Psychotherapie Psychosomatik Medizinische Psychologie最新文献

{"title":"[Waiting Times for Psychotherapy - A Differentiated Analysis of the Individual Treatment Phases].","authors":"Diethelm Hansen, Max Jacobi","doi":"10.1055/a-2844-7934","DOIUrl":"10.1055/a-2844-7934","url":null,"abstract":"<p><strong>Background: </strong>Waiting times for the start of psychotherapy remain long on average. However, actual waiting times for the individual phases of the psychotherapeutic treatment process are not usually differentiated. Furthermore, distortions of the average values due to outliers are rarely taken into account.</p><p><strong>Methodology: </strong>A survey of 132 psychotherapy practices in Berlin was conducted to assess waiting times for the individual phases of psychotherapy for patients who had not yet been in contact with a psychotherapy practice. The waiting times were recorded for the period from initial inquiry to the first consultation session, from the consultation session to the first trial (probationary) session, and from the last trial session to the start of guideline-based psychotherapy.</p><p><strong>Results: </strong>The data on waiting times were all non-normally distributed. The average waiting time between inquiry and the first consultation was 4.5 weeks, but the median was only 2 weeks, with 71% of practices reporting waiting times of less than 4 weeks. The average waiting time between the consultation and the first trial session was 5.9 weeks, with a median also of just 2 weeks; 67% waited less than 4 weeks. The waiting time between the last trial session and the start of guideline-based psychotherapy was short, with a mean of 2.5 weeks and a median of only 1 week.</p><p><strong>Discussion: </strong>The relevant waiting times for patients who have not yet contacted a psychotherapy practice - from inquiry to the first consultation and from the consultation to the first trial session - are significantly shorter for many patients than the averages suggest. However, too many patients still wait more than 4 weeks in both of these phases of the treatment process.</p>","PeriodicalId":47315,"journal":{"name":"Psychotherapie Psychosomatik Medizinische Psychologie","volume":" ","pages":"297-304"},"PeriodicalIF":0.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13379281/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Digital Innovations in Psychotherapy Research and Practice: Multimodal Data Sources and AI-Based Applications].","authors":"Fabienne Mink, Wolfgang Lutz","doi":"10.1055/a-2878-8681","DOIUrl":"https://doi.org/10.1055/a-2878-8681","url":null,"abstract":"","PeriodicalId":47315,"journal":{"name":"Psychotherapie Psychosomatik Medizinische Psychologie","volume":"76 7","pages":"285-287"},"PeriodicalIF":0.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148473507","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":"[Psychometric Evaluation of a German 12-Item Short Form of the Self-Compassion Scale (SCS-D-KF)].","authors":"Luisa Beerbaum, Theresa Meincke, Nora K Schaal, Ralf Schäfer, Ulrike Dinger","doi":"10.1055/a-2765-2394","DOIUrl":"10.1055/a-2765-2394","url":null,"abstract":"<p><strong>Background: </strong>The aim of this study was the psychometric evaluation of a German short form of the Self-Compassion Scale (SCS-D-KF).</p><p><strong>Method: </strong>Based on the previous German translation of the questionnaire, the 12 items of the English short form were administered to a sample of non-clinical participants (N=386) in an online survey.</p><p><strong>Results: </strong>The SCS-D-KF showed high internal consistency (Cronbach's α=0.89). The total score of the short form correlated very high with the total score of the German long form (r=0.98). Confirmatory factor analysis confirmed both the six-factor model and a hierarchical model with a superordinate self-compassion factor. Construct validity was demonstrated through expected correlations with established measurement instruments.</p><p><strong>Conclusions: </strong>The SCS-D-KF represents a valid and reliable alternative to the long form and is suitable for a time-efficient assessment of self-compassion.</p>","PeriodicalId":47315,"journal":{"name":"Psychotherapie Psychosomatik Medizinische Psychologie","volume":" ","pages":"323-326"},"PeriodicalIF":0.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146067626","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":"[Treatment Gaps in the Transition of Adolescent Patients from Child and Adolescent Psychiatry to Adult Psychiatry in Berlin: An explorative predictor Analysis].","authors":"Theresa Thaler, Sandeep Rout, Yuriy Ignatyev, Julian Schwarz, Sebastian von Peter","doi":"10.1055/a-2826-6081","DOIUrl":"10.1055/a-2826-6081","url":null,"abstract":"<p><strong>Objective: </strong>This study investigates treatment gaps during the transition from child and adolescent psychiatry (CAP) to adult psychiatry (AP).</p><p><strong>Methodology: </strong>100 patients from a Berlin AP clinic with prior CAP treatment were surveyed regarding their experiences and living conditions before and after transition. A stepwise regression analysis with backward elimination identified possible predictors.</p><p><strong>Results: </strong>Significant negative associations were found with perceived social support, school-related overwhelm, previously helpful CAP treatments, and later diagnoses from the schizophrenia spectrum.</p><p><strong>Conclusion: </strong>The findings indicate the relevance of subjective and developmental factors in the emergence of psychiatric treatment gaps during the transition to adult mental health services.</p>","PeriodicalId":47315,"journal":{"name":"Psychotherapie Psychosomatik Medizinische Psychologie","volume":" ","pages":"288-296"},"PeriodicalIF":0.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147634656","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":"[Evaluation of Digital and Systemic Short Interventions to Enhance Emotional Competence: A Pilot Feasibility Study].","authors":"Avelina Lovis-Schmidt, Tina Schönemann, Maja Riedel, Heiner Rindermann","doi":"10.1055/a-2831-4984","DOIUrl":"10.1055/a-2831-4984","url":null,"abstract":"<p><strong>Objective: </strong>The present pilot feasibility study aimed to evaluate newly developed digital brief interventions designed to enhance emotional competence (EC) across different target groups (parents, romantic partners, small groups). The approach differs from traditional psychoeducation by combining behavior-activating elements with the involvement of close relational partners.</p><p><strong>Methods: </strong>Four groups were compared: (1) an intervention group (IG, <i>n</i>=18) completing two units from different target groups; (2) an active control group (CGa, <i>n</i>=18) receiving psychoeducational videos without active practice elements; (3) a second intervention group (SPEA, <i>n</i>=15) completing two exercises from a single target group; and (4) a passive control group (CGp, <i>n</i>=31) receiving no intervention. EC was assessed via self-report (EKF short scales, 16 items) at four measurement points over a period of three to four months. In addition, recruitment, attrition, and feasibility were examined descriptively as exploratory feasibility indicators.</p><p><strong>Results: </strong>Compared to the active control group, the intervention group showed higher EC scores at the third measurement point (<i>d</i>=0.91-1.49). Cross-target exercises also proved more effective than target-specific ones (<i>d</i>=0.37-0.95). However, effects diminished at follow-up. Participation and completion rates suggested that the digital format was feasible in this pilot setting.</p><p><strong>Discussion: </strong>As pilot findings, the results suggest that activating digital brief interventions with a systemic focus may outperform passive knowledge delivery. Nevertheless, the large effects should be interpreted with caution due to small sample sizes, baseline differences, and reliance on self-report measures.</p><p><strong>Conclusion: </strong>Digital, systemically oriented brief interventions show promising initial evidence as a low-threshold complement to in-person trainings and pure psychoeducation. Further randomized studies with larger samples and multimethod assessment are needed to replicate the findings and evaluate their utility for clinical practice and prevention.</p>","PeriodicalId":47315,"journal":{"name":"Psychotherapie Psychosomatik Medizinische Psychologie","volume":" ","pages":"305-313"},"PeriodicalIF":0.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147976492","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":"[Current Trends in Cognitive Theories in Psychotherapy].","authors":"Christoph Flückiger, Caroline Kolle","doi":"10.1055/a-2623-9040","DOIUrl":"https://doi.org/10.1055/a-2623-9040","url":null,"abstract":"<p><strong>Abstract: </strong>The cognitive revolution is seen as a significant milestone in the conceptual development of psychology and psychotherapy. The cognitive revolution refers to the idea that human thinking is not merely a by-product of behavior, but rather an independent process that influences behavior. Current models understand human cognition as a complex coordination process based on evolutionarily developed information processing systems and built on various abilities such as memory, affective-motivational evaluations, self-regulation, social cognition, and flexible attention regulation. Cognition is thus a comprehensive term that encompasses all areas of life and experience. For illustrative purposes, current worry models exemplify specific cognitive mechanisms that can influence the worry process.</p>","PeriodicalId":47315,"journal":{"name":"Psychotherapie Psychosomatik Medizinische Psychologie","volume":"76 6","pages":"263-275"},"PeriodicalIF":0.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148273380","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":"[Is the Social Loosing Ground? Systemic Perspectives in Psychosocial Medicine].","authors":"Imad Maatouk, Franziska Reinhardt","doi":"10.1055/a-2855-0283","DOIUrl":"https://doi.org/10.1055/a-2855-0283","url":null,"abstract":"","PeriodicalId":47315,"journal":{"name":"Psychotherapie Psychosomatik Medizinische Psychologie","volume":"76 6","pages":"237-239"},"PeriodicalIF":0.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148273362","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":"[Facilitators and Barriers to the Utilization of Psychotherapeutic and Psychiatric Services among Men with Depression - A Qualitative Interview Study].","authors":"Hendrik Stahl, Judith Alferink, Benjamin Kühme","doi":"10.1055/a-2842-9225","DOIUrl":"10.1055/a-2842-9225","url":null,"abstract":"<p><strong>Objective: </strong>Men with depression are underrepresented in psychiatric and psychotherapeutic care, despite their increased risk of suicide. Studies point to the influence of traditional masculinity norms, stigma-related attitudes, and gender-specific coping patterns on help-seeking behavior. However, it remains unclear how affected men themselves interpret barriers to and facilitating conditions for the use of professional help. The aim was therefore to explore these perspectives using a qualitative approach and to derive practice-relevant implications.</p><p><strong>Methods: </strong>In a qualitative study, ten men aged 22 to 64 years were interviewed about their experiences with mental illness and professional help. Data were analyzed using content-structuring qualitative content analysis according to Kuckartz and Rädiker. In addition, two subscales of the Male Role Norms Scale (MRNS; status and toughness norms) were administered to assess normative beliefs about traditional masculine roles and to contextualize the qualitative findings.</p><p><strong>Results: </strong>Key barriers were shame, internalized stigma, a pronounced need for autonomy, and fears of losing control or facing professional disadvantages. Help-seeking often occurred only after the onset of acute crises. Facilitating factors comprised social support, positive experiences within the healthcare system, and low-threshold services. Women in close relationships played a crucial role in motivating help-seeking. MRNS scores were mostly below average, indicating a comparatively low adherence to traditional masculine norms.</p><p><strong>Discussion: </strong>The findings confirm known associations between masculinity norms, autonomy-related expectations, and delayed help-seeking, and further differentiate them by providing insights into subjective interpretive patterns and biographical contexts. They highlight the importance of social support and low-threshold access to services. Overall, the findings support gender-sensitive mental health care that both reduces barriers and makes targeted use of existing resources.</p><p><strong>Conclusion: </strong>A better understanding of men's non-utilization of psychiatric and psychotherapeutic services may provide insights for the further development of mental health care provision. Central strategies include low-threshold contact options, the involvement of social networks, and the reflection of traditional masculinity norms in prevention and treatment.</p>","PeriodicalId":47315,"journal":{"name":"Psychotherapie Psychosomatik Medizinische Psychologie","volume":" ","pages":"253-262"},"PeriodicalIF":0.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785467","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 role of defense mechanisms in conflict and structure in the operationalized psychodynamic diagnosis].","authors":"Larissa Vierl, Cord Benecke, Miriam Henkel, Anne-Sophie Metz, Hadi Safiri, Emerenz Fuchs, Bastian Burkert, Matthias Volz","doi":"10.1055/a-2813-1949","DOIUrl":"10.1055/a-2813-1949","url":null,"abstract":"<p><strong>Theoretical background: </strong>Defense mechanisms are considered central (unconscious) processes of affect and conflict regulation in psychodynamic theory. Empirical findings on their role in relation to structure and conflicts remain limited. The aim of the present study was to examine the associations between defense styles (adaptive, neurotic, maladaptive), structural impairments, conflict modes (active vs. passive), and depressive symptoms.</p><p><strong>Method: </strong>A large clinical sample (N=2480) was investigated. Defense was assessed with the defense style questionnaire (DSQ-40), structure with the short version of the OPD structure questionnaire (OPD-SQS), conflicts with the short version of the OPD conflict questionnaire (OPD-KF36) and depressive symptoms with the respective subscale of the patient health questionnaire (PHQ-9). Correlations, partial correlations, and hierarchical multiple linear regression models were conducted.</p><p><strong>Results: </strong>Lower levels of defense maturity were associated with greater structural impairment and higher depressive symptoms. Passive conflict modes were mostly related to neurotic and maladaptive defense, while active modes were also linked to adaptive defense. These effects remained robust after controlling for depressive symptoms. Structure and conflicts emerged as independent predictors of defense, yet conflicts were found to be more predictive for adaptive and neurotic defense mechanisms compared to structure.</p><p><strong>Conclusion: </strong>The findings demonstrate that defense mechanisms play a crucial for both structure and conflicts.</p>","PeriodicalId":47315,"journal":{"name":"Psychotherapie Psychosomatik Medizinische Psychologie","volume":" ","pages":"240-252"},"PeriodicalIF":0.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13275157/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147634396","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Sent-Away Children and Consequences of the Sent-Away Experience for Mental Health with Special Regard to Disordered Eating].","authors":"Kaja Luisa Lindner, Bernhard Strauß, Uwe Berger","doi":"10.1055/a-2836-6857","DOIUrl":"https://doi.org/10.1055/a-2836-6857","url":null,"abstract":"<p><strong>Background: </strong>Investigation of the long-term effects of West and East German children's health resorts (\"Verschickungen\") mainly between 1945 and 1990 on mental health, in particular the development of eating disorders among those affected.</p><p><strong>Method: </strong>A mixed-methods approach was used. Quantitative data from a representative population sample (N=2504; n=88 with experience of being sent away) was collected using, among other things, a short form of the Eating Attitudes Test (EAT-8). Qualitative analysis was performed on 17 guided, semi-standardized interviews with former displaced children.</p><p><strong>Results: </strong>In the representative sample, 79.5% of respondents rated the effects of displacement on their health as positive and 14.8% as negative. The 88 individuals who had been sent away showed a significantly higher prevalence of abnormal eating behavior (51.1% vs. 29.8%; p<0.001) and a 2.5-fold increased likelihood (adjusted OR=2.527) of developing such behavior. At least one eating disorder was diagnosed in 17.0% of these individuals. In the interviews, 70.6% of respondents explicitly attributed subsequent problems with eating behavior to being sent away.</p><p><strong>Conclusion: </strong>The results demonstrate a significant association between experiences of being sent away and long-term eating disorders. Currently, more than half a million people living in Germany view their placement in a children's home as having had a negative impact on their later life. This highlights the need for care facilities, among others, to take action when dealing with affected individuals and show consideration for their oftentimes negative experiences.</p>","PeriodicalId":47315,"journal":{"name":"Psychotherapie Psychosomatik Medizinische Psychologie","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844488","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}