Swiss Archives of Neurology, Psychiatry and Psychotherapy

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Open AccessBook Review

by EMH Swiss Medical Publishers Ltd.

Swiss Arch. Neurol. Psychiatry Psychother. 2011, 162(4), 174; https://doi.org/10.4414/sanp.2011.02267 - 1 Jan 2011

Abstract

Das vorliegende Buch behandelt auf 568 Seiten in englischer Sprache sämtliche Liquorzirkulationsstörungen bzw. mit Liquor assoziierten Erkrankungen («CSF Disorders») [...] Full article

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Open AccessBook Review

Multiple Sklerose – Klinik, Diagnostik und Therapie

by EMH Swiss Medical Publishers Ltd.

Swiss Arch. Neurol. Psychiatry Psychother. 2011, 162(4), 174; https://doi.org/10.4414/sanp.2011.02266 - 1 Jan 2011

Abstract

Dieses sehr informative Buch aus der Reihe «Klinische Neurologie» wendet sich in detaillierter, klar strukturierter und didaktisch ansprechender Art und Weise an klinisch tätige Ärzte, die sich einen umfassenden Überblick zum Thema Multiple Sklerose verschaffen oder vorhandene Kenntnisse vertiefen oder aktualisieren möchten [...] [...] Read more.

Dieses sehr informative Buch aus der Reihe «Klinische Neurologie» wendet sich in detaillierter, klar strukturierter und didaktisch ansprechender Art und Weise an klinisch tätige Ärzte, die sich einen umfassenden Überblick zum Thema Multiple Sklerose verschaffen oder vorhandene Kenntnisse vertiefen oder aktualisieren möchten [...] Full article

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Open AccessBook Review

Tiefenpsychologisch fundierte Psychotherapie. Basisbuch und Praxisleitfaden

by EMH Swiss Medical Publishers Ltd.

Swiss Arch. Neurol. Psychiatry Psychother. 2011, 162(4), 174; https://doi.org/10.4414/sanp.2011.02265 - 1 Jan 2011

Abstract

Dass ein psychotherapeutisches Fachbuch von fast 600 Seiten Umfang, das 2001 erstmals im Buchhandel erschien und 2004 eine Neuauflage erlebte, sich nun schon zum dritten Mal in überarbeiteter und erweiterter Form dem Publikum anbietet, mag alleine schon als Ausdruck von Qualität und Nachfrage [...] Read more.

Dass ein psychotherapeutisches Fachbuch von fast 600 Seiten Umfang, das 2001 erstmals im Buchhandel erschien und 2004 eine Neuauflage erlebte, sich nun schon zum dritten Mal in überarbeiteter und erweiterter Form dem Publikum anbietet, mag alleine schon als Ausdruck von Qualität und Nachfrage imponieren [...] Full article

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Open AccessArticle

Neurologist-in-training

by Özgür Yaldizli, Jens Kuhle, Tobias Derfuss, Till Sprenger and Ludwig Kappos

Swiss Arch. Neurol. Psychiatry Psychother. 2011, 162(4), 171-173; https://doi.org/10.4414/sanp.2011.02270 - 1 Jan 2011

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Abstract

Neurological MCQ [...]
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Open AccessReview

Intracranial aneurysms: new aspects of formation, rupture and outcome

by Andreas Raabe and Jürgen Beck

Swiss Arch. Neurol. Psychiatry Psychother. 2011, 162(4), 169-170; https://doi.org/10.4414/sanp.2011.02269 - 1 Jan 2011

Cited by 2 | Viewed by 58

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Key points [...] Full article

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Open AccessReview

The scientific basis of stroke rehabilitation

by Andreas R. Luft

Swiss Arch. Neurol. Psychiatry Psychother. 2011, 162(4), 167-168; https://doi.org/10.4414/sanp.2011.02268 - 1 Jan 2011

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Key points [...] Full article

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Open AccessArticle

Centres de Thérapies Brèves (CTB) à Genève: la crise dans les centres de crise?

by Javier Bartolomei, Othman Sentissi, Rachel Baeriswyl-Cottin and Philippe Rey-Bellet

Swiss Arch. Neurol. Psychiatry Psychother. 2011, 162(4), 161-166; https://doi.org/10.4414/sanp.2011.02276 - 1 Jan 2011

Cited by 4 | Viewed by 63

Abstract

Created at Geneva in 1980, brief therapy centres are outpatient units providing psychiatric care based on a psychodynamic crisis intervention model. Their initial purpose was to offer an alternative to hospitalisation to patients who habitually are not major consumers of hospital care. In [...] Read more.

Created at Geneva in 1980, brief therapy centres are outpatient units providing psychiatric care based on a psychodynamic crisis intervention model. Their initial purpose was to offer an alternative to hospitalisation to patients who habitually are not major consumers of hospital care. In 2001 they were assigned a new institutional role: to widen their care offering and lighten the burden on hospitals by taking in, among others, patients with much more severe psychopathologies. We conducted a retrospective pilot study including the 449 patients treated at the Servette sector 3 brief therapy centre during 2006, to improve our understanding of how practice had really evolved at these centres in response to the changes institutional therapy had undergone in the last two decades. In general we noted among these patients a high rate of psychiatric antecedents with a time to admission seldomly below 24 h. We found a high rate of referrals by psychiatric emergency departments at the expense of indications from general practitioners and psychiatrists, while the diagnosis of mood disorder (76% with 72.4% depressive disorders) was significantly represented. We also observed several significant differences between the patient group receiving crisis-type care and the group receiving only nights of support. The retrospective study we conducted showed us that the new institutional role is only partly fulfilled and raises the question of a gap between theory and practice that is widening with the passage of time.
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Open AccessReview

Current concepts of Stroke Units in Germany and Europe

by E. Bernd Ringelstein, Otto Busse and Martin A. Rittera

Swiss Arch. Neurol. Psychiatry Psychother. 2011, 162(4), 155-160; https://doi.org/10.4414/sanp.2011.02275 - 1 Jan 2011

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Abstract

Stroke units provide an effective package of care and are beneficial beyond the use of other procedures, even thrombolysis. At the same time, stroke units offer the logistics to effectively coordinate the “chain of care” needed in the complex setting of an organised [...] Read more.

Stroke units provide an effective package of care and are beneficial beyond the use of other procedures, even thrombolysis. At the same time, stroke units offer the logistics to effectively coordinate the “chain of care” needed in the complex setting of an organised acute stroke service. The various factors effective in stroke unit care are supported by randomised controlled trials and include (1) the exclusive treatment of stroke patients in a dedicated environment, (2) a multi-professional team approach, and (3) the combination of effective emergency management with early mobilisation and rehabilitation. Stroke unit treatment, as such, reduces mortality by 21% and dependency by 13% as assessed one year after the stroke. Even 10 years after the index event, its effectiveness is still valid. Stroke unit treatment also facilitates an increased use of, and expertise on, thrombolytic therapy thus improving results within centres. Mortality decreases and expertise improves in high volume centres with many patients per year. Current stroke unit concepts also incorporate quality assessment and quality control tools including benchmarking of pre-defined quality criteria to steadily improve stroke services. In Germany, about 200 certified stroke units are in service and about 60% of all stroke patients are treated in such facilities. Full article

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Open AccessReview

Konzept der atypischen Depression und deutsche Übersetzung der «Atypical Depression Diagnostic Scale (ADDS)»

by Daniela J. Gremaud-Heitz, Jonathan W. Stewart and Gerhard Dammann

Swiss Arch. Neurol. Psychiatry Psychother. 2011, 162(4), 148-154; https://doi.org/10.4414/sanp.2011.02273 - 1 Jan 2011

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Abstract

Atypical depression is, contrary to its name, a common disorder that to this day is nosologically not clearly classifiable, which affects some 30% of unipolar depressive patients and is characterised by depressive mood, emotional reactivity, increased sleep, eating disorders and somatic impairment. Atypical [...] Read more.

Atypical depression is, contrary to its name, a common disorder that to this day is nosologically not clearly classifiable, which affects some 30% of unipolar depressive patients and is characterised by depressive mood, emotional reactivity, increased sleep, eating disorders and somatic impairment. Atypical depression occurs more often in women than men, and has an earlier onset and a more chronic course of illness than endogenous depression. Comorbidities are common in patients with atypical depression: besides anxiety disorders, other axis I diseases such as addiction, eating or somatoform disorders are mentioned, as well as an association with borderline or cluster C personality disorders. Despite the early findings it was not until 1994 that atypical depression was included as a specifier of major depressive episodes in DSM-IV. Controversy persists concerning the validity of both the construct and the DSM-IV criteria, especially the need for “mood reactivity” criteria. This paper contains the German version of the “Atypical Depression Diagnostic Scale (ADDS)”, which, since it investigates the criteria in greater detail, is regarded as the most highly elaborated instrument for the diagnosis of atypical depression. In a short review we demonstrate that, on the basis of several factors – biology, course of illness and treatment response – atypical depression can be considered a separate depressive group. In summary, the concept of atypical depression is highly relevant, and additional studies investigating the validity and relevance of treatment would therefore be preferable. With regard to DSM-V, a revision of the criteria would seem to be appropriate. Full article

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Open AccessReview

A brief review of neurobiological principles of insomnia

by Bastian T. Wollweber and Thomas C. Wetter

Swiss Arch. Neurol. Psychiatry Psychother. 2011, 162(4), 139-147; https://doi.org/10.4414/sanp.2011.02274 - 1 Jan 2011

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Abstract

This review will provide knowledge of current concepts on neurobiological mechanisms underlying insomnia. Short discussions are included of clinical key features, diagnostic criteria and therapeutic aspects alleviating the symptoms of insomnia, such as non-refreshing sleep or excessive daytime sleepiness. Importantly, chronic insomnia has [...] Read more.

This review will provide knowledge of current concepts on neurobiological mechanisms underlying insomnia. Short discussions are included of clinical key features, diagnostic criteria and therapeutic aspects alleviating the symptoms of insomnia, such as non-refreshing sleep or excessive daytime sleepiness. Importantly, chronic insomnia has been identified as an important risk factor for the development or exacerbation of psychiatric disorders such as depression. Insomnia is a common and complex 24-hour disorder that derives from a multi-factorial interaction of biological and psychological factors affecting both sleep and wakefulness. These include genetics, biological and cultural factors, personality characteristics, personal history and assorted habits. Although several models of insomnia have been elaborated, no single underlying pathophysiological process has been shown to represent a causal factor. However, distinct alterations of neuroendocrine, quantitative sleep electroencephalography, and functional as well as structural neuro-imaging measures have been used to give further insights into possible pathophysiological mechanisms. In addition, dysfunctional cognitions or beliefs, as well as maladaptive habits or safety behaviours, contribute to the development and maintenance of insomnia. Beside these findings, indications of a cerebral hyper-arousal have been obtained from neuro-imaging studies which are in accordance with the cognitive-behavioural or psychophysiological model of insomnia. The hyper-arousal model of insomnia is also in line with a possible common underlying pathophysiology of insomnia and major depressive disorder. Full article

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Open AccessEditorial

Nationaler Verbund zur angewandten Forschung in der Psychiatrie

by Karl Studer

Swiss Arch. Neurol. Psychiatry Psychother. 2011, 162(4), 138; https://doi.org/10.4414/sanp.2011.02271 - 1 Jan 2011

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Abstract

Was haben die Reflexionen über Entwicklung von Kurztherapie- und Kriseninterventionszentren in Genf, der Versuch, eine eigenständige Diagnose der atypischen Depression zu entwickeln, und die neurobiologischen Mechanismen und Differenzierung von Schlafstörungen gemeinsam [...] Full article

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Open AccessEditorial

Der akute Hirnschlag Prävention, wirksame Nachbehandlung und Rehabilitation sind immer zu überprüfen und zu optimieren

by Philippe Lyrer

Swiss Arch. Neurol. Psychiatry Psychother. 2011, 162(4), 137; https://doi.org/10.4414/sanp.2011.02272 - 1 Jan 2011

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Abstract

Die letzte Dekade des 20. Jahrhunderts hat dem neurovaskulär tätigen Arzt eine Vielzahl neuer diagnostischer und therapeutischer Errungenschaften zugänglich gemacht [...] Full article

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Open AccessCommunication

Telestroke in Eastern Switzerland – preliminary experience of a pilot project

by P. Siebel, Ch. Berger, M. Schefer and B. Weder

Swiss Arch. Neurol. Psychiatry Psychother. 2011, 162(4), 1-32; https://doi.org/10.4414/sanp.2011.02327 - 1 Jan 2011

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Abstract

Introduction: The establishment of stroke networks is an approach to forward guideline-driven stroke care to hospitals without full-time neurological service [...] Full article

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Swiss Arch. Neurol. Psychiatry Psychother., Volume 162, Issue 4 (01 2011) – 13 articles

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