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  1. Article ; Online: Psychische Probleme in der Pandemie – Beobachtungen während der COVID-19-Krise.

    Fatke, Bastian / Hölzle, Patricia / Frank, Andreas / Förstl, Hans

    Deutsche medizinische Wochenschrift (1946)

    2020  Volume 145, Issue 10, Page(s) 675–681

    Abstract: We have recently observed several clusters of psychiatric symptoms in the context of COVID-19: (1) increased anxiety in psychiatric in- and outpatients with different diagnoses; (2) more cases of domestic violence often associated with increased drug- or ...

    Title translation COVID-19 Crisis: Early Observations on a Pandemic's Psychiatric Problems.
    Abstract We have recently observed several clusters of psychiatric symptoms in the context of COVID-19: (1) increased anxiety in psychiatric in- and outpatients with different diagnoses; (2) more cases of domestic violence often associated with increased drug- or alcohol-consumption in offenders and victims; (3) a nihilistic "apocalyptic" syndrome of elderly patients cut-off from their families; (4) visual and acoustic hallucinoses due to pneumonia and sepsis-related confusional states. Cases of chloroquine-related toxicity have been reported elsewhere, but have not been observed in our hospital so far. Mental issues related to COVID-19 reported from China and practical recommendations are briefly summarized. Many patients with serious mental disorders will suffer world-wide due to a reallocation of medical, social and financial ressources.
    MeSH term(s) Anxiety/epidemiology ; Betacoronavirus ; COVID-19 ; Coronavirus Infections/psychology ; Domestic Violence ; Humans ; Mental Health ; Pandemics ; Pneumonia, Viral/psychology ; SARS-CoV-2 ; Substance-Related Disorders/epidemiology
    Keywords covid19
    Language German
    Publishing date 2020-04-09
    Publishing country Germany
    Document type Journal Article ; Review
    ZDB-ID 200446-x
    ISSN 1439-4413 ; 0012-0472
    ISSN (online) 1439-4413
    ISSN 0012-0472
    DOI 10.1055/a-1147-2889
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  2. Article ; Online: Alt und depressiv oder dement? – Pseudodepression vs. Pseudodemenz.

    Krombach, Julia / Hörmann, Sophia / Huber, Christiane / Hölzle, Patricia / Förstl, Hans

    Deutsche medizinische Wochenschrift (1946)

    2021  Volume 146, Issue 7, Page(s) 487–492

    Abstract: Many elderly patients suffer from both, depressive symptoms and cognitive deficits. Clinically, it oftentimes appears unclear whether the affective or the cognitive problems are primary or secondary. Modern molecular and imaging markers contribute to a ... ...

    Title translation Old and depressed and/or demented? - Pseudodepression vs. pseudodementia.
    Abstract Many elderly patients suffer from both, depressive symptoms and cognitive deficits. Clinically, it oftentimes appears unclear whether the affective or the cognitive problems are primary or secondary. Modern molecular and imaging markers contribute to a more efficient distinction between depression and incipient dementia due to neurodegenerative, vascular, and other diseases. A careful history and clinical investigations are necessary to identify the underlying diseases, but they do not always offer sufficient therapeutic guidance. If in doubt, the condition should always be considered as potentially reversible and treated emphatically (but with age-appropriate caution).
    MeSH term(s) Age Factors ; Aged ; Dementia/complications ; Dementia/etiology ; Dementia/therapy ; Depression/complications ; Depression/etiology ; Depression/therapy ; Diagnosis, Differential ; Factitious Disorders/diagnosis ; Factitious Disorders/therapy ; Humans
    Language German
    Publishing date 2021-03-29
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 200446-x
    ISSN 1439-4413 ; 0012-0472
    ISSN (online) 1439-4413
    ISSN 0012-0472
    DOI 10.1055/a-1180-2417
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  3. Article ; Online: COVID-19 distresses the depressed while schizophrenic patients are unimpressed: A study on psychiatric inpatients.

    Hölzle, Patricia / Aly, Lilian / Frank, Wolfgang / Förstl, Hans / Frank, Andreas

    Psychiatry research

    2020  Volume 291, Page(s) 113175

    Keywords covid19
    Language English
    Publishing date 2020-06-05
    Publishing country Ireland
    Document type Letter
    ZDB-ID 445361-x
    ISSN 1872-7123 ; 1872-7506 ; 0925-4927 ; 0165-1781
    ISSN (online) 1872-7123 ; 1872-7506
    ISSN 0925-4927 ; 0165-1781
    DOI 10.1016/j.psychres.2020.113175
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  4. Article ; Online: Depression, dependence and prices of the COVID-19-Crisis.

    Frank, Andreas / Fatke, Bastian / Frank, Wolfgang / Förstl, Hans / Hölzle, Patricia

    Brain, behavior, and immunity

    2020  Volume 87, Page(s) 99

    MeSH term(s) Adult ; Aged ; Aged, 80 and over ; COVID-19 ; Coronavirus Infections/economics ; Coronavirus Infections/psychology ; Cross-Sectional Studies ; Depression/psychology ; Female ; Humans ; Male ; Mental Disorders/psychology ; Mental Health/trends ; Middle Aged ; Pandemics/economics ; Pneumonia, Viral/economics ; Pneumonia, Viral/psychology
    Keywords covid19
    Language English
    Publishing date 2020-04-29
    Publishing country Netherlands
    Document type Letter
    ZDB-ID 639219-2
    ISSN 1090-2139 ; 0889-1591
    ISSN (online) 1090-2139
    ISSN 0889-1591
    DOI 10.1016/j.bbi.2020.04.068
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  5. Article: Altersbedingte Besonderheiten der Symptomatik

    Hautzinger, Martin / Naab, Silke / Hölzle, Patricia / Krombach, Julia / Lee, André / Förstl, Hans

    (In: Adli, Mazda; Hautzinger, Martin (Ed.), Praxishandbuch Depression. Ursachen - Diagnostik - Therapie (S. 9-17). München: Elsevier)

    2023  

    Abstract: Altersbedingte Besonderheiten der Symptomatik werden im Überblick behandelt. Erst ab dem Jugendalter ist das Symptombild einer Depression ähnlich dem Bei Erwachsenen. Davor dominieren Störungen des Ess-, Schlaf- und Spielverhaltens, Bauchschmerzen, ... ...

    Title translation Age-related peculiarities of symptomatology (DeepL)
    Series title In: Adli, Mazda; Hautzinger, Martin (Ed.), Praxishandbuch Depression. Ursachen - Diagnostik - Therapie (S. 9-17). München: Elsevier
    Abstract Altersbedingte Besonderheiten der Symptomatik werden im Überblick behandelt. Erst ab dem Jugendalter ist das Symptombild einer Depression ähnlich dem Bei Erwachsenen. Davor dominieren Störungen des Ess-, Schlaf- und Spielverhaltens, Bauchschmerzen, träumerische Abwesenheit und Introversion. Depressionen bei Kindern und Jugendlichen sind altersabhängig mit zwei bis acht Prozent häufig und teilweise recht stabil, werden aber meistens nicht erkannt. In der Diagnostik stehen Verhaltensbeobachtung und Fremdbeurteilungen im Vordergrund. Ein multifaktorielles Verständnis ist der Entstehung angemessen. Im höheren Lebensalter sind die Symptome grundsätzlich ähnlich denen in früheren Lebensabschnitten, im Vordergrund stehen jedoch somatische und kognitive Prbleme. Des Witeren findet sich eine altersbedingte Multimorbidität mit einer zunehmenden Dominanz neurodegenerativer und vaskulärer Veränderungen. Generell spielen bei der Depressionsentwicklung genetische, psychische, soziale, endokrine, entzündliche, mikrobiologische, hydrodynamische und neurobiologische Faktoren eine Rolle.
    Keywords Age Differences ; Altersunterschiede ; Developmental Stages ; Entwicklungsstufen ; Major Depression ; Symptome ; Symptoms
    Language German
    Document type Article
    Database PSYNDEX

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  6. Article ; Online: Erregungssturm – Entstehung und Notfallbehandlung.

    Hölzle, Patricia / Frank, Andreas / Hörmann, Sophia / Pajonk, Frank-Gerald / Förstl, Hans

    Deutsche medizinische Wochenschrift (1946)

    2021  Volume 146, Issue 21, Page(s) 1421–1426

    Abstract: The Excited Delirium Syndrome (ExDS) is a state of maximum psychophysiological excitation far beyond mental agitation. Patients themselves are at an acute risk and put others at a high risk. We present data from eleven patients and a short literature ... ...

    Title translation Excited Delirium Syndrome (ExDS): emergence and emergency management.
    Abstract The Excited Delirium Syndrome (ExDS) is a state of maximum psychophysiological excitation far beyond mental agitation. Patients themselves are at an acute risk and put others at a high risk. We present data from eleven patients and a short literature review. Results: 9 of 11 patients were acutely intoxicated (alcohol, magic mushrooms, THC, ecstacy, or "flakka"). Eight had a history of substance abuse and 4 of other mental illness. None of the patients responded to attempts at verbal de-escalation. Seven had significant injuries at the time of admission to the hospital. The aggressive "psychiatric" presentation of ExDS can lead to vital risks being overlooked (hyperexcitation, acidosis, rhabdomyolysis, hypoxemia, and cardiovascular decompensation), which may even be increased by severe methods of restraint (hogtie; positional asphyxia). Early recognition of ExDS and its risks, comprehensive management and the prevention of inappropriate treatment will help to reduce fatal outcomes.
    MeSH term(s) Alcoholic Intoxication/complications ; Diagnosis, Differential ; Emergence Delirium/diagnosis ; Emergence Delirium/etiology ; Emergence Delirium/therapy ; Emergencies ; Humans ; Risk Factors ; Substance-Related Disorders/complications
    Language German
    Publishing date 2021-10-20
    Publishing country Germany
    Document type Journal Article ; Review
    ZDB-ID 200446-x
    ISSN 1439-4413 ; 0012-0472
    ISSN (online) 1439-4413
    ISSN 0012-0472
    DOI 10.1055/a-1533-9764
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  7. Article: Alt und depressiv oder dement? – Pseudodepression vs. Pseudodemenz

    Krombach, Julia / Hörmann, Sophia / Huber, Christiane / Hölzle, Patricia / Förstl, Hans

    DMW - Deutsche Medizinische Wochenschrift

    2021  Volume 146, Issue 07, Page(s) 487–492

    Keywords Depression ; Pseudodemenz ; Demenz ; Risikofaktor ; Komplikationen ; depression ; dementia ; pseudodementia ; risk factor ; complications
    Language German
    Publishing date 2021-03-29
    Publisher Georg Thieme Verlag KG
    Publishing place Stuttgart ; New York
    Document type Article
    ZDB-ID 200446-x
    ISSN 1439-4413 ; 0012-0472
    ISSN (online) 1439-4413
    ISSN 0012-0472
    DOI 10.1055/a-1180-2417
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  8. Article: Psychische Probleme in der Pandemie ­ Beobachtungen während der COVID-19-Krise./ [COVID-19 Crisis: Early Observations on a Pandemic's Psychiatric Problems]

    Fatke, Bastian / Hölzle, Patricia / Frank, Andreas / Förstl, Hans

    Dtsch Med Wochenschr

    Abstract: We have recently observed several clusters of psychiatric symptoms in the context of COVID-19: (1) increased anxiety in psychiatric in- and outpatients with different diagnoses; (2) more cases of domestic violence often associated with increased drug- or ...

    Abstract We have recently observed several clusters of psychiatric symptoms in the context of COVID-19: (1) increased anxiety in psychiatric in- and outpatients with different diagnoses; (2) more cases of domestic violence often associated with increased drug- or alcohol-consumption in offenders and victims; (3) a nihilistic "apocalyptic" syndrome of elderly patients cut-off from their families; (4) visual and acoustic hallucinoses due to pneumonia and sepsis-related confusional states. Cases of chloroquine-related toxicity have been reported elsewhere, but have not been observed in our hospital so far. Mental issues related to COVID-19 reported from China and practical recommendations are briefly summarized. Many patients with serious mental disorders will suffer world-wide due to a reallocation of medical, social and financial ressources.
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #47406
    Database COVID19

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  9. Article ; Online: Psychische Probleme in der Pandemie – Beobachtungen während der COVID-19-Krise

    Fatke, Bastian / Hölzle, Patricia / Frank, Andreas / Förstl, Hans

    DMW - Deutsche Medizinische Wochenschrift

    2020  Volume 145, Issue 10, Page(s) 675–681

    Abstract: Abstract We have recently observed several clusters of psychiatric symptoms in the context of COVID-19: (1) increased anxiety in psychiatric in- and outpatients with different diagnoses; (2) more cases of domestic violence often associated with increased ...

    Abstract Abstract We have recently observed several clusters of psychiatric symptoms in the context of COVID-19: (1) increased anxiety in psychiatric in- and outpatients with different diagnoses; (2) more cases of domestic violence often associated with increased drug- or alcohol-consumption in offenders and victims; (3) a nihilistic “apocalyptic” syndrome of elderly patients cut-off from their families; (4) visual and acoustic hallucinoses due to pneumonia and sepsis-related confusional states. Cases of chloroquine-related toxicity have been reported elsewhere, but have not been observed in our hospital so far. Mental issues related to COVID-19 reported from China and practical recommendations are briefly summarized. Many patients with serious mental disorders will suffer world-wide due to a reallocation of medical, social and financial ressources.
    Keywords General Medicine ; covid19
    Language German
    Publisher Georg Thieme Verlag KG
    Publishing country de
    Document type Article ; Online
    ZDB-ID 200446-x
    ISSN 1439-4413 ; 0012-0472
    ISSN (online) 1439-4413
    ISSN 0012-0472
    DOI 10.1055/a-1147-2889
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  10. Article: Psychische Probleme in der Pandemie – Beobachtungen während der COVID-19-Krise

    Fatke, Bastian / Hölzle, Patricia / Frank, Andreas / Förstl, Hans

    DMW - Deutsche Medizinische Wochenschrift

    2020  Volume 145, Issue 10, Page(s) 675–681

    Abstract: We have recently observed several clusters of psychiatric symptoms in the context of COVID-19: (1) increased anxiety in psychiatric in- and outpatients with different diagnoses; (2) more cases of domestic violence often associated with increased drug- or ...

    Abstract We have recently observed several clusters of psychiatric symptoms in the context of COVID-19: (1) increased anxiety in psychiatric in- and outpatients with different diagnoses; (2) more cases of domestic violence often associated with increased drug- or alcohol-consumption in offenders and victims; (3) a nihilistic “apocalyptic” syndrome of elderly patients cut-off from their families; (4) visual and acoustic hallucinoses due to pneumonia and sepsis-related confusional states. Cases of chloroquine-related toxicity have been reported elsewhere, but have not been observed in our hospital so far. Mental issues related to COVID-19 reported from China and practical recommendations are briefly summarized. Many patients with serious mental disorders will suffer world-wide due to a reallocation of medical, social and financial ressources.
    Keywords Apokalypse-Syndrom ; Chloroquin ; Halluzinose ; häusliche Gewalt ; Verwirrtheitszustand ; apocalypse syndrome ; chloroquine ; hallucinosis ; domestic violence ; confusional state
    Language German
    Publishing date 2020-04-09
    Publisher © Georg Thieme Verlag KG
    Publishing place Stuttgart ; New York
    Document type Article
    ZDB-ID 200446-x
    ISSN 1439-4413 ; 0012-0472
    ISSN (online) 1439-4413
    ISSN 0012-0472
    DOI 10.1055/a-1147-2889
    Database Thieme publisher's database

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