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 nursing care in a high percentage. In this paper, diagnostic criteria, symptomatology, and pathogenesis of delirious states are reviewed. The wide variety of etiologic factors is illustrated by case histories. The present state of diagnostic and therapeutic management is discussed. A review of recent publications indicates that substantial advances in knowledge on epidemiology, operationalized diagnosis, risk factors, and course of delirium have been attained. There are, however, important aspects--e.g. the evaluation of prophylactic and therapeutic measures--which have been neglected. With regard to the high prevalence of delirium and the inderdisciplinary relevance of this syndrome scientific activities on this field should be increased as well as refreshment of knowledge of medical and nursing staff should be aimed at.
journal_name
Psychiatr Praxjournal_title
Psychiatrische Praxisauthors
Hewer W,Förstl Hsubject
Has Abstractpub_date
1994-07-01 00:00:00pages
131-8issue
4eissn
0303-4259issn
1439-0876journal_volume
21pub_type
杂志文章,评审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：: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
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:gamma-Hydroxybutyrat (GHB) is used medically for narcolepsy and as a narcotic. It is also a rare illegal drug. In this case report the development of a GHB-dependency against the background of a primary alcohol dependency is described. METHODS:Based on established alcohol withdrawal scales (AWSS by Wetterlin...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：10.1055/s-0028-1090089
更新日期：2009-10-01 00:00:00
abstract：:Borderline-patients compose a group of severe problem-patients on psychiatric inpatient units. Among other topics this concerns the difficult differential diagnosis, attitudes of demandingness and entitlement, feelings of depressive despair, acting out and impulsive behavior. Using a process oriented diagnostical appr...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章,评审
doi：
更新日期：1990-09-01 00:00:00
abstract：OBJECTIVE:This study reports on the evaluation of the Bern Job Coach Placement program, a supported employment intervention, in the routine operation. METHODS:Administrative data of participants from the years 2005 to 2016 were analysed in terms of integration into the general labour market and in terms of achieving a...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：10.1055/a-0915-3990
更新日期：2019-09-01 00:00:00
abstract：:During the first half of the 19th century psychiatry became more and more influential in the evaluation of mentally ill offenders. "Doubtful" states of mind gained a particular importance for forensic practice. One of the mental disorders that was heavily disputed was amentia occulta (hidden madness) first described b...
journal_title：Psychiatrische Praxis
pub_type： 传,历史文章,杂志文章
doi：10.1055/s-2007-986239
更新日期：2008-03-01 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：:A case of an acute dyskinesia of a young, schizophrenic woman caused by neuroleptic therapy is reported. The acute dyskinesia was the reason for a complete luxation in the jaw-joint. The patient showed phenomenons (brain-atrophy, cognitive dysfunction, negative symptoms) which are discussed to be connected with acute ...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：
更新日期：1992-07-01 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：:The report describes the inpatient and out-patient treatment facilities for alcoholics in a defined catchment area and the experience gathered by the initiation of out-patient group therapy for a group of alcoholics at the general community hospital in Offenbach/Main. The goal of the group therapy at the hospital was ...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：
更新日期：1994-01-01 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：: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：OBJECTIVE:Depression is a common comorbidity of chronic pain and chronic pain represents a common additional symptom of depressed patients. The physiological basis is unknown. METHODS:We investigated the possible interrelation between autonomic dysfunction and altered pain perception in unmedicated patients (U1), afte...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：10.1055/s-2007-970974
更新日期：2007-09-01 00:00:00
abstract：:Factitious disorders have been reported in 0.5 - 1 % of general hospital patients. It often takes several years until the disorder is detected. During this period, enormous health care cost can arise not least out of iatrogenic self-induced mutilations and related secondary somatic complications. Apart from surgeons a...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：10.1055/s-2002-34656
更新日期：2002-10-01 00:00:00
abstract：OBJECTIVE:During the deinstitutionalisation of psychiatric care in Germany, new psychiatric care approaches have been developed, which have been rarely scientifically evaluated. This study aims at evaluating the residential care and supported housing program of a public service in Westphalia, Northwestern Germany. MET...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：10.1055/s-0029-1223403
更新日期：2010-04-01 00:00:00
abstract：OBJECTIVE:Theoretical background and first results of a vocational rehabilitation program for unemployed persons with chronic psychiatric disabilities will be presented. The aim of the program is job-placement in the regular labour market. METHODS:After a 3-month preparatory period the participants were given the poss...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：10.1055/s-2002-22041
更新日期：2002-03-01 00:00:00
abstract：AIM:The present contribution scrutinizes the assumption that people with a migration background (PMB) make less use of addiction services than non-migrants. METHODS:Differentiated by diagnoses, the proportions of PMB in the Statistical Report on Substance Abuse Treatment in Germany are compared to the share of PMB in ...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：10.1055/s-0034-1387291
更新日期：2016-03-01 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
abstract：OBJECTIVE:With changed consumer behaviour in the drug scene the psychiatric complications with the derivates of amphetamine increase. In some regions methamphetamin is particularly common. Flashbacks, which can be triggered by psychosocial stress, as well as the age of the usually young patients lead to the differentia...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：10.1055/s-2003-814996
更新日期：2005-01-01 00:00:00
abstract：:We present the theoretical basis and results of a comprehensive research project concerning the psychotherapeutic treatment of sexual offenders in an ambulant setting. The therapeutic sample (n = 86) consists of patients with the following symptoms: exhibitionism, child molestation and sexual aggressive acts towards w...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：
更新日期：1983-09-01 00:00:00
abstract：OBJECTIVE:Although there is growing evidence for clinical effectiveness of crisis resolution teams (also called Home Treatment Teams) for patients with severe psychotic disorders, a lot of studies suffer from poor model fidelity, which leads to an ignorance of specific effective factors. METHODS:Here we present the im...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：10.1055/s-0034-1387633
更新日期：2016-09-01 00:00:00
abstract：OBJECTIVE:To assess the non-cognitive symptoms in 153 consecutive dementia patients admitted to our psychiatric ward or seen at the gerontopsychiatric ambulance and Memory Clinic. METHODS:We used the Global Deterioration Scale, the Hachinski Ischaemia Score, the Hamilton Psychiatric Rating Scale for Depression, and th...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：
更新日期：1999-03-01 00:00:00
abstract：:Vocational rehabilitation of mentally ill patients is now focused outside the psychiatric hospital. Three types of programmes play a major role: outpatient work therapy programmes at psychiatric hospitals, jobs in (partly) sheltered employment facilities as in companies specially adapted for employing mentally ill per...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：
更新日期：1998-03-01 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：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：OBJECTIVE AND METHOD:In this paper we report about the situation of psychotherapeutic inpatient treatment in Bavarian state mental hospitals, based on data coming from surveys in those hospitals. RESULTS AND CONCLUSION:22 State mental hospitals in Bavaria have 1217 beds for acute psychotherapy, proofed on the basis of...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：10.1055/s-2004-828424
更新日期：2004-11-01 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：: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：:This study of aggressive behaviour of patients towards staff was conducted simultaneously for one year at four psychiatric hospitals. Until now there has been very little empirical research carried out in German speaking countries of aggression in psychiatric hospitals; the reasons for that are discussed. The results ...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：
更新日期：1991-09-01 00:00:00
