Zeitschrift Fur Psychosomatische Medizin Und Psychotherapie最新文献

{"title":"[Editorial].","authors":"S. Doering","doi":"10.13109/zptm.2022.68.2.110","DOIUrl":"https://doi.org/10.13109/zptm.2022.68.2.110","url":null,"abstract":"","PeriodicalId":51217,"journal":{"name":"Zeitschrift Fur Psychosomatische Medizin Und Psychotherapie","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80450350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nachruf auf Walter Pontzen (1939–2022)","authors":"W. Söllner, C. Waller","doi":"10.13109/zptm.2022.68.2.215","DOIUrl":"https://doi.org/10.13109/zptm.2022.68.2.215","url":null,"abstract":"","PeriodicalId":51217,"journal":{"name":"Zeitschrift Fur Psychosomatische Medizin Und Psychotherapie","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84496689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Emotional experience and change in psychodynamic inpatient psychotherapy].","authors":"Karin Kernhof,&nbsp;Wolfgang Merkle","doi":"10.13109/zptm.2021.67.oa12","DOIUrl":"https://doi.org/10.13109/zptm.2021.67.oa12","url":null,"abstract":"<p><p><i>Emotional experience and change in psychodynamic inpatient psychotherapy</i> <b>Objectives:</b> The subject of the present study is the recording of emotional experience and its change through inpatient psychodynamic psychotherapy, taking into account the factors of age, gender, and traumatic experiences in childhood and adolescence. <b>Methods:</b> The following standardized instruments were used on the clinical sample of 971 patients (413 inpatient, 558 day clinic patients) at the beginning and at the end of the treatment: Questionnaire for the Assessment of Emotional Experience and Emotion Regulation (EER), Childhood-Trauma-Questionnaire (CTQ), Inventory of Interpersonal Problems (IIP), Helping Alliance Questionnaire (HAQ), Symptom-Check-List (SCL-90-R). <b>Results:</b> The mean duration of treatment was 66.8 days (SD = 14.1; range 30-96). Younger patients and polytraumatized patients showed a higher expression of negative emotions. At the end of treatment, the whole group of patients showed a change in emotional experience, especially a strong decrease in passive-negative emotions and a decrease in psychological distress. Age represented a significant factor influencing emotional change. <b>Discussion:</b> The results underline the importance of emotional change as a prerequisite for treatment success and confirm the effectiveness of inpatient psychodynamic treatment. A further differentiation of the patients with regard to their emotional responsiveness seems to make sense with regard to the suitability of the therapeutic offers.</p>","PeriodicalId":51217,"journal":{"name":"Zeitschrift Fur Psychosomatische Medizin Und Psychotherapie","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39445622","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Congress dates / The authors in this issue].","authors":"","doi":"10.13109/zptm.2022.68.2.218","DOIUrl":"https://doi.org/10.13109/zptm.2022.68.2.218","url":null,"abstract":"","PeriodicalId":51217,"journal":{"name":"Zeitschrift Fur Psychosomatische Medizin Und Psychotherapie","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79168818","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Pilot study examining a profession-oriented rehabilitation concept for nursing professions].","authors":"Christine Wittmann,&nbsp;Lilia Papst,&nbsp;Markus Reischl,&nbsp;Katja Welsch,&nbsp;Michael Käfer,&nbsp;Volker Köllner","doi":"10.13109/zptm.2021.67.oa13","DOIUrl":"https://doi.org/10.13109/zptm.2021.67.oa13","url":null,"abstract":"<p><p><i>Pilot study examining a profession-oriented rehabilitation concept for nursing professions</i> <b>Objectives:</b> Nursing professions are associated with high levels of psychological distress, high numbers of absent days and premature retirement. To achieve higher return-to-work rates, psychosomatic rehabilitation is expected to offer treatments tailored to workplace demands. This pilot study is the first to examine the effects of a new workplace-oriented medical rehabilitation program for nursing professions. <b>Methods:</b> A total of N = 145 depressed patients in nursing occupations (86.9 % female; 50.9 ± 7.34 years) took part in a workplace-oriented rehabilitation program for nursing professions. At admission they were compared to N = 147 depressed patients (63.27 % female; 49.36 ± 7.58 years) in non-nursing professions regarding patterns of work-related experience and behaviour (AVEM) using a MANOVA with follow-up ANOVAs for individual subscales. Changes in work-related attitudes among the nursing professions following completion of the intervention were assessed using a MANOVA followed by repeated measures ANOVAs. The effect of the workplace- oriented intervention on depressiveness (BDI-II) was compared to a treatment program for depression using a mixed model after taking potentially confounding variables into account. <b>Results:</b> At entry, depressed patients in nursing professions scored significantly higher on AVEM scale willingness to work to exhaustion and lower on AVEM scale distancing ability compared to depressed patients in other professions. Following completion of the workplace-oriented intervention program for nursing professions, participants showed a significant reduction on AVEM scales subjective importance of work, willingness to work to exhaustion, and striving for perfection. Increasing scores were observed on the distancing ability and life satisfaction scales. Depression scores had significantly improved at discharge in both participants of the work-oriented intervention and the disorder-specific intervention for depressive disorders, whereas neither group differences nor interaction effects were found. <b>Conclusions:</b> The work-oriented intervention for nursing professions successfully induced changes in maladaptive work-related attitudes. Improvements in depressiveness did not significantly differ from an intervention targeting depression specifically.</p>","PeriodicalId":51217,"journal":{"name":"Zeitschrift Fur Psychosomatische Medizin Und Psychotherapie","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39567370","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Mental Health Screening of Syrian Refugees in Germany: The Refugee Health Screener].","authors":"Andrea Borho Beschoner, E. Morawa, Y. Erim","doi":"10.13109/zptm.2022.68.oa1","DOIUrl":"https://doi.org/10.13109/zptm.2022.68.oa1","url":null,"abstract":"Mental Health Screening of Syrian Refugees in Germany: The Refugee Health Screener Objectives: This study investigated the psychometric properties of the time-efficient Refugee Health Screener (RHS-13 and RHS-15) for assessing mental disorders among Syrian refugees in Germany. Methods: The RHS-15 was compared with benchmark screeners on psychological distress such as depression, anxiety, somatisation and post-traumatic stress symptoms and its diagnostic quality was assessed using appropriate methods (e. g. ROC-analyses). Results: Participants were 116 Syrian refugees (age: M = 37), 69 % of them men. The RHS-13 screened 57 % and the RHS-15 screened 66 % of participants as positive for psychological distress. Both RHS versions had very good reliability and validity and reliably identified clinically relevant psychological problems related to depression, anxiety, somatisation or PTSD. The RHS-13 proved to be more economical and slightly more valid. Conclusions: Consistent with previous findings, our results suggest that the RHS is an efficient and valid screening tool for common mental health disorders among Syrian refugees in Germany.","PeriodicalId":51217,"journal":{"name":"Zeitschrift Fur Psychosomatische Medizin Und Psychotherapie","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2022-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82678895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Insight and Outcome in Long-Term Psychotherapies of Depression.","authors":"Guenther Klug,&nbsp;Carolina Seybert,&nbsp;Melanie Ratzek,&nbsp;Imke Grimm,&nbsp;Johannes Zimmermann,&nbsp;Dorothea Huber","doi":"10.13109/zptm.2021.67.oa10","DOIUrl":"https://doi.org/10.13109/zptm.2021.67.oa10","url":null,"abstract":"<p><p><b>Objectives:</b> In different therapeutic approaches, insight is acknowledged as an important part of patient's therapeutic change process. We examined whether the level of insight (1) differs between psychoanalytic (PA), psychodynamic (PD) and cognitive-behavioral therapy (CBT), and (2) predicts long-term symptomatic outcome. <b>Methods:</b> A completer sample of 67 depressed patients from the Munich Psychotherapy Study was analyzed. Symptoms were assessed with Beck Depression Inventory (BDI) and Symptom Checklist-Revised (SCL-90-R) at pre-treatment and three-year follow-up. Insight was assessed from 242 sessions of mid-therapy phase with the Experiencing Scale. <b>Results:</b> The general level of insight was higher in PA as compared to CBT, and associated with lower depressive symptoms (BDI) across all three therapeutic modalities at three-year follow-up. Insight was unrelated to general distress (SCL-90-R). Exploratory analyses suggested that patients treated with PA showed higher levels of insight especially in high quality sessions (assessed by therapist). Patients for whom the extent of insight was positively linked to session quality, suffered from more depressive symptoms at three-year follow-up than patients gaining insight when session quality was low. <b>Conclusion:</b> Insight differs between PA and CBT and may be a common change mechanism in long-term psychotherapies.</p>","PeriodicalId":51217,"journal":{"name":"Zeitschrift Fur Psychosomatische Medizin Und Psychotherapie","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39222787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Attachment predicts changes in the level of personality functioning after psychotherapeutic inpatient treatment].","authors":"Eva Flemming,&nbsp;Laura Lübke,&nbsp;Oliver Masuhr,&nbsp;Ulrich Jaeger,&nbsp;Katja Brenk-Franz,&nbsp;Robert Mestel,&nbsp;Carsten Spitzer","doi":"10.13109/zptm.2022.68.1.6","DOIUrl":"https://doi.org/10.13109/zptm.2022.68.1.6","url":null,"abstract":"<p><p><b>Objectives:</b> The relationship between patients' attachment strategies and the effectiveness of psychotherapy is empirically well established. However, studies on outcome measures other than symptomatic change are mostly lacking. The present study investigates if attachment anxiety and avoidance predict changes in personality functioning at the end of inpatient psychotherapy. <b>Method:</b> In two independent samples (the first sample consisting of N = 967 diagnostically heterogeneous patients, Fachklinikum Tiefenbrunn, and the second sample comprising N = 344 patients with personality impairments, Rehaklinik Bad Grönenbach), personality functioning was assessed by means of the short version of the OPD structure questionnaire OPD-SQS (OPD-Strukturfragebogen 12-Item-Screeningversion, OPD-SFK) at admission and discharge in a naturalistic study design. Data on the Brief Symptom Inventory (BSI) and the Inventory of Interpersonal Problems (IIP-32) were evaluated as additional outcome measures in the first sample. Patients' attachment strategies were assessed at admission using the German short version of the Experiences in Close Relationships (ECR-RD 12). <b>Results:</b> Attachment avoidance at baseline was inversely associated with improvements in personality functioning, psychopathology, and interpersonal problems. In the sample of patients diagnosed with personality disorders (sample 2), we found a negative association between attachment anxiety and improvements in the ability to make contact with others. <b>Conclusions:</b> Considering the limitations, our results underline the relevance of attachment for the treatment outcome of inpatient psychotherapy. The assessment of patient's attachment strategy as part of standardized diagnostics can be helpful in clinical practice regarding prognosis, therapy planning as well as the adjustment of the therapeutic relationship while treating patients suffering from impairments in personality functioning.</p>","PeriodicalId":51217,"journal":{"name":"Zeitschrift Fur Psychosomatische Medizin Und Psychotherapie","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40310912","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Editorial].","authors":"Claas Lahmann","doi":"10.13109/zptm.2022.68.1.3","DOIUrl":"https://doi.org/10.13109/zptm.2022.68.1.3","url":null,"abstract":"Bei ihrer Jahrestagung 2007 in Bamberg hat die Mitgliederversammlung der Deutschen Gesellschaft für Publizistikund Kommunikationswissenschaft beschlossen, Abonnements von ›Publizistik‹ sowie ›Medien und Kommunikationswissenschaft‹ in ihren Mitgliedsbeitrag einzuschließen und die Hefte zukünftig allen Mitgliedern zukommen zu lassen, und das zu einem Preis, der noch unterhalb des bisherigen Abopreises für Studierende liegt. Dieser Schritt bestätigt die Verbundenheit der Kommunikationswissenschaft mit den beiden führenden deutschen Fachzeitschriften der Disziplin. Damit sollte sich eine Konsolidierung der Auflagen einstellen, die das weitere Bestehen der Zeitschriften sichert. Seit dem Frühjahr 2007 steht die ›Publizistik‹ für die Jahrgänge 2005-2007 zusätzlich zur Printausgabe auch online zur Verfügung (www.publizistik-digital.de) und bietet so einen schnellen Zugriff auf die Inhalte sowie die Recherche aus den Datenbanksystemen der Bibliotheken heraus. Der kontinuierliche Zufluss von Manuskripten demonstriert die Bedeutung der herkömmlichen Fachzeitschrift für wissenschaftliche Veröffentlichungen. Eine Voraussetzung für das Ansehen, das Publikationen in akademischen Journals genießen, ist das »Peer review«, also die Begutachtung von Manuskripten durch Angehörige der Disziplin, um so einen hohen Standard zu gewährleisten, aber auch um den Autorinnen und Autoren Feedback zu ihren Angeboten zu liefern. Bei der ›Publizistik‹ als Herausgeberzeitschrift hat die Begutachtung durch die Herausgeber Tradition. Zusätzlich werden für jedes Manuskript zwei externe Gutachter herangezogen, die nach sachlichen Kriterien bestimmt werden. Die Manuskripte gehen in der Redaktion ein, werden dort – sofern das noch nicht gewährleistet ist – anonymisiert und erst dann an die internen und externen Gutachter weitergeleitet, so dass eine blinde Begutachtung erfolgt. Diese orientiert sich an den Kriterien, die die DGPuK im Auswahlverfahren für ihre Jahrestagungen verwendet, lässt aber auch eine darüber hinausgehende Stellungnahme zu. Die Voten der Gutachterinnen und Gutachter entscheiden über Annahme oder Ablehnung, wobei den externen Gutachten besonderes Gewicht beigemessen wird. Redaktion und Herausgebergremium bedanken sich bei den externen Gutachtern für ihre Unterstützung. Dieses anonyme Bewertungsverfahren ist eine wichtige Voraussetzung für die Aufnahme der ›Publizistik‹ in den internationalen »Social Science Citation Index (SSCI)«, eine Art Adelsprädikat für wissenschaftliche Zeitschriften. Wir bemühen uns derzeit erneut darum. Ein großes Problem für nicht-englischsprachige Zeitschriften besteht aber darin, dass ihre Beiträge hinreichend oft in SSCI-Zeitschriften zitiert werden müssen. Das sind aber fast ausschließlich englischsprachige Zeitschriften. Ein Teufelkreis. Es ist verschiedentlich diskutiert worden, wie weit Autorinnen und Autoren bei dem Review-Verfahren tatsächlich anonym bleiben. Die Redaktion tut alles, um die »doppelt blinde Begutachtung« sicherzuste","PeriodicalId":51217,"journal":{"name":"Zeitschrift Fur Psychosomatische Medizin Und Psychotherapie","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40310914","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Reliability and validity of the OPD-conflict-questionnaire in an inpatient treatment sample].","authors":"Miriam Henkel,&nbsp;Cord Benecke,&nbsp;Oliver Masuhr,&nbsp;Ulrich Jaeger,&nbsp;Carsten Spitzer","doi":"10.13109/zptm.2022.68.1.39","DOIUrl":"https://doi.org/10.13109/zptm.2022.68.1.39","url":null,"abstract":"<p><p><i>Reliability and validity of the OPD-conflict-questionnaire in an inpatient treatment sample</i> <b>Objectives:</b> Unconscious conflicts are a major part of psychodynamic diagnostics. Benecke et al. (2018) developed the OPD-conflict-questionnaire (OPD-CQ) to assess unconscious conflicts according to the Operationalized Psychodynamic Diagnostics (OPD) via self-report. We inspected its reliability and validity in a large inpatient sample with a focus on correlations with symptomatic burden, interpersonal problems, and structural level. <b>Methods:</b> N = 2083 patients completed questionnaires at the beginning of their inpatient stay in the Fachklinikum Tiefenbrunn between 2017 and 2020. We calculated internal consistencies of the OPD-CQ scales and (partial-)correlations of the OPD-CQ scales with different instruments. <b>Results:</b> Internal consistencies were only partly satisfying (for eight of 13 scales). We found significant (partial-)correlations of the conflicts with symptom severity and interpersonal problems which were in line with expectations. However, structural level correlated with more conflicts than we expected. <b>Conclusions:</b> Due to the low internal consistencies of some scales, we recommend a revision of the OPD-CQ. Still, the found correlations show the potential of the OPD-CQ as a screening instrument for patients in inpatient treatment.</p>","PeriodicalId":51217,"journal":{"name":"Zeitschrift Fur Psychosomatische Medizin Und Psychotherapie","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40310910","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}