Psychotherapie Psychosomatik Medizinische Psychologie最新文献

{"title":"[How do employees of cancer counseling centers and their providers evaluate the funding of outpatient cancer counseling centers by health insurance funds - A qualitative interview study].","authors":"Susanne Kuhnt, Anne-Kathrin Köditz, Svenja Heyne, Charlotte Gmeiner, Maria Mahlberg, Susanne Weg-Remers, Anja Mehnert-Theuerkauf, Jochen Ernst","doi":"10.1055/a-2654-5683","DOIUrl":"https://doi.org/10.1055/a-2654-5683","url":null,"abstract":"<p><p>Since 2020, cancer counselling centers (CCCs) have been eligible for funding from health insurance funds under the legal regulation on \"Outpatient Cancer Counseling\" (§65e SGB V). This article investigates the rationale for or against applying for funding and evaluates the funding option from the perspective of staff members at both funded and non-funded CCCs, as well as sponsoring organizations. The aim is to analyse the practical feasibility of the financing model.We conducted a qualitative study using guided expert interviews with employees of CCCs and sponsoring organizations. The institutions for interview participation were selected from all existing CCCs and sponsoring organizations, taking into account factors such as size, region, and funding status of the CCC through a quota-based random selection process. The interviews were analyzed using content-structural evaluation methods according to Kuckartz.The analysis is based on statements from 44 expert interviews, including 17 funded CCCs, 9 non-funded CCCs, 6 CCCs with changing status, and 12 sponsoring organizations. The funding option was generally rated positively and recognized as a significant advancement for outpatient cancer counselling. With regard to the required minimum number of consultations, it should be noted that the majority of CCCs considered this to be achievable. However, certain structural aspects were criticized, particularly regarding the allocation process, funding stability, and the requirements of financial auditing. Issues such as the remaining uncertainty of stable financing, and the insufficient recognition of essential work areas, such as group services, were highlighted, as well as the inadequate consideration of differences in service mandates, especially for CCCs in rural areas.The partial funding of outpatient CCCs by health insurance funds is an important step towards stable financing and standardization in outpatient cancer counselling. Future amendments should aim to ensure long-term security and flexibility of funding options in order to maintain comprehensive, needs-based and quality-assured cancer counselling in Germany with a growing proportion of cancer survivors, a significant proportion of whom have psychosocial problems and need counselling.</p>","PeriodicalId":47315,"journal":{"name":"Psychotherapie Psychosomatik Medizinische Psychologie","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145024429","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Psychosocial support needs and requirements for psychosocial care programs for caregivers of patients with ALS - A qualitative analysis from the \"potentiALS\" project].","authors":"Svenja Heyne, Adelina Kuzmanova, Peter Esser, Anja Mehnert-Theuerkauf, Moritz Metelmann","doi":"10.1055/a-2679-1065","DOIUrl":"https://doi.org/10.1055/a-2679-1065","url":null,"abstract":"<p><p>ALS is a terminal illness that places significant burden on caregivers due to the intensive care demands. Little research exists on the specific design of psychological support programs for caregivers of ALS patients. This study aims to identify psychosocial needs of caregivers, specific therapeutic topics and structural requirements for tailored support programs.The study is based on a subset of qualitative data from a participatory mixed-methods observational study. Semi-structured, one-hour interviews were conducted with caregivers of ALS patients, either online or in person. The transcripts were analyzed using Mayring's qualitative content analysis.Four caregivers participated in the study. They reported a high need for psychological support, especially immediately following the diagnosis. Key themes included emotional relief through dialogue with psychologists, strategies for emotion regulation, and fostering self-care. Practical needs highlighted the importance of clear guidelines for caregiving organization, assistance with medical devices, and the development of supportive programs to help manage life and plan for the future during challenging circumstances. Participants emphasized that support programs should be flexible, easily accessible, and personalized. Individual sessions with the option of in-person or online formats were preferred. Caregivers highlighted the necessity of continuous support throughout the disease trajectory, particularly during critical phases.The results of our study highlight the psychosocial challenges faced by caregivers of ALS patients. The findings emphasize the need for comprehensive support systems that address both the emotional and practical needs of caregivers.</p>","PeriodicalId":47315,"journal":{"name":"Psychotherapie Psychosomatik Medizinische Psychologie","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145006615","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Suicides of psychotherapy patients and their impact on their psychotherapists].","authors":"Janina Lehmann, Rüdiger Nübling, Annabelle Siebert, Thomas Schnell","doi":"10.1055/a-2648-4063","DOIUrl":"10.1055/a-2648-4063","url":null,"abstract":"<p><p>For many psychotherapists, the suicide of a patient is accompanied by strong emotional and professional effects. The aim of the present study was to investigate the processing of such an event by affected practitioners.An online study was conducted with a focus on various potentially influencing factors, such as the subsequent receipt of supervision, the (professional) exchange with team colleagues and friends, as well as the anticipated predictability and avoidability of patient suicide. It was also analyzed to what extent the level of experience of the practitioners and the age of the suicidal person had an effect on the stress experienced by the practitioners after a patient suicide. The Impact of Event Scale (IES-R) was used as a key indicator of the stress experience.The study involved n=117 practicing practitioners, predominantly psychological and medical psychotherapists and psychotherapists in training. A key finding of this study was that female (p<0.001) and less experienced (p=.018) practitioners reported a significantly higher level of distress after a patient suicide.An important implication for practice is that prospective psychotherapists should be better prepared for possible patient suicides as part of their training. Furthermore, the data situation and the state of research on this topic should be expanded, particularly in German-speaking countries.</p>","PeriodicalId":47315,"journal":{"name":"Psychotherapie Psychosomatik Medizinische Psychologie","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144875971","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[How can mental health be defined? - Current trends for better compatibility between practice and research].","authors":"Christoph Flückiger, Jan Schürmann-Vengels","doi":"10.1055/a-2627-1262","DOIUrl":"https://doi.org/10.1055/a-2627-1262","url":null,"abstract":"","PeriodicalId":47315,"journal":{"name":"Psychotherapie Psychosomatik Medizinische Psychologie","volume":"75 8","pages":"326-327"},"PeriodicalIF":0.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144795831","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Feedback in Psychotherapy Training: The essence of any progress].","authors":"Franz Caspar","doi":"10.1055/a-2589-1965","DOIUrl":"10.1055/a-2589-1965","url":null,"abstract":"<p><p>This article goes beyond a collection of the most important feedback rules by discussing the role and empirical foundations of feedback for learning in general, in psychotherapy training as well as the ongoing practice. In particular problems related to the gaining and interpreting of feedback are illustrated by examples.</p>","PeriodicalId":47315,"journal":{"name":"Psychotherapie Psychosomatik Medizinische Psychologie","volume":" ","pages":"335-343"},"PeriodicalIF":0.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144209902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[The lasting scars of early emotional deprivation: A study of the current mental health of former Wochenkrippenkinder (children in day and night nursery care) from East Germany].","authors":"Eva Flemming, Stefanie Knorr, Laura Lübke, Sascha Müller, Luisa Bergunde, Maximilian Ludwig, Kerstin Weidner, Carsten Spitzer, Susann Steudte-Schmiedgen","doi":"10.1055/a-2562-8649","DOIUrl":"10.1055/a-2562-8649","url":null,"abstract":"<p><p>The care of young children in institutions is typically linked to deprivation, which can negatively impact their psychological development into young adulthood. However, it remains unclear whether early experiences of deprivation also affect psychological well-being in middle and late adulthood. The East German (GDR) weekly nurseries (Wochenkrippen), in which young children and infants were cared for continuously day and night from Monday to Friday, can serve as a testbed for investigating possible long-term psychological consequences of early emotional deprivation.The study examined n=324 former Wochenkrippenkinder (children in weekly nursery care; WK, mean age=55.2 years; 76.9% female) regarding their mental health using self-report questionnaires. In addition, two control groups of former GDR citizens were assessed, a) n=89 participants who experienced day nursery care (TK) and b) n=97 participants who experienced family care only during the first three years of life (FM). A subsample (WK: n=49, TK: n=35, FM: n=44) was examined using a structured clinical interview for mental disorders (Mini-DIPS).The WK group was associated with higher scores across all outcome measures (PHQ-4, CID-S, PSS-10), even after controlling for sociodemographic variables. Regarding the Mini-DIPS, 91.8% of the WK sample met the criteria for at least one diagnosis throughout their lifetime, compared to 60.0% (TK) and 59.1% (FM). Lifetime diagnoses of social anxiety disorder, depressive disorder, and post-traumatic stress disorder were particularly common in the WK sample.Participants who experienced weekly (day and night) nursery care report a markedly higher level of burden concerning various aspects of mental health compared to participants who experienced only day nursery care and participants from exclusive family care. A possible bias due to the self-selection of study participants might limit the generalizability of the results.The results add to the current state of research on the long-lasting detrimental consequences of residential care in early childhood. In the medical history of patients with East German upbringing, special attention should be given to the assessment of possible institutional care in the first years of life.</p>","PeriodicalId":47315,"journal":{"name":"Psychotherapie Psychosomatik Medizinische Psychologie","volume":" ","pages":"351-359"},"PeriodicalIF":0.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144040575","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Pathologization of LGBTQIA*individuals in psychiatry, psychosomatic medicine, and psychotherapy - historical continuities and implications for medical training and practice].","authors":"Sophie Halcour, Heike Bartel, Georgios Paslakis","doi":"10.1055/a-2577-9908","DOIUrl":"10.1055/a-2577-9908","url":null,"abstract":"<p><p>The ongoing pathologization and criminalization of sexual and gender minorities means that LGBTQIA*individuals, due to minority stress, are significantly more likely to suffer from mental illness. A connection is made between the involvement of psychiatrists and psychotherapists in the systematic pathologization of LGBTQIA*individuals in the past and the associated implications for medical training and practice in the present.Heuristic methods of knowledge acquisition, using literature research, with a focus on the history of the (de-)pathologization of sexual and gender minorities as well as the associated historical continuities.Various examples of historical continuities in the pathologization of LGBTQIA*persons can be found. Although there has been an increased awareness of the importance of teaching aspects of diversity in medical school in recent years, there is still a need for a medical-historical examination of the pathologization of sexual and gender minorities.An \"active de-pathologization\" can only be achieved by dealing with the medical-psychiatric past in terms of content, including the implementation of such contents in medical education, as part of teaching medical history and the subjects of psychiatry, psychosomatic medicine, and psychotherapy, as well as in the context of courses on history taking.These reflexive processes must continue during psychiatric and psychosomatic training, and residents must be offered specific training on topics in this area.</p>","PeriodicalId":47315,"journal":{"name":"Psychotherapie Psychosomatik Medizinische Psychologie","volume":" ","pages":"328-334"},"PeriodicalIF":0.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144018182","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Digitalization in Psychotherapy: A Qualitative Study on Psychotherapists' Experiences and Attitudes Toward Videoconferencing therapy].","authors":"Josie Kirsch, Mike Oliver Mösko","doi":"10.1055/a-2606-7894","DOIUrl":"10.1055/a-2606-7894","url":null,"abstract":"<p><p>Due to the restrictions on healthcare services during the COVID-19 pandemic, legal regulations enabled the integration of videoconferencing therapy into psychotherapeutic treatment in Germany. This study aimed to explore the experiences and attitudes of psychotherapists regarding videoconferencing therapy.Eight German psychotherapists were interviewed using a semi-structured guide. Interviews were recorded, transcribed anonymously, and analyzed using Kuckartz's qualitative content analysis.Diverse positive and negative experiences with video therapy were reported. Eight positive and six negative factors regarding video therapy were identified. The majority of psychotherapists had a positive attitude toward video therapy, with only one therapist expressing a critical stance. The therapeutic relationship was generally viewed as stable, though some therapists reported deteriorations. The results also indicate the need for improvement in videoconferencing therapy. Despite the expected increase in videoconferencing therapy, most therapists express a preference for face-to-face-therapy.Therapists suggest that video therapy can be a promising treatment method in addition to face-to-face-therapy. The influence of personal attitudes on the usage and effectiveness was evident. Contradictions and negative aspects underscore the importance of individual assessment before implementing videoconferencing therapy. The need for enhancements in videoconferencing therapy was emphasized.The experiences and attitudes of therapists can serve as a valuable foundation for advancing video therapy, for example by creating guidelines, to ensure adequate quality and address gaps in care. Future developments should focus on further enhancing the quality of this treatment modality.</p>","PeriodicalId":47315,"journal":{"name":"Psychotherapie Psychosomatik Medizinische Psychologie","volume":" ","pages":"344-350"},"PeriodicalIF":0.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144259114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Psychological distress in Ukrainian asylum seekers: An evaluation and need assesment].","authors":"Schahryar Kananian, Arwin Nemani, Anica Nicolai, Florian Harder, Eva-Lotta Brakemeier, Ulrich Stangier","doi":"10.1055/a-2624-6906","DOIUrl":"https://doi.org/10.1055/a-2624-6906","url":null,"abstract":"<p><p>Since Russia's military invasion in February 2022, approximately 1,1 million Ukrainians have sought refuge in Germany. The displacement of people due to military conflicts and wars is often accompanied by psychopathological distress. After arrival in host countries so post-migration living difficulties can further exacerbate symptoms. Attitudes toward psychotherapy may also vary. ResearchAn assessment of psychological burdens among Ukrainian refugees is necessary to identify specific needs and to provide adequate or adapted interventions.Between July 2022 and July 2024, an online survey was conducted among Ukrainian refugees living in Germany with N=151 participants. The recruitment of participants was coordinated by Goethe University Frankfurt and the University of Greifswald. Several standardized instruments were used for the survey, including the Patient Health Questionnaire (PHQ-9), the Generalized Anxiety Scale-2 (GAD-2), the International Trauma Questionnaire (ITQ), and the Post-Migration Living Difficulties Checklist (PMLD), the Inventory of Attitudes Toward Seeking Mental Health Services (IASMHS), and the Social Activity Self-Evaluation Scale (SASS).The results indicate a clinically significant level of anxiety and depressive symptoms (91,5% at least subsyndromal symptoms). A significant correlation was also found between depressive and anxiety symptoms. Both scales were significantly related to self-assessment of social activity and were associated with increased sensitivity to stigma. Furthermore, about 50% of participants exceeded the ITQ threshold for clinical significance.The study suggests elevated depression and anxiety symptoms among Ukrainian refugees, indicating the need for tailored interventions. Concerns about stigmatization should be taken into account. Post-migration stressors should also be addressed, as they may have clinical relevance despite suspended asylum processes. Further longitudinal studies with larger samples and clinical interviews are recommended for a more comprehensive understanding.</p>","PeriodicalId":47315,"journal":{"name":"Psychotherapie Psychosomatik Medizinische Psychologie","volume":"75 8","pages":"360-366"},"PeriodicalIF":0.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144795832","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Psychosocial and Emotional Distress Among Relatives in Assisted Dying Contexts: Insights from Specialized Counseling].","authors":"Birgit Wagner, Laura Hofmann","doi":"10.1055/a-2633-6971","DOIUrl":"https://doi.org/10.1055/a-2633-6971","url":null,"abstract":"<p><p>Following the ruling of the Federal Constitutional Court, the number of assisted suicides in Germany has been increasing. However, the psychological and psychosocial burden experienced by relatives in this context remains insufficiently explored. This study aims to examine specific stress factors and the motivations for seeking support from a specialized counseling center for relatives of individuals who are considering or have undergone assisted suicide.This cross-sectional study analyzes baseline data from relatives (<i>N</i>=23). In addition to sociodemographic characteristics, the study examines psychological stress factors, decision-making processes, and concerns of the relatives, as well as the illnesses and motives for assisted suicide of the individuals seeking to end their lives. Depressive symptoms were assessed using the Patient Health Questionnaire. Data were collected through structured questionnaires and qualitative free-text responses, which were analyzed using qualitative content analysis.The majority of relatives (83%) sought support during the period preceding the assisted suicide, particularly when a fixed date for the death had already been set. Among the participants, 30.4% exhibited moderate depressive symptoms, while 47.8% showed mild depressive symptoms. Key stress factors included ambivalent feelings between offering support and maintaining distance, moral conflicts, uncertainty about one's own role, anticipatory grief, and navigating the planning process leading up to the assisted suicide, including the day of death. Additionally, relatives reported experiencing social stigmatization and difficulties discussing assisted suicide with others. The most commonly cited reasons for assisted suicide among the individuals seeking to end their lives were the desire for control over their own death, fear of dying in an undignified manner, and loss of autonomy.The results showed that family members of individuals who choose assisted suicide are exposed to significant emotional distress. In particular, anticipatory grief and the awareness of a predetermined time of death led to a complex emotional experience marked by feelings of guilt and helplessness. Moreover, there is a high need for counseling, especially regarding emotional processing, legal uncertainties, and social support after the loss.These findings highlight the considerable emotional burden experienced by those close to individuals who undergo assisted suicide and emphasize the need for targeted psychosocial support. Future research should further explore effective counseling approaches to address anticipatory grief, moral conflicts, and social stigmatization in this context.</p>","PeriodicalId":47315,"journal":{"name":"Psychotherapie Psychosomatik Medizinische Psychologie","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144761727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}