatics, and Psychotherapy on digital media use and mental health of children and adolescents.</p>","PeriodicalId":54189,"journal":{"name":"Zeitschrift Fur Kinder-Und Jugendpsychiatrie Und Psychotherapie","volume":"54 4","pages":"197-211"},"PeriodicalIF":1.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148378062","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":"Nutzung digitaler Medien und psychische Gesundheit von Kindern und Jugendlichen.","authors":"Isabel Brandhorst, Katajun Lindenberg, Kerstin Paschke, Frank W Paulus, Andrea Reiter, Tobias Renner, Marianne Klein, Luise Poustka, Tanja Legenbauer, Cordula Gimm, Eva Möhler","doi":"10.1024/1422-4917/a001083","DOIUrl":"https://doi.org/10.1024/1422-4917/a001083","url":null,"abstract":"","PeriodicalId":54189,"journal":{"name":"Zeitschrift Fur Kinder-Und Jugendpsychiatrie Und Psychotherapie","volume":"54 4","pages":"259-264"},"PeriodicalIF":1.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148378110","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":"Iatrogene Effekte von Befragungs-, Experimental- und Präventionsstudien im Kontext selbstverletzenden Verhaltens bei Kindern und Jugendlichen.","authors":"Tina In-Albon, Verena Kathmann, Kim Kieweg","doi":"10.1024/1422-4917/a001047","DOIUrl":"10.1024/1422-4917/a001047","url":null,"abstract":"<p><p>The Potential Iatrogenic Effects of Interview, Experimental, and Prevention Studies of Self-Injurious Behavior in Children and Adolescents: A Literature Review <b>Abstract:</b> Suicidal thoughts and behavior and nonsuicidal self-injury have a high prevalence rate in adolescence and young adulthood. Nevertheless, there are numerous research gaps, some of which are associated with concerns that assessing suicidality and conducting studies with suicidality/nonsuicidal self-injury stimuli could lead to iatrogenic effects. This literature review provides an overview of survey, prevention, and experimental studies that have investigated the question of the potential iatrogenic effects of studies of suicidality and self-injury in adolescents and young adults. For this review, we considered 21 studies. In summary, the vast majority of studies found no evidence of iatrogenic effects such as more suicidal thoughts, self-injurious behavior, or severe psychological stress as a result of study participation. The results indicate to decision-makers that current guidelines should enable and promote the ethical conduct of studies with sensitive content, such as suicidality and self-injury. The central relevance of increased scientific studies is twofold: first, in terms of the increase in knowledge and, second, in terms of the sustainable improvement of care.</p>","PeriodicalId":54189,"journal":{"name":"Zeitschrift Fur Kinder-Und Jugendpsychiatrie Und Psychotherapie","volume":" ","pages":"225-236"},"PeriodicalIF":1.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139216","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 Krise der psychischen Gesundheit.","authors":"Esther Strittmatter, Eva Möhler","doi":"10.1024/1422-4917/a001076","DOIUrl":"10.1024/1422-4917/a001076","url":null,"abstract":"<p><p>The Mental Health Crisis <b>Abstract:</b> The mental health of adolescents has deteriorated in many countries around the world over the past two decades. This article presents the possible causes, such as the consequences of the current global crises and the influence of social media, against the backdrop of current literature. It examines alternative hypotheses for the increase in various diagnoses (gender dysphoria, autism spectrum disorder, attention deficit/hyperactivity disorder) and discusses topics ranging from changes in diagnostic criteria, the neurodiversity movement, and the expansion of diagnostic concepts (\"concept creep\") to looping effects. It also examines possible consequences (care-prevalence paradox) regarding specific risk groups and derives implications for good and equitable child and adolescent psychiatric and psychotherapeutic care in the future.</p>","PeriodicalId":54189,"journal":{"name":"Zeitschrift Fur Kinder-Und Jugendpsychiatrie Und Psychotherapie","volume":" ","pages":"238-253"},"PeriodicalIF":1.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147700578","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":"Auf dem Weg zur Strategie „Mentale Gesundheit für junge Menschen“.","authors":"Cordula Gimm","doi":"10.1024/1422-4917/a001084","DOIUrl":"https://doi.org/10.1024/1422-4917/a001084","url":null,"abstract":"","PeriodicalId":54189,"journal":{"name":"Zeitschrift Fur Kinder-Und Jugendpsychiatrie Und Psychotherapie","volume":"54 4","pages":"255-258"},"PeriodicalIF":1.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148377974","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}