Abstract:
BACKGROUND:Psychotherapy is an essential part of treating people with mental illness. However, the implementation of psychotherapeutic interventions in the field of inpatient psychiatric treatment remains well behind demand. At the same time, the use of psychotherapeutic interventions by other professional groups - such as social workers and nursing - is not a common practice in Germany. OBJECTIVE:What can we learn from the international research with regard to nursing for Germany in view of the insufficient supply of psychotherapeutic care. METHOD:Based on a literature analysis, the German situation of care is related to international developments and a German training curriculum is presented. RESULT:A look at the international literature shows that in other countries especially trained nurses perform psychotherapeutic Interventions. In addition, there are effective training curricula whose transferability to Germany appears to be possible after appropriate adjustments.An 18 months lasting training program for nurses is presented. In addition to disorder-specific competences, this curriculum also provides psychotherapeutic interventions with a general approach. CONCLUSION:Collaborative care in the collaboration of different health professionals has been repeatedly and stably proven to be effective and helpful in treating people with various mental disorders. In order to better meet the growing need for psychotherapeutic interventions in the population in the sense of a stepped care model, trained nurses need to be more involved in the provision of psychotherapeutic services. HINTERGRUND:Psychotherapie ist ein essenzieller Bestandteil in der Behandlung psychisch kranker Menschen, bleibt allerdings im Bereich der stationären psychiatrischen Behandlung hinter dem Bedarf zurück. Im Rahmen des ärztlichen Gesamtbehandlungsplans ist die Anwendung psychotherapeutischer Interventionen durch andere Berufsgruppen in Deutschland nicht regelhaft üblich. FRAGESTELLUNG:Welche Implikationen für die psychiatrische Pflege lassen sich aus internationalen Forschungsdaten zur Verbesserung der psychotherapeutischen Behandlung ableiten? METHODE:Anhand einer Literaturrecherche werden internationale Entwicklungen analysiert und als Modell für ein deutsches Ausbildungscurriculum genutzt. ERGEBNIS:Ein 18 Monate dauerndes Ausbildungsprogramm für Pflegefachpersonen wird vorgestellt. Dieses Curriculum vermittelt neben störungsspezifischen Kompetenzen auch störungsübergreifende psychotherapeutische Interventionen. SCHLUSSFOLGERUNG:Die Zusammenarbeit unterschiedlicher Gesundheitsberufe hat sich als wirksam und hilfreich in der Behandlung psychisch kranker Menschen erwiesen. Um den wachsenden Bedarf an Psychotherapie in der stationären Behandlung besser abdecken zu können, sollten Pflegefachpersonen zukünftig stärker einbezogen werden.
journal_name
Psychiatr Praxjournal_title
Psychiatrische Praxisauthors
Wabnitz P,Löhr M,Schulz M,Nienaber A,Oppermann G,Sauter D,Schreiber W,Gouzoulis-Mayfrank E,Claus S,Hohl-Radke F,Jordan W,Pollmächer Tdoi
10.1055/a-0801-3847subject
Has Abstractpub_date
2019-04-01 00:00:00pages
156-161issue
3eissn
0303-4259issn
1439-0876journal_volume
46pub_type
杂志文章abstract::Delirium--a state of acute or subacute confusion--is a common organic mental syndrome occurring predominantly in old age. The disorder is highly prevalent in psychiatric institutions, in general hospitals and nursing homes. Patients affected by delirium carry an increased mortality-risk and will become dependent on nu...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章,评审
doi:
更新日期:1994-07-01 00:00:00
abstract:OBJECTIVE:The aim of the present study was to clarify whether the mediation of homeless persons identified as mentally ill into the sociopsychiatric or the help-seeking system can be facilitated by a short-term intervention. METHOD:Probands with at least one psychiatric diagnosis according to ICD-10 (73 % of the sampl...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章,随机对照试验
doi:10.1055/s-2004-834688
更新日期:2006-07-01 00:00:00
abstract:AIM:To date, to our knowledge there are no studies regarding attitudes and experiences of outpatient medical personnel during a pandemic. This study's aim was to evaluate the impact of the COVID-19 pandemic in March 2020 on German psychiatrists and neurologists. METHODS:An e-mail and fax-based short survey of 2,072 pr...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/a-1159-5575
更新日期:2020-05-01 00:00:00
abstract:OBJECTIVE:The study aims to assess the acceptance, chances and barriers of an online self-management program (moodgym) for depression from the perspective of experts and patients in inpatient psychiatric settings. METHODS:Paper-pencil interviews were conducted with n = 181 depressed inpatients (n = 181, pre-post-asses...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-0043-117049
更新日期:2018-07-01 00:00:00
abstract::Ten years ago an extensive behaviour therapy programme for the treatment of young opiate addicts was developed and tested, and shown through follow-ups extending over a period of two years to be successful. Some of the most important behaviour therapy procedures are introduced. A distinction is made between traditiona...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1985-05-01 00:00:00
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: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: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 provide information about occurrence and patterns of geriatric morbidity and need for long-term care in patients newly diagnosed with dementia compared to controls without dementia. METHODS:An analysis of administrative data was conducted to compare the geriatric outpatient diagnoses and the patterns of c...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-0032-1305010
更新日期:2012-07-01 00:00:00
abstract::In an open clinical trial patients with full-developed delirium tremens were treated either by controlled infusion of clomethiazol (n = 21) or by intravenous injections of clorazepate (n = 20). Acute symptomatic quickly decreased after a few days and medication could be reduced. By adding haloperidol a further stabili...
journal_title:Psychiatrische Praxis
pub_type: 临床试验,杂志文章
doi:
更新日期:1992-01-01 00:00:00
abstract:INTRODUCTION:Folie à deux describes a rare psychiatric disorder of mostly closely related persons. The main feature of this disease is the unconditional adoption of the delusions of the primarily diseased person by the second person. This disturbance most frequently originates from a paranoid schizophrenia. METHOD:Our...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-0029-1220338
更新日期:2010-01-01 00:00:00
abstract::Heinrich von Kleist's life was shaken repeatedly by negative life-events, finally he committed suicide in his last life-crisis (1811). His work was mostly understood as descriptions of negative life-events and failed-being. In this article it will be shown that in at least two "crises" Kleist's work can be understood ...
journal_title:Psychiatrische Praxis
pub_type: 传,历史文章,杂志文章
doi:10.1055/s-2001-15576
更新日期:2001-07-01 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::Patients are mostly passive utilizer of the health-care-system. They are confronted with a supply of medical service and they are allowed to show their satisfaction with it retrospectively. Our medical system has in future to develop itself from an effective perspective to an utilizer orientated medicine. Orientation ...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:2003-05-01 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::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::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:OBJECTIVE:How can patients and staff participate in redesigning psychiatric procedures through survey research? METHODS:Using interviews with circular-hypothetical questioning, 58 patients and 30 staff members of a psychiatric department of a general hospital were interviewed about their preferences for change and con...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-2001-13264
更新日期:2001-05-01 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:INTRODUCTION:Is it necessary to understand your vis a vis or is it enough to meet, to get in touch? Awareness of the different perception of reality is important. INTERINDIVIDUELL: Defined as basic requirements for getting in touch, mutual modelling and interchange were "Knowing your own world", "Being curious about th...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-2003-38550
更新日期:2003-04-01 00:00:00
abstract:OBJECTIVE:To report about existing evidence of effectiveness of home treatment for severely mentally ill adults and implementation in Germany. METHODS:Systematic electronic and manual literature search. RESULTS:Compared to standard care, home treatment was equally or more efficacious with respect to general state of ...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章,评审
doi:10.1055/s-0030-1248598
更新日期:2011-04-01 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::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 conduc...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-0032-1305042
更新日期:2012-10-01 00:00:00
abstract::Objective Therapy recommendations of relatives of individuals with psychotic disorders. Method A total of n = 52 inpatient relatives were interviewed about their attitude towards psychotherapy and antipsychotics. Results Over 80 % of the relatives recommended psycho- and pharmacotherapy. Concerns reduced recommendatio...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-0042-102622
更新日期:2017-05-01 00:00:00
abstract::It is unfortunate that mental patients with long-term hospitalisation patterns are still necessarily scheduled for long-term stay in mental hospitals and institutions designed for the care and treatment of psychiatric cases, since such institutions are characterized by a rather sterile, low-stimulation atmosphere unde...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1987-05-01 00:00:00
abstract::In the controversy about severely chronic mental patients, who still reside in the psychiatric hospital after decades of deinstitutionalization, their quality of life (QoL) has become a main topic. On the basis of a critique of the dominant, mere standardized approach to QoL this method is compared with a qualitative ...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-2002-34034
更新日期:2002-09-01 00:00:00
abstract::Using a questionnaire the therapists of the Psychiatric Hospital in Ravensburg Weissenau were requested for information on the suicidality and symptomato-logy of their patients. This was done to assess the acute and chronic suicidality prevalent in a psychiatric hospital. The number of acute and chronic suicidal patie...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1990-07-01 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::One of the highest rates of suicide occur in German-speaking countries and particularly in Saxonia. There are grounds for the assumption that the fact has been caused by a careful recording of suicides in this country since 1829. The paper describes the development of rates of suicide and the changes of the suicidal m...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1994-09-01 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