Skip to main content

Sozialpsychiatrische Aspekte psychischer Erkrankungen

  • Chapter
  • First Online:
Psychiatrie, Psychosomatik, Psychotherapie

Part of the book series: Springer Reference Medizin ((SRM))

  • 35k Accesses

Zusammenfassung

Die Sozialpsychiatrie befasst sich mit den sozialen Einflussfaktoren auf die Entstehung und den Verlauf psychischer Erkrankungen (Kap. „Epidemiologie psychischer Störungen“, Kap. „Soziologische und sozialpsychologische Aspekte psychischer Erkrankungen“) sowie der langfristigen Betreuung und Behandlung chronisch oder schwerer psychischer Erkrankungen. Chronisch psychische Erkrankungen haben enorme Auswirkungen nicht nur auf die Betroffenen selbst, sondern auch auf die Angehörigen wie auch auf die Gesellschaft insgesamt. Die Betroffenen leiden zunächst einmal v. a. unter den quälenden Symptomen ihrer psychischen Erkrankung. Durch die Erkrankung wird aber auch ihr Selbstbewusstsein wesentlich beeinträchtigt, weil sie oft nicht in der Lage sind, ihre sozialen Rollen in Gesellschaft, Beruf und Familie zu erfüllen. Dies liegt aber nicht nur an der Behinderung aufgrund ihrer psychischen Erkrankung sondern auch daran, dass psychisch Kranke in unseren Gesellschaften stigmatisiert und diskriminiert werden (Rössler 2005).

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Institutional subscriptions

Literatur

  • Althaus D, Stefanek J, Hasford J, Hegerl U (2002) Wissensstand und Einstellungen der Allgemeinbevölkerung zu Symptomen, Ursachen und Behandlungsmöglichkeiten depressiver Erkrankungen. Nervenarzt 73:659–664

    Article  CAS  PubMed  Google Scholar 

  • Angermeyer MC, Matschinger H (1994) Lay beliefs about schizophrenic disorder: the results of a population survey in Germany. Acta Psychiatr Scand 89(Suppl 382):39–45

    Article  Google Scholar 

  • Angermeyer MC, Matschinger H (1997) Social distance towards the mentally ill: results of representative surveys in the Federal Republic of Germany. Psychol Med 27:131–141

    Article  CAS  PubMed  Google Scholar 

  • Angermeyer M, Matschinger H (1999) Social representations of mental illness among the public. In: Guimon J, Fischer W, Sartorius N (Hrsg) The image of madness. Karger, Basel, S 20–28

    Chapter  Google Scholar 

  • Angermeyer MC, Schulze B, Dietrich S (2003) Courtesy stigma – a focus group study of relatives of schizophrenia patients. Soc Psychiatry Psychiatr Epidemiol 38:593–602

    Article  PubMed  Google Scholar 

  • Assion HJ (2007) Patients of Turkish origin in an institutionalpsychiatric outpatient service. MMW Fortschr Med 149(42):40

    PubMed  Google Scholar 

  • Bateson G (1972) Steps to an ecology of the mind. Paladin, London

    Google Scholar 

  • Bateson G, Jackson D, Haley J, Weakland J (1956) Towards a theory of schizophrenia. Behav Sci 1:251–264

    Article  Google Scholar 

  • Baumann A, Zaeske H, Gaebel W (2003) Das Bild psychisch Kranker im Spielfilm: Auswirkungen auf Wissen, Einstellungen und soziale Distanz am Beispiel des Films „Das weisse Rauschen“. Psychiatr Prax 30:372–378

    Article  PubMed  Google Scholar 

  • Bebbington L (1995) The content and context of compliance. Int Clin Psychopharmacol 9(Suppl 5):41–50

    Article  PubMed  Google Scholar 

  • Bijl RV, de Graaf R, Hiripi E et al (2003) The prevalence of treated and untreated mental disorders in five countries. Health Aff 22:122–133

    Article  Google Scholar 

  • Brown G (1959) Experiences of discharged chronic schizophrenic mental hospital patients in various types of living group. Milbank Memorial Fund Q 37:105–131

    Article  CAS  Google Scholar 

  • Brown G, Birley J (1968) Crisis and life changes and the onset of schizophrenia. J Health Soc Behav 9:203–214

    Article  PubMed  Google Scholar 

  • Brown G, Monck E, Carstairs G, Wing J (1962) Influence of family life on the course of schizophrenic illness. Br J Prev Soc Med 16:55–68

    PubMed Central  Google Scholar 

  • Calsyn RJ, Winter JP, Morse GA (2000) Do consumers who have a choice of treatment have better outcomes? Community Ment Health J 36:149–160

    Article  CAS  PubMed  Google Scholar 

  • Cannon T, Mednick S (1993) The schizophrenia high-risk project in Copenhagen: three decades of progress. Acta Psychiatr Scand 370(Suppl):33–47

    Article  CAS  Google Scholar 

  • Cannon T, Mednick S, Parnas J et al (1994) Development of brain abnormalities in the offspring of schizophrenic mothers. II. Structural brain characteristics of schizophrenia and schizotypal personality disorder. Arch Gen Psychiatry 51:955–962

    Article  CAS  PubMed  Google Scholar 

  • Charalabaki E, Bauwens F, Stefos G et al (1995) Immigration and psychopathology: a clinical study. Eur Psychiatry 10:237–244

    Article  CAS  PubMed  Google Scholar 

  • Cornblatt B, Obuchowski M (1997) Update of high-risk research: 1987–1997. Rev Psychiatry 9:347–447

    Google Scholar 

  • Davies S, Thornicroft G, Leese M et al (1995) Ethnic differences in risk of compulsory psychiatric admission among representative cases of psychosis in London. Br Med J 312:533–537

    Article  Google Scholar 

  • Dohrenwend B, Dohrenwend B (1969) Social status and psychological disorder: a causal inquiry. Wiley, New York

    Google Scholar 

  • Eaton W (1974) Residence, social class, and schizophrenia. J Health Soc Behav 15:289–299

    Article  CAS  PubMed  Google Scholar 

  • Faris R, Dunham H (1939) Mental disorders in urban areas. University of Chicago press, Chicago

    Google Scholar 

  • Fearon P, Morgan C (2006) Environmental factors in Schizophrenia: the role of migrant studies. Schizophr Bull 32:405–408

    Article  PubMed  PubMed Central  Google Scholar 

  • Gaebel W, Müller-Spahn F (2002) Psychische Krankheit und Gesundheit. In: Gaebel W, Müller-Spahn F (Hrsg) Diagnostik und Therapie psychischer Störungen. Kohlhammer, Stuttgart, S 29–34

    Google Scholar 

  • Goldberg E, Morrison S (1963) Schizophrenia and social class. Br J Psychiatry 109:785–802

    Article  CAS  PubMed  Google Scholar 

  • Graf J, Lauber C, Nordt C et al (2004) Perceived stigmatization of mentally ill people and its consequences for the quality of life in a Swiss population. J Nerv Ment Dis 192:542–547

    Article  PubMed  Google Scholar 

  • Häfner H (1980) Psychiatrische Morbidität von Gastarbeitern in Mannheim – Epidemiologische Analyse einer Inanspruchnahmepopulation. Nervenarzt 51:672–683

    PubMed  Google Scholar 

  • Häfner H (1992) The epidemiology of schizophrenia. Triangle 31:133–154

    Google Scholar 

  • Häfner H, Reimann H (1970) Spatial distribution of mental disorders in Mannheim. In: Hare E, Wing J (Hrsg) Psychiatric epidemiology. Oxford Univ Press, London, S 341–354

    Google Scholar 

  • Häfner H, Maurer K, Löffler W et al (1998) The ABC schizophrenia study: a preliminary overview of the results. Soc Psychiatry Psychiatr Epidemiol 330:380–386

    Google Scholar 

  • International Organization for Migration (2005) World Migration 2005 costs and benefits of international migration, Bd 3, IOM World Migration Reports Series. International Organization for Migration, Geneva

    Google Scholar 

  • Jablensky A, Sartorius N, Ernberg G et al (1992) Schizophrenia: manifestations, incidence and course in different cultures – a World Health Organization ten-country study. Cambridge University Press, Cambridge

    Google Scholar 

  • Janssen I, Krabbendam L, Bak M et al (2004) Childhood abuse as a risk factor for psychotic experiences. Acta Psychiatr Scand 109:38–45

    Article  CAS  PubMed  Google Scholar 

  • Johansson LM, Sundquist J, Johansson SE, Bergman B (1998) Immigration: moving house and psychiatric admissions. Acta Psychiatr Scand 98:105–111

    Article  CAS  PubMed  Google Scholar 

  • Jorm AF, Korten AE, Jacomb PA et al (1997) Helpfulness of interventions for mental disorders: beliefs of health professionals compared with the general public. Br J Psychiatry 171:233–237

    Article  CAS  PubMed  Google Scholar 

  • Lauber C, Nordt C, Sartorius N et al (2000) Public acceptance of restrictions on mentally ill people. Acta Psychiatr Scand 102(Suppl 407):26–32

    Article  Google Scholar 

  • Lauber C, Diebold HS, Rössler W (2001) Die Einstellung von Angehörigen psychisch Kranker zu psychiatrischer Forschung, insbesondere zur Früherfassung von schizophrenen Psychosen. Psychiatr Prax 28:144–146

    Article  CAS  PubMed  Google Scholar 

  • Lauber C, Nordt C, Falcato L, Rössler W (2002) Public attitude to compulsory admission of mentally ill people. Acta Psychiatr Scand 105:385–389

    Article  PubMed  Google Scholar 

  • Lauber C, Eichenberger A, Luginbuhl P et al (2003a) Determinants of burden in caregivers of patients with exacerbating schizophrenia. Eur Psychiatry 18:285–289

    Article  PubMed  Google Scholar 

  • Lauber C, Nordt C, Falcato L, Rössler W (2003b) Do people recognise mental illness? Factors influencing mental health literacy. Eur Arch Psychiatry Clin Neurosci 253:248–251

    Article  PubMed  Google Scholar 

  • Lauber C, Anthony M, Ajdacic-Gross V, Rössler W (2004) What about psychiatrists’ attitude to mentally ill people? Eur Psychiatry 19:423–427

    Article  PubMed  Google Scholar 

  • Lay B, Rössler W (2010) Kap. 11: Migrationsströme in den deutschsprachigen Ländern und Europa. In: Machleidt W, Heinz A (Hrsg) Praxis der interkulturellen Psychiatrie und Psychotherapie. Elsevier, Urban & Fischer, München

    Google Scholar 

  • Lay B, Lauber C, Rössler W (2005) Are immigrants at a disadvantage in psychiatric in-patient care? Acta Psychiatr Scand 111(5):358–366

    Article  CAS  PubMed  Google Scholar 

  • Lay B, Lauber C, Nordt C, Rössler W (2006) Patterns of inpatient care for immigrants in Switzerland: a case control study. Soc Psychiatry Psychiatr Epidemiol 41(3):199–207

    Article  PubMed  Google Scholar 

  • Lay B, Nordt C, Rössler W (2007) Mental hospital admission rates of immigrants in Switzerland. Soc Psychiatry Psychiatr Epidemiol 42(3):229–236

    Article  PubMed  Google Scholar 

  • Lidz T (1975) The origin and treatment of schizophrenic disorders. Hutchinson, London

    Google Scholar 

  • Lindert J, Priebe S, Penka S et al (2008) Mental health care for migrants. Psychother Psychosom Med Psychol 58(3–4):123–129

    Article  PubMed  Google Scholar 

  • Malmberg A, Lewis G, David A, Allebeck P (1998) Premorbid adjustment and personality in people with schizophrenia. Br J Psychiatry 172:308–313

    Article  CAS  PubMed  Google Scholar 

  • Marcelis M, Navarro-Mateu F, Murray R et al (1998) Urbanization and psychosis: a study of 1942–1978 birth cohorts in the Netherlands. Psychol Med 28:871–879

    Article  CAS  PubMed  Google Scholar 

  • Marneros A, Deister A, Rhode A (1991) Affektive, schizoaffektive und schizophrene Psychosen. Eine vergleichende Langzeitstudie. Springer, Berlin/Heidelberg/New York/Tokio

    Book  Google Scholar 

  • Matschinger H, Angermeyer MC (1996) Lay beliefs about the causes of mental disorders: a new methodological approach. Soc Psychiatry Psychiatr Epidemiol 31:309–315

    Article  CAS  PubMed  Google Scholar 

  • McGrath JJ (2005) Myths and plain truths about schizophrenia epidemiology – the NAPE lecture 2004. Acta Psychiatr Scand 111(1):4–11

    Article  CAS  PubMed  Google Scholar 

  • Meise U, Sulzenbacher H, Kemmler G et al (2000) „… nicht gefährlich, aber doch furchterregend“. Ein Programm gegen Stigmatisierung von Schizophrenie in Schulen. Psychiatr Prax 27:340–346

    CAS  PubMed  Google Scholar 

  • Mortensen PB, Cantor-Graae E, McNeil TF (1997) Increased rates of schizophrenia among immigrants: some methodological concerns raised by Danish findings. Psychol Med 27:813–820

    Article  CAS  PubMed  Google Scholar 

  • Mortensen PB, Pedersen CB, Westergaard T et al (1999) Effects of family history and place and season of birth on the risk of schizophrenia. N Engl J Med 340:603–608

    Article  CAS  PubMed  Google Scholar 

  • Müller B, Nordt C, Lauber C et al (2006) Social support modifies perceived stigmatization in the first years of mental illness: A longitudinal approach. Soc Sci Med 62:39–49

    Article  Google Scholar 

  • Nordt C, Falcato L, Lauber C, Rössler W (2002) Die Bewertung von Depression und Schizophrenie als psychische Krankheit und deren Einfluss auf die Hilfeempfehlung. Neuropsychiatrie 16:103–107

    Google Scholar 

  • Nordt C, Rössler W, Lauber C (2006) Attitudes of mental health professionals toward people with Schizophrenia and major depression. Schizophr Bull, Oct;32(4):709–14

    Google Scholar 

  • Ødegaard Ø (1932) Emigration and insanity: a study of mental disease among the Norwegianborn population of Minnesota. Levin & Munksgaards, Copenhagen

    Google Scholar 

  • Ødegaard Ø (1971) Hospitalized psychoses in Norway; time trends 1926–1965. Soc Psychiatry 6:53–58

    Article  Google Scholar 

  • Pfeiffer W (1994) Transkulturelle Psychiatrie, 2. Aufl. Thieme, Stuttgart

    Google Scholar 

  • Phelan J, Link B, Stueve A, Pescolido B (2000) Public conceptions of mental illness in 1950 and 1996: what is mental illness and is it to be feared? J Health Soc Behav 41:1888–2207

    Article  Google Scholar 

  • Pinfold V, Huxley P, Thornicroft G et al (2003) Reducing psychiatric stigma and discrimination – evaluating an educational intervention with the police force in England. Soc Psychiatry Psychiatr Epidemiol 38:337–344

    Article  CAS  PubMed  Google Scholar 

  • Priebe S, Schmiedebach HP (1997) Soziale Psychiatrie und Sozialpsychiatrie – Zum historischen Gebrauch der Begriffe. Psychiat Prax 24:3–9

    CAS  Google Scholar 

  • Priest RG, Vize C, Roberts A et al (1996) Lay people’s attitudes to treatment of depression: results of opinion poll for Defeat Depression Campaign just before its launch. BMJ 313:858–859

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Rössler W (1992) Wilhelm Griesinger und die gemeindenahe Versorgung. Nervenarzt 63:257–261

    PubMed  Google Scholar 

  • Rössler W (2005) Das Stigma psychischer Erkrankungen. Die Psychiatrie 2:5–11

    Google Scholar 

  • Rössler W, Salize HJ, Cucchiaro G et al (1999) Does the place of treatment influence the quality of life of schizophrenics? Acta Psychiatr Scand 100:142–148

    Article  PubMed  Google Scholar 

  • Rössler W, Salize HJ, van Os J, Riecher-Rössler A (2005) Size of burden of schizophrenia and psychotic disorders. Eur Neuropsychopharmacology 15:399–409

    Article  Google Scholar 

  • Rössler W, Hengartner MP, Ajdacic-Gross V, Haker H, Angst J (2014) Impact of childhood adversity on the onset and course of subclinical psychosis symptoms – results from a 30-year prospective community study. Schizophr Res 153(1–3):189–195

    Article  PubMed  Google Scholar 

  • Rüsch N, Abbruzzese E, Hagedorn E et al (2014) Efficacy of Coming Out Proud to reduce stigma's impact among people with mental illness: pilot randomised controlled trial. Br J Psychiatry 204:391–397

    Article  PubMed  PubMed Central  Google Scholar 

  • Sartorius N, Shapiro R, Kimura M, Barett K (1972) WHO international pilot study of schizophrenia. Preliminary communication. Psychol Med 2:422–425

    Article  CAS  PubMed  Google Scholar 

  • Sartorius N, Jablensky A, Ernberg G et al (1987) Course of schizophrenia in different countries. Some results of a WHO comparative 5-year follow-up study. In: Häfner H, Gattaz W, Janzarik W (Hrsg) Search for the causes of schizophrenia. Springer, Berlin/Heidelberg/New York/Tokio, S 107–113

    Chapter  Google Scholar 

  • Sartorius N, Gulbinat W, Harrison G et al (1996) Long-term follow-up of schizophrenia in 16 countries. A description of the international study of schizophrenia conducted by the World Health Organization. Soc Psychiatry Psychiatr Epidemiol 31:249–258

    Article  CAS  PubMed  Google Scholar 

  • Schmiedebach HP, Priebe S (2004) Social psychiatry in Germany in the twentieth century: ideas and models. Medical History 48:449–472

    Article  PubMed  PubMed Central  Google Scholar 

  • Schulze B, Angermeyer MC (2003) Subjective experiences of stigma. A focus group study of schizophrenic patients, their relatives and mental health professionals. Soc Sci Med 56:299–312

    Article  PubMed  Google Scholar 

  • Selten J, Slaets J, Kahn R (1997) Schizophrenia in Surinamese and Dutch Antillean immigrants to The Netherlands: evidence of an increased incidence. Psychol Med 27:807–811

    Article  CAS  PubMed  Google Scholar 

  • Spataro J, Mullen PE, Burgess PM et al (2004) Impact of child sexual abuse on mental health. Br J Psychiatry 184:416–421

    Article  PubMed  Google Scholar 

  • Steinberg H, Durell J (1968) A stressful social situation as a precipitant of schizophrenic symptoms: an epidemiological study. Br J Psychiatry 114:1097–1105

    Article  CAS  PubMed  Google Scholar 

  • Thompson AH, Stuart H, Bland RC et al (2002) Attitudes about schizophrenia from the pilot site of the WPA worldwide campaign against the stigma of schizophrenia. Soc Psychiatry Psychiatr Epidemiol 37:475–482

    Article  PubMed  Google Scholar 

  • Tienari P, Lahti I, Sorri A (1989) The Finnish adoptive family study of schizophrenia: possible joint effects of genetic vulnerability and family environment. Br J Med (suppl 5): 29–32

    Google Scholar 

  • Tienari P, Wynne LC, Moring J et al (1994) The Finnish adoptive study of schizophrenia. Implications for family research. Br J Psychiatry 164(Suppl 23):20–26

    Google Scholar 

  • Torrey J (1980) Schizophrenia and civilisation. Aronson, New York

    Google Scholar 

  • Torrey E, Bowler A, Clark K (1997) Urban birth and residence as risk factors for psychoses: an analysis of 1880 data. Schizophr Res 25:169–176

    Article  CAS  PubMed  Google Scholar 

  • Weyerer S, Häfner H (1989) The stability of the ecological distribution of the incidence of treated mental disorder in the city of Mannheim. Soc Psychiatry Psychiatr Epidemiol 24:57–62

    Article  CAS  PubMed  Google Scholar 

  • WHO (1974) International pilot study of schizophrenia. WHO, Geneva

    Google Scholar 

  • WHO (1975) Schizophrenia: a multinational study. Summary of the initial evaluation phase of the international pilot study of schizophrenia. WHO, Geneva

    Google Scholar 

  • Wicks W, Hjern A, Gunnell D et al (2005) Social adversity in childhood and the risk of developing psychosis: a National Cohort Study. Am J Psychiatry 162:1652–1657

    Article  PubMed  Google Scholar 

  • Wittchen HU, Jacobi F (2005) Size and burden of mental disorders in Europe – a critical review and appraisal of 27 studies. Eur Neuro-Psychopharmacology 15:357–376

    CAS  Google Scholar 

  • Wolff G, Pathare S, Craig T, Leff J (1996) Community knowledge of mental illness and reaction to mentally ill people. Br J Psychiatry 168:191–198

    Article  CAS  PubMed  Google Scholar 

  • Wynne L, Singer M (1966) Communication styles in parents of normals, neurotics and schizophrenics. Psychiatr Res Rep 20:25–38

    Google Scholar 

  • Zogg H, Lauber C, Ajdacic-Gross V, Rössler W (2003) Einstellung von Experten und Laien gegenüber negativen Sanktionen bei psychisch Kranken. Psychiatr Prax 30:379–383

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Wulf Rössler .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer-Verlag GmbH Deutschland

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Rössler, W. (2017). Sozialpsychiatrische Aspekte psychischer Erkrankungen. In: Möller, HJ., Laux, G., Kapfhammer, HP. (eds) Psychiatrie, Psychosomatik, Psychotherapie. Springer Reference Medizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-49295-6_14

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-49295-6_14

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-49293-2

  • Online ISBN: 978-3-662-49295-6

  • eBook Packages: Medicine (German Language)

Publish with us

Policies and ethics