Praxis Der Kinderpsychologie Und Kinderpsychiatrie最新文献

Prevention of Acute Alcohol Intoxication in Children and Adolescents: Drinking Circumstances and Recommendations from the Perspective of Affected Parents and Adolescents Alcohol consumption among children and adolescents in Germany is showing a downward trend. However, a significant number of minors reports risky drinking patterns that lead to alcohol intoxication requiring inpatient treatment. Findings on drinking circumstances that precede alcohol intoxication and on rules on alcohol consumption are essential for the further development of effective prevention strategies. Quantitative data analyses and qualitative interviews were used to investigate drinking circumstances that precede acute alcohol intoxication in children and adolescents as well as rules for alcohol consumption before and after the event of the intoxication. N = 201 children and adolescents took part in the survey on drinking circumstances that precede acute alcohol intoxication. While 31.3 % of respondents did not habitually consume alcohol at risk, 15.9 % reported binge drinking on a monthly basis and 15.9 % on a weekly or more frequent basis. Particular risk situations are the consumption of spirits, consumption in private settings and being found outdoors. In-depth interviews were conducted with N = 8 children and adolescents and N = 9 guardians. Young people emphasized strategies to minimize risk and communication with guardians as helpful, while parents recommended increased monitoring, communication and prohibitions. The greatest uncertainty was reported in dealing with non-compliance with rules. Preventive measures should start early, provide information about drinking circumstances that often precede intoxication and give clear recommendations for drinking rules.

Sexual Self in Disquiet - Gender Incongruence in ICD-11 The ICD-11 represents a shift in the clinical conceptualization and diagnostic assessment of variant gender identity developments. The revised approach to describing individuals whose gender identity does not align with their natal sex is reflected in the departure from the previous pathogenetic understanding and is demonstrated by the introduction of the diagnosis of "gender incongruence" as a "condition related to sexual health". In this article, the diagnostic and theoretical revisions in the ICD-11 are discussed in the context of previous and ongoing debates about the appropriate classification of this phenomenon in children and adolescents. The practical implications for the treatment of minors are then examined, with a particular focus on adolescents after the onset of puberty. At this age, requests for body-modifying procedures are frequently expressed and present significant clinical and ethical challenges in treatment practice. The diagnostic revisions in the ICD-11 are recognized as a pivotal advance in the de-stigmatization of variant gender identity developments. At the same time, this article argues for the necessity of a clinically oriented approach, which includes careful differential diagnosis and psychotherapeutic exploration, to address the complex needs of adolescent patients, particularly those who seek irreversible body-modifying interventions and often experience significant psychological distress.

Does Cannabis Legalization Endanger Children and Adolescents? The Cannabis Act (CanG) came into force on April 1, 2024. It regulates the "controlled supply of cannabis to adults for recreational purposes". In the USA, legalization has contributed to a decrease in the risk perception of the health hazards of consumption and an increase in risky consumption patterns, including among adolescents. The use of cannabis-related emergency and addiction treatment has risen sharply. Similar developments are now to be feared for Germany. For children and adolescents with cannabis-related disorders, a high standard of quality is maintained in the addiction departments of child and adolescent psychiatric and psychotherapeutic clinics with qualified withdrawal treatment and the subsequent treatment of comorbid mental disorders. However, the number of hospital beds is not sufficient to meet demand. This also applies to the medical rehabilitation measures for children and adolescents with the indications of cannabis abuse and addiction, which are too limited. There is a risk that children and young people will suffer in two ways as a result of the change in drug policy. Conclusion: The CanG sends the wrong signal for addiction prevention. Just a few months after the CanG came into force, the cannabis industry is already expanding. International evidence indicates that legalization endangers the health of the younger generation. Instead of a CanG, the better path for young people would have been to strengthen cannabis-related education and prevention in Germany.

Developmental, Behavioral and Emotional Disorders with Onset in Childhood and Adolescence - Changes and Implementation in ICD-11and a Comparison to the DC:0-5 The 11th and latest revision of the International Statistical Classification of Diseases and Related Health Problems, ICD-11, is available and brings significant changes and innovations to the field of child and adolescent psychiatry and psychotherapy. Many of these changes relate to developmental, behavioural and emotional disorders with onset in childhood and adolescence and are particularly important for diagnosis and treatment in (early) childhood. This paper describes the ICD-11 diagnostic criteria for the most important disorders in this age group and highlights structural and substantive changes. A comparison is also made with the diagnostic criteria of the DC:0-5, a classification system for mental health and developmental disorders in infants, toddlers and preschool children.