Psycho-social medicine最新文献

{"title":"The association between psychosocial care by physicians and patients' trust: a retrospective analysis of severely injured patients in surgical intensive care units.","authors":"Sonja Thüm, Christian Janssen, Holger Pfaff, Rolf Lefering, Edmund A Neugebauer, Oliver Ommen","doi":"10.3205/psm000082","DOIUrl":"10.3205/psm000082","url":null,"abstract":"<p><strong>Aim: </strong>Trust is an essential element in physician-patient interaction fostering in general adherence and improving patient- and physician-reported outcomes. Regarding severely injured patients, trust-building behaviour is important because of the severity of injuries and therefore potential associated physical and psychological consequences. The objective of this study was to identify significant and relevant determinants on trust of severely injured patients in their physicians in surgical intensive care units.</p><p><strong>Methods: </strong>Ninety-one severely injured patients completed a self-administered questionnaire after being transferred from surgical intensive care unit to surgical unit. All patients were treated in four hospitals of maximal care in North Rhine-Westphalia between 2001 and 2005. To assess different aspects of trust the \"trust in physician\" scale of the Cologne Patient Questionnaire (CPQ) was used. \"Psychosocial care by physicians\" is measured through: support, devotion, information and shared-decision making provided by physicians. Patient- and trauma related control variables are also included in a logistic regression model.</p><p><strong>Results: </strong>Stepwise logistic regression identified \"psychosocial care provided by physicians\" as a significant contributor to severely injured patients' trust (Nagelkerke's R(2): 41%). \"Trust in physicians\" is correlated with all four dimensions of \"psychosocial care by physicians\": support (0.546), devotion (0.443), information (0.396), and shared-decision making behaviour (0.342) provided by physicians in surgical intensive care units.</p><p><strong>Conclusions: </strong>This finding confirms the importance of supportive communication style in physician-patient interaction concerning reported trust of severely injured patients on surgical intensive care units. Medical education should integrate sound knowledge about psychosocial aspects of interaction to provide effective emotional and informational support to build up and maintain patient trust.</p>","PeriodicalId":88305,"journal":{"name":"Psycho-social medicine","volume":"9 ","pages":"Doc04"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/96/90/PSM-09-04.PMC3461762.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30965380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health care utilization in Germany: The NWIn research network.","authors":"Christian Janßen,&nbsp;Enno Swart,&nbsp;Thomas von Lengerke","doi":"10.3205/psm000090","DOIUrl":"https://doi.org/10.3205/psm000090","url":null,"abstract":"Recent national and international socio-epidemiological research has consistently demonstrated a significant social gradient in health-related quality of life, morbidity andmortality, favoring the higher and disadvantaging the lower social status groups. This holds true both for Germany and Europe in general as well as for other industrialized countries such as USA or Canada. For instance, in Germany differences in life expectancy between top and lowest income groups range up to 10 years. Against this background, a crucial scientific and political question is whether the health care system inor decreases this gap. First research findings in Germany indicate that the gap might be influenced more by differences in utilization than in supply. In 2002, the working group “Health Care Research” was founded within the German Association of Medical Sociology (Deutsche Gesellschaft fur Medizinische Soziologie, DGMS), consisting of about 30 scientists. In the following years, several workshops at national and international conferences were held by members of this group. In 2007, a first book resulted from this collaboration, which was published by Juventa and presentedmedical sociological health care research in its full scope [1]. Subsequently, the special importance of utilization of health care triggered a proposal to the German Research Foundation (Deutsche Forschungsgemeinschaft, DFG) for funding a scientific network on “Health care utilization in Germany”. After its approval (grant no.: JA-1849, 1-1), the network started off under the designation of NWIn Research Network (NWIn: “Netzwerk Inanspruchnahme”, i.e. “Utilization Network”) in January 2010 for a three years funding period. In 2013, a book publication provisionally entitled “Health care utilization in Germany: theory, methodology, and outcomes” is scheduled to be published by Springer Science + Business Media. As one of its key features, all chapters of this edited book will relate to one and the same theoretical approach, namely one (if not the) internationally leading framework for utilization research: the Behavioral Model of Health Care Utilization (BM) by US medical sociologist and health services researcher Ronald M. Andersen [2], [3]. Prior to this book publication, we are happy to present for the NWIn Research Network this special issue of GMS Psycho-Social-Medicine (P-S-M). In the first of six contributions, Birgit Babitsch, Daniela Gohl and Thomas von Lengerke via a systematic review assess the explicit use of Andersen’s BM in studies conducted in Europe or Anglo-American countries and published between January 1998 and March 2011 [4]. Although associations of higher utilization were found with older age, being a woman, higher income and poorer health, there were several inconsistencies across studies, among others that the operationalizations of the model revealed that only a small common set of variables was used, and that there were huge variations in the way these variables were","PeriodicalId":88305,"journal":{"name":"Psycho-social medicine","volume":"9 ","pages":"Doc12"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/8b/c0/PSM-09-12.PMC3488808.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31034469","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Neural correlates of the perception of dynamic versus static facial expressions of emotion.","authors":"Henrik Kessler,&nbsp;Cornelia Doyen-Waldecker,&nbsp;Christian Hofer,&nbsp;Holger Hoffmann,&nbsp;Harald C Traue,&nbsp;Birgit Abler","doi":"10.3205/psm000072","DOIUrl":"https://doi.org/10.3205/psm000072","url":null,"abstract":"<p><strong>Aim: </strong>This study investigated brain areas involved in the perception of dynamic facial expressions of emotion.</p><p><strong>Methods: </strong>A group of 30 healthy subjects was measured with fMRI when passively viewing prototypical facial expressions of fear, disgust, sadness and happiness. Using morphing techniques, all faces were displayed as still images and also dynamically as a film clip with the expressions evolving from neutral to emotional.</p><p><strong>Results: </strong>Irrespective of a specific emotion, dynamic stimuli selectively activated bilateral superior temporal sulcus, visual area V5, fusiform gyrus, thalamus and other frontal and parietal areas. Interaction effects of emotion and mode of presentation (static/dynamic) were only found for the expression of happiness, where static faces evoked greater activity in the medial prefrontal cortex.</p><p><strong>Conclusions: </strong>Our results confirm previous findings on neural correlates of the perception of dynamic facial expressions and are in line with studies showing the importance of the superior temporal sulcus and V5 in the perception of biological motion. Differential activation in the fusiform gyrus for dynamic stimuli stands in contrast to classical models of face perception but is coherent with new findings arguing for a more general role of the fusiform gyrus in the processing of socially relevant stimuli.</p>","PeriodicalId":88305,"journal":{"name":"Psycho-social medicine","volume":"8 ","pages":"Doc03"},"PeriodicalIF":0.0,"publicationDate":"2011-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b3/3d/PSM-08-03.PMC3080662.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29840061","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Recurrent abdominal pain in children and adolescents - a survey among paediatricians.","authors":"Angelika A Schlarb,&nbsp;Marco D Gulewitsch,&nbsp;Inga Bock Genannt Kasten,&nbsp;Paul Enck,&nbsp;Martin Hautzinger","doi":"10.3205/psm000071","DOIUrl":"https://doi.org/10.3205/psm000071","url":null,"abstract":"<p><strong>Objective: </strong>Little is known about prevalence and usual treatment of childhood and adolescent recurrent abdominal pain (RAP) in outpatient paediatricians' practice. This study's primary objective was to acquire insights into the usual paediatricians' treatment and their estimation of prevalence, age and gender of RAP patients. Further objectives were to assess to which extent family members of patients report similar symptoms, how paediatricians rate the strain of parents of affected children and adolescents and how paediatricians estimate the demand for psychological support.</p><p><strong>Methods: </strong>Provided by a medical register, 437 outpatient paediatricians received a questionnaire to assess their perception of several psychosomatic problems and disorders including recurrent abdominal pain.</p><p><strong>Results: </strong>According to paediatricians' estimation, 15% of all visits are caused by patients with RAP. In 22% of these cases of RAP, at least one family member has similar problems. In about 15% of all RAP cases, parents ask for professional psychological support concerning their children's issues, whereas 40% of paediatricians wish for psychological support considering this group of patients.</p><p><strong>Conclusions: </strong>Estimated frequencies and paediatricians' demands show the need for evidence-based psychological interventions in RAP to support usual medical treatment.</p>","PeriodicalId":88305,"journal":{"name":"Psycho-social medicine","volume":"8 ","pages":"Doc02"},"PeriodicalIF":0.0,"publicationDate":"2011-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c7/1f/PSM-08-02.PMC3070435.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29794250","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mental strain among staff at medical rehabilitation clinics in Germany.","authors":"Mirjam Koerner","doi":"10.3205/psm000070","DOIUrl":"https://doi.org/10.3205/psm000070","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of the study is to compare the frequency of mental strain effects on employees in somatic and psychosomatic rehabilitation clinics as well as between the different occupational groups. Associations between mental strain effects and working conditions, cooperation in the team and employee satisfaction are also investigated.</p><p><strong>Methods: </strong>The present study is cross-sectional with a descriptive-explorative design. It is composed of a survey with standardized questionnaires (Human Service Workload, Questionnaire on Teamwork and Questionnaire on Staff Satisfaction in Medical Rehabilitation) and global items, and was conducted among all employees of twelve rehabilitation teams (five somatic and seven psychosomatic rehabilitation clinics (n=549)). The response rate of the survey averaged 45% (n=252).</p><p><strong>Results: </strong>One in four participants reported being emotionally exhausted. There were significantly more emotionally exhausted employees working in the psychosomatic (31%) than in the somatic rehabilitation clinics (16%) (X(2)=7.403, df=1, p<0.05), with physicians most frequently reporting emotional exhaustion (45%). The negative appraisal of mental strain effects is accompanied by negative values for cooperation in the team and employee satisfaction (r=-.38 to r=-.50, p<.001). There were mostly high correlations (r=-.503 to r=-.609) between the working conditions and the mental strain effects (emotional exhaustion, intrinsic motivation, dissatisfaction).</p><p><strong>Conclusions: </strong>The results clearly show that the employees in medical rehabilitation clinics have a high stress level at work, a situation which is also known in other health care organizations. Observations of strong associations between cooperation in the team and strain effects confirm the positive impact of social support in the daily work routine. Correlation between the subjective appraisal of working conditions and the impact of strain is mostly high. It can be assumed that the strain effects can be influenced positively with supportive team and human resource development (person-related interventions) and interventions that enhance working conditions (condition-related interventions).</p>","PeriodicalId":88305,"journal":{"name":"Psycho-social medicine","volume":"8 ","pages":"Doc01"},"PeriodicalIF":0.0,"publicationDate":"2011-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e7/79/PSM-08-01.PMC3028660.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29645032","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Online counseling via e-mail for breast cancer patients on the German internet: preliminary results of a psychoeducational intervention.","authors":"Niklas David,&nbsp;Peter Schlenker,&nbsp;Uwe Prudlo,&nbsp;Wolfgang Larbig","doi":"10.3205/psm000074","DOIUrl":"https://doi.org/10.3205/psm000074","url":null,"abstract":"<p><strong>Objectives: </strong>The internet offers new possibilities in psychosocial patient care. However, empirical data are lacking for oncological patients. A field-experimental study was conducted to obtain initial data to enable evaluation of the effectiveness of online counseling via e-mail for breast cancer patients. A secondary objective was to explore how patients reached by the service can be characterized on psychosocial status and illness.</p><p><strong>Methods: </strong>On a dedicated German-language website, 235 breast cancer patients registered for psychosocial counseling via e-mail. 133 registrants were randomly assigned to a treatment group to receive immediate counseling or to a waiting list control group. The two-month counseling session took the form of a psychoeducation, individually tailored to each patient. Psychosocial outcome measures including psychological distress (BSI) and quality of life (EORTC QLQ-C30) were assessed at registration and at a two-month follow-up. Descriptive data were recorded at registration. At the conclusion of the program, participants were asked to complete a patient satisfaction questionnaire (ZUF-8).</p><p><strong>Results: </strong>BSI responses showed that 85% of all patients were initially diagnosable with comorbid psychopathology. Despite high severity of distress and attendant large reductions in quality of life, 72% of all patients were not obtaining conventional assistance. Among counseling participants (n=31), no significant improvements in distress or quality of life were found in comparison to the control group (n=34), but patient satisfaction was nonetheless high.</p><p><strong>Conclusion: </strong>The study demonstrates that online counseling via e-mail reaches patients with unmet therapeutic needs, but also indicated its limitations, suggesting that the online setting may be most useful for prompting and supporting a transition to conventional counseling services.</p>","PeriodicalId":88305,"journal":{"name":"Psycho-social medicine","volume":"8 ","pages":"Doc05"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3205/psm000074","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30144362","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Why we still don't understand the depressed brain - Not going beyond snapshots.","authors":"Henrik Kessler,&nbsp;Harald Traue,&nbsp;Daniel Wiswede","doi":"10.3205/psm000075","DOIUrl":"https://doi.org/10.3205/psm000075","url":null,"abstract":"<p><p>Although remarkable progress has been made in the search for the brain correlates of depression with neuroimaging methods, we still find a heterogeneity of results and lack of consensus. This short commentary proposes a theoretical reason for this situation linking it to the methods of conducting neuroimaging studies of depression and the ways to interpret findings. If we only take one snapshot of the \"depressed brain\", the brain activity is presumably the result of four interacting components: neural predispositions, depressogenic pathology, changes caused by (chronic) depression, and compensatory brain mechanisms. The four components will be discussed briefly along with arguments why confusion of them might confuse our view of the brain in depression. After a short presentation of promising new longitudinal studies, this commentary gives first hints how we could go beyond snapshots to better understand the brain in depression.</p>","PeriodicalId":88305,"journal":{"name":"Psycho-social medicine","volume":" ","pages":"Doc06"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b8/bb/PSM-08-06.PMC3203529.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40125469","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Why not? - Communicating stochastic information by use of unsorted frequency pictograms - a randomised controlled trial.","authors":"Jürgen Kasper, Christoph Heesen, Sascha Köpke, Ingrid Mühlhauser, Matthias Lenz","doi":"10.3205/psm000077","DOIUrl":"10.3205/psm000077","url":null,"abstract":"<p><strong>Objective: </strong>Statistical health risk information has been proven confusing and difficult to understand. While existing research indicates that presenting risk information in frequency formats is superior to relative risk and probability formats, the optimal design of frequency formats is still unclear. The aim of this study was to compare presentation of multi-figure pictographs in consecutive and random arrangements regarding accuracy in perception and vulnerability for cognitive bias.</p><p><strong>Methods: </strong>A total of 111 patients with multiple sclerosis were randomly assigned to two experimental conditions: patient information using 100 figure pictographs in 1) unsorted (UP group) or 2) consecutive arrangement (CP group).The study experiment was framed as patient information on how risks and benefit could be explained. The information comprised two scenarios of a treatment decision with varying levels of emotional relevance. Primary outcome measure was accuracy of information recall (errors made when recalling previously presented frequencies of benefits and side effects). Cognitive bias was measured as additional error appearing with higher emotional involvement. The uncertainty tolerance scale and a set of items to assess risk attribution were surveyed.</p><p><strong>Results: </strong>The study groups did not differ in their accuracy of recalling benefits, but recall of side effects was more accurate in the CP-group. Cognitive bias when recalling benefits was higher in the UP-group than in the CP-group and equal for side effects in both groups. RESULTS were similar in subgroup analyses of patients 1) with highly irrational risk attribution 2) with experience regarding the hypothetical contents or 3) with experience regarding pictograph presentation of frequencies. Overall, benefit was overestimated by more than 100% and variance of recall was extremely high.</p><p><strong>Conclusions: </strong>Consecutive arrangement as commonly used seems not clearly superior to unsorted arrangement which is more close to reality. General poor performance and the corresponding high variance of recall might have clouded existing effects of the arrangement types. More research is needed with varying proportions and other samples.</p>","PeriodicalId":88305,"journal":{"name":"Psycho-social medicine","volume":" ","pages":"Doc08"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/9f/52/PSM-08-08.PMC3206301.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40127888","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Regulation of emotions in the community: suppression and reappraisal strategies and its psychometric properties.","authors":"Jörg Wiltink,&nbsp;Heide Glaesmer,&nbsp;Marco Canterino,&nbsp;Klaus Wölfling,&nbsp;Achim Knebel,&nbsp;Henrik Kessler,&nbsp;Elmar Brähler,&nbsp;Manfred E Beutel","doi":"10.3205/psm000078","DOIUrl":"https://doi.org/10.3205/psm000078","url":null,"abstract":"<p><strong>Objective: </strong>The German Version of the Emotion Regulation Questionnaire (ERQ) has recently been published. The questionnaire investigates two common emotion regulation strategies (10 items) on two scales (suppression, reappraisal). Major aims of the study were to assess the reliability and factor structure of the ERQ, to determine population based norms and to investigate relations of suppression and reappraisal to anxiety, depression and demographic characteristics.</p><p><strong>Methods: </strong>In a representative community study (N=2524) we assessed emotion regulation strategies, anxiety, depression (Hospital Anxiety and Depression Scale), and demographic variables. The mean age of the participants was 49.4 (SD 18.2) years. 55.5% were female. The age-groups were represented in comparable proportions. The representativeness of the sample was ensured by drawings of ADM (Arbeitskreis Deutscher Marktforscher) samples und by comparison with the data of German Federal Statistical Office.</p><p><strong>Results: </strong>Confirmatory factor analysis could not fully confirm the original factor structure, we kept the original scaling, except a modification regarding item 8. Internal consistencies were acceptable for the original and the modified version: reappraisal (Cronbach's alpha = 0.82) and suppression (alpha = 0.76). Norms are presented as percentile scores for age groups and gender. Reappraisal correlated negative with anxiety and depression, whereas we could find a positive relationship of suppression with anxiety and depression. In a linear regression model suppression was predicted by depression, a lower level of education, male gender, and lower income.</p><p><strong>Conclusions: </strong>The ERQ is a short instrument to assess emotion regulation strategies economically, e.g. in larger community based studies. We could demonstrate sufficient psychometric properties of the German version of the ERQ: reliability, factor structure and indicators for construct validity. Because of the cross sectional character of our study it remains unclear whether reappraisal is protective and suppression is unfavourable regarding mental health or whether life circumstances and psychic symptoms lead to a suppression of emotions.</p>","PeriodicalId":88305,"journal":{"name":"Psycho-social medicine","volume":"8 ","pages":"Doc09"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/aa/19/PSM-08-09.PMC3246277.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30354701","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Integration and health-related quality of life of undergraduate medical students with migration backgrounds - Results of a survey.","authors":"Jennifer Kurré,&nbsp;Johanna Scholl,&nbsp;Monika Bullinger,&nbsp;Corinna Petersen-Ewert","doi":"10.3205/psm000076","DOIUrl":"https://doi.org/10.3205/psm000076","url":null,"abstract":"<p><strong>Objective: </strong>Most medical faculties in Germany are still lacking differentiated counseling programmes for specific target groups. The purpose of the present study was to determine the quality of life and integration of students with migration backgrounds and their interests in counseling programmes.</p><p><strong>Methods: </strong>Data was collected at the University Medical Center Hamburg-Eppendorf in Germany. Participants were students of the undergraduate medical course; n=890 (89.3%) students without migration backgrounds were compared to n=107 (10.7%) students with an existing migration background.</p><p><strong>Results: </strong>The results showed that medical students with migration backgrounds reported lower scores for health-related quality of life compared to students without a migration background. They felt less accepted and supported by their fellow students and had fewer contacts with other students. Medical students with migration backgrounds were characterised by a higher interest in the implementation of a counseling programme (Z=-3.420; p=.001).</p><p><strong>Conclusions: </strong>In summary, medical students with migration backgrounds were identified as a group with an increased need for a specific counseling service. Lower scores of mental health and feelings of inferior integration set the necessity for early counseling and intervention needs.</p>","PeriodicalId":88305,"journal":{"name":"Psycho-social medicine","volume":" ","pages":"Doc07"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ef/88/PSM-08-07.PMC3203528.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40125470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}