Psychotherapie Psychosomatik Medizinische Psychologie最新文献

{"title":"[An explorative study on the experience of feelings of guilt and shame among young sex offenders of the left-wing autonomous scene].","authors":"Laura Neitsch, Katinka Schweizer","doi":"10.1055/a-2733-3427","DOIUrl":"10.1055/a-2733-3427","url":null,"abstract":"<p><p>The pilot study presented here examines young adults who, according to their own statements, have committed sexually motivated crimes but have not been legally convicted for them. The objectives of this study are (1) to understand how the participants experience the processing of sexual boundary violations they have committed, to (2) derive implications for the psychotherapeutic assistance of these processes. Special attention is paid here to the investigation of feelings of guilt and shame, cognitive dissonance, defense mechanisms and coping as well as the influences of the participants' early biographical relationship experiences and political attitudes.The study was conducted by interviewing clients of a counseling center for minors and young adults with sexually deviant and boundary violating behavior between the ages of 20 and 29. Four qualitative interviews were administered and analyzed using Interpretative Phenomenological Analysis.The participants report disparate effects of feelings of guilt and shame, as well as cognitive dissonance, regarding their experiences and behavior during the processing of their sexual boundary violations. Feelings of guilt and shame are involved in both the increase and decrease of motivation for change in different phases of the process. Participants report dissonant cognitions regarding their self-worth, moral values, and political attitudes, which appear to be evoked particularly by strong self-stigmatization. To reduce associated feelings of cognitive dissonance, participants utilize certain defense strategies such as avoidance, rationalization or suppression and coping mechanisms such as self-reflection, acceptance, taking responsibility or doing self-care.The results suggest that the consideration of the factors assessed in this study could contribute to promoting active engagement and individual responsibility-taking in working with sexually delinquent individuals. A sensitive and professional framework for processing sexual delinquency based on these criteria could help identify and reduce potential disruptions in the therapeutic process early on, detecting stigmatizing judgments, aversive emotions and dysfunctional defenses.</p>","PeriodicalId":47315,"journal":{"name":"Psychotherapie Psychosomatik Medizinische Psychologie","volume":" ","pages":"10-18"},"PeriodicalIF":0.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145670289","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 primary is \"primary outcome\" in mental health conditions?]","authors":"Christoph Flückiger, Ann-Katrin Job, Niels Braus","doi":"10.1055/a-2739-8405","DOIUrl":"https://doi.org/10.1055/a-2739-8405","url":null,"abstract":"","PeriodicalId":47315,"journal":{"name":"Psychotherapie Psychosomatik Medizinische Psychologie","volume":"76 1","pages":"7-9"},"PeriodicalIF":0.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146004366","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 distress, needs and resources among healthcare professionals on German intensive care units: Questionnaire survey].","authors":"Simone Korger, Sophie Felicitas Nickel, Julianna Gehrig, Rolf Konstantin Nießen, Melanie Elgner, Christian Apfelbacher, Harald Gündel, Marius Binneböse","doi":"10.1055/a-2718-6053","DOIUrl":"10.1055/a-2718-6053","url":null,"abstract":"<p><p>The aim of this explorative study was to quantify psychosocial distress, needs and resources among German intensive care unit (ICU) healthcare professionals.An anonymous online survey was used to collect data from N=73 healthcare professionals working in German ICUs. Various stress factors and resources were recorded on an individual, interpersonal, work-related and structural level, using validated questionnaire measures (PSC-4, TAA-KH-S, irritation scale, COPSOQ), among others. In addition, needs for psychosocial support measures were determined using self-developed items and in free text format.For more than 50% of respondents, the PSC-4, the subscales of the TAA-KH-S and the irritation scale were in the marginal or critical range. Regarding the COPSOQ, there were meaningful differences to the overall population on the subscales Emotional Demands, Hiding Emotions, Work-Privacy Conflicts, Dissolution and Recognition, indicating increased stress in our sample. With regard to desired support measures, the demand for psychological support on and off the ward was evident in two thirds of respondents. Over 90% rated the establishment of a team-integrated psychologist as somewhat or very useful.Increased stress is particularly evident at an individual, work-related and structural level, while existing resources were primarily expressed at an individual and interpersonal level. There is a great desire to expand structural, psychosocial support measures among the majority of respondents.The results underline the need for action identified by professional associations regarding the expansion of support services.</p>","PeriodicalId":47315,"journal":{"name":"Psychotherapie Psychosomatik Medizinische Psychologie","volume":" ","pages":"19-27"},"PeriodicalIF":0.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145507969","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":"[Opportunities and challenges of health insurance funding of outpatient cancer counselling centers: Findings from a qualitative interview study with employees and providers].","authors":"Susanne Kuhnt, Anne-Kathrin Köditz, Svenja Heyne, Charlotte Gmeiner, Maria Mahlberg, Anja Mehnert-Theuerkauf, Jochen Ernst","doi":"10.1055/a-2738-8832","DOIUrl":"10.1055/a-2738-8832","url":null,"abstract":"<p><p>Since 2020, cancer counselling centers (CCC) are able to apply for partial funding from health insurance funds in accordance with the statutory regulation 'Outpatient cancer counselling' (§ 65e SGB V). The study examines changes in the CCCs as a result of the utilization of partial health insurance funding from the perspective of employees and of the providers of CCC.As part of a qualitative study, guided expert interviews were conducted with employees and providers of CCC and analyzed using content-structuring evaluation methods. We surveyed 138 provider organizations and 189 CCC, and interview partners were chosen in a randomized selection process. The size and region of the CCC were taken into account in order to reflect different structural and personnel requirements of the CCC. Interview topics included general expectations and concerns, changes resulting from funding and an initial assessment.Data was available from 35 interviews (23 CCC, 12 providers). The majority of CCC and their providers reported improvements in terms of staffing and services, including the continuation and expansion of care services, increased staff capacity, and the expansion of branches or the establishment of new ones. The quality of care has been improved through professional development of counsellors, extended supervision and more appropriate premises. This was perceived as an improvement in CCC in the health care system. However, it was criticized that although there is a greater sense of security, uncertainty remains because funding of CCC is limited to three years without a guarantee of continued funding, even if quality standards and cost-effectiveness are high. This has had a negative impact on staff and services. In addition, funding has focused on counselling in individual settings, which, in some cases, has led to a reduction in the variety of services offered, e. g. in-group settings.The funding of the CCC by the health insurance funds is largely viewed positively by the participants. It could be argued that this measure is an important step towards achieving the goal of securing sustainable, regular funding for outpatient cancer counselling included in the National Cancer Plan. It remains unclear whether the current funding structure will promote a nationwide network of needs-based, high-quality CCC and how the continued operation of high quality and economically viable CCC can be ensured.</p>","PeriodicalId":47315,"journal":{"name":"Psychotherapie Psychosomatik Medizinische Psychologie","volume":"76 1","pages":"28-35"},"PeriodicalIF":0.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146004352","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":"[Depressive Symptoms and the Desire for Children: An Investigation of Motives and Perceived Costs and Benefits].","authors":"Doris Erbe, Michelle Freisinger, Alexander L Gerlach","doi":"10.1055/a-2731-0454","DOIUrl":"10.1055/a-2731-0454","url":null,"abstract":"<p><p>The objective of this study was to investigate the impact of depressive symptoms on the perception of motives for wanting children, as well as the assessment of perceived costs and benefits of having children among individuals with mental health disorders. The relationship between mental illnesses and the desire to have children has been inadequately explored thus far, despite its high relevance for counseling and therapy.A quantitative online survey was conducted with 105 participants recruited through the outpatient psychotherapeutic clinic at the University of Cologne. The Value of Children (VoC) questionnaire was utilized to assess attitudes toward children. Motives for wanting children were measured using a series of self-developed items based on previous research, including the extended version of the Leipzig questionnaire on motives for wanting children (LKM-E). Depressive symptoms were assessed using the PHQ-9. Data analysis was performed using multiple linear regression.The results show that depressive symptoms were not significantly associated with the perception of the advantages or disadvantages of having children. No significant correlation was found with positive motives for wanting children. In contrast, there was a highly significant association between depressive symptoms and negative motives for wanting children (β=2.18, p<0,001), indicating a pessimistic view of parenthood among affected individuals.The findings suggest that the negative outlook of individuals with depression may lead to a pessimistic assessment of family planning. While the hypotheses regarding positive motives were not confirmed, identifying negative motives is important for psychotherapeutic interventions. The deviations from previous studies concerning the VoC scales may be attributed to different measurement methods and sample populations.Therapeutic professionals should actively integrate the topic of the desire to have children into their psychotherapeutic work to challenge cognitive distortions and facilitate a reflective engagement with potential desires for parenthood. Further studies with larger and more diverse samples are necessary to validate these findings and gain deeper insights into family planning among individuals with mental health issues.</p>","PeriodicalId":47315,"journal":{"name":"Psychotherapie Psychosomatik Medizinische Psychologie","volume":"76 1","pages":"36-42"},"PeriodicalIF":0.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146004340","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":"Intersession Experience Questionnaire Short (IEQ-S): psychometric properties and longitudinal associations with symptoms of an 8-item short version of the Intersession Experience Questionnaire.","authors":"Thorsten-Christian Gablonski, Pauline Leonie Herrmann, Mareike Ernst, Lotta Hüwe, Jennifer Kunz, Birgit Senft, Sylke Andreas","doi":"10.1055/a-2708-9569","DOIUrl":"10.1055/a-2708-9569","url":null,"abstract":"<p><p>Intersession experiences - thoughts, feelings, and fantasies about therapy or the therapist between sessions - are relevant markers of therapeutic engagement and internalization. However, existing measures like the Intersession Experience Questionnaire (IEQ) are lengthy and difficult to implement in routine care. This study aimed to develop and evaluate a brief, psychometrically sound version of the IEQ that retained the most important dimensions, the Intersession Experience Questionnaire-Short (IEQ-S), to facilitate repeated assessments in clinical and research settings.Based on the German IEQ, eight items with the highest factor loadings across conceptual domains were selected. Cross-sectional data from five clinical samples (N=165) and longitudinal data from another sample of 72 outpatients (2,119 sessions) were used to examine the factor structure, reliability, and validity of the IEQ-S, as well as its sensitivity to within-person change.The IEQ-S items demonstrated strong convergence with the single factors of the full IEQ. It showed expected associations with therapeutic alliance and symptom burden, while demonstrating discriminant validity against general health. Longitudinal analyses revealed meaningful within-person variability and statistically significant associations with depressive symptoms over time (i. e., session by session).The IEQ-S is a reliable, valid, and efficient instrument for capturing intersession experiences. Conclusion: The IEQ-S's brevity and dynamic sensitivity make it well-suited for routine monitoring and ecological momentary assessment. Further research should explore its prognostic utility and applicability across therapy formats.</p>","PeriodicalId":47315,"journal":{"name":"Psychotherapie Psychosomatik Medizinische Psychologie","volume":"75 12","pages":"509-515"},"PeriodicalIF":0.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12685439/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145709865","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":"[Scientific integrity and academic visibility].","authors":"Anja Mehnert-Theuerkauf","doi":"10.1055/a-2728-6220","DOIUrl":"https://doi.org/10.1055/a-2728-6220","url":null,"abstract":"","PeriodicalId":47315,"journal":{"name":"Psychotherapie Psychosomatik Medizinische Psychologie","volume":"75 12","pages":"489-490"},"PeriodicalIF":0.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145709875","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 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":"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":"491-499"},"PeriodicalIF":0.8,"publicationDate":"2025-12-01","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":"[The risk index as a predictor of the effectiveness of psychosomatic rehabilitation: do individuals with a high or moderate risk index benefit from rehabilitation?]","authors":"Axel Kobelt-Pönicke, Esther Kobelt","doi":"10.1055/a-2703-8021","DOIUrl":"10.1055/a-2703-8021","url":null,"abstract":"<p><p>The aim of this study was to examine the prognostic validity of the risk index for predicting the effectiveness of medical-psychosomatic rehabilitation treatments. Specifically, it was investigated whether the risk index contributes additional explanatory value beyond sick leave duration in the year preceding rehabilitation. Sociodemographic, clinical, and motivational differences between risk groups were also analyzed.This retrospective study was based on data from 725 patients treated at a rehabilitation center between September 2022 and December 2023. Participants were categorized by risk level (high, medium, low). Measures included depression severity (PHQ-9), work motivation (DIAMO), subjective return-to-work expectations (SPE), and social-medical assessments. Statistical analyses included ANOVAs, multiple and logistic regressions, and the Reliable Change Index.The high-risk group was older, more frequently female, and more likely to have been on extended sick leave. They reported poorer subjective and social-medical return-to-work expectations, lower work motivation, more avoidant behavior, and reduced participation capabilities. The risk index significantly predicted depression severity at discharge, though less strongly than prior depression levels and sick leave duration. It did not significantly predict return-to-work status at discharge.The risk index provides additional value in predicting psychological treatment outcomes, but not in forecasting work ability. Clinically relevant differences in motivation, participation assessment, and return-to-work expectations in the high-risk group underline the need for targeted early interventions. Conclusion While useful for identifying vulnerable groups, the risk index does not replace individualized assessments of occupational and psychological burdens. Early recognition and promotion of motivational and functional resources are essential for successful rehabilitation.</p>","PeriodicalId":47315,"journal":{"name":"Psychotherapie Psychosomatik Medizinische Psychologie","volume":" ","pages":"500-508"},"PeriodicalIF":0.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145303988","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":"[Sexual abuse in institutions].","authors":"Harald Dreßing","doi":"10.1055/a-2718-6575","DOIUrl":"10.1055/a-2718-6575","url":null,"abstract":"<p><p>Sexualized violence occurs in different contexts, and there are many different constellations between perpetrators and victims. This article deals primarily with acts that take place in an institutional context and are detrimental to children and adolescents, as special dynamics play a role here that are also of particular importance for the respective institutional protection concepts. Sexual abuse most often occurs within the victim's own family and circle of friends, with girls significantly more likely to be affected than boys. However, a significant proportion of sexualized violence also takes place within the sphere of responsibility of institutions. In educational institutions, in sports and leisure facilities, in the church's sphere of responsibility, and in institutions for child, youth, and family welfare, boys are significantly more frequently affected by sexual violence than girls.</p>","PeriodicalId":47315,"journal":{"name":"Psychotherapie Psychosomatik Medizinische Psychologie","volume":"75 12","pages":"517-530"},"PeriodicalIF":0.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145709820","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}