Psycho-social medicine最新文献

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The influence of neuroticism and psychological symptoms on the assessment of images in three-dimensional emotion space. 神经质和心理症状对三维情感空间图像评价的影响。
Psycho-social medicine Pub Date : 2011-01-01 Epub Date: 2011-06-06 DOI: 10.3205/psm000073
Steffen Walter, Henrik Kessler, Sascha Gruss, Lucia Jerg-Bretzke, Andreas Scheck, Jochen Ströbel, Holger Hoffmann, Harald C Traue
{"title":"The influence of neuroticism and psychological symptoms on the assessment of images in three-dimensional emotion space.","authors":"Steffen Walter,&nbsp;Henrik Kessler,&nbsp;Sascha Gruss,&nbsp;Lucia Jerg-Bretzke,&nbsp;Andreas Scheck,&nbsp;Jochen Ströbel,&nbsp;Holger Hoffmann,&nbsp;Harald C Traue","doi":"10.3205/psm000073","DOIUrl":"https://doi.org/10.3205/psm000073","url":null,"abstract":"<p><strong>Objective: </strong>The present study investigated the influence of neuroticism (NEO Five-Factor Inventory (NEO-FFI)) and psychological symptoms (Brief Symptom Inventory (BSI)) on pleasure, arousal, and dominance (PAD) ratings of the International Affective Picture System (IAPS).</p><p><strong>Methods: </strong>The subjects (N=131) were presented with images from the IAPS (30 images) and new images (30 images). The influence of neuroticism and BSI (median split: high vs. low) on the assessment of pleasure, arousal and dominance of the images was examined. Correlations of pleasure, arousal and dominance were presented in a 3-D video animation.</p><p><strong>Results: </strong>Subjects with high scores (compared to subjects with low scores by median split) of neuroticism and psychological symptoms of the BSI rated the presented emotional images more negative in the valence dimension (pleasure), higher in arousal and less dominant.</p><p><strong>Conclusion: </strong>Neuroticism and psychological symptoms influence the subjective emotional evaluation of emotional images. Therefore the location in the three-dimensional emotion space depends on individual differences. Such differences must be kept in mind, if correlations between emotion ratings and other variables like psychobiological measures are analyzed.</p>","PeriodicalId":88305,"journal":{"name":"Psycho-social medicine","volume":"8 ","pages":"Doc04"},"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/bf/65/PSM-08-04.PMC3118695.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29957998","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}
引用次数: 16
Low effective organizational strategies in visual memory performance of unmedicated alcoholics during early abstinence. 早期戒酒期间未服药酗酒者视觉记忆表现的低有效组织策略。
Psycho-social medicine Pub Date : 2010-12-14 DOI: 10.3205/psm000069
Isolde Daig, Richard Mahlberg, Franziska Schroeder, Yehonala Gudlowski, Jana Wrase, Florian Wertenauer, Tom Bschor, Guenter Esser, Andreas Heinz, Thorsten Kienast
{"title":"Low effective organizational strategies in visual memory performance of unmedicated alcoholics during early abstinence.","authors":"Isolde Daig,&nbsp;Richard Mahlberg,&nbsp;Franziska Schroeder,&nbsp;Yehonala Gudlowski,&nbsp;Jana Wrase,&nbsp;Florian Wertenauer,&nbsp;Tom Bschor,&nbsp;Guenter Esser,&nbsp;Andreas Heinz,&nbsp;Thorsten Kienast","doi":"10.3205/psm000069","DOIUrl":"https://doi.org/10.3205/psm000069","url":null,"abstract":"<p><strong>Objective: </strong>Alcohol-dependent patients in early abstinence show an impairment of cognitive functions which can be seen in poor implementation of newly learned skills for avoiding relapse. Executive dysfunction may persist during abstinence in alcohol-dependent persons, thus mitigating long-term abstinence. This study assessed visual memory function and choice of organizational strategies in alcoholics, as these are major factors necessary to implement ongoing behavior changes which are required for maintaining abstinence.</p><p><strong>Methods: </strong>We investigated 25 severely alcohol-dependent male patients between days 7 to 10 of abstinence, immediately after clinical withdrawal symptoms have ceased, compared to 15 healthy age, sex, and education matched controls. Pharmacological therapy had been terminated at least four half-lifes before inclusion into the study. Visual perceptual learning and organizational strategies were assessed with the Rey-Osterrieth Complex Figure Test (R-OCF).</p><p><strong>Results: </strong>There were no group differences in copying or recalling the figure, but time differences occurred. Alcoholics and healthy controls performed worse in recalling than in copying. But, alcoholics used less effective organizational strategies.</p><p><strong>Conclusions: </strong>There was a deficit in choice of organizational strategy in newly abstinent and unmedicated alcohol-dependent patients. Due to the imperfect organizational strategies, alcoholics might need auxiliary therapeutic care to strengthen their cognitive ability.</p>","PeriodicalId":88305,"journal":{"name":"Psycho-social medicine","volume":"7 ","pages":"Doc07"},"PeriodicalIF":0.0,"publicationDate":"2010-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e2/ff/PSM-07-07.PMC3001689.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29537442","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}
引用次数: 14
Suicidality, depression, major and minor negative life events: a mediator model. 自杀、抑郁、主要和次要负面生活事件:一个中介模型。
Psycho-social medicine Pub Date : 2010-09-22 DOI: 10.3205/psm000067
Jochen Hardt, Jeffrey G Johnson
{"title":"Suicidality, depression, major and minor negative life events: a mediator model.","authors":"Jochen Hardt,&nbsp;Jeffrey G Johnson","doi":"10.3205/psm000067","DOIUrl":"https://doi.org/10.3205/psm000067","url":null,"abstract":"<p><strong>Background: </strong>Major negative life events are associated with higher suicidality. In this association, two mediating paths were hypothesized: (a) via minor negative life events and (b) via depression.</p><p><strong>Methods: </strong>Ninety-six adolescent primary care patients were recruited in clinics, a physician's office, and school nurses' offices.</p><p><strong>Results: </strong>(1) Minor negative life events were associated with depressive symptoms and suicidality. (2) Depressive symptoms were associated with suicidality. (3) Depressive symptoms mediated the association of minor negative life events with suicidality.</p><p><strong>Conclusions: </strong>Findings suggest that minor negative life events may be associated with suicidal ideation among adolescent primary care patients, and that depressive symptoms may mediate the association of minor negative life events with suicidality.</p>","PeriodicalId":88305,"journal":{"name":"Psycho-social medicine","volume":"7 ","pages":"Doc05"},"PeriodicalIF":0.0,"publicationDate":"2010-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/74/35/PSM-07-05.PMC2996056.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29519958","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}
引用次数: 11
Six-year follow-up of patients with functional bowel disorders, with and without previous psychotherapy. 对功能性肠病患者进行为期六年的随访,不论是否有过心理治疗。
Psycho-social medicine Pub Date : 2010-09-22 DOI: 10.3205/psm000068
Ute Martens, Gabriele Caspari, Anna Rilk, Jochen Hefner, Martin Teufel, Sibylle Klosterhalfen, Stephan Zipfel, Paul Enck
{"title":"Six-year follow-up of patients with functional bowel disorders, with and without previous psychotherapy.","authors":"Ute Martens,&nbsp;Gabriele Caspari,&nbsp;Anna Rilk,&nbsp;Jochen Hefner,&nbsp;Martin Teufel,&nbsp;Sibylle Klosterhalfen,&nbsp;Stephan Zipfel,&nbsp;Paul Enck","doi":"10.3205/psm000068","DOIUrl":"https://doi.org/10.3205/psm000068","url":null,"abstract":"<p><strong>Introduction: </strong>Long-term follow-up studies in patients with functional bowel disorders are rare.</p><p><strong>Methods: </strong>Of 85 patients with functional bowel disorders diagnosed in 2000, forty-eight patients responded to a postal questionnaire 6 years later (2006).</p><p><strong>Results: </strong>Gastrointestinal symptom severity was similar to that at the initial diagnosis. Anxiety and depression (HADS) were significantly decreased, however, depending on previous psychotherapy (PT) experience. Men but not women that had participated in PT exhibited reduced symptoms more pronounced than did patients without PT.</p><p><strong>Discussion: </strong>Anxiety and depression may determine consulting behaviour, but this appears unrelated to intestinal symptoms and their severity. Short-term PT contributes to long-term well-being especially in men.</p>","PeriodicalId":88305,"journal":{"name":"Psycho-social medicine","volume":"7 ","pages":"Doc06"},"PeriodicalIF":0.0,"publicationDate":"2010-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/63/c5/PSM-07-06.PMC2996055.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29519957","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}
引用次数: 7
Psychodynamic mechanism and weight reduction in obesity group therapy - first observations with different attachment styles. 肥胖群体治疗的心理动力机制与体重减轻——不同依恋类型的首次观察。
Psycho-social medicine Pub Date : 2010-08-31 DOI: 10.3205/psm000066
Sybille Kiesewetter, Andrea Köpsel, Werner Köpp, Bettina Kallenbach-Dermutz, Andreas F H Pfeiffer, Joachim Spranger, Hans-Christian Deter
{"title":"Psychodynamic mechanism and weight reduction in obesity group therapy - first observations with different attachment styles.","authors":"Sybille Kiesewetter,&nbsp;Andrea Köpsel,&nbsp;Werner Köpp,&nbsp;Bettina Kallenbach-Dermutz,&nbsp;Andreas F H Pfeiffer,&nbsp;Joachim Spranger,&nbsp;Hans-Christian Deter","doi":"10.3205/psm000066","DOIUrl":"https://doi.org/10.3205/psm000066","url":null,"abstract":"<p><strong>Objectives: </strong>Successful long-term results are extremely rare in non-surgical obesity treatment. Interactional difficulties with the attending physicians and the limited compliance of obese patients are a frequently described dilemma in repeated psychotherapeutic group treatment attempts. The type of relationship initiation and the attachment behavior probably play a central role in this connection but have not yet been systematically investigated.</p><p><strong>Methods: </strong>This paper focuses on the attachment styles of obese subjects and their effects on psychodynamic group therapy within the context of a weight-reduction program.</p><p><strong>Results: </strong>The attachment styles are characterized in 107 pre-obese and obese patients, and their effects on patients and therapists in group therapy are described.</p><p><strong>Conclusion: </strong>The paper surveys the motivational situation, clinical pictures, and repeated group topics.</p>","PeriodicalId":88305,"journal":{"name":"Psycho-social medicine","volume":"7 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2010-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ed/69/PSM-07-04.PMC2940216.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29342068","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}
引用次数: 15
Health-related quality of life in adolescents and young adults with high functioning autism-spectrum disorder. 高功能自闭症谱系障碍青少年的健康相关生活质量。
Psycho-social medicine Pub Date : 2010-08-31 DOI: 10.3205/psm000065
Inge Kamp-Becker, Johanna Schröder, Helmut Remschmidt, Christian J Bachmann
{"title":"Health-related quality of life in adolescents and young adults with high functioning autism-spectrum disorder.","authors":"Inge Kamp-Becker, Johanna Schröder, Helmut Remschmidt, Christian J Bachmann","doi":"10.3205/psm000065","DOIUrl":"10.3205/psm000065","url":null,"abstract":"<p><strong>Aim: </strong>Over the last years, health-related quality of life (HRQOL) has emerged as an important measure not only in somatic medicine but also in psychiatry. To date, there are only few reports on HRQOL in patients with autism-spectrum disorder (ASD). This study aimed at studying HRQOL in ASD patients with an IQ >70, using a self-report HRQOL questionnaire with cross-cultural validity.</p><p><strong>Methods: </strong>In this cross-sectional study, twenty-six male adolescents and young adults with the diagnosis of Asperger Syndrome, high functioning autism and atypical autism were evaluated, using the German version of the WHOQOL-BREF HRQOL questionnaire.</p><p><strong>Results: </strong>Mean WHOQOL-BREF global scores were 60.6 (SD ±26.1), mean WHOQOL-BREF subscale scores were 70.1 (SD ±19.1) for the domain \"physical health\", 61.5 (SD ±21.9) for the domain \"psychological health\", 53.8 (SD ±23.5) for the domain \"social relationships\" and 67.9 (SD ±17.4) for the domain \"environment\". Compared to a reference population of healthy controls, our sample scored significantly lower in three of four WHOQOL-BREF domains. In comparison to a reference sample of individuals with schizophrenia spectrum disorder (SSD), HRQOL of our sample was significantly better in all domains except for the \"social relations\" domain. There was a significant association between HRQOL and the Vineland Adaptive Behavior Scales domain \"daily living skills\", but not with age, IQ, or ADOS-G summary scores.</p><p><strong>Conclusion: </strong>Overall self-reported HRQOL in patients with high functioning ASD seems to be lower than in healthy individuals, but better than in patients with SSD. Also, higher HRQOL was associated with better daily living skills. This interrelationship should especially be accounted for in the design and application of treatment programmes for individuals with ASD, as it is of importance for the level of self-perceived HRQOL.</p>","PeriodicalId":88305,"journal":{"name":"Psycho-social medicine","volume":"7 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2010-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ae/91/PSM-07-03.PMC2940215.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29342067","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}
引用次数: 0
The relationship of quality of life and distress in prostate cancer patients compared to the general population. 前列腺癌患者与普通人群生活质量和痛苦的关系。
Psycho-social medicine Pub Date : 2010-06-30 DOI: 10.3205/psm000064
Markus Zenger, Antje Lehmann-Laue, Jens-Uwe Stolzenburg, Thilo Schwalenberg, Alexander Ried, Andreas Hinz
{"title":"The relationship of quality of life and distress in prostate cancer patients compared to the general population.","authors":"Markus Zenger,&nbsp;Antje Lehmann-Laue,&nbsp;Jens-Uwe Stolzenburg,&nbsp;Thilo Schwalenberg,&nbsp;Alexander Ried,&nbsp;Andreas Hinz","doi":"10.3205/psm000064","DOIUrl":"https://doi.org/10.3205/psm000064","url":null,"abstract":"<p><strong>Background: </strong>The aim of this study is two-fold. The first part compares quality of life (QoL) data of prostate cancer patients with those of a representative and age-specific sample of the general population and analyzes the influence of cancer related as well as socio-demographic parameters on QoL. Secondly, differences in QoL depending on the experienced psychological distress will be shown both in prostate cancer patients and in the general population.</p><p><strong>Material and methods: </strong>A sample of 265 prostate cancer patients completed both the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) and the Hospital Anxiety and Depression Scale (HADS) during their stay in the hospital. A total HADS cut off score of 15 was used to indicate psychological distress and significant emotional concerns in patients and men of the general population. The results of the patients were compared with those of the general population (N=444).</p><p><strong>Results: </strong>Prostate cancer patients reported significantly worse levels of social and emotional functioning as well as more symptoms like insomnia, constipation and diarrhea compared to the general population. Patients and men of the general population with a total HADS score >/=15 reported lower QoL in all sub-scales except for diarrhea in comparison to people without distress.</p><p><strong>Discussion: </strong>Psychological distress is accompanied by lower QoL and therefore should be taken into consideration when QoL is assessed. Furthermore, clinicians should be trained by professionals to detect distress in their patients and to pay more attention to their emotional concerns, which are strongly associated with the patients' well-being and QoL during their stay in hospital.</p>","PeriodicalId":88305,"journal":{"name":"Psycho-social medicine","volume":"7 ","pages":"Doc02"},"PeriodicalIF":0.0,"publicationDate":"2010-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/3f/18/PSM-07-02.PMC2899861.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29119609","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}
引用次数: 48
Excess direct medical costs of severe obesity by socioeconomic status in German adults. 德国成年人严重肥胖的直接医疗费用与社会经济地位有关。
Psycho-social medicine Pub Date : 2010-04-20 DOI: 10.3205/psm000063
Thomas von Lengerke, Jürgen John, Andreas Mielck
{"title":"Excess direct medical costs of severe obesity by socioeconomic status in German adults.","authors":"Thomas von Lengerke,&nbsp;Jürgen John,&nbsp;Andreas Mielck","doi":"10.3205/psm000063","DOIUrl":"https://doi.org/10.3205/psm000063","url":null,"abstract":"<p><strong>Objective: </strong>Excess direct medical costs of severe obesity are by far higher than of moderate obesity. At the same time, severely obese adults with low socioeconomic status (SES) may be expected to have higher excess costs than those with higher SES, e.g. due to more comorbidities. This study compares excess costs of severe obesity among German adults across different SES groups.</p><p><strong>Methods: </strong>In a subsample (N=947) of the KORA-Survey S4 1999/2001 (a cross-sectional health survey in the Augsburg region, Germany; age group: 25-74 years), visits to physicians, inpatient days in hospital, and received and purchased medication were assessed via computer-assisted telephone interviews (CATI) over half a year. Body mass index (BMI in kg/m(2)) was measured anthropometrically. SES was determined via reports of education, income, and occupational status from computer-assisted personal interviews (CAPI) (used both as single indicators, and as indexed by the Helmert algorithm); due to small subsample sizes all were median-split. Data of respondents in normal weight (18.5 </= BMI < 25), preobese (25 </= BMI < 30), moderately (class 1:30 </= BMI < 35) and severely obese (classes 2-3: BMI >/= 35) range were analysed by generalized linear models with mixed poisson-gamma (Tweedie) distributions. Physician visits and inpatient days were valuated as recommended by the Working Group METHODS in Health Economic Evaluation (AG MEG), and drugs were valuated by actual costs. Sex, age, kind of sickness fund (statutory/private) and place of residence (urban/rural) were adjusted for, and comorbidities were considered by the Physical Functional Comorbidity Index (PFCI).</p><p><strong>Results: </strong>Excess costs of severe obesity were higher in respondents with high SES, regardless of the SES indicator used. For instance, annual excess costs were almost three times higher in those with an above-median SES-Index as compared with those with a median or lower SES-Index (plus euro 2,966 vs. plus euro 1,012; contrast significant at p<.001). Mediation of excess costs of severe obesity by physical comorbidities pertained to the low SES-Index and the low occupational status groups: differences in costs between severe obesity and normal weight were still positive, but statistically insignificant, in the lower status groups after adjusting for the PFCI, but still positive and significant given higher SES. For example, severe obesity's excess costs were euro 2,406 after PFCI-adjustment in the high SES-Index group (p<.001), but euro 539 in the lower status group (p=.17). At the same time, physical comorbidities as defined by the PCFI increased with BMI and decreased with SES, however the factors BMI and SES did not significantly interact in this context.</p><p><strong>Conclusions: </strong>To our knowledge, this is the first study to show in Germany that excess direct medical costs of severe obesity are not distributed equitably across different SES","PeriodicalId":88305,"journal":{"name":"Psycho-social medicine","volume":"7 ","pages":"Doc01"},"PeriodicalIF":0.0,"publicationDate":"2010-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/3d/e2/PSM-07-01.PMC2858876.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28946116","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}
引用次数: 27
Is worry different from rumination? Yes, it is more predictive of psychopathology! 忧虑和沉思有什么不同吗?是的,它更能预测精神病理!
Psycho-social medicine Pub Date : 2009-11-05 DOI: 10.3205/psm000062
Jürgen Hoyer, Andrew T Gloster, Philipp Yorck Herzberg
{"title":"Is worry different from rumination? Yes, it is more predictive of psychopathology!","authors":"Jürgen Hoyer,&nbsp;Andrew T Gloster,&nbsp;Philipp Yorck Herzberg","doi":"10.3205/psm000062","DOIUrl":"https://doi.org/10.3205/psm000062","url":null,"abstract":"<p><strong>Objective: </strong>Although worry and rumination are everyday phenomena as well as common symptoms across numerous psychopathological disorders, the theoretical and clinical delineations of both concepts need more clarification. This study explored the degree of overlap between worry and rumination on the levels of standardized questionnaires and a priori lay concepts.</p><p><strong>Method: </strong>The subjective conceptualization of worry and of rumination of 221 undergraduate and graduate students was assessed with the semantic differential technique, together with the frequency and intensity with which they experienced worry and rumination (based on their lay concepts). Standardized self-report measures for worry, rumination, depression, and anxiety were also administered.</p><p><strong>Results: </strong>Worry was viewed as more negative than rumination and was more predictive of anxiety as well as of depression than rumination, especially when the assessment was based on the subjective lay concepts. The different measures of worry and rumination were only moderately correlated with each other.</p><p><strong>Conclusion: </strong>It is concluded that the lay concepts worry and rumination and the hypothetical constructs worry and rumination should not be confused in personality and clinical research.</p>","PeriodicalId":88305,"journal":{"name":"Psycho-social medicine","volume":"6 ","pages":"Doc06"},"PeriodicalIF":0.0,"publicationDate":"2009-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/eb/97/PSM-06-06.PMC2778826.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28538402","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}
引用次数: 43
Development of a patient decision aid for prevention of myocardial infarction in type 2 diabetes - rationale, design and pilot testing. 开发用于预防 2 型糖尿病心肌梗死的患者决策辅助工具--原理、设计和试点测试。
Psycho-social medicine Pub Date : 2009-10-19 DOI: 10.3205/psm000061
Matthias Lenz, Jürgen Kasper, Ingrid Mühlhauser
{"title":"Development of a patient decision aid for prevention of myocardial infarction in type 2 diabetes - rationale, design and pilot testing.","authors":"Matthias Lenz, Jürgen Kasper, Ingrid Mühlhauser","doi":"10.3205/psm000061","DOIUrl":"10.3205/psm000061","url":null,"abstract":"<p><strong>Aims: </strong>Development and testing of a decision aid about prevention of myocardial infarction for persons with type 2 diabetes.</p><p><strong>Methods: </strong>Development and testing were guided by the UK Medical Research Council's guidance for the development and evaluation of complex interventions. This comprised a systematic literature review, a focus group of 9 potential providers, modelling a prototype, interviews to qualitatively explore understanding and additional information needs, and revision of the decision aid.</p><p><strong>Results: </strong>The decision aid includes evidence-based information, a tool for individual risk-assessment, worksheets, and an action plan. Five diabetes educators and 15 patients underwent two 60-minutes face-to-face interviews, firstly browsing the decision aid for the first time and then after using it. Both groups differed in their ratings. Overall, the decision aid was rated to present essential information in a complex but understandable and unbiased manner. Difficulties involved understanding of terminology and risk interpretation. \"Social status as a risk factor\" was the most challenged content by educators but considered as highly important by patients. The risk assessment tool was used inadequately. 5 patients allocated themselves into false risk categories. After revision of the tool, all 12 patients who were recruited for reassessment used the tool correctly.</p><p><strong>Conclusion: </strong>The decision aid was evaluated with diabetes educators and patients. Qualitative data analysis revealed aspects for revision. The decision aid is planned to be part of a shared decision making programme, comprising a strategy for patient counselling and educational modules addressed to providers. Quantitative evaluation is required to assess its effectiveness.</p>","PeriodicalId":88305,"journal":{"name":"Psycho-social medicine","volume":"6 ","pages":"Doc05"},"PeriodicalIF":0.0,"publicationDate":"2009-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/0b/e4/PSM-06-05.PMC2775196.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28506436","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}
引用次数: 0
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