Psychotherapie Psychosomatik Medizinische Psychologie最新文献

{"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":"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":"457-464"},"PeriodicalIF":0.8,"publicationDate":"2025-11-01","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}

{"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":"465-474"},"PeriodicalIF":0.8,"publicationDate":"2025-11-01","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":"[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":"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":"447-456"},"PeriodicalIF":0.8,"publicationDate":"2025-11-01","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":"[Alternatives to the procedural concept and to disputes of schools of thougts: framework models for evidence-based mapping of psychological interventions].","authors":"Wolfgang Lutz, Fabienne Mink","doi":"10.1055/a-2705-3811","DOIUrl":"https://doi.org/10.1055/a-2705-3811","url":null,"abstract":"","PeriodicalId":47315,"journal":{"name":"Psychotherapie Psychosomatik Medizinische Psychologie","volume":"75 11","pages":"437-439"},"PeriodicalIF":0.8,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145490220","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":"[Validation of the Gender-Specific German-Language Versions of the Sociocultural Attitudes Towards Appearance Questionnaire (SATAQ-4R)].","authors":"Friederike-Johanna Flechsig, Kristine Schönhals, Hannah Lin Quittkat, Silja Vocks","doi":"10.1055/a-2648-6459","DOIUrl":"10.1055/a-2648-6459","url":null,"abstract":"<p><p>Societal pressure to conform to prevailing beauty standards remains a key factor in the development of body dissatisfaction and eating disorders. The Sociocultural Attitudes Towards Appearance Questionnaire (SATAQ-4R) is an internationally established instrument to assess internalized beauty ideals and perceived pressure to meet these ideals. A validated German-language version has not yet been available. Therefore, the aim of this study was to evaluate the psychometric properties of the gender-specific German versions of the SATAQ-4R.An online study was conducted to examine the factor structure, reliability, and construct validity of the German version of the SATAQ-4R. A total of N=670 participants (n=461 female, n=200 male, n=4 non-binary */agender *, n=5 other or unclear gender identity) were included in the study, with a subsample (n=399) being re-examined to assess test-retest reliability.Confirmatory factor analyses indicated a moderate model fit for the proposed factor structure. The internal consistencies ranged from acceptable to very good, and the test-retest reliability can also be considered acceptable. Further, the SATAQ-4R showed significant positive correlations with measures of eating disorder symptoms and drive for thinness, and significant negative correlations with drive for muscularity and self-esteem.Overall, the German translation of the SATAQ-4R represents a reliable and valid instrument to assess internalized beauty ideals and perceived pressure to conform to these ideals, and can thus be recommended for use in both research and practice.</p>","PeriodicalId":47315,"journal":{"name":"Psychotherapie Psychosomatik Medizinische Psychologie","volume":" ","pages":"475-481"},"PeriodicalIF":0.8,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144745471","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":"[Self-determined handling of data in medicine: implications for psychosomatics].","authors":"Sabine Sayegh-Jodehl, Johanna Noemi Kues, Matthias Rose, Andreas Stengel","doi":"10.1055/a-2686-8301","DOIUrl":"10.1055/a-2686-8301","url":null,"abstract":"<p><p>This article examines the challenges and opportunities arising from the increasing digitization of data in medical research and care, focusing on psychosomatics. The aim is to shed light on the advantages and disadvantages of collecting, standardizing, evaluating, and using extensive health data, for example, for Artificial intelligence (AI) applications. The article highlights patient consent using \"broad consent\" as a central aspect. In the context of digital sovereignty, it is crucial to focus on and empower both patients and practitioners. This is the only way to ensure that the future of psychosomatic medicine is shaped by all involved in a value-based and responsible manner.</p>","PeriodicalId":47315,"journal":{"name":"Psychotherapie Psychosomatik Medizinische Psychologie","volume":"75 11","pages":"440-446"},"PeriodicalIF":0.8,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145490262","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":"[Conflict dynamics at different structural levels - Relationship between conflict and structure in the OPD-3].","authors":"Philipp Wülfing, Larissa Vierl, Matthias Volz, Florian Juen, Susanne Hörz-Sagstetter, Cord Benecke, Carsten Spitzer","doi":"10.1055/a-2599-8127","DOIUrl":"10.1055/a-2599-8127","url":null,"abstract":"<p><p>The Operationalized Psychodynamic Diagnosis (OPD) system extends the descriptive classification systems (e. g. DSM, ICD) of mental disorders and is well established in psychodynamic research and practice. With the 3rd version published in 2023, the OPD underwent a comprehensive revision, which also includes a stronger linking of the axes. Until OPD-3, the 'conflict' and 'structure' axes were considered separately, which resulted in a fragmentation of psychodynamic understanding. The OPD-3 changes this separation by now assessing conflicts at all levels of structural integration, which enables a more integrative view. In this study, the relationships between the conflicts and their coping modes were analyzed as a function of structural impairment (low vs. severely impaired). The study comprised two clinical subsamples with a total of N=3678 psychotherapy patients (N=1645 inpatients; N=2032 outpatients). Psychodynamic conflicts were assessed using the OPD conflict questionnaire (OPD-CQ), while the OPD structural questionnaire (OPD-SQS) was used to assess structural integration. The sample was divided using a median split on the OPD-SQS (Md=24). There were no group differences for the intraindividual variability measure in the OPD-KF or in the network models (network invariance test). Our results confirm the conceptual extensions of OPD-3: conflicts can be identified and differentiated also in patients with more severe structural impairments and the relationships between the conflicts remain stable regardless of the level of structural integration. These findings have relevant implications for psychodynamic diagnosis and treatment.</p>","PeriodicalId":47315,"journal":{"name":"Psychotherapie Psychosomatik Medizinische Psychologie","volume":" ","pages":"403-410"},"PeriodicalIF":0.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227212","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":"[Therapeutic Alliance, Self-Efficacy and Suicidal Ideation: A Sub-Analysis].","authors":"Adriana Frei, Lara Marie Aschenbrenner, David Pablo Firnenburg, Katja Cattapan, Laurent Michaud, Stéphane Saillant, Sebastian Olbrich, Sophia Werdin, Kaspar Wyss, Marie-Anna Sedlinska, Sebastian Walther, Anja Carolyn Gysin-Maillart","doi":"10.1055/a-2640-1839","DOIUrl":"10.1055/a-2640-1839","url":null,"abstract":"<p><p>This study examines changes in therapeutic alliance and self-efficacy in the flexible, suicide-specific Attempted Suicide Brief Intervention Programme (ASSIP flex). It also examines the relationship between self-efficacy and suicidal ideation.The study was designed as a sub-analysis of a longitudinal observational study. The sample consists of 64 patients (51,6% women) aged 19-83 years (M=39,6, MD=35,5, SD=15,7) with suicidal behaviour who participated in ASSIP flex. The survey was conducted at two measurement points, before (t0) and after (t1) the ASSIP flex treatment, and after each of the three ASSIP flex sessions. Sociodemographic characteristics (e. g. age, gender), health-related data (e. g. therapeutic alliance, self-efficacy) and information on suicidal ideation and behaviour (e. g. intensity of suicidal thoughts, number of suicide attempts) were collected at both measurement points. The therapeutic alliance was recorded after each ASSIP flex session.Over the three therapy sessions, an increase in therapeutic alliance was observed (F(1, 63)=48,081, p<0,001). An increase in self-efficacy was observed from t0 to t1 (t(63)=-3,410, p<0,001). A positive relation between self-efficacy at t0 and the therapeutic alliance was found at both the first (β=0,433, p<0,001) and the third therapy session (β=0,293, p=0,041). Patients' suicidal ideation decreased from t0 to t1 (BSS: β=-0,220, p<0,001). Higher self-efficacy was associated with lower suicidal ideation (BSS: β=-0,315, p<0,001).The findings highlight the importance of the therapeutic alliance and self-efficacy in suicide prevention treatment. The narrative approach of ASSIP flex offers a structured way to specifically strengthen both the therapeutic alliance and self-efficacy. Follow-up studies are needed to better understand the relation between these constructs with suicidal ideation and to further develop targeted intervention strategies.</p>","PeriodicalId":47315,"journal":{"name":"Psychotherapie Psychosomatik Medizinische Psychologie","volume":" ","pages":"377-383"},"PeriodicalIF":0.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144745470","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":"[Correction: Conflict dynamics at different structural levels - Relationship between conflict and structure in the OPD-3].","authors":"Philipp Wülfing, Larissa Vierl, Matthias Volz, Florian Juen, Susanne Hörz-Sagstetter, Cord Benecke, Carsten Spitzer","doi":"10.1055/a-2650-4475","DOIUrl":"10.1055/a-2650-4475","url":null,"abstract":"","PeriodicalId":47315,"journal":{"name":"Psychotherapie Psychosomatik Medizinische Psychologie","volume":" ","pages":"e1"},"PeriodicalIF":0.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144650881","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":"[Eating Disorders during Pregnancy - An underestimated Challenge].","authors":"Cristina Ballero Reque, Martin S Lehe, Georgios Paslakis","doi":"10.1055/a-2369-0847","DOIUrl":"10.1055/a-2369-0847","url":null,"abstract":"<p><p>Eating disorders occur in approximately 4.3% of pregnant women, with previously affected women representing a particularly high-risk group. Pregnancy and the postpartum period are characterized by profound physical, hormonal, and psychosocial changes that can increase the risk of developing, worsening, or recurring eating disorders. Body image, coping with weight gain, and the pressure to regain one's previous body shape are particularly important risk factors in all phases, from the time of conception to the postpartum period. Eating disorders can lead to menstrual irregularities and infertility in women, with hormonal imbalances and disordered eating behavior often being causes that also increase the risk of pregnancy complications. Women with eating disorders have a higher risk of pregnancy complications such as premature births, miscarriages, anemia, and hyperemesis gravidarum, although these risks vary depending on the type of eating disorder. The stigma and shame associated with eating disorders represent significant barriers to open communication and the use of therapeutic help. Therefore, therapists should choose a sensitive and appreciative approach, avoid stigmatization, and courageously but empathetically address possible eating disorders directly to enable early support.</p>","PeriodicalId":47315,"journal":{"name":"Psychotherapie Psychosomatik Medizinische Psychologie","volume":"75 9-10","pages":"411-430"},"PeriodicalIF":0.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145287223","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}