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- W2915215518 abstract "This issue deals with a wide and multifocal thematic range of interesting scientific contents presented at the DGPPN Congress in November 2011. Starting with the DGPPN research project on mental healthcare utilization in Germany, Gaebel et al. [1] provide insight into increased utilization of psychiatric and psychosomatic disciplines in both inand outpatient treatment compared to general medical facilities for 1.4 million patients with depression in Germany from 2005 to 2007. Within this group, specialists for psychosomatic medicine and psychological psychotherapists performed care of mild and moderate depression, whereas psychiatrists were assigned to treat the severe cases. Harter et al. [2] describe the newly implemented Hamburg Network for Mental Health as trans-sectoral cooperation including innovative measures to improve treatment for mental disorders, which derive from highquality research in psychosis, depression, somatoform and functional syndromes, anorexia, bulimia and addiction illnesses. The aspect of stress, burnout and job dissatisfaction in mental health workers is covered by Rossler [3]. Beside well-known stressors such as extensive workload or long night shifts, he identifies stigma of the profession including demanding relationships with patients and difficult interactions with other health professionals, threats from violent patients, suicide plus a lack of positive feedback as specific challenges, possibly leading even to post-traumatic stress symptoms and burnout. Genius et al. [4] reviews the performance of current CSF biomarkers and their interpretation in differential and early diagnosis of Alzheimer’s disease, which is important in light of increasing prevalence of the disease. New prospective markers including the role and limitation of genotyping are discussed here. In schizophrenia, to date, biomarkers are missing, but the group of Bahn et al. [5] developed the first validated blood test of schizophrenia, including proteins of metabolic, immune and hormonal imbalances. Further research of biomarkers for diagnostic applications, extending to functional analysis of blood cells and prediction of drug response may represent thrilling research avenues in the future. On the other hand, prevention of psychosis symptoms is regarded as a promising strategy to improve unfavorable outcome of the disease. Ruhrmann et al. [6] report on error probability and costbenefit relationship in predictive approaches, identifying risk criteria in psychosis. Auditory verbal hallucinations are known as one of the core symptoms of psychosis. The review of Homan et al. [7] deals with neuroimaging and neurophysiological findings and intervention methods such as noninvasive brain stimulation related to this symptom group. Schultz et al. [8] cover important aspects of multimodal neuroimaging approaches combining structural MRI, functional MRI, diffusion tensor imaging (DTI), spectroscopy and positron emission tomography (PET) in order to identify neuronal mechanisms underlying the pathophysiology of schizophrenia and high-risk subjects. Thus, the investigation of the genetic basis of brain pathology is one of the major challenges for future multimodal imaging research. The described approaches, suitable to improve diagnostic processes and possibly serving as therapeutic targets A. Schmitt P. Falkai (&) Department of Psychiatry and Psychotherapy, Ludwig-Maximilians-University Munich, Nusbaumstr. 7, 80336 Munich, Germany e-mail: Peter.Falkai@med.uni-muenchen.de" @default.
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- W2915215518 date "2012-10-04" @default.
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- W2915215518 title "Selected issues of the DGPPN Congress in 2011" @default.
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- W2915215518 doi "https://doi.org/10.1007/s00406-012-0371-2" @default.
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