Zeitschrift Fur Kinder-Und Jugendpsychiatrie Und Psychotherapie最新文献_第3页

Gestufte Trauerversorgung auch für Kinder und Jugendliche. 它还为儿童和青少年提供服务。

IF 1.1 4区医学

Zeitschrift Fur Kinder-Und Jugendpsychiatrie Und Psychotherapie Pub Date : 2026-07-01 Epub Date: 2025-12-08 DOI: 10.1024/1422-4917/a001062

Heidi Müller, Daniel Berthold, Susanne Kiepke-Ziemes, Bettina K Doering

{"title":"Gestufte Trauerversorgung auch für Kinder und Jugendliche.","authors":"Heidi Müller, Daniel Berthold, Susanne Kiepke-Ziemes, Bettina K Doering","doi":"10.1024/1422-4917/a001062","DOIUrl":"10.1024/1422-4917/a001062","url":null,"abstract":"A Stepped Bereavement Care Model for Children and Young People Abstract: Objective: Losing a caregiver can have a profound impact on the health and quality of life of children and young people (CYP). The provision of needs-based support for this group is questionable. Germany lacks a structured framework that could organize bereavement care for CYP, incorporate the various professional groups and institutions involved, and lead to the establishment of quality standards. This article discusses an Irish stepped-care model at an international level. Adapting it to the German context and disseminating can contribute to the professionalization of bereavement care for CYP. Method: We adapted the stepped-care model through an iterative consensus process involving experts in psychology, psychotherapy, grief counselling, bereavement support, and social work. Results: The German adaptation outlines a four-stage model, beginning at the societal level. Support is tailored to the specific needs of CYP and their families, with support options including the social environment, low-threshold services, and psychotherapy. Facilitating transitions between the levels of care is particularly important to accommodate the dynamic nature of support needs. Conclusions: Establishing a stepped-care framework can contribute to a more needs-based approach to caring for bereaved CYP. Implementing this model requires a systematic identification of needs to avoid potential gaps in care.","PeriodicalId":54189,"journal":{"name":"Zeitschrift Fur Kinder-Und Jugendpsychiatrie Und Psychotherapie","volume":" ","pages":"213-224"},"PeriodicalIF":1.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145710288","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}

引用次数: 0

Course of Juvenile Depressive Disorders After Psychiatric Inpatient Treatment - A Follow-Up Study. 精神科住院治疗后青少年抑郁症病程的随访研究。

IF 1 4区医学

Zeitschrift Fur Kinder-Und Jugendpsychiatrie Und Psychotherapie Pub Date : 2026-06-12 DOI: 10.1024/1422-4917/a001086

Clara Sophie Beer, Carina Maria Jörke, Michael Kölch, Tanja Legenbauer, Martin Holtmann, Stefanie Bienioschek

{"title":"Course of Juvenile Depressive Disorders After Psychiatric Inpatient Treatment - A Follow-Up Study.","authors":"Clara Sophie Beer, Carina Maria Jörke, Michael Kölch, Tanja Legenbauer, Martin Holtmann, Stefanie Bienioschek","doi":"10.1024/1422-4917/a001086","DOIUrl":"https://doi.org/10.1024/1422-4917/a001086","url":null,"abstract":" Objective: Depression is among the most common disorders in adolescence and is closely linked to sleep behavior and quality of life. Long-term studies examining the course of depressive symptoms after inpatient treatment are scarce. The present study investigated changes in depressive symptoms among adolescents following inpatient treatment, focusing on associations with sleep-wake rhythm and subjective quality of life. Method: The sample comprised n = 38 adolescents (Mage = 18.63, SDage = 1.71; 85.4 % female) who had previously been hospitalized for a depressive disorder. The follow-up study spanned 5 years, during which sociodemographic data as well as the values from the Beck Depression Inventory-II (BDI-II), the Morningness-Eveningness Questionnaire (MEQ), and the KIDSCREEN were collected annually online. Results: Significant reductions in depressive symptoms and increases in life satisfaction were observed between follow-up II and the catamnesis assessment. BDI-II and MEQ scores were significantly correlated, whereas changes in depressive symptoms were not associated with alterations in sleep behavior. The MEQ indicated a significant shift in chronotype from eveningness to morningness over time. Conclusion: Symptom improvement was evident at the catamnesis timepoint. Due to the small sample size, no generalizable conclusions can be drawn. Further follow-up studies are needed to examine symptom trajectories after inpatient treatment.","PeriodicalId":54189,"journal":{"name":"Zeitschrift Fur Kinder-Und Jugendpsychiatrie Und Psychotherapie","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148228885","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}

引用次数: 0

Neurodiversität und Autismus. 神经多样性和自闭症。

IF 1 4区医学

Zeitschrift Fur Kinder-Und Jugendpsychiatrie Und Psychotherapie Pub Date : 2026-06-12 DOI: 10.1024/1422-4917/a001081

Inge Kamp-Becker

{"title":"Neurodiversität und Autismus.","authors":"Inge Kamp-Becker","doi":"10.1024/1422-4917/a001081","DOIUrl":"https://doi.org/10.1024/1422-4917/a001081","url":null,"abstract":"Neurodiversity and Autism - A Critical Examination of a Popular Concept Abstract: Neurodiversity refers to the natural diversity of human beings and thus emphasizes the natural range of differences between people. As simple, convincing, and popular as this assumption is, the interpretations, conclusions, and implications of this statement are just as varied. This article focuses on the scientific basis of the concept, on the one hand, and on autism and divergence, on the other. It outlines the implications regarding biological determinism, identity, and the effects on diagnosis and therapy, and examines and critically reflects on the demands arising from the concept. The author concludes that the claim of \"neurological difference\" posited in the context of neurodiversity - which asserts a fundamental, innate distinctiveness and, at the same time, a specific mode of functioning, as well as the determination of a person´s identity by these factors - has not been sufficiently substantiated by empirical research. Clinical evidence regarding the etiology, heterogeneity, course, and changeability of the diagnoses encompassed by this concept is not compatible with the assumed determinism regarding a person´s identity. Neurodiversity is an important approach to reducing stigmatization and promoting acceptance of difference, but diversity should not be limited by new stereotypes, and in-group-out-group processes are not helpful regarding acceptance, openness, and tolerance. Diagnoses instrumentalized in the sense of identity formation, stabilization, and justification for otherness do not imply an appreciative attitude toward those whose deficits, limited behavioral and developmental possibilities, suffering, and impairments are described by the diagnoses.","PeriodicalId":54189,"journal":{"name":"Zeitschrift Fur Kinder-Und Jugendpsychiatrie Und Psychotherapie","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148240616","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}

引用次数: 0

50 Jahre Psychiatrie-Enquete – Ihre Bedeutung für die Kinder- und Jugendpsychiatrie. 50年的精神病学调查：对儿童和青少年精神病学的意义。

IF 1 4区医学

Zeitschrift Fur Kinder-Und Jugendpsychiatrie Und Psychotherapie Pub Date : 2026-05-01 DOI: 10.1024/1422-4917/a001072

Klaus Schepker, Renate Schepker

引用次数: 0

Dringender Handlungsbedarf beim Schutz von Kindern und Jugendlichen in der neuen Cannabispolitik. 需要采取紧急行动，在新的大麻政策中保护儿童和年轻人。

IF 1 4区医学

Zeitschrift Fur Kinder-Und Jugendpsychiatrie Und Psychotherapie Pub Date : 2026-05-01 DOI: 10.1024/1422-4917/a001073

Rainer Thomasius, Martin Holtmann, Marianne Klein, Angela Wenzel, Gisela Schimansky, Thomas Krömer, Olaf Reis

引用次数: 0

Positive Child Relationship Behavior Toward Mothers in 3-7-Year-Old Children with Mental Disorders. 3-7岁精神障碍儿童对母亲的积极儿童关系行为。

IF 1 4区医学

Zeitschrift Fur Kinder-Und Jugendpsychiatrie Und Psychotherapie Pub Date : 2026-05-01 Epub Date: 2025-10-02 DOI: 10.1024/1422-4917/a001048

Wolfgang Briegel, Paulina Mederer

{"title":"Positive Child Relationship Behavior Toward Mothers in 3-7-Year-Old Children with Mental Disorders.","authors":"Wolfgang Briegel, Paulina Mederer","doi":"10.1024/1422-4917/a001048","DOIUrl":"10.1024/1422-4917/a001048","url":null,"abstract":" Objective: A paucity of research exists on the subject of positive child relationship behavior toward parents, particularly in children with mental disorders. Method: We invited the mothers of children 3 to 7 years with mental disorders according to the ICD-10 to complete questionnaires on positive child relationship behavior, child behavior problems, maternal psychopathology, dysfunctional parenting, and maternal sense of competence. Results: 71 children (56 boys and 15 girls, mean age = 64.07 [SD = 11.75] months with their mothers (mean age = 33.94 [SD = 6.49] years) participated in this pilot study. Children with primarily internalizing disorders did not differ from the general population regarding the frequency of positive relationship-relevant behavior toward their mothers. Conversely, children with externalizing disorders and those with a residual diagnosis exhibited significantly lower frequencies of positive behavior toward their mothers. Dysfunctional parenting behavior and maternal psychopathology did not correlate with the frequency of children's positive relationship behavior toward their mothers. However, maternal sense of competence correlated significantly positively with positive child relationship behavior. Conclusions: It is imperative to systematically assess positive child relationship behavior as perceived by their parents to obtain a more comprehensive perspective on the child.","PeriodicalId":54189,"journal":{"name":"Zeitschrift Fur Kinder-Und Jugendpsychiatrie Und Psychotherapie","volume":" ","pages":"139-150"},"PeriodicalIF":1.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208239","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}

引用次数: 0

Ausprägung und Korrelate des Rauchverhaltens bei Patientinnen und Patienten mit Substanzkonsumstörung in einer jugendpsychiatrischen Spezialambulanz. 青少年精神科门诊吸烟障碍患者吸烟行为的特征与相关性。

IF 1 4区医学

Zeitschrift Fur Kinder-Und Jugendpsychiatrie Und Psychotherapie Pub Date : 2026-05-01 Epub Date: 2025-12-17 DOI: 10.1024/1422-4917/a001061

Marko Teichmann, Yulia Golub, Veit Roessner, Sören Kuitunen-Paul

{"title":"Ausprägung und Korrelate des Rauchverhaltens bei Patientinnen und Patienten mit Substanzkonsumstörung in einer jugendpsychiatrischen Spezialambulanz.","authors":"Marko Teichmann, Yulia Golub, Veit Roessner, Sören Kuitunen-Paul","doi":"10.1024/1422-4917/a001061","DOIUrl":"10.1024/1422-4917/a001061","url":null,"abstract":"Prevalence and Correlates of Smoking Behavior Among Patients with Substance Use Disorders in a Specialized Adolescent Psychiatric Outpatient Clinic Abstract: Objective: Germany lacks recent data on the incidence and severity of tobacco use and tobacco use disorders (TUD) in high-risk populations, especially among adolescent outpatients with substance use disorders (SUDs). Method: We collected data from N = 134 adolescents in a specialized SUD outpatient unit for adolescent psychiatric patients using structured interviews (consumption and disorder symptoms) and a sociodemographic caregiver questionnaire (education, subjective financial status, and housing status). Descriptive data and linear regression models present possible associations between consumption, disorder diagnoses, and social demographics. Results: There were high 30-day prevalence rates for smoking (95 %), daily smoking (79 %), heavy or very heavy smoking (61 % and 23 % among smokers, respectively), and past-year TUD (77 %). Daily average consumption of M = 11.0 cigarettes was associated with a lower age at first use (M = 12.6 years), which in turn was lower for those with a lower level of education and a worse financial situation. Conclusions: The extremely high prevalence of smoking, early onset of use, and high rate of TUD highlight the urgent need for tailored smoking cessation programs for adolescents with SUD.","PeriodicalId":54189,"journal":{"name":"Zeitschrift Fur Kinder-Und Jugendpsychiatrie Und Psychotherapie","volume":" ","pages":"151-163"},"PeriodicalIF":1.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145769962","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}

引用次数: 0

Depressive Störungen – von der ICD-10 zur ICD-11. 抑郁障碍：从ICD-10到ICD-11。

IF 1.1 4区医学

Zeitschrift Fur Kinder-Und Jugendpsychiatrie Und Psychotherapie Pub Date : 2026-05-01 Epub Date: 2025-11-12 DOI: 10.1024/1422-4917/a001053

Svenja Geissler, Gerd Schulte-Körne, Ellen Greimel

{"title":"Depressive Störungen – von der ICD-10 zur ICD-11.","authors":"Svenja Geissler, Gerd Schulte-Körne, Ellen Greimel","doi":"10.1024/1422-4917/a001053","DOIUrl":"10.1024/1422-4917/a001053","url":null,"abstract":"Depressive Disorders - From ICD-10 to ICD-11 Abstract: This article presents the main changes in the classification of depressive disorders associated with the transition from ICD-10 to ICD-11. We evaluate the changes regarding their relevance for diagnostic assessment during childhood and adolescence and the current state of research. Some changes were implemented in the categorization of disorders: In ICD-11, depressive disorders are listed as a disorder group separately from bipolar disorders and now include both dysthymic disorder as well as mixed depressive and anxiety disorder. With the introduction of ICD-11, the diagnostic criteria for depressive episodes were revised, however, specific considerations for diagnoses in children and adolescents remain unaddressed. The ICD-11 newly introduces the diagnosis of premenstrual dysphoric disorder as a depressive disorder, in parallel to DSM-5. In addition, it introduced seven diagnostic specifiers that describe depressive disorders beyond the diagnosis. The clinical descriptions and diagnostic guidelines were comprehensively updated with the revision of the ICD criteria and supplemented with developmental characteristics, which are particularly relevant for the assessment of children and adolescents. However, the guidelines are not yet included in the German draft version currently available online. More research with children and adolescents is needed to evaluate the reliability of the updated diagnostic criteria for this age group.","PeriodicalId":54189,"journal":{"name":"Zeitschrift Fur Kinder-Und Jugendpsychiatrie Und Psychotherapie","volume":" ","pages":"166-178"},"PeriodicalIF":1.1,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145497380","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}

引用次数: 0

Pilotstudie zur Durchführbarkeit und Wirksamkeit der IPT-A zur ambulanten Behandlung depressiver Erkrankungen in einer deutschen Versorgungsklinik. IPT-A在德国一家护理诊所门诊治疗抑郁症的可行性和有效性的试点研究。

IF 1 4区医学

Zeitschrift Fur Kinder-Und Jugendpsychiatrie Und Psychotherapie Pub Date : 2026-04-27 DOI: 10.1024/1422-4917/a001075

Bettina Hearn, Anne von Lucadou, Reinhold Rauh, Christian Fleischhaker

{"title":"Pilotstudie zur Durchführbarkeit und Wirksamkeit der IPT-A zur ambulanten Behandlung depressiver Erkrankungen in einer deutschen Versorgungsklinik.","authors":"Bettina Hearn, Anne von Lucadou, Reinhold Rauh, Christian Fleischhaker","doi":"10.1024/1422-4917/a001075","DOIUrl":"10.1024/1422-4917/a001075","url":null,"abstract":"Pilot Study on the Feasibility and Effectiveness of IPT-A for the Outpatient Treatment of Depression at a German Healthcare Clinic Abstract: Introduction: Depression in adolescence is highly prevalent and requires effective treatment approaches. Interpersonal Psychotherapy for Adolescents (IPT-A) has proved effective internationally, but data from German clinical settings are lacking. This pilot study aimed to examine the feasibility and effectiveness of the German version of IPT-A for adolescents with depression. Methods: Twenty-four outpatients (17 female, 7 male) aged 12 - 18 years (M = 15.96, SD = 1.66) with a primary diagnosis of depression received 12 - 16 sessions of IPT-A. We assessed feasibility via dropout rate. The primary outcome measure was the Children's Depression Rating Scale-Revised (CDRS-R), assessed at pretreatment, posttreatment, and 6-month follow-up. Additionally, questionnaires were included (Beck Depression Inventory II [BDI-II], Global Assessment of Functioning Scale [GAF], Conflict Behavior Questionnaire [CBQ-20]). Results: The dropout rate was 25 %. Depressive symptoms, as measured by the CDRS-R, decreased significantly over time with a large effect size, and reductions were maintained at the 6-month follow-up. Conclusions: The findings indicate that IPT-A is feasible in the German clinical care context and can reduce depressive symptoms in adolescents. Further research with larger samples and randomized controlled designs is needed to confirm these results and to investigate treatment mechanisms in more detail.","PeriodicalId":54189,"journal":{"name":"Zeitschrift Fur Kinder-Und Jugendpsychiatrie Und Psychotherapie","volume":" ","pages":"1-11"},"PeriodicalIF":1.0,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147789046","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}

引用次数: 0

Attitudes of Psychotherapists Toward Outcome Measures and Routine Outcome Monitoring in Child and Youth Psychotherapy. 儿童和青少年心理治疗中心理治疗师对结果测量和常规结果监测的态度。

IF 1 4区医学

Zeitschrift Fur Kinder-Und Jugendpsychiatrie Und Psychotherapie Pub Date : 2026-04-09 DOI: 10.1024/1422-4917/a001071

Sebastian Ertl, Theresa Emser, Sarah Garsche, David R Kolar

{"title":"Attitudes of Psychotherapists Toward Outcome Measures and Routine Outcome Monitoring in Child and Youth Psychotherapy.","authors":"Sebastian Ertl, Theresa Emser, Sarah Garsche, David R Kolar","doi":"10.1024/1422-4917/a001071","DOIUrl":"https://doi.org/10.1024/1422-4917/a001071","url":null,"abstract":" Objective: In this observational study, we investigated which therapeutic characteristics affect the attitudes of psychotherapists working with children and adolescents toward Outcome (OM) and Routine Outcome Monitoring (ROM), and how implementation is affected by previous experience and attitudes toward administering OM/ROM. Methods: We assessed the attitudes of licensed German psychotherapists and psychotherapists in training working with children and adolescents toward the OM/ROM in an online survey conducted between June 2023 and March 2024 (N = 126). Results: Compared with psychoanalytic-oriented therapists, therapists with an orientation in cognitive behavioral therapy (CBT) presented more positive attitudes, but we found no significant difference between orientations in CBT and psychodynamic psychotherapy. Therapists working in institutionalized outpatient settings reported more positive attitudes than those working in private practices. We found no effect of previous experience in administering OM/ROM for either implementation barriers or facilitators. However, more positive attitudes toward OM/ROM are associated with higher expectations regarding both support in therapeutic processes and support in clarification. Conclusion: OM/ROM systems should consider assessing concepts from different psychotherapeutic orientations. The implementation of OM/ROM could benefit from close monitoring.","PeriodicalId":54189,"journal":{"name":"Zeitschrift Fur Kinder-Und Jugendpsychiatrie Und Psychotherapie","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147639847","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}

引用次数: 0