@article{vonAster2017, author = {von Aster, Michael G.}, title = {Dyskalkulie}, series = {Monatsschrift Kinderheilkunde : Organ der Deutschen Gesellschaft f{\"u}r Kinderheilkunde}, volume = {165}, journal = {Monatsschrift Kinderheilkunde : Organ der Deutschen Gesellschaft f{\"u}r Kinderheilkunde}, publisher = {Springer}, address = {New York}, issn = {0026-9298}, doi = {10.1007/s00112-017-0289-x}, pages = {482 -- 489}, year = {2017}, abstract = {Hintergrund Ausgepr{\"a}gte Schwierigkeiten beim Erwerb der grundlegenden arithmetischen Fertigkeiten bei ansonsten durchschnittlichen Schulleistungen werden als Rechenst{\"o}rung oder Dyskalkulie bezeichnet. Davon betroffen sind etwa 5 \% der Grundsch{\"u}lerpopulation. Die Ursachen und die Symptome sind ebenso vielgestaltig wie die Methoden der differenziellen F{\"o}rderung und Therapie. Material und Methode Selektive Literaturrecherche zur Rechenst{\"o}rung aus verschiedenen mit dem Gegenstand befassten wissenschaftlichen Disziplinen. Ergebnisse Der Erwerb von F{\"a}higkeiten zur Zahlenverarbeitung und zum Rechnen wird als ein erfahrungsabh{\"a}ngiger neuroplastischer Reifungsprozess verstanden, der zu einem komplexen, spezialisierten neuronalen Netzwerk f{\"u}hrt und verschiedene kognitive Zahlenrepr{\"a}sentationen hervorbringt. Die Entwicklung dieser dom{\"a}nenspezifischen F{\"a}higkeiten ist abh{\"a}ngig von der Entwicklung dom{\"a}nen{\"u}bergreifender F{\"a}higkeiten, wie Aufmerksamkeit, Arbeitsged{\"a}chtnis, Sprache und visuell-r{\"a}umlichen F{\"a}higkeiten. St{\"o}rungen dieser Reifungsprozesse k{\"o}nnen in verschiedenen Entwicklungsstadien unterschiedliche Komponenten der Entwicklung dieses komplexen kognitiven Systems betreffen und sind daher im klinischen Erscheinungsbild vielgestaltig. Sonderp{\"a}dagogische, lerntherapeutische und ggf. medizinische Maßnahmen ben{\"o}tigen eine differenzielle Diagnostik und Indikationsstellung. Moderne computerbasierte Lernsoftware kann sowohl die schulische Didaktik als auch lerntherapeutische Vorgehensweisen unterst{\"u}tzen. Schlussfolgerung Fr{\"u}hzeitiges Erkennen sowie differenzielle und individualisierte F{\"o}rderung k{\"o}nnen die Gefahr des Auftretens sekund{\"a}rer emotionaler St{\"o}rungen mindern. Die Diagnostik und die Behandlung der Rechenst{\"o}rung sollten evidenzbasiert und leitlinienorientiert erfolgen sowie der Komplexit{\"a}t und Vielgestaltigkeit der Symptombildungen Rechnung tragen.}, language = {de} } @article{DrosselmeyerRappHadjietal.2016, author = {Drosselmeyer, J. and Rapp, Michael Armin and Hadji, P. and Kostev, K.}, title = {Depression risk in female patients with osteoporosis in primary care practices in Germany}, series = {Osteoporosis international}, volume = {27}, journal = {Osteoporosis international}, publisher = {Springer}, address = {London}, issn = {0937-941X}, doi = {10.1007/s00198-016-3584-9}, pages = {2739 -- 2744}, year = {2016}, abstract = {The Summary Thirty-five thousand four hundred eighty-three female osteoporosis patients were compared with 35,483 patients without osteoporosis regarding the incidence of depression. The risk of depression is significantly increased for patients with osteoporosis compared with patients without osteoporosis in primary care practices within Germany. Introduction The objectives of the present study were to analyze the incidence of depression in German female patients with osteoporosis and to evaluate the risk factors for depression diagnosis within this patient population. Methods This study was a retrospective database analysis conducted in Germany utilizing the Disease Analyzer (R) Database (IMS Health, Germany). The study population included 70,966 patients between 40 and 80 years of age from 1072 primary care practices. The observation period was between 2004 and 2013. Follow-up duration was 5 years and was completed in April 2015. A total of 35,483 osteoporosis patients were selected after applying exclusion criteria, and 35,483 controls were chosen and then matched (1:1) to osteoporosis patients based on age, sex, health insurance coverage, depression diagnosis in the past, and follow-up duration after index date. The analyses of depression-free survival were carried out using Kaplan-Meier curves and log-rank tests. Cox proportional hazards models (dependent variable: depression) were used to adjust for confounders. Results Depression diagnoses were presented in 33.0\% of the osteoporosis group and 22.7\% of the control group after the 5-year follow-up (p < 0.001). Dementia, cancer, heart failure, coronary heart disease, and diabetes were associated with a higher risk of developing depression (p < 0.001). Private health insurance was associated with a lower risk of depression. There was no significant effect of fractures on depression risk. Conclusion The risk of depression is significantly increased for patients with osteoporosis in primary care practices within Germany.}, language = {en} } @article{Ihle2016, author = {Ihle, Wolfgang}, title = {Depressive disorders in childhood and adolescence. Evidence and consensus-based diagnostics and treatment}, series = {Psychotherapeut}, volume = {61}, journal = {Psychotherapeut}, publisher = {Springer}, address = {New York}, issn = {0935-6185}, doi = {10.1007/s00278-016-0136-x}, pages = {535 -- 553}, year = {2016}, abstract = {Unipolar depressive disorders in adolescence are common, lead to serious impairments and are often associated with comorbid disorders and a high risk for suicide. Thus, recognition and early treatment of depressive disorders are important. International and national treatment guidelines show that effective treatment approaches for prevention and acute therapy of depressive disorders are available. Based on current evidence and consensus-based guidelines, such as the Association of the Scientific Medical Societies in Germany (AWMF) S3 treatment guidelines for unipolar depressive disorders in children and adolescents, state of the art diagnostic procedures and treatment recommendations are proposed. Diagnostic procedures and differential diagnoses as well as differential indications and treatment planning are reported in detail. In the treatment section the focus is on cognitive behavioral therapy (CBT), which is currently the best evaluated psychological treatment form for depressive disorders in children and adolescents.}, language = {de} }