Zeitschrift Fur Kinder-Und Jugendpsychiatrie Und Psychotherapie最新文献

{"title":"Inwiefern verändern sich psychiatrische Prävalenz und Belastungsgrad der Klientel stationärer Jugendhilfe in der Schweiz?","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":"1-10"},"PeriodicalIF":1.0,"publicationDate":"2026-01-01","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":"Veränderung der Inanspruchnahme in einem flexiblen und integrierten Modellvorhaben einer Kinder- und Jugendpsychiatrie nach § 64b SGB V.","authors":"Anne Neumann, Martin Seifert, Roman Kliemt, Franziska Claus, Jochen Schmitt, Enno Swart, Fabian Baum","doi":"10.1024/1422-4917/a001054","DOIUrl":"10.1024/1422-4917/a001054","url":null,"abstract":"<p><p>Changes in the Utilization in a Flexible and Integrated Model Project for Child and Adolescent Psychiatry in Germany<b>Abstract:</b> <i>Objectives:</i> We tested hypotheses regarding patients in a flexible and integrative care model of a Child and Adolescent Psychiatry unit offering intensive treatment in an outpatient setting (TIBAS) (intervention group, IG) compared to a control group (CG): reduction in inpatient/daycare treatment and length of stay, increase in outpatient care in hospital, lower readmission and emergency admission rates. <i>Method:</i> We included patients treated between 2018 and 2021 based on routine data from the statutory health insurance system. We formed matched comparison groups from structurally similar control clinics using propensity score matching. The comparison of the IG and the CG referred to the year before and after study inclusion. <i>Results:</i> We analyzed data from a total of 1,806 children and adolescents. The evaluation points towards a strengthening of outpatient care in the IG. However, we found no reduction in the duration of inpatient or daycare treatment nor in the length of stay in the IG compared to the CG across all diagnoses, nor did we determine a decrease in readmission or emergency admission rates. <i>Conclusions:</i> The results indicate an intensification of outpatient care in the model hospital, without evidence of its effects on inpatient utilization. Evaluations of patient-related outcomes of the model project with a comparison group will follow.</p>","PeriodicalId":54189,"journal":{"name":"Zeitschrift Fur Kinder-Und Jugendpsychiatrie Und Psychotherapie","volume":" ","pages":"35-47"},"PeriodicalIF":1.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145490722","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":"25 Jahre Recht auf gewaltfreie Erziehung in Deutschland.","authors":"Cordula Gimm","doi":"10.1024/1422-4917/a001056","DOIUrl":"https://doi.org/10.1024/1422-4917/a001056","url":null,"abstract":"","PeriodicalId":54189,"journal":{"name":"Zeitschrift Fur Kinder-Und Jugendpsychiatrie Und Psychotherapie","volume":"54 1","pages":"51-52"},"PeriodicalIF":1.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146055208","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":"Genetische Diagnostik bei Kindern und Jugendlichen mit psychischen Störungen.","authors":"Franziska Degenhardt, Eva Wohlleber, Ingo Spitczok von Brisinski, Benedikt Godo, Franziska Radtke, Christine M Freitag, Martin Holtmann, Anke Hinney, Michael Siniatchkin, Christian P Schaaf, Johannes Hebebrand, Markus M Nöthen","doi":"10.1024/1422-4917/a001050","DOIUrl":"10.1024/1422-4917/a001050","url":null,"abstract":"<p><p>Genetic Diagnostics in Children and Adolescents with Mental Disorders<b>Abstract:</b> In Germany, genetic testing is part of the guideline-based diagnostic work-up for patients with intellectual disability. This is particularly the case for patients who show additional symptoms (i. e. malformations, epilepsy) or abnormal growth (i. e. microcephaly or macrocephaly). Implementation of diagnostic genetic testing is currently hampered by the still-limited practical experience of colleagues practicing child and adolescent psychiatry (CAP) and the little-practiced interaction with physicians working in clinical genetics. Additionally, the current funding modalities for genetic testing are not well-suited for routine clinical care in CAP. This paper presents a guide for physicians working in CAP who aim to implement guideline-based genetic testing into their routine clinical care. It focuses on steps relevant to ordering genetic testing, from obtaining informed consent to receiving and reporting the test results to those affected.</p>","PeriodicalId":54189,"journal":{"name":"Zeitschrift Fur Kinder-Und Jugendpsychiatrie Und Psychotherapie","volume":" ","pages":"23-34"},"PeriodicalIF":1.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145551933","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 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":"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":"12-20"},"PeriodicalIF":1.0,"publicationDate":"2026-01-01","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":"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":"<p><p>A Stepped Bereavement Care Model for Children and Young People <b>Abstract:</b> <i>Objective:</i> 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. <i>Method:</i> We adapted the stepped-care model through an iterative consensus process involving experts in psychology, psychotherapy, grief counselling, bereavement support, and social work. <i>Results:</i> 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. <i>Conclusions:</i> 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.</p>","PeriodicalId":54189,"journal":{"name":"Zeitschrift Fur Kinder-Und Jugendpsychiatrie Und Psychotherapie","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-12-08","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}

{"title":"REWARD - rTMS Effects in Adolescent Depression and Behavioral Addictions.","authors":"Johanna K Loy, Alexander Krieg, Lena Pokorny, Stephan Bender","doi":"10.1024/1422-4917/a001052","DOIUrl":"https://doi.org/10.1024/1422-4917/a001052","url":null,"abstract":"<p><p><b></b> <i>Background:</i> Impairments in reward processing and inhibitory control are key neurocognitive dysfunctions implicated in various mental disorders during adolescence, including major depressive disorder (MDD) and behavioral addictions (BAs). They are associated with greater symptom severity and poorer treatment outcomes. Among adults, repetitive transcranial magnetic stimulation (rTMS) targeting the left dorsolateral prefrontal cortex (DLPFC) has shown promise as a neuromodulation approach targeting these neural circuits. However, evidence regarding the neurophysiological effects of rTMS in adolescents with these conditions remains scarce. This study investigates the acute, short-term, and medium-term effects of high-frequency rTMS on neurophysiological markers and clinical symptoms in adolescents with MDD and BAs. <i>Methods:</i> This protocol describes a double-blind, randomized, sham-controlled trial enrolling adolescents 12-17 years diagnosed with MDD or BAs. We randomized the participants to receive either active rTMS (15 Hz, 120 % resting motor threshold, 1,600 pulses per session in 40 trains of 4 s) or sham stimulation. We studied the immediate rTMS effects after and during a singular rTMS session in both diagnostic groups as well as the effects of 12 rTMS sessions for the MDD group. We assessed self-report via the Children's Depression Rating Scale-Revised (CDRS-R) and craving scales adapted for BA. The neurophysiological outcomes include EEG-derived event-related potentials (Reward Positivity, N45, P300, P60, N100, LPP) to examine reward processing, cortical excitability/inhibition, and cue reactivity. The statistical analyses applied mixed-effects models with a planned sample size of 32 participants per group. <i>Discussion:</i> This study provides novel insights into the neurophysiological mechanisms underlying rTMS effects on the DLPFC in adolescent MDD and BAs. Demonstrating modulation of reward- and inhibition-related EEG markers alongside clinical improvement could strengthen the evidence for rTMS as a safe and effective intervention, while informing future personalized treatment strategies for these vulnerable populations.</p>","PeriodicalId":54189,"journal":{"name":"Zeitschrift Fur Kinder-Und Jugendpsychiatrie Und Psychotherapie","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145497399","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":"Honorierung von Gutachten für Gerichtsverfahren: Der Grad der Schwierigkeit der zu beantwortenden Beweisfragen.","authors":"Jörg M Fegert","doi":"10.1024/1422-4917/a001041","DOIUrl":"https://doi.org/10.1024/1422-4917/a001041","url":null,"abstract":"","PeriodicalId":54189,"journal":{"name":"Zeitschrift Fur Kinder-Und Jugendpsychiatrie Und Psychotherapie","volume":"53 6","pages":"346-348"},"PeriodicalIF":1.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145515004","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":"Extremistische Einstellungen bei Patientinnen und Patienten in der kinder- und jugendpsychiatrischen und -psychotherapeutischen Behandlung.","authors":"Marc Allroggen","doi":"10.1024/1422-4917/a001036","DOIUrl":"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":"317-330"},"PeriodicalIF":1.0,"publicationDate":"2025-11-01","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":"Psychische Gesundheit und körperliche Aktivität von Heranwachsenden unterschiedlicher sozialer Herkunft.","authors":"Franziska Reiß, Carmen Volk, Steven Behn, Anne Kaman, Leon Klos, Alexander Burchartz, Thomas Hinz, Anke Hanssen-Doose, Alexander Woll, Claudia Niessner, Ulrike Ravens-Sieberer","doi":"10.1024/1422-4917/a001045","DOIUrl":"10.1024/1422-4917/a001045","url":null,"abstract":"<p><p>Mental Health and Physical Activity among Adolescents from Different Social Backgrounds: Results of the German COMO-Study <b>Summary:</b> <i>Objective:</i> Investigating the effects of the COVID-19 pandemic is central to future health strategies. This article provides population-based data on the mental health and physical activity of children and adolescents in Germany, considering sociodemographic characteristics. <i>Method:</i> The data refer to the population-based representative COMO-study with 5240 participants aged 4 to 17 years, surveyed between October 2023 and February 2024. It assessed mental health problems (SDQ), health-related quality of life (HRQoL, KIDSCREEN-10); and physical activity (WHO physical activity recommendation, sport) and calculated prevalence stratified by age, gender, and socioeconomic status (SES) as well as regression analyses. <i>Results:</i> 21 % of youth reported mental health problems, 14.5 % had low HRQoL, and 19.8 % fulfilled the WHO activity recommendation. Adolescents with low SES showed more mental health problems (29.9 % low vs. 10.7 % high), lower HRQoL, and were less active both in sports clubs (46.8 % low vs. 77.1 % high) and outside sports clubs. Physical activity was associated with fewer mental health problems (OR = 0.66-0.74) and higher HRQoL (OR = 1.19-1.73). Differences in age and gender showed heterogeneous results. <i>Conclusions:</i> Five years into the pandemic, socioeconomic inequalities in mental health, well-being, and physical activity persist. Physical activity can be a promising complementary approach to promoting mental health in youth.</p>","PeriodicalId":54189,"journal":{"name":"Zeitschrift Fur Kinder-Und Jugendpsychiatrie Und Psychotherapie","volume":" ","pages":"304-316"},"PeriodicalIF":1.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139349","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}