Abstract:
INTRODUCTION:Delirium tremens and withdrawal seizures are serious complications of an alcohol withdrawal syndrome. This review presents the diagnostic procedures required in case of the occurrence of a withdrawal seizure and delirium tremens as well as possible treatment options including prophylactic medication regimen for alcohol withdrawal syndrome. Furthermore non-pharmacological procedures accompanying delirium tremens and a potential integration of viewing videotapes of delirium tremens in the course of alcohol-specific therapy are discussed. METHODS:A systematic literature research using Pubmed has been carried out to find recent studies and review articles dealing with alcohol withdrawal syndrome. RESULTS AND DISCUSSION:Regarding the diagnostic algorithm in case of the occurrence of a withdrawal seizure or a delirium tremens basic diagnostic procedures and special diagnostics including neuro-imaging or cerebrospinal fluid puncture depending on patients' clinical condition have to be considered. Sedatives are important in treatment of alcohol withdrawal seizures and delirium tremens as well as in the prophylaxis of alcohol withdrawal syndrome. A long-lasting prescription of anticonvulsant medication in patients suffering from withdrawal seizure should be considered critically and can be carried out only under certain conditions.
journal_name
Psychiatr Praxjournal_title
Psychiatrische Praxisauthors
Lutz UC,Batra Adoi
10.1055/s-0030-1248443subject
Has Abstractpub_date
2010-09-01 00:00:00pages
271-8issue
6eissn
0303-4259issn
1439-0876journal_volume
37pub_type
杂志文章,评审abstract::We report the case of a 48-year-old female whom we examined for legal culpability. The proband was taking the dopamine agonist pramipexole as a treatment for Parkinson's disease. In temporal association, she had committed numerous shoplifting offences.While pathological gambling, excessive shopping and hypersexuality ...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-0043-100024
更新日期:2017-04-01 00:00:00
abstract::A random sample of patients (n = 43) had been investigated to detect any difference in response of bright light therapy in lithium-treated inpatients (n = 18) suffering from depression. Only 27% of the lithium-based inpatients respond to bright light therapy, but 73% of patients respond who were not treated with lithi...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1997-07-01 00:00:00
abstract::Within a controlled intervention study with schizophrenic outpatients we investigated the question of whether regular attendance at psychoeducational training for medication management has an influence on patients' illness-related behavior. The patients in the treatment group show better outcome of compliance and some...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1993-07-01 00:00:00
abstract::13 patients with major depressive disorder, who responded well to the reversible MAO-A-inhibitor moclobemide after unsuccessful initial treatment with tri- or tetracyclic antidepressants were monitored under naturalistic outpatient therapy conditions with moclobemide plasma level control for an average of 7.4 months. ...
journal_title:Psychiatrische Praxis
pub_type: 临床试验,杂志文章
doi:
更新日期:1989-08-01 00:00:00
abstract::The philosopher Friedrich Nietzsche was one of the most famous patients in the psychiatric hospital Jena. Between 1889 and 1890, Otto Binswanger und Theodor Ziehen treated the progressive paralysis of Friedrich Nietzsche whose 100th anniversary of death is on 25th August 2000. After Nietzsche's death, an animated disc...
journal_title:Psychiatrische Praxis
pub_type: 传,历史文章,杂志文章
doi:
更新日期:2000-04-01 00:00:00
abstract:OBJECTIVE:Based on the Obsessive Compulsive Drinking Scale (OCDS) we developed and validated the Mannheimer Craving Scale (MaCS) for quantitative measurements of craving across different substances and suitable for multiple substance abuse. METHODS:The MaCS questionnaire measures obsessive-compulsive symptoms in the c...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-2008-1067546
更新日期:2009-03-01 00:00:00
abstract::All the different branches in forensic psychiatry have to face identical handicaps resulting from the difficulties in cooperation with the law-court. For the psychiatrist, his identity as a therapist is contradictory to his forensic tasks. The paper deals with the resulting dilemmata (partiality v. neutrality; diagnos...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章,评审
doi:
更新日期:1988-03-01 00:00:00
abstract::In-patient suicide research in Germany during the 70 (th) and 80 (th) years of the last century found an overall increase of in-patient suicides in psychiatric hospitals. Nowadays, more differentiated discussions of the problem are recommended. ...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-2003-39742
更新日期:2003-05-01 00:00:00
abstract:OBJECTIVE:To assess and compare the validity of the German 15-item version and shortened versions of the Geriatric Depression Scale (GDS) for early detection of depression in nursing home residents with mild to moderate cognitive impairment (MMSE ≥ 15). METHODS:Data from 92 patients were analysed. The Structural Clini...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-0030-1266105
更新日期:2011-08-01 00:00:00
abstract:OBJECTIVE:To examine the association of diagnosed depression with the utilization of health care services and preventive measures among men and women in the general population in Germany. METHODS:Cross-sectional analysis of data from a representative telephone survey (men N = 18,675, women N = 24,518, 18 years and old...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-0042-122327
更新日期:2019-03-01 00:00:00
abstract::When founded about 1800, psychiatry was liable to both, philosophy and medicine, at least its liability to anthropological philosophy was accepted. After 150 years of increasingly unilateral medicalization with its fatal consequences for many patients the post war generation of psychiatrists were the first to re-estab...
journal_title:Psychiatrische Praxis
pub_type: 历史文章,杂志文章
doi:10.1055/s-0034-1369941
更新日期:2014-07-01 00:00:00
abstract::Rates of admission, duration of hospitalization, chances of discharge and legal basis of admissions are analyzed with reference to the distances between the patients' domiciles and the hospital, basing on the figures which apply to the district hospitals Gabersee in Upper Bavaria. More patients from nearby are admitte...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1978-02-01 00:00:00
abstract::Deinstitutionalization (DI) of most of the chronic long-stay patients has taken place in the last decades in Germany. However, a "residual" group of patients often remains in psychiatric hospitals, with an ongoing controversy on an appropriate type of their care (community based vs. hospital). Clinical, functional and...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-2002-32711
更新日期:2002-07-01 00:00:00
abstract::This paper describes a standardized assessment-procedure for the so-called "Gemeindepsychiatrische Verbünde" in Germany (GPV-Documentation), which are regional combines of community-based mental health care services. It is the first procedure in Germany which puts data on psychiatric care offers, needs for care and se...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:2000-03-01 00:00:00
abstract:OBJECTIVE:Findings about the association between working alliance and therapy outcome in Internet-based treatments are contradictory. Evidence for the working alliance in Internet-based treatment for Binge Eating Disorder is still missing and can help to elucidate this question. METHODS AND RESULTS:In an Internet-base...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-0033-1343320
更新日期:2013-09-01 00:00:00
abstract::Objective Diagnosing Attention-Deficit-Hyperactivity Disorder (ADHD) in adults requires that ADHD has already been present in childhood. However, recall of ADHD-symptoms in childhood is fallible, for example influenced by mood. Furthermore, diagnostics need a procedure to handle oblivion and judgment biases. The Essen...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-0043-100714
更新日期:2017-05-01 00:00:00
abstract::Community care and sectorisation, specialisation and differentiation, integration of psychiatric and other medical services, crises intervention and emergency psychiatry--and patient's choice--are basic issues of the organisation of psychiatric services. They are discussed and evaluated in respect of the Region of Man...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1996-03-01 00:00:00
abstract::The author tries to convey an idea of the process which takes place during art therapy, quoting examples from her own work with mentally diseased patients. She considers the visual message resulting from the work of art created by the patient, as a process of communication which takes place between the patient and the...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1980-02-01 00:00:00
abstract::The authors report their three years experience with treating addicts (both alcoholics and users of prescription and illegal drugs) in a specialized unit employing a low-threshold admission policy. Difficulties as well as advantages of the concept are discussed. For the common treatment of patients addicted to differe...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1995-09-01 00:00:00
abstract::A rehabilitation programme at the University Clinic of Social Psychiatry, Berne, is described. The facility includes a half-way house and sheltered home in a suburb, where 20 psychiatric long-stay patients are trained for an independent life in the community. In a follow-up study 80 patients, mostly chronic schizophre...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1988-05-01 00:00:00
abstract::The interrelationship and predictive validity of certain outcome predictors were studied on 54 young schizophrenic patients. In the first year after outburst the illness shows a great variability and the course seems to be open. Neither the premorbid social adjustment nor the amount of negative symptoms seem to predic...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1991-11-01 00:00:00
abstract::OBJECTIVE: The aim of our study was to investigate the influence of antidepressants on psychomotor function related to car driving abilities. METHOD: Depressive inpatients (n = 64) were investigated under steady state plasma level conditions. Data were collected with the ART 90 (Act and React Testsystem) measuring vis...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-2003-39765
更新日期:2003-05-01 00:00:00
abstract::The term "Social Psychiatry" was first used in English in 1917 by E. E. Southard. Six years before, in 1911 Max Fischer, director of Wiesloch Mental Hospital near Heidelberg employed the terms "Sozialpsychiatrie" and "Soziale Psychiatrie" in German. ...
journal_title:Psychiatrische Praxis
pub_type: 传,历史文章,杂志文章
doi:
更新日期:1995-07-01 00:00:00
abstract:OBJECTIVE:General and specific deficits in the recognition of facial expressed emotions of ADHD and controls were examined. METHODS:Affect recognition abilities were assessed with the FEEL-Test in a sample of 138 adults with ADHD and 40 healthy controls. RESULTS:Adults with ADHD showed deficits in recognition of the ...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-0034-1387570
更新日期:2016-05-01 00:00:00
abstract:AIM OF THE STUDY:Investigation of the perspective of medical assistants (MA) regarding their participation in behaviour-therapy oriented interventions in family practice. METHOD:15 MA (w, 39.5 years old), case managers in a general practitioner supported exercise programme for patients with panic disorder (ICD-10: F41...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/a-1310-2389
更新日期:2020-12-03 00:00:00
abstract::Objective The aim of the present study was to assess the health care situation and barriers to support minor children of mentally ill parents from the perspective of adult psychiatry in Germany. Methods Based on the German Hospital Register mental health practitioners of all psychiatric clinics in Germany were asked t...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-0042-115824
更新日期:2017-10-01 00:00:00
abstract:OBJECTIVE:High utilisers of psychiatric services are defined as a group of patients showing a great amount of service use, especially inpatient care, consequently causing immense costs. There is a lack of studies investigating differences between East and West Germany. METHODS:Service use and psychopathology were exam...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-0034-1369867
更新日期:2014-10-01 00:00:00
abstract:OBJECTIVE:In comparison to metabolic syndrome, edema seems to be a rare occurrence in antipsychotic treatment. METHOD:In this paper, we report on two subjects with psychotic disorders who were found to have peripheral edema during olanzapine therapy. DISCUSSION:The theoretical background and the relevance of this obs...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-2008-1067420
更新日期:2009-04-01 00:00:00
abstract::The planning of health care is primarily an administrative task. Service research supports the health administration in this task by supplying empirical data to objectify the need for care and ways to cater for that need. In this, service research on the one hand draws on descriptive and analytical data of epidemiolog...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章,评审
doi:
更新日期:2000-09-01 00:00:00
abstract:OBJECTIVE:Due to increasing health care expenditures the discussion about advantages and disadvantages of new methods for resource allocation in mental health care has been intensified. A promising model is the Regional Budget for Mental Health Care, which is currently being examined in Schleswig-Holstein. The present ...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-2004-834736
更新日期:2005-05-01 00:00:00