Abstract:
:Pregabalin is a substance which modulates monoamine release in "hyper-excited" neurons. It binds potently to the α2-δ subunit of calcium channels. Pilotstudies on alcohol- and benzodiazepine dependent patients reported a reduction of withdrawal symptoms through Pregabalin. To our knowledge, no studies have been conducted so far assessing this effect in opiate dependent patients. We report the case of a 43-year-old patient with Pregabalin intake during opiate withdrawal. Multiple inpatient and outpatient detoxifications from maintenance replacement therapy with Buprenorphine in order to reach complete abstinence did not show success because of extended withdrawal symptoms and repeated drug intake. Finally he disrupted his heroine intake with a simultaneously self administration of 300 mg Pregabaline per day and was able to control the withdrawal symptoms. In this time we did control the Pregabalin level in serum and urine in our outpatient clinic. In the course the patient reported that he could treat further relapse with opiate or opioids with Pregabalin successful. This case shows first details for Pregabalin to relief withdrawal symptoms in opiate withdrawal.
journal_name
Psychiatr Praxjournal_title
Psychiatrische Praxisauthors
Kämmerer N,Lemenager T,Grosshans M,Kiefer F,Hermann Ddoi
10.1055/s-0032-1305042subject
Has Abstractpub_date
2012-10-01 00:00:00pages
351-2issue
7eissn
0303-4259issn
1439-0876journal_volume
39pub_type
杂志文章abstract::The increasing employment of graduates in psychology (Diplom-Psychologen) in psychiatric hospitals not only expands therapeutical facilities as a result of cooperation between psychologists and physicians; it also entails structural re-organisation both formally and in terms of contents, of behavioural rituals which h...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1980-05-01 00:00:00
abstract::Indirect care for gerontopsychiatric patients by means of patient-centered group discussions under the heading "How to deal with Difficult Patients" is presented as a succession of case reports concerning the progress and course of the first year of a team counselling project in a home for aged persons. The theoretica...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1987-11-01 00:00:00
abstract::Anxiety, depressive and somatoform disorders are highly prevalent in primary care. Managing these disorders is time-consuming and requires strong commitment on behalf of the general practitioners (GPs). Furthermore, the resources for the management of these patients are limited by the increasing workload in primary ca...
journal_title:Psychiatrische Praxis
pub_type: 临床试验,杂志文章,多中心研究
doi:10.1055/s-0034-1387686
更新日期:2015-07-01 00:00:00
abstract:OBJECTIVE:In order to develop gender-sensitive services, there is a need to better understand coping among men with depression. The study aims to analyze the meaning of gender- and work-related roles for illness theories and coping among men with depression. METHODS:Based on a latent class analysis of three types of m...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/a-1043-8126
更新日期:2020-03-01 00:00:00
abstract:BACKGROUND:Epidemiological studies have repeatedly pointed out gender differences in unipolar depression, whereas women have a 1.5 to 3 times higher risk of receiving a diagnosis. This however stands in sharp contrast with the 10 times higher suicide-rate of men, although depression is among the main risk-factors for s...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章,评审
doi:10.1055/s-0043-120289
更新日期:2018-05-01 00:00:00
abstract:OBJECTIVE:According to results of the latest research, the state of knowledge of the German population regarding depressive disorders has improved during the last years. The question arises to what extent the print media have contributed to this development. METHOD:All editions of three German dailies--Sueddeutsche Ze...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-2003-43244
更新日期:2003-10-01 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::Following the agreement on the splitting of the burden of cost to be borne by the Federal German national health and pension insurance schemes, the cost of treatment of addicts has been divided between the relevant bodies. This division of cost has developed into an obstacle especially to the development of curative t...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1984-01-01 00:00:00
abstract::Providing information about the disease and the way of coping with it has a central position in therapeutic interventions with families. By giving basic knowledge about schizophrenia to relatives we developed the practical conception of the psychoeducative relatives' group (information-group), a structured program, wh...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1992-05-01 00:00:00
abstract::We present the legislation of the compulsory admission and treatment of mentally ill persons in the Swiss canton of Basle-City. We inquired retrospectively the requests of the clinic and the appointed time given by the psychiatric court of appeal in the year 2000. With 320 compulsory admissions there were 118 appeals....
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-2003-38606
更新日期:2003-04-01 00:00:00
abstract::Since the 1980's psychiatric care in Spain changed considerably (Reforma psiquiátrica española). In the course of this reform, many positive results were achieved. An extensive community network of mental health centres was build up which resulted in the majority of psychiatric patients being integrated in the Spanish...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:2000-11-01 00:00:00
abstract::Structure and functioning of a group therapy comprising all patients of a psychiatric ward is described in terms of psychoanalytic and group dynamics, behaviour therapy and cognitive psychology. 34 acutely-ill patients with heterogenic diagnoses reported their experiences with this group technique at day of discharge....
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1982-09-01 00:00:00
abstract:OBJECTIVE:Improvement of depression treatment by health insurance based case-management. Criteria of improvement were a higher treatment rate of patients suffering from affective disorders or depression by psychiatrists or psychotherapists than by general practitioners or family doctors and sickness fund payments. MET...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-0033-1349557
更新日期:2014-11-01 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:OBJECTIVE:To assess the eating behaviour, quality of life and changes in life style in 46 female patients with eating disorders, discharged from our psychosomatic unit at least six month ago. METHODS:Patients meeting the criteria for DSM-IV anorexia nervosa or bulimia nervosa completed the "Lancashire Quality of Life ...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-2001-10501
更新日期:2001-01-01 00:00:00
abstract::Basing on a review of the literature and on own research, the authors examine the incidence rate of convulsions under neuroleptic treatment. In addition, the authors go into the neurophysiological and neuropharmacological mechanisms of the convulsive action of neuroleptics. An attempt is made to present information on...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1985-11-01 00:00:00
abstract:OBJECTIVE:Systematic review of psychosocial interventions for high-risk family members with mental health problems in highly developed industrialized countries. METHODS:Systematic search in electronic databases as well as manual search for intervention studies. RESULTS:Interventions were effective in significantly re...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章,评审
doi:10.1055/s-0034-1370070
更新日期:2014-09-01 00:00:00
abstract:OBJECTIVE:In the context of the current discussion of integrating rehabilitative elements into the (acute) treatment of patients with mental disorders, it is investigated what rehabilitative elements actually are and whether these elements are considered in existing guidelines. METHODS/RESULTS:An expert-based consensu...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-2003-814990
更新日期:2005-03-01 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:OBJECTIVE:The application of acetylcholinesterase (AChE) inhibitors seems to be constrained in the German health care system. We investigate the cost-effectiveness of the AChE inhibitor Galantamine for patients with Alzheimer's disease (AD) in a German context. METHOD:A Markov model as the decision theoretic framework...
journal_title:Psychiatrische Praxis
pub_type: 临床试验,杂志文章
doi:10.1055/s-2004-834709
更新日期:2005-04-01 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:OBJECTIVE:The importance of causal attribution for Turkish and German patients with a psychotic disorder for the diagnostic process was examined. METHODS:Within a controlled clinical study Turkish and German patients were interviewed regarding their concepts of cause of illness. RESULTS:There was no difference betwee...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-2005-866923
更新日期:2006-01-01 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:AIM:The aim is to investigate the association between sociodemographic characteristics and the interactive health literacy and the time to treatment of social anxiety disorder. METHODS:An online survey of N = 311 patients was carried out (response rate 54.1 %). Descriptive statistical analysis and a logistic regressio...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/a-1294-0950
更新日期:2020-11-24 00:00:00
abstract::In a total sample of 141 mentally retarded adults the quality of social relationships was assessed by the newly developed "Interview for Social Support in Mentally Retarded Adults". Severely mentally retarded persons have close and intimate relationships to a consistently lesser extent than mildly retarded persons. Th...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1993-05-01 00:00:00
abstract::About one third (29.5%) of the population living within the area of Frankfurt, for which the psychiatric university clinic provides psychiatric service, are foreigners. For the better understanding of our foreign psychiatric inpatients treated in our clinic in in 1992, the diagnostic spectrum and the nationalities of ...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1994-05-01 00:00:00
abstract:AIM:Evaluations of clozapine treatment by relatives of schizophrenic patients were assessed as part of an exploratory study and compared with the patients' own assessment. METHOD:46 relatives of individuals suffering from schizophrenia were questioned by means of a problem-centred interview. RESULTS:In addition to th...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1999-07-01 00:00:00
abstract::In January 1980 a Psychiatric Department was established at the General Hospital for decentralised psychiatric treatment of inpatients. The article describes the preparatory planning which went into the concept of the Department. First of all, the Hospital is scheduled to look after a district with a population of 110...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1982-11-01 00:00:00
abstract::Records of violent behaviour and its sequels gain increasing interest as a matter of quality assurance. The paper presents scales and instruments applied in psychiatric institutions until now. While problems of reliability are solved sufficiently, there are major problems of validity in the measurement of violence. To...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1998-09-01 00:00:00
abstract::The article reports on a catamnestic examination of patients of a crisis intervention center at a general hospital, conducted during the period from 1.5.1977 to 31.5.1978. A total of 560 admissions was recorded comprising 492 patients. Examination was carried out via an open questionnaire, plus data taken from the hos...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1980-08-01 00:00:00