Abstract：
OBJECTIVES:Although guidelines usually recommend monotherapy, in clinical practice, antipsychotic polypharmacy is common especially with chronically ill patients. We therefore assessed the current practice of antipsychotic polypharmacy in "high-utilising" patients with schizophrenia in Germany. METHODS:Antipsychotic medication was assessed using a representative sample of 638 patients with schizophrenia from two multi-centre studies. RESULTS:Antipsychotic combination treatment was administered to 43.9 % of the patients. Combination treatment not including clozapine was apparent in 36.2 %. CONCLUSIONS:Antipsychotic polypharmacy is prevalent in the treatment of patients with schizophrenia showing high service use also when excluding such combinations with clozapine. Differences between the study samples indicate possible influences linked with therapy resistance or treatment setting.
journal_name
Psychiatr Praxjournal_title
Psychiatrische Praxisauthors
Schmidt-Kraepelin C,Puschner B,Loos S,Janssen Bdoi
10.1055/s-0033-1343185subject
Has Abstractpub_date
2013-10-01 00:00:00pages
380-4issue
7eissn
0303-4259issn
1439-0876journal_volume
40pub_type
杂志文章abstract：:Two perspectives of mental health care in Leipzig are outlined. Critical aspects of deinstitutionalization are discussed from the point of view of an office-based Nervenarzt (neurologist and psychiatrist). The limitations of office-based practice in providing care for the severely mentally ill (SMI) are described, i.e...
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:A new questionnaire to assess subjective meaning in psychosis (SuSi) will be presented. METHODS:The questionnaire construction was based on an elaborate process (Delphi-method) involving patients, carers and professionals (trialogue). Statistical validation including factor analysis and assessment of interna...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：10.1055/s-0030-1248424
更新日期：2010-09-01 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 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：:Migrants belong to the hard-to-reach group in health and preventive care. Essential criteria for the sustainable effectiveness of preventive and health promotion consist in the proper selection of target groups and successfully approaching them. The knowledge of possible barriers that make the access to preventive car...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：10.1055/s-2007-986194
更新日期：2007-10-01 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：:In 1939, Robert Faris and Warren Dunham published their pioneering work on "Mental disorders in urban areas". They investigated the distribution of mental disorders in Chicago. In the following decades, a number of studies using a similar design were carried out in various cities in the United States and in Europe, wh...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章,评审
doi：
更新日期：2000-07-01 00:00:00
abstract：:The efficacy of flupentixol and risperidone were compared in a randomized double-blind study in 153 chronic schizophrenic patients. Flupentixol showed to be not inferior to risperidone concerning schizophrenic negative symptoms at week 8, 16 and 24. Positive symptoms and general psychopathology improved comparably, to...
journal_title：Psychiatrische Praxis
pub_type： 临床试验,杂志文章,多中心研究,随机对照试验
doi：
更新日期：2003-05-01 00:00:00
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 regime...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章,评审
doi：10.1055/s-0030-1248443
更新日期：2010-09-01 00:00:00
abstract：OBJECTIVE:A comprehensive review of the present state and new approaches of patient participation in German psychiatry was conducted. METHODS:Literature search. RESULTS:Most psychiatric patients wish to be informed about their disease and treatment options and express a desire for participation in medical decisions. ...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章,评审
doi：10.1055/s-2007-986410
更新日期：2008-04-01 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:Interdisciplinary analysis of the consequences of laws and legal practice for mental health conditions of asylum seekers and psychiatric care. METHODS:Based on the case study of a Kurdish woman with complex trauma-related psychiatric disorder, who had been in psychiatric hospital care for 25 months, the lega...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：10.1055/s-0035-1552730
更新日期：2016-04-01 00:00:00
abstract：OBJECTIVE:Although English is medicine's lingua franca, practising physicians in Germany express the need for articles in German. This study aimed at surveying the number and characteristics of German-language psychiatric journals in Germany. METHODS:Journals were identified by the standard handbook "Fachmedien Gesund...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：10.1055/s-0031-1276955
更新日期：2012-01-01 00:00:00
abstract：:Germany, in comparison to other countries, provides a good quality of services to distinct groups of patients. But as far as total expenditure for mental health services is concerned, it belongs to the top European states. The differentiation of services since the Expert Commission to the parliament (1975) was associa...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：10.1055/a-1179-4194
更新日期：2020-09-01 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：:A therapeutic dwelling community (TDC) which has been in existence for more than 3 years, is described in respect to its history of origin and development outside existing psychiatric institutions or facilities. After having been confronted with the unsatisfactory follow-up care of a group of relatively young, in most...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：
更新日期：1980-05-01 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：OBJECTIVE:In Germany, outpatient care is provided exclusively by physicians in private practice. This privilege is very strictly observed, with only a few exceptions. While psychiatric hospitals are routinely permitted to establish outpatient clinics, psychiatric departments of general hospitals, even if they serve a c...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：
更新日期：1999-11-01 00:00:00
abstract：OBJECTIVE:Estimates for the proportion of involuntary admissions and coercive measures applied in general mental health care and in residential care for the elderly were developed. Sector-specific rates and quotas for Germany as a whole and for the sixteen Federal States were calculated, and the change of these indicat...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：10.1055/s-2006-952010
更新日期：2007-04-01 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：: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：: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：:Since the end of the 1990s the Westfälische Klinik Lengerich has offered an inpatient psychiatric treatment of an psychiatric ill parent--combined with a pedagogic attendance of the child taken along. The following article describes our experience in that matter, from a ward concentrated on psychotherapy. In selected ...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：10.1055/s-2001-12672
更新日期：2001-04-01 00:00:00
abstract：:Based on retrospective investigation using hospital records of 44 schizophrenic patients of a rehabilitation department, who committed suicide between 1966 and 1986, the paper discusses demographic and psychological features of schizophrenic suicide in comparison with international literature. Subjects who committed s...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：
更新日期：1989-07-01 00:00:00
abstract：:The new activities of nurses working in the field of psychiatry, resulting from the realisation of sociopsychiatric and sociotherapeutic concepts, have led to an expansion of the "job description" of the nursing personnel. Intensive measures for additinal training and continuing education will have to be taken to acqu...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：
更新日期：1979-11-01 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：:Kufs' disease is a very rare type of neuronal ceroid lipofuscinosis. A case of a 52 year old man with dementia is described. The cause for patient's dementia was the adult type (Kufs' disease) of neuronal ceroid lipofuscinosis. The diagnosis based on the histopathological post mortem-examination of the brain-tissue. A...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：
更新日期：1994-11-01 00:00:00
abstract：OBJECTIVE:The purpose of this article is to discuss various aspects of the concepts of luck and happiness within the field of psychiatric nursing. METHODS:Personal factors, work characteristics and work environment were included and combined with case studies from a local hospital. RESULTS:Fortune and happiness of ps...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：10.1055/s-0044-102189
更新日期：2018-07-01 00:00:00
abstract：:Despite of the frequency of depressive disorders among the population, forensic aspects of depression are rare and usually focussed on suicidal behaviour, especially the so-called homicide-suicide (homicide followed by suicide). Today therapeutic strategies are seen in the first stage of dealing with depressed homicid...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章,评审
doi：
更新日期：1997-11-01 00:00:00
abstract：OBJECTIVE:Diagnoses-related clinical case grouping for an estimation of resource consumption for psychiatric inpatients analogue to the somatic medicine till now did not lead to sufficient prediction of costs. However, this is required when regarding increasing health costs from the economic perspective. METHOD:We inv...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：10.1055/s-0029-1220355
更新日期：2009-10-01 00:00:00
