Psychiatrische Praxis最新文献

Our article explores the issue of safety during psychiatric treatment from the service user's point of view. This manuscript is part of the AktiV study and was written by authors with lived experience of psychiatric treatment.55 interviews with users of inpatient equivalent home treatment (=IEHT) were evaluated with the thematic analysis. The guiding question was how the safety needs of users in IEHT can be met, including in comparison to inpatient treatment.The topic of safety is the basis for support in crises for users. The attitude of the staff and their relationship with the users play a significant role in this.IEHT offers more options for safe treatment compared to the inpatient treatment context. The absence of coercion and violence is necessary for users to be safe during psychiatric treatment.

Despite the positive effects of physical activity, people with mental illness often remain inactive. Exercise recommendations are inconsistent and challenging to follow.This study assessed exercise behavior and the need for programs during and after inpatient treatment to develop clinical recommendations.Patients from the psychiatric clinic at the University of Augsburg were recruited via flyer/QR-Code.A total of 47 patients participated in this survey. Over 70% exercise regularly, and over 70% are interested in peer-sports-groups with low-threshold conditions (e.g. no prior registration required). Strength training and moderate intensity training were favored over endurance sports.Our findings complement the World Health Organization's exercise recommendations. Strength training programs and accessible options may promote physical activity in this population.

To provide an overview of ongoing cohorts including severely mentally ill patients to study collateral effects of pandemics.Systematic literature search.None of the ongoing German health cohorts includes people with severe mental illness (SMI). Four cohorts include individuals with severe depressive and anxiety symptoms.German population-representative cohorts do not make a significant contribution to the rapid detection of future pandemic effects in individuals with SMI. Care-based patient cohorts seem better suitable for generating insights into the protection of this vulnerable group under pandemic conditions.

A new instrument (PSH-7) was developed and tested in practice for the standardised assessment of psychosocial support needs in acute psychiatric care.Based on a mixed-methods approach, this instrument was tested in a cross-sectional study (N=84) using quantitative (descriptive evaluation and univariate analysis of variance) and qualitative methods (qualitative content analysis) for its suitability for practical use.The PSH-7 proved to be a suitable instrument for recording the need for help. Loneliness, lack of daily structure and unemployment are the most frequently mentioned needs for help in the context of acute psychiatric care.The study supplements the international findings on the connection between psychosocial stress factors and the maintenance of mental illness. There should be an early focus on perspective planning and the organisation of a sustainable outpatient support network.

The clinical pictures of older patients with mental illnesses are often very complex, individual disorders appear less distinct, which is also confirmed in epidemiological studies. The article develops the hypothesis of a dedifferentiation of clinical pictures in old age. Deficits in executive functions in old age are discussed as a possible cause.

As part of the largest model project in Germany in accordance with § 64b SGB V at the Pfalzklinikum, a clearing concept was developed in the Clinic for Geriatric Psychiatry to ensure rapid and adequate diagnosis and effective referral to the further treatment setting. Retrospective data of all clearing cases from the first year are presented. In addition to demographic data and treatment diagnoses, the distribution of patients across settings providing further treatment is presented.From a total of 1076 cases, more than half of the patients were able to be treated or discharged as outpatients after five working days at the latest.The results emphasize the central role of clearing for treatment management. With regard to demographic change, suggestions for standard care can be derived in order to provide patients with special diagnostic and treatment needs with more targeted and resource-efficient care.

This study focuses on the development of a possible future scenario for mental health nursing in Germany. Based on the identified trends in mental health care, important implications for the design of future-oriented mental health nursing were identified and discussed. The developed model describes a type of mental health nursing that takes place on an "extended" or "advanced" level, close to the community and in a multi-professional setting in the living environment of the affected persons and their relatives. It integrates digital elements of mental health care, while practicing person-centered, diversity- and trauma-informed approaches. Although this describes an approach to mental health nursing that could meet the expected trends and developments in mental health care, critical discussion and reflected consensus on these ideas is needed in an interdisciplinary body.

Aim of the study: Peer Support Workers (PW) were asked about stressors and resources and how stressful or relieving they perceived them to be.

Method: Questionnaire-based survey RESULTS: 175 PW were included in the data analysis and identified stressors and resources in their daily work. Psychological security and autonomy are the most frequently mentioned resources, while role clarity is the least frequently mentioned. Autonomy can also be more of a burden than a resource, especially in combination with a lack of role clarity. PW rarely feel stigmatized by their colleagues. However, when they do, they find it very stressful. Relevant stressors were uncertainty about decisions made, problems with the team culture, or perceived inadequate role fulfillment by the team.

Conclusions: The lack of clarity about work processes and the roles of all participants is a significant stressor, despite the availability of relevant resources.

Child abuse increases the risk of adult mental health problems. Limited research explores the association of early institutional childhood care in the GDR with experienced childhood abuse and mediates anxiety and depression in adulthood. The sample includes N=1743 individuals born in the GDR (1949-1983). In multi-group path analyses (stratified men/women), we analysed the influence of pre-school care as a predictor and experienced child abuse (CTS) as a mediator variable for anxiety (GAD-7) and depression (PHQ-9) in adulthood. There are no direct effects of pre-school care on anxiety and depression. Childhood trauma significantly affected current mental health (women β=0.253-0.610; men β=0.092-0.439). Analyses suggest no link between early institutional care and childhood abuse. Considering other contextual factors in childcare is crucial for establishing population-wide prevention strategies for child safety.

Background: Psychotherapy is going digital. The study investigated the usage behavior and acceptance of digital psychotherapy interventions among outpatient psychotherapists and patients.

Method: 269 therapists and 157 patients answered questions in an online survey on the use and satisfaction of digital psychotherapy interventions (video therapy, apps, VR, sensor-based psychotherapy), affinity for technology, acceptance of technology, digital therapy relationship.

Results: All participants were satisfied with video therapy, stated that they used apps, VR, etc. less. Patients were more open, more tech-savvy and felt more competent in their use compared to therapists. Psychotherapists rated the digital therapeutic relationship better than patients.

Discussion: The use of digital technologies in psychotherapy is not yet established in outpatient care. Measures to promote acceptance are necessary to break down barriers.