Jörg M Fegert, Cedric Sachser, Martin Pusch, Andrea Kliemann, Jelena Gerke
{"title":"[Epistemological Misunderstandings of the German Federal Court of Justice in Criminal Cases Regarding the Null Hypothesis: Verification in the Credibility Assessment].","authors":"Jörg M Fegert, Cedric Sachser, Martin Pusch, Andrea Kliemann, Jelena Gerke","doi":"10.1024/1422-4917/a000995","DOIUrl":"10.1024/1422-4917/a000995","url":null,"abstract":"<p><p>Epistemological Misunderstandings of the German Federal Court of Justice in Criminal Cases Regarding the Null Hypothesis: Verification in the Credibility Assessment <b>Abstract:</b> <i>Background:</i> The article deals with the decision of the German Federal Court of Justice (Bundesgerichtshof, BGH) in criminal matters regarding credibility assessment dated 30 July 1999 (1 StR 618/98, BGHSt 45, 164). Regarding criminal matters, the BGH formulated specific requirements for credibility assessments based on two published scientific expert reports. <i>Method:</i> We analyzed conflicting postulates of scientific theory in the expert reports and the reception of these principles in the BGH judgment by examining the original quotes. <i>Results:</i> Given the central importance of this BGH decision, we analyzed the original expert reports for their epistemological content. The BGH formulated the scientific approach of starting from the assumption that the statement is untrue - the so-called \"null hypothesis\". In doing so, it referred to Popper's deductivism, albeit without addressing the rules of hypothesis testing. Based on the second expert report, which argues for inductive.</p>","PeriodicalId":54189,"journal":{"name":"Zeitschrift Fur Kinder-Und Jugendpsychiatrie Und Psychotherapie","volume":" ","pages":"342-352"},"PeriodicalIF":0.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142480560","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}
Linda M Bonnekoh, Ruth Fellmeth, Angelika Dübbers, Sandra Oesingmann-Weirich, Judith Fernholz, Heymut Omran, Georg Romer
{"title":"[Case Report of a 14-Year-Old Girl with Addison's Disease Under Initial Presumptive Diagnosis of Anorexia Nervosa: Confusingly Similar and Yet so Different?]","authors":"Linda M Bonnekoh, Ruth Fellmeth, Angelika Dübbers, Sandra Oesingmann-Weirich, Judith Fernholz, Heymut Omran, Georg Romer","doi":"10.1024/1422-4917/a000964","DOIUrl":"10.1024/1422-4917/a000964","url":null,"abstract":"<p><p>Case Report of a 14-Year-Old Girl with Addison's Disease Under Initial Presumptive Diagnosis of Anorexia Nervosa: Confusingly Similar and Yet so Different? <b>Abstract:</b> <i>Objective:</i> Primary adrenal insufficiency (Addison's disease) is a rare differential diagnosis of anorexia nervosa. This case report presents important differential diagnostic aspects. <i>Methods:</i> We prepared a case report of a 14-year-old female patient according to the CARE guidelines, taking the patient's and the child's parents' view into consideration. <i>Results:</i> The diagnosis of primary adrenocortical insufficiency was reached using specific laboratory diagnostics approximately 9 months after the onset of symptoms, including sudden body weight loss. Significant differential diagnostic aspects were the absence of a body schema disorder and skin hyperpigmentation prominent in the physical examination. The patient experienced a high psychosocial burden because of the unclear diagnosis over 9 months. The diagnosis and substitution therapy with hydrocortisone led to a rapid improvement of the physical and psychological symptoms. <i>Conclusions:</i> This case report emphasizes the importance of a thorough somatic differential diagnosis in the context of a suspected anorexia nervosa.</p>","PeriodicalId":54189,"journal":{"name":"Zeitschrift Fur Kinder-Und Jugendpsychiatrie Und Psychotherapie","volume":" ","pages":"354-360"},"PeriodicalIF":0.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139466102","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}
Barbara Emons, Lara Eigendorf, Ida Sibylle Haussleiter, Stefan Bender, Johann Falk Burchard, Claus-Rüdiger Haas, Martin Holtmann, Christine Norra, Knut Hoffmann, Klaus-Thomas Kronmüller, Georg Juckel
{"title":"Living with Mental Illness.","authors":"Barbara Emons, Lara Eigendorf, Ida Sibylle Haussleiter, Stefan Bender, Johann Falk Burchard, Claus-Rüdiger Haas, Martin Holtmann, Christine Norra, Knut Hoffmann, Klaus-Thomas Kronmüller, Georg Juckel","doi":"10.1024/1422-4917/a000997","DOIUrl":"10.1024/1422-4917/a000997","url":null,"abstract":"<p><p><b></b> <i>Objective:</i> The situation of patient's relatives is still not broadly studied in psychiatry. Their needs are often overlooked. <i>Method:</i> We developed a digital questionnaire concerning the patient's sociodemographic, disease-related, and family-related data and had the patient's therapist fill it out. The patients included (<i>N</i> = 1766) were persons hospitalized on a selected date. <i>Results:</i> One-third of patients had at least one relative with mental illness, prior treatment, or need for treatment. The main diagnoses in relatives were affective, substance use, and somatoform disorders, often in concordance with their index patient. Teenage patients had the most affected relatives. The therapists of the minors included were better informed about their familial situation, whereas the therapists of the 30-59-year-olds knew the least. <i>Conclusions:</i> The comparably lower rate of affected relatives in adults stems most likely from underassessment and needs further investigation.</p>","PeriodicalId":54189,"journal":{"name":"Zeitschrift Fur Kinder-Und Jugendpsychiatrie Und Psychotherapie","volume":" ","pages":"331-341"},"PeriodicalIF":0.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142401954","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 Empfehlungen der Regierungskommission zu den Psych-Fächern: Ein Kommentar.","authors":"Meinolf Noeker","doi":"10.1024/1422-4917/a000975","DOIUrl":"10.1024/1422-4917/a000975","url":null,"abstract":"","PeriodicalId":54189,"journal":{"name":"Zeitschrift Fur Kinder-Und Jugendpsychiatrie Und Psychotherapie","volume":" ","pages":"325-329"},"PeriodicalIF":0.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142057221","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}
Frauke Schultze-Lutter, Tobias Banaschewski, Gottfried M Barth, Andreas Bechdolf, Stephan Bender, Hans-Henning Flechtner, Sandra Hackler, Fabiola Heuer, Sarah Hohmann, Laura Holzner, Michael Huss, Nikolaos Koutsouleris, Michael Lipp, Selina Mandl, Eva Meisenzahl, Manuel Munz, Naweed Osman, Jens Peschl, Volker Reissner, Tobias Renner, Anett Riedel, Marcel Romanos, Georg Romer, Georg Schomerus, Ulf Thiemann, Peter J Uhlhaas, Christiane Woopen, Christoph U Correll, das Care-Konsortium
{"title":"[Ethical Considerations of Including Minors in Clinical Trials Using the Example of the Indicated Prevention of Psychotic Disorders].","authors":"Frauke Schultze-Lutter, Tobias Banaschewski, Gottfried M Barth, Andreas Bechdolf, Stephan Bender, Hans-Henning Flechtner, Sandra Hackler, Fabiola Heuer, Sarah Hohmann, Laura Holzner, Michael Huss, Nikolaos Koutsouleris, Michael Lipp, Selina Mandl, Eva Meisenzahl, Manuel Munz, Naweed Osman, Jens Peschl, Volker Reissner, Tobias Renner, Anett Riedel, Marcel Romanos, Georg Romer, Georg Schomerus, Ulf Thiemann, Peter J Uhlhaas, Christiane Woopen, Christoph U Correll, das Care-Konsortium","doi":"10.1024/1422-4917/a000981","DOIUrl":"10.1024/1422-4917/a000981","url":null,"abstract":"<p><p><b>Ethical Considerations of Including Minors in Clinical Trials Using the Example of the Indicated Prevention of Psychotic Disorders</b> <b>Abstract:</b> As a vulnerable group, minors require special protection in studies. For this reason, researchers are often reluctant to initiate studies, and ethics committees are reluctant to authorize such studies. This often excludes minors from participating in clinical studies. This exclusion can lead to researchers and clinicians receiving only incomplete data or having to rely on adult-based findings in the treatment of minors. Using the example of the study \"Computer-Assisted Risk Evaluation in the Early Detection of Psychotic Disorders\" (CARE), which was conducted as an 'other clinical investigation' according to the Medical Device Regulation, we present a line of argumentation for the inclusion of minors which weighs the ethical principles of nonmaleficence (especially regarding possible stigmatization), beneficence, autonomy, and fairness. We show the necessity of including minors based on the development-specific differences in diagnostics and early intervention. Further, we present specific protective measures. This argumentation can also be transferred to other disorders with the onset in childhood and adolescence and thus help to avoid excluding minors from appropriate evidence-based care because of insufficient studies.</p>","PeriodicalId":54189,"journal":{"name":"Zeitschrift Fur Kinder-Und Jugendpsychiatrie Und Psychotherapie","volume":" ","pages":"261-289"},"PeriodicalIF":0.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141160270","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":"Kooperation Kinder- und Jugendpsychiatrie und -psychotherapie/stationäre Kinder- und Jugendhilfe und Patientenrechte.","authors":"","doi":"10.1024/1422-4917/a000992","DOIUrl":"10.1024/1422-4917/a000992","url":null,"abstract":"","PeriodicalId":54189,"journal":{"name":"Zeitschrift Fur Kinder-Und Jugendpsychiatrie Und Psychotherapie","volume":"52 5","pages":"315-320"},"PeriodicalIF":0.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142300786","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}
Simon H Kohl, Alina T Henn, Johannes C Fendel, Alfred Luttermann, Betteke Maria van Noort, Kerstin Konrad
{"title":"[Digital Beacons of Hope? The Challenges and Potentials of Digital Health Applications for Children and Adolescents with Mental Disorders in Germany].","authors":"Simon H Kohl, Alina T Henn, Johannes C Fendel, Alfred Luttermann, Betteke Maria van Noort, Kerstin Konrad","doi":"10.1024/1422-4917/a000989","DOIUrl":"10.1024/1422-4917/a000989","url":null,"abstract":"<p><p>Digital Beacons of Hope? The Challenges and Potentials of Digital Health Applications for Children and Adolescents with Mental Disorders in Germany <b>Abstract:</b> With the Digital Healthcare Act, Germany has taken a decisive step toward promoting high-quality, evidence-based digital health applications (DiHAs). Presently, there is a significant gap in the provision of mental health services throughout Germany, particularly regarding children and adolescents and especially in the aftermath of the COVID-19 pandemic. DiHAs as low-threshold, location- and time-independent additional mental health services - may offer a way to address this situation. Particularly in the emerging generation of digital natives, there is a high demand for digital mental health services. However, despite the rapidly growing supply of DiHAs for adults, there is a lack of approved DiHAs for children and adolescents with mental disorders. Rather, the demand for care is left to the unregulated market of diverse internet- and mobile-based interventions; early studies have questioned the evidence base, safety, and quality. This discrepancy arises from various specific challenges and risks that reduce incentives to develop DiHAs for this particularly vulnerable target group, including (1) limited evidence, (2) high complexity in study execution, (3) high complexity in the development of applications, (4) poorly researched specific risks, and (5) high regulatory requirements. This article discusses these challenges and risks and outlines the perspectives for a high-quality, safe, and evidence-based digital mental healthcare for children and adolescents.</p>","PeriodicalId":54189,"journal":{"name":"Zeitschrift Fur Kinder-Und Jugendpsychiatrie Und Psychotherapie","volume":" ","pages":"291-313"},"PeriodicalIF":0.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142037733","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}