Psychotherapie Psychosomatik Medizinische Psychologie最新文献

{"title":"[Experiences of (Potentially) Traumatizing Deployments and Posttraumatic Stress in Police Officers - An Exploratory Survey of Early Career Police Officers].","authors":"Lena Posch,&nbsp;Anna-Lena Zube","doi":"10.1055/a-2087-0021","DOIUrl":"10.1055/a-2087-0021","url":null,"abstract":"<p><strong>Background: </strong>As part of their career police officers are faced with traumatic events on a regular basis and are at a higher risk of developing PTSD compared to the general population. The aim of this study was to examine if and how many early career police officers already experienced potentially traumatizing situations and how many conform to either subsyndromal or complete PTSD criteria. Further subject of interest was if the officers know the concept of psychosocial emergency care for first responders (PSNV-E) and if such support is made use of.</p><p><strong>Method: </strong><i>N</i>=221 early career police officers were assessed via an online-survey about their posttraumatic stress symptoms.</p><p><strong>Results: </strong>More than half of the participants (<i>n</i>=121) reported having experienced at least one traumatic deployment. PTSD prevalence in this group was at 1.7%, an additional 14.9% showed partial PTSD. One fifth did not know about the PSNV-E concept.</p><p><strong>Conclusion: </strong>Police officers are confronted with a range of extremely stressful events early in their career leading to first symptoms of PTSD in some of them. Early prevention strategies as well as the identification of those affected for secondary prevention is of very high relevance for long term mental health.</p>","PeriodicalId":47315,"journal":{"name":"Psychotherapie Psychosomatik Medizinische Psychologie","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9749621","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":"[Physical Illness in Older Patients in the Psychosomatic Clinic].","authors":"Meinolf Peters","doi":"10.1055/a-2099-7281","DOIUrl":"10.1055/a-2099-7281","url":null,"abstract":"<p><p>So far, little is known about the number and extent of physical illnesses in older patients in psychosomatic clinics. In the present study, the number and frequency of physical illness and its relationship to psychological symptoms were investigated in a group of 150 patients in the second half of life (50 each in the age groups 40-54, 55-69 and 70). Method: The CIRS (Cumulative Illness Rating Scale), an established third-party assessment method for physical illness on 14 scales, was used to record physical illness. The results show the greatest frequency and severity of physical illness in the oldest group. In addition, physical illness was found to be more strongly related to mental illness with increasing age. In the discussion, aspects of health care policy and therapy are addressed.</p>","PeriodicalId":47315,"journal":{"name":"Psychotherapie Psychosomatik Medizinische Psychologie","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9919523","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 a German version of the self-rating Adult Disorganized Attachment scale (ADA-D)].","authors":"Eva Flemming,&nbsp;Laura Lübke,&nbsp;Sascha Müller,&nbsp;Lisa Petra Sophia Rümler,&nbsp;Carsten Spitzer","doi":"10.1055/a-2140-8260","DOIUrl":"10.1055/a-2140-8260","url":null,"abstract":"<p><strong>Objective: </strong>Disorganized attachment represents the greatest risk factor for psychopathology compared to the \"organized\" insecure attachment dimensions in various meta-analyses. Recently, the Adult Disorganized Attachment Scale (ADA) was developed as a self-rating scale for measuring disorganized attachment in romantic partnerships. However, a translation and evaluation in German-speaking samples is not yet available.</p><p><strong>Methods: </strong>A German Translation of the scale (ADA-D) comprising nine items was assessed in a general population sample (<i>N</i>=1101) and in a student sample (<i>N</i>=328). The factor structure, psychometric properties, and validity of the scale with respect to psychopathology and the Experiences in Close Relationships questionnaire (ECR-RD) were examined. The differential associations of ADA-D and ECR-RD with psychopathology were determined using linear regression models.</p><p><strong>Results: </strong>The unidimensional factor structure of the original version could be confirmed for the ADA-D and the instrument exhibited high internal consistency (McDonalds <i>ω</i>=0.91 / 0.89). Compared to attachment anxiety and avoidance, ADA-D was the strongest predictor of dissociative symptoms (Sample 1: <i>β</i>=0.48; <i>p</i><0.001; Sample 2: <i>β</i>=0.23; <i>p</i><0.01) and, in Sample 1, additionally for physical aggression (<i>β</i>=0.37; <i>p</i><0.001).</p><p><strong>Discussion: </strong>  The ADA-D exhibits good psychometric properties that are comparable to the original version of the scale. The associations with aggressiveness and dissociation are in line with previous findings regarding the unresolved attachment status in the Adult Attachment Interview.</p><p><strong>Conclusion: </strong>The ADA-D can be recommended for further use in research as a screening instrument for disorganized attachment in adulthood. An application in psychotherapeutic diagnostics seems promising, however, evaluations in clinical samples are necessary beforehand.</p>","PeriodicalId":47315,"journal":{"name":"Psychotherapie Psychosomatik Medizinische Psychologie","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10151497","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":"[Ecological Psychiatry and Psychotherapy - DGPPN 2023].","authors":"Anne Karow","doi":"10.1055/a-2175-9985","DOIUrl":"10.1055/a-2175-9985","url":null,"abstract":"Der Klimawandel stellt uns vor globale Herausforderungen und Belastungen, die sich nachteilig auf unsere psychische Gesundheit auswirken können. Unsere Umwelt, sei es in Form von naturnahen oder urbanen Lebensräumen, sowie unsere sozialen Strukturen, haben einen tiefgreifenden Einfluss auf unsere Stimmung, unser Verhalten und unsere psychische Gesundheit. In der heutigen Zeit, geprägt von zunehmenden ökologischen Herausforderungen, gewinnen diese Zusammenhänge an noch größerer Relevanz. Extremwetterereignisse und die Sorge um die Zukunft unseres Planeten führen gerade in der jüngeren Generation, die sich bereits in der Pandemie außerordentlichen Anforderungen ausgesetzt sah, zu Ängsten und Gefühlen der Ohnmacht. Ein größeres Verständnis für die Wechselwirkungen zwischen Mensch und Umwelt und das Engagement für eine nachhaltigere Lebensweise bieten aber auch Chancen für die Verbesserung der psychischen Gesundheit. Der diesjährige DGPPN-Kongress greift diese Zusammenhänge auf und bringt Experten aus verschiedenen Bereichen unter dem Leitthema „Ökologische Psychiatrie und Psychotherapie“ zusammen.","PeriodicalId":47315,"journal":{"name":"Psychotherapie Psychosomatik Medizinische Psychologie","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71487354","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":"Borderline-Persönlichkeitsstörung: Neuronale Substrate der Ablehnungsstörung","authors":"","doi":"10.1055/a-2133-6482","DOIUrl":"https://doi.org/10.1055/a-2133-6482","url":null,"abstract":"Obgleich die Borderline-Persönlichkeitsstörung auf symptomatischer Ebene eine übersteigerte Stressreaktion auf Situationen der sozialen Ablehnung umfasst, sind die zugrunde liegenden neurolagen Mechanismen bis heute unklar. Fertuck et al. wollten in diesem Kontext eine Wissenslücke schließen, und haben die neuronalen Substrate dieser Ablehnungsstörung mit Hilfe einer modifizierten Cyberball-Aufgabe für die funktionelle Bildgebung analysiert.","PeriodicalId":47315,"journal":{"name":"Psychotherapie Psychosomatik Medizinische Psychologie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135455554","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":"[Integrated Care for Patients with Somatic Symptom Disorder in Primary Care - A Qualitative Participatory Evaluation of a Randomised Feasibility Trial].","authors":"Justus Tönnies, Leike Graue, Marayah Ayoub-Schreifeldt, Michel Wensing, Joachim Szecsenyi, Hans-Christoph Friederich, Markus W Haun","doi":"10.1055/a-2105-3402","DOIUrl":"10.1055/a-2105-3402","url":null,"abstract":"<p><strong>Objective: </strong>The VISION intervention is a manualized short-term treatment for people with somatic symptom disorder, integrated into the primary care and delivered by psychotherapists via video consultations. As an innovative technology-based approach, the intervention was most recently piloted in a randomized feasibility trial. During the qualitative accompanying study presented here, the intervention was evaluated and optimised from the user perspective of patients who participated in the feasibility study.</p><p><strong>Methods: </strong>We interviewed a total of N=10 patients included in the intervention group in three semi structured focus group discussions focusing on how they (1) assess the intervention in terms of acceptance and individual benefit and (2) which adjustments are necessary from the user perspective for further optimization of the intervention. We performed a qualitative content analysis using MAXQDA Plus 2022.</p><p><strong>Results: </strong>Respondents reported initial reservations on their part regarding care via video consultation. After a brief period of habituation, the intervention was universally accepted. Main suggestions for improvement included a stronger focus on supporting patients find follow-up psychotherapy (if indicated) more flexible settings (e. g., location of video consultation), and a stronger integration of treatment into primary care.</p><p><strong>Discussion and conclusion: </strong>The study provides systematically elaborated comprehensive findings on participants' practical experiences with the intervention. The model is appropriate for treating people with somatic symptom disorder. Before implementation, important suggestions for improvement should be thoroughly considered with continued patient and public involvement.</p>","PeriodicalId":47315,"journal":{"name":"Psychotherapie Psychosomatik Medizinische Psychologie","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9919524","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":"Gruppentherapie gegen Perfektionismus: Psychodynamische Formate wirkungsvoll","authors":"","doi":"10.1055/a-2049-3244","DOIUrl":"https://doi.org/10.1055/a-2049-3244","url":null,"abstract":"Perfektionistische Persönlichkeitsmuster hängen mit verschiedenen Störungsbildern zusammen – unter anderem mit Depressionen und Anorexia nervosa. Wissenschaftler sprechen gar von einer zentralen Vulnerabilität durch Perfektionismus. Der Bedarf an Psychotherapieformen, welche solche Kernkomponenten statt der reinen Symptombehandlung adressieren, steigt. Kanadische Forschende evaluierten 2 psychodynamisch fundierte Gruppentherapien zu diesem Zweck.","PeriodicalId":47315,"journal":{"name":"Psychotherapie Psychosomatik Medizinische Psychologie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134934493","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":"[Efficient assessment of premenstrual symptoms - German translation of the shortened Premenstrual Assessment Form and its psychometric evaluation].","authors":"Berenike Lisa Blaser, Mathias Weymar, Julia Wendt","doi":"10.1055/a-2136-6941","DOIUrl":"10.1055/a-2136-6941","url":null,"abstract":"<p><p>Premenstrual symptomatology is a widespread and yet under-researched problem. To date, there is no German instrument for assessing the broad spectrum of possible symptoms and their degree of expression. For this reason, the short versions of the Premenstrual Assessment Form with 20 and 10 items were translated and validated in a sample of N=147 menstruating persons. The internal consistencies of the 20-item and 10-item versions are high (Cronbach's α_PAF20=0.93 and α_PAF10=0.88, respectively) and comparable to the original versions. Factor analysis identified two scales that assess psychological and physiological symptoms. Convergent validity was demonstrated by a correlation with the PMS Impact Questionnaire (r_PAF20=0.66, p<.001). This association was significantly higher (z=2.67, p=0.004) than the correlation with the Brief Symptom Inventory-18 (r_PAF20=0.50, p<0.001), which verifies divergent validity. Additionally, cut-off values for suspected diagnoses based on DSM-V diagnostic criteria for both short forms were calculated. The translated Premenstrual Assessment Form is a valid, reliable, and parsimonious instrument that can be used flexibly. It is suitable for quantifying premenstrual symptomatology in research.</p>","PeriodicalId":47315,"journal":{"name":"Psychotherapie Psychosomatik Medizinische Psychologie","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10777709/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10443460","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":"[Pre-existing Mental Disorders and Depressiveness in the Second Wave of the SARS-CoV-2-Pandemic - The Role of Pandemic-Associated Stressors].","authors":"Jenny Markert,&nbsp;Jana Niemann,&nbsp;Dagmar Starke,&nbsp;Thomas Frese,&nbsp;Gabriele Meyer,&nbsp;Rafael Mikolajczyk,&nbsp;Jan Schildmann,&nbsp;Anke Steckelberg,&nbsp;Anja Knöchelmann","doi":"10.1055/a-2105-3302","DOIUrl":"10.1055/a-2105-3302","url":null,"abstract":"<p><p>The second wave of the SARS-CoV-2 pandemic was characterized by drastic restrictions. From previous pandemics as well as from the first wave, it is known that especially individuals with a history of mental disorders may be highly vulnerable to develop poor mental health. Therefore, this paper examines the association of prior mental disorders (PMD) and depressiveness in the 2nd pandemic wave, considering general stress, perceived isolation, perception of political measures to curb the pandemic, fears regarding consequences of the pandemic and changes in the employment and income situation. A cross-sectional analysis was conducted with data of 812 participants of the health related beliefs and health care experiences in Germany study (HeReCa). The association between PMD and depressiveness was studied by means of weighted (for education and age) logistic regression, adjusted for the named variables as well as sociodemographic characteristics. Individuals with PMD displayed substantially more often higher depressiveness than individuals without PMD (OR: 25.1; 95% CI: 11.0-57.3). This association decreased partially by accounting for higher general stress and stress from isolation. Lack of partnership, low income, and male sex were associated with higher depressiveness, but only marginally changed the association of PMD and depressiveness. Overall, during the pandemic, persons with PMD were more likely to develop higher depressiveness than persons without. It is strongly advised to provide care for mental illness in pandemic times, which can be completed by E-Mental-Health or professional support for coping with stress.</p>","PeriodicalId":47315,"journal":{"name":"Psychotherapie Psychosomatik Medizinische Psychologie","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10259397","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":"[Cognitive-behavioural approaches to delusions].","authors":"Samya Korff,&nbsp;Tania Lincoln","doi":"10.1055/a-2106-8782","DOIUrl":"https://doi.org/10.1055/a-2106-8782","url":null,"abstract":"<p><p>Delusional beliefs can have serious impact on peoples' everyday life. They are often associated with strong negative emotions and can complicate relationships with other people- In severe cases, patients may even organize their everyday lives entirely around their delusional beliefs. In recent years, psychological approaches have come to be seen as an essential parts of an integrative treatment concept. This article gives an overview of the cognitive-behavioural approach to delusions.</p>","PeriodicalId":47315,"journal":{"name":"Psychotherapie Psychosomatik Medizinische Psychologie","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41160419","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}