Psychotherapie Psychosomatik Medizinische Psychologie最新文献

{"title":"[Assessment of staffing levels for therapeutic personnel in psychosomatic medicine and psychiatry - an important pillar for securing the future of inpatient therapies].","authors":"Ulrike Dinger, Hans-Christoph Friederich","doi":"10.1055/a-2664-1771","DOIUrl":"https://doi.org/10.1055/a-2664-1771","url":null,"abstract":"","PeriodicalId":47315,"journal":{"name":"Psychotherapie Psychosomatik Medizinische Psychologie","volume":"75 9-10","pages":"375-376"},"PeriodicalIF":0.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145287238","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 impact of attachment style for the success of bariatric surgery - results of a long-term follow-up].","authors":"Marina Seidler, Bernhard Strauß, Hermann Kißler, Christof Kloos, Tina Münz, Susan-Marie Schulte, Claudia Luck-Sikorski, Regine Hochrein, Sylvia Sänger, Susanne Hardecker, Katharina Wick","doi":"10.1055/a-2589-1835","DOIUrl":"10.1055/a-2589-1835","url":null,"abstract":"<p><p>Obesity is a chronic disease that can be associated with a variety of physical and psychological comorbidities, such as metabolic syndrome or depression. Bariatric surgery is recommended in the S3 guideline as a treatment option from a BMI≥40 kg/m² without comorbidities or from a BMI≥35 kg/m² with at least one obesity-associated comorbidity. Bariatric surgery is an important therapeutic approach, the long-term success of which can be influenced by psychosocial factors. This longitudinal study investigates the influence of attachment style on the long-term success of surgery. The sample comprises N=30 participants with obesity (M/SD age=56.2/8.6 years, 83.3% female) who underwent bariatric sleeve gastrectomy between 2010 and 2015. Data was collected preoperatively (approx. 3 months before the operation) and postoperatively at the end of 2019/beginning of 2020. In addition to socio-demographic data, weight-related data and psychosocial stress factors were collected. The success of the operation was defined on the basis of the weight reduction achieved, the improvement in quality of life and the reduction in depression, anxiety and overall psychological stress. Postoperatively, the attachment style (categorised as secure-attached and insecure-attached) was assessed. Questionnaires were used except for the weight-related data. The attachment style is relevant for postoperative success in relation to the variables of depression and overall psychological stress. Securely attached participants showed significant improvements in these variables, while insecurely attached participants showed stagnating or slightly worsening values postoperatively. Regarding BMI, significant postoperative improvements were observed in all participants, regardless of attachment style. The results indicate that the attachment groups do not benefit equally from the operation in terms of psychosocial variables in the long term. It is therefore necessary to identify vulnerable patients preoperatively in order to ensure customised support. Individualised, attachment-oriented care appears to be particularly effective.</p>","PeriodicalId":47315,"journal":{"name":"Psychotherapie Psychosomatik Medizinische Psychologie","volume":" ","pages":"395-402"},"PeriodicalIF":0.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144259028","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":"[Interpersonal Problems and their differential indicator function: On the Validity and Clinical Utility of the German IIP-32].","authors":"Christopher Zaiser, Bernhard Strauß, Robert Mestel, Carsten Spitzer","doi":"10.1055/a-2547-6735","DOIUrl":"10.1055/a-2547-6735","url":null,"abstract":"<p><p>The present study examines the validity and clinical utility of the German version of the Inventory of Interpersonal Problems (IIP-32) for assessing interpersonal difficulties and their associations with personality functioning, attachment dimensions, and self-perception in a large clinical sample. Interpersonal problems are closely linked to mental health disorders and are often a central focus of psychotherapeutic interventions. Recent findings underscore the importance of interpersonal aspects for understanding and treating mental health disorders, particularly personality disorders, especially through a dimensional perspective as emphasized in DSM-5 and ICD-11.Using data from 7,507 patients in a psychosomatic rehabilitation clinic, we evaluated the internal consistency and construct validity of the IIP-32, as well as its correlations with key variables such as attachment avoidance, attachment anxiety, and structural deficits in personality functioning, measured with the OPD-SFK and ECR-RD12. Additionally, the circumplex structure of the IIP-32 was assessed through correlation-based analyses with the SASB.Overall interpersonal distress correlated strongly with structural deficits in personality functioning (r=0.71), attachment anxiety (r=0.45), and attachment avoidance (r=0.38). Attachment avoidance showed strong associations with hostile-withdrawing and socially avoidant behavior (r=0.50), while no relevant associations with friendly-dominant interpersonal problems were found. The IIP-32 primarily captured submissive-avoidant interpersonal patterns, which were linked to deficits in personality structure. SASB analyses confirmed the circumplex structure of the IIP-32 (R²>0.80) and its alignment with the dominance and affiliation axes. High correlations with structural deficits support the convergent validity, while differentiated associations with attachment measures and interpersonal profiles in the SASB model indicate discriminant validity.The findings demonstrate that the IIP-32 is a reliable instrument for the differentiated assessment of interpersonal problems. The combination of analyses with the OPD-SFK, ECR-RD12, and SASB provides evidence for the structural validity and clinical utility of the IIP-32, both for diagnosing interpersonal distress and identifying specific behavioral patterns that can be addressed in psychotherapy.</p>","PeriodicalId":47315,"journal":{"name":"Psychotherapie Psychosomatik Medizinische Psychologie","volume":" ","pages":"384-394"},"PeriodicalIF":0.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732391","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":"[The forgotten gender - How do fathers experience an unforeseen caesarean section of their partner? An exploratory study].","authors":"Arkadius Polasik, Anna Maria Stocker, Thomas W P Friedl, Beate Hüner, Ulrike Friebe-Hoffmann, Stephan Frisch, Steffen Walter","doi":"10.1055/a-2560-6835","DOIUrl":"10.1055/a-2560-6835","url":null,"abstract":"<p><p>This exploratory case-control study investigated the psychological well-being of expectant fathers before, during, and after an emergency cesarean section. The aim was to determine whether these men are at a higher risk of post-traumatic stress compared to men undergoing a secondary cesarean section and what affective experiences they report retrospectively.Fathers (secondary cesarean [N=103] vs. emergency cesarean [N=52]) were retrospectively surveyed using a questionnaire developed by the Department of Medical Psychology and the Women's Clinic of the University Hospital of Ulm. The study focused on unplanned cesarean sections during the period from January 1, 2017, to June 30, 2019. The questionnaire consisted of two sections: Section A captured sociodemographic, biographic, medical, and psychometric characteristics. Section B focused on the experience of childbirth and afterward and integrated the \"Positive and Negative Affect Schedule\" (PANAS) and the Posttraumatic Stress Checklist 5 (PCL-5).During an emergency cesarean, fathers more frequently expressed fear for the life of their partner and child. The PANAS analysis showed that fathers in the emergency cesarean group significantly more often experienced negative emotions such as fear and restlessness. They also had higher PCL-5 scores, however, only three fathers from the emergency cesarean group and one father from the control group met the criteria for post-traumatic stress disorder. Fathers during an emergency cesarean felt less well cared for compared to the control group and rated the information about the possibility of an emergency cesarean as insufficient. After an emergency cesarean, psychological support was more often recommended but was not utilized. The majority of fathers desired a follow-up conversation with the treatment team. About one-fifth sought additional help after the birth, mostly from family or a midwife.The results of the retrospective study suggest that men experience higher psychological stress during an emergency cesarean compared to a secondary cesarean. Many fathers in the emergency group felt inadequately prepared. A postoperative discussion with the team is desired by the fathers and can be helpful in processing an emergency intervention.Expectant fathers should be thoroughly informed about potential complications before birth. Staff should be trained to also support the fathers during a emergency cesarean.</p>","PeriodicalId":47315,"journal":{"name":"Psychotherapie Psychosomatik Medizinische Psychologie","volume":" ","pages":"298-307"},"PeriodicalIF":0.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144259027","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}