230 results match your criteria: "St. Hedwig Hospital[Affiliation]"

At the end of 2022, 108.4 million people around the world were forcibly displaced, the highest number ever recorded. Of these, 50% were women.

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Article Synopsis
  • Myasthenia gravis (MG) is a rare autoimmune disease that significantly affects family planning, with many patients opting against parenthood due to the impact of their symptoms.
  • The study analyzed data from 1,660 MG patients, highlighting challenges related to pregnancy and raising children, along with the perceived need for social support, particularly in negotiations with health insurers and transportation to appointments.
  • Results indicated that a notable percentage of patients reported lower levels of social support, especially among those with moderate disease severity or medium incomes, emphasizing the importance of supportive networks for MG patients.
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The digitalisation of mental health care is expected to improve the accessibility and quality of specialised treatment services and introduce innovative methods to study, assess, and monitor mental health disorders. In this narrative review and practical recommendation of the European Psychiatric Association (EPA), we aim to help healthcare providers and policymakers to navigate this rapidly evolving field. We provide an overview of the current scientific and implementation status across two major domains of digitalisation: i) and ii) , discuss the potential of each domain to improve the accessibility and outcomes of mental health services, and highlight current challenges faced by researchers, clinicians, and service users.

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Linguistic findings in persons with schizophrenia-a review of the current literature.

Front Psychol

November 2023

Department of Psychiatry and Neurosciences, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany.

Introduction: Alterations of verbalized thought occur frequently in psychotic disorders. We characterize linguistic findings in individuals with schizophrenia based on the current literature, including findings relevant for differential and early diagnosis.

Methods: Review of literature published via PubMed search between January 2010 and May 2022.

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Anxiety and mood disorders in forcibly displaced people across the world.

Curr Opin Psychiatry

January 2024

Department of Psychiatry and Psychotherapy, Multisensory Integration Lab, Charité Universitätsmedizin Berlin, Berlin, Germany.

Purpose Of Review: Displaced persons around the world have intensified in the previous decade and are predicted to rise further with greater global instability. The mental health issues involved with fleeing one's home, and attempting to make a new life in a host country need to be understood and addressed.

Recent Findings: Prevalence of anxiety and mood disorders, including posttraumatic stress disorder appear to be higher for displaced peoples than for the population in the host country.

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Background: Alcohol use disorder (AUD) belongs to the most burdensome clinical disorders worldwide. Current treatment approaches yield unsatisfactory long-term effects with relapse rates up to 85%. Craving for alcohol is a major predictor for relapse and can be intentionally induced via cue exposure in real life as well as in Virtual Reality (VR).

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Postoperative delirium is a serious sequela of surgery and surgery-related anaesthesia. One recommended method to prevent postoperative delirium is using bi-frontal EEG recording. The single, processed index of depth of anaesthesia allows the anaesthetist to avoid episodes of suppression EEG and excessively deep anaesthesia.

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Background: Pelvic floor training with biofeedback has been shown to significantly reduce symptoms of urinary incontinence. The present study aimed to evaluate the effectiveness of pelvic floor training with the ACTICORE1 biofeedback device, which uses a noninsertable pelvic floor sensor with a digital interface.

Materials And Methods: A multicenter randomized controlled clinical pilot study in Germany was conducted between October 2021 and January 2022.

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Introduction: The increasing identification of specific autoantibodies against brain structures allows further refinement of the group of autoimmune-associated epilepsies and affects diagnostic and therapeutic algorithms. The early etiological allocation of a first seizure is particularly challenging, and the contribution of cerebrospinal fluid (CSF) analysis is not fully understood.

Methods: In this retrospective study with a mean of 7.

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Importance: Different types of traumatic life events have varying impacts on symptoms of depression, anxiety, and somatization. For women from areas of the world experiencing war and humanitarian crises, who have experienced cumulative trauma exposure during war and forced migration, it is not known whether cumulative trauma or particular events have the greatest impact on symptoms.

Objective: To examine which traumatic life events are associated with depression, anxiety, and somatization symptoms, compared with the cumulative amount, in a sample of female refugees.

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Ethical dilemmas of mental healthcare for migrants and refugees.

Curr Opin Psychiatry

September 2023

Research Group Social and Transcultural Psychiatry, Department of Psychiatry, Social Psychiatry and Psychotherapy, Hannover Medical School, Hannover, Germany.

Purpose Of Review: This review will discuss the current development of ethical dilemmas in psychiatry in the care of migrants and refugees. The world is in times of increasing conflicts and disasters, which are leading to increased migration and flight. In dealing with patients, psychiatrists have their own codes of ethics.

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Background: Psychotic disorders often develop a chronic course with devastating consequences for individuals, families, and societies. Early intervention programs for people in the first 5 years after the initial psychotic episode (early psychosis) can significantly improve the outcome and are therefore strongly recommended in national and international guidelines. However, most early intervention programs still focus on improving symptoms and relapse prevention, rather than targeting educational and vocational recovery.

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Coercive measures in psychiatry - When do they occur and who is at risk?

J Psychiatr Res

August 2023

Charité Universiätsmedizin Berlin, Department of Psychiatry and Psychotherapy at St. Hedwig Hospital, Grosse Hamburger Str. 5-11, 10115, Berlin, Germany; Department of Psychiatry and Psychotherapy, Clinics in the Theodor-Wenzel-Werk, Berlin, Germany.

Coercive measures (CM) in psychiatry adversely affect patients and efforts to minimize CM are steadily increasing. One area that has not been a strong focus of preventative efforts to date is the time of use of CM during hospitalization although previous research indicates that the admission situation and early hospitalization are times of increased risk for CM. This study therefore aims to contribute to the body of research in this field by analyzing in detail the times of use of CM and identifying patient characteristics serving as predictors for CM during early hospitalization.

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The psychedelic afterglow phenomenon: a systematic review of subacute effects of classic serotonergic psychedelics.

Ther Adv Psychopharmacol

May 2023

Psychedelic Substances Research Group, Psychiatric University Clinic of Charité at St. Hedwig Hospital, Charité - Universitätsmedizin Berlin, Berlin, Germany.

Background: Classic serotonergic psychedelics have anecdotally been reported to show a characteristic pattern of subacute effects that persist after the acute effects of the substance have subsided. These transient effects, sometimes labeled as the 'psychedelic afterglow', have been suggested to be associated with enhanced effectiveness of psychotherapeutic interventions in the subacute period.

Objectives: This systematic review provides an overview of subacute effects of psychedelics.

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Perceived discrimination has a significant negative impact on indices of mental health. One potential buffering factor in this is psychological resilience, which encompasses the ability to recover from or adapt successfully to adversity and use coping strategies, such as positive reappraisal of adverse events. This study examines the role of resilience as well as social support in buffering these effects in groups of migrants both with and without local residence permits.

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As a social justice issue, it is suggested that racialised identity may represent a critical moderator in the association between racism and adverse mental health. We performed a meta-moderation analysis of studies on racialised identity, racism and adverse mental health in children and adolescents. We searched Pubmed, Web of Science, SocINDEX, PsychInfo, Medline, CINAHL and EBSCO Academic Search Ultimate for peer-reviewed articles published between January 2013 and December 2022.

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Background: Despite a high prevalence of mental disorders among asylum seekers, many barriers to mental healthcare exist. Cultural and contextual factors strongly influence the experience and expression of psychological distress, putting asylum seekers at greater risk of misdiagnosis and inappropriate treatment. The Cultural Formulation Interview (CFI) is a useful tool to map out cultural and contextual factors of mental disorders; however, to the best of our knowledge, it has not yet been investigated in asylum seekers specifically.

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Taking Action on Racism and Structural Violence in Psychiatric Training and Clinical Practice.

Can J Psychiatry

October 2023

Division of Social and Transcultural Psychiatry, McGill University, Montréal, QC, Canada; Culture and Mental Health Research Unit, Lady Davis Institute, Jewish General Hospital, Montréal, QC, Canada.

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Correction to: Loneliness in Elderly Inpatients.

Psychiatr Q

June 2023

Department of Psychiatry and Psychotherapy, Campus Charité Mitte (Psychiatric University Hospital of Charité at St. Hedwig Hospital), Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt- Universität zu Berlin, Berlin Institute of Health, Große Hamburger Str. 5-11, 10115, Berlin, Germany.

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Article Synopsis
  • The global north is experiencing a sharp rise in neurodegenerative diseases, particularly Parkinson's, which some experts are calling a pandemic, with lifestyle factors and circadian rhythms playing a role in this trend.
  • Circadian and sleep disruptions are linked to the early stages of neurodegeneration, with isolated REM sleep behavior disorder (iRBD) identified as indicative of conditions like Parkinson's and Lewy body dementia.
  • The review discusses current knowledge on the relationship between sleep, circadian rhythms, and α-synucleinopathies, highlighting potential experimental approaches that could lead to early interventions targeting circadian system disturbances.
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Background: Although mental health professionals' mental health problems are gaining increased attention, there is little systematic research on this topic.

Aims: This study investigated the frequency of crisis experiences among mental health professionals and examined how they approach these experiences in terms of their personal and social identities.

Methods: An online survey was conducted among mental health professionals in 18 psychiatric hospital departments in the German federal states of Berlin and Brandenburg ( = 215), containing questions about personal crisis experiences, help sought, service use, meaningfulness of lived experiences, causal beliefs of mental illness and psychotherapeutic orientation.

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Seasonality of human sleep: Polysomnographic data of a neuropsychiatric sleep clinic.

Front Neurosci

February 2023

Sleep Research and Clinical Chronobiology, Berlin Institute of Health, Institute of Physiology, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, Berlin, Germany.

While short-term effects of artificial light on human sleep are increasingly being studied, reports on long-term effects induced by season are scarce. Assessments of subjective sleep length over the year suggest a substantially longer sleep period during winter. Our retrospective study aimed to investigate seasonal variation in objective sleep measures in a cohort of patients living in an urban environment.

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A preliminary choroid plexus volumetric study in individuals with psychosis.

Hum Brain Mapp

April 2023

Department of Psychiatry, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.

The choroid plexus (ChP) is part of the blood-cerebrospinal fluid barrier, regulating brain homeostasis and the brain's response to peripheral events. Its upregulation and enlargement are considered essential in psychosis. However, the timing of the ChP enlargement has not been established.

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