Psycho-social medicine最新文献

{"title":"Recording of dissimulation and denial in the context of the psychosomatic evaluation at living kidney transplantation using the Minnesota Multiphasic Personality Inventory (MMPI).","authors":"Uwe Wutzler,&nbsp;Margit Venner,&nbsp;Thomas Villmann,&nbsp;Oliver Decker,&nbsp;Undine Ott,&nbsp;Thomas Steiner,&nbsp;Antje Gumz","doi":"10.3205/psm000060","DOIUrl":"https://doi.org/10.3205/psm000060","url":null,"abstract":"<p><strong>Objective: </strong>Living organ donation involves interference with a healthy organism. Therefore, most transplantation centres ascertain the voluntariness of the donation as well as its motivation by means of a psychosomatic evaluation. The circumstance that the evaluation is compulsory and not a primary concern of the donor-recipient pair may occasion respondents to present only what they consider innocuous and socially adequate. Thus, the information value of the results can be considerably affected.</p><p><strong>Methods: </strong>In the context of a psychosomatic evaluation prior to living kidney transplantation, 71 donor-recipient pairs were screened at the transplantation centre of Friedrich Schiller University, Jena. Using the validity scales of the Minnesota Multiphasic Personality Inventory (MMPI) (\"infrequency\" (F), \"lie\" (L) and \"correction-scales\" (K)) and the Dissimulation Index according to Gough (\"F-K\"), we tried to find traits of dissimulation and denial.</p><p><strong>Results: </strong>About 50% of the participants showed an infrequency raw score of zero. This means that at least half of the sample is apprehensive which may cause a cautious and controlled attitude towards the examination. The K-value (T>/=59) and the Dissimulation Index (F-K</=-15) indicated dissimulation in 29% and 26% of the overall sample. Moreover, it affects the score of 11 respondents (8%) so profoundly that any significance regarding the personality traits is lost.</p><p><strong>Conclusion: </strong>In the setup of the examination situation as well as in the interpretation of test-psychological findings, the occurrence and possible influence of dissimulation should be considered. The validity scale of the MMPI can help to obtain an objective clinical impression of dissimulation in problem cases.</p>","PeriodicalId":88305,"journal":{"name":"Psycho-social medicine","volume":"6 ","pages":"Doc04"},"PeriodicalIF":0.0,"publicationDate":"2009-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/0b/03/PSM-06-04.PMC2775195.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28506435","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":"Inpatient or day clinic treatment? Results of a multi-site-study.","authors":"Almut Zeeck,&nbsp;Jörn von Wietersheim,&nbsp;Armin Hartmann,&nbsp;Sanna Einsele,&nbsp;Heinz Weiss,&nbsp;Isa Sammet,&nbsp;Ekkehard Gaus,&nbsp;Eckart Semm,&nbsp;Dirk Harms,&nbsp;Andrea Eisenberg,&nbsp;Roland Rahm,&nbsp;Joachim Küchenhoff","doi":"10.3205/psm000059","DOIUrl":"https://doi.org/10.3205/psm000059","url":null,"abstract":"<p><strong>Objective: </strong>This naturalistic study aimed to identify criteria which are of relevance for making a decision as to whether inpatient or day hospital treatment is indicated.</p><p><strong>Methods: </strong>In 567 patients who were consecutively admitted to 10 departments of psychosomatic medicine (day hospital or inpatient setting) in Germany, symptom severity at admission and discharge was measured (Symptom-Check-List-90-R, Global Assessment of Functioning). Before admission, clinicians rated aspects that might be important for differential indication (Rating Scale of Indication Criteria). A regression analysis was conducted to reveal relationships between outcome in each setting and possible predictors (criteria of relevance).</p><p><strong>Results: </strong>At admission inpatients and day clinic patients already showed some differences referring to aspects clinicians used to select patients for each setting. Good outcome in day hospital patients was associated with a high motivation and higher burdens at home, whereas reduced drive and loss of interest was correlated with a less favourable course. Inpatients did less well if their symptoms were triggered by situations at home and if they showed a high potential for regression.</p><p><strong>Conclusion: </strong>RESULTS give first hints for criteria which are relevant for making a decision between inpatient and day hospital treatment in psychosomatic medicine.</p>","PeriodicalId":88305,"journal":{"name":"Psycho-social medicine","volume":"6 ","pages":"Doc03"},"PeriodicalIF":0.0,"publicationDate":"2009-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/79/97/PSM-06-03.PMC2775197.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28506437","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":"Screening for Generalized Anxiety Disorder in inpatient psychosomatic rehabilitation: pathological worry and the impact of depressive symptoms.","authors":"Simone Salzer,&nbsp;Christian Stiller,&nbsp;Achim Tacke-Pook,&nbsp;Claus Jacobi,&nbsp;Eric Leibing","doi":"10.3205/psm000058","DOIUrl":"https://doi.org/10.3205/psm000058","url":null,"abstract":"<p><strong>Objective: </strong>Pathological worry is considered to be a defining feature for Generalized Anxiety Disorder (GAD). The Penn State Worry Questionnaire (PSWQ) is an instrument for assessing pathological worry. Two earlier studies demonstrated the suitability of the PSWQ as screening instrument for GAD in outpatient and non-clinical samples. This study examined the suitability of the PSWQ as a screening instrument for GAD in a German inpatient sample (N=237). Furthermore, a comparison of patients with GAD and patients with depression and other anxiety disorders regarding pathological worry and depression was carried out in a sub-sample of N=118 patients.</p><p><strong>Method: </strong>Cut-off scores optimizing sensitivity, optimizing specificity and simultaneously optimizing both sensitivity and specificity were calculated for the PSWQ score by receiver operating characteristic analysis (ROC). Differences regarding pathological worry and depression measured by the PSWQ and the Beck Depression Inventory (BDI) across five diagnostic subgroups were examined by conducting one-way ANOVAs. The influence of depression on pathological worry was controlled by conducting an ANCOVA with BDI score as a covariate.</p><p><strong>Results: </strong>The ROC analysis showed an area under the curve of AUC=.67 (p=0.02) with only 54.4% of the patients correctly classified. Comparison of diagnostic subgroups showed that after controlling the influence of depression, differences referring to pathological worry between diagnostic subgroups no longer existed.</p><p><strong>Conclusions: </strong>Contrary to the earlier results we found that the use of the PSWQ as a screening instrument for GAD at least in a sample of psychotherapy inpatients is not meaningful. Instead of that, the PSWQ can be used to discriminate high from low worriers in clinical samples. Thus, the instrument can be useful in establishing e.g. symptom-oriented group interventions as they are established in behavioural-medicine inpatient settings. Furthermore, our findings stress the influence of (comorbid) depressive symptoms on the process of worrying.</p>","PeriodicalId":88305,"journal":{"name":"Psycho-social medicine","volume":"6 ","pages":"Doc02"},"PeriodicalIF":0.0,"publicationDate":"2009-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/0b/d9/PSM-06-02.PMC2736478.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28391896","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":"Are fear-avoidance beliefs in low back pain patients a risk factor for low physical activity or vice versa? A cross-lagged panel analysis.","authors":"Corinna Leonhardt,&nbsp;Dirk Lehr,&nbsp;Jean-François Chenot,&nbsp;Stefan Keller,&nbsp;Judith Luckmann,&nbsp;Heinz-Dieter Basler,&nbsp;Erika Baum,&nbsp;Norbert Donner-Banzhoff,&nbsp;Michael Pfingsten,&nbsp;Jan Hildebrandt,&nbsp;Michael M Kochen,&nbsp;Annette Becker","doi":"10.3205/psm000057","DOIUrl":"https://doi.org/10.3205/psm000057","url":null,"abstract":"<p><strong>Objective: </strong>The assumption that low back pain (LBP) patients suffer from \"disuse\" as a consequence of high fear-avoidance beliefs is currently under debate. A secondary analysis served to investigate whether fear-avoidance beliefs are associated cross-sectionally and longitudinally with the physical activity level (PAL) in LBP patients.</p><p><strong>Methods: </strong>A total of 787 individuals (57% acute and 43% chronic LBP) were followed up over a period of one year with measurements of fear-avoidance beliefs and physical activity level. Fear-avoidance beliefs concerning physical activity were measured by the physical-activity subscale of the FABQ (Fear-Avoidance Beliefs Questionnaire), the physical activity level was assessed in weighted metabolic equivalents (MET) hours/week with a German self-report questionnaire. Data were investigated by structural equation modelling in a cross-lagged panel design for the whole sample and separately for acute and chronic LBP.</p><p><strong>Results: </strong>The acute and chronic sub sample increased their total physical activity level significantly after one year. The structural equation modelling results did not support the disuse-aspect inherent in the fear-avoidance belief model. Cross-lagged path coefficients were low (.04 and .05 respectively) and, therefore, did not allow to predict final physical activity by initial fear-avoidance beliefs or vice versa.</p><p><strong>Discussion: </strong>Consequently, due to missing links between fear-avoidance beliefs and physical activity in a longitudinal design, the assumptions of the fear-avoidance belief model have to be questioned. These findings are in line with other investigations published recently. Most probably, \"fear-avoidance belief\" represents a cognitive scheme that does not limit activity per se, but only is directed to the avoidance of specific movements.</p>","PeriodicalId":88305,"journal":{"name":"Psycho-social medicine","volume":"6 ","pages":"Doc01"},"PeriodicalIF":0.0,"publicationDate":"2009-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/9d/01/PSM-06-01.PMC2736477.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28391895","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":"Evaluating patients' preferences for multiple myeloma therapy, a Discrete-Choice-Experiment.","authors":"Axel C Mühlbacher,&nbsp;Hans-Joachim Lincke,&nbsp;Matthias Nübling","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>While there is an increasing emphasis on patient empowerment and shared decision making, patients' preferences for attributes associated with their treatment still need to be measured and considered. In the present study, patients' preferences regarding treatment of multiple myeloma (MM) were explored using direct assessment and a Discrete-Choice-Experiment (DCE).</p><p><strong>Patients and methods: </strong>After reviewing the literature about preferences of myeloma patients we conducted a qualitative study with three focus groups consisting of six to eight MM-patients each. In order to achieve content validity, we aimed at collecting all relevant factors for an ideal MM-treatment. In a subsequent quantitative study phase, data was collected in an online or paper-pencil self-completed questionnaire. It included sociodemographic data, self-rated health (SF12v2 variation) and patients preferences of therapy characteristics using direct measurement (16 items on a five-point Likert-scale) as well as a Discrete-Choice-Experiment (DCE, eight pairs with eight characteristics).</p><p><strong>Results: </strong>282 patients answered the questionnaire; 46% female, age: mean 62 yrs (SD=10 years), duration of MM: 5 yrs (SD=3.8 years). Direct measurement showed effectiveness aspects (i.e. high effectiveness, long lasting effects, max. prolonged life expectancy) and further treatment options in the first places, followed by maximal prolonged life expectancy, minor side effects and therapy-free-intervals. In the DCE, alternatives with further treatment options, longer life expectancy, \"not always think of the disease\" and therapy-free-intervals were more likely to be chosen, giving thus similar results.</p><p><strong>Conclusion: </strong>Besides prolongation of life expectancy and effectiveness of treatment, further treatment options are of foremost importance to multiple myeloma patients. In addition, therapy-free intervals as well as an improved emotional quality of life (\"Not always think of the disease\") are valued as very important. The combination of direct assessment of importance and DCE is a valid combined survey technique for eliciting preferences of patients with multiple myeloma. The former ensures content validity (the possibility to measure a longer list of potentially important aspects), the latter has the advantage to combine positive and negative therapy characteristics and to avoid the problem of ceiling effects and \"all-is-important\" results.</p>","PeriodicalId":88305,"journal":{"name":"Psycho-social medicine","volume":"5 ","pages":"Doc10"},"PeriodicalIF":0.0,"publicationDate":"2008-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/4a/28/PSM-05-10.PMC2736517.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28393256","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":"In-patient, short-term group psychotherapy - a therapeutic option for Bundeswehr soldiers?","authors":"Peter Zimmermann,&nbsp;Norbert Kröger,&nbsp;Gerd Willmund,&nbsp;Andreas Ströhle,&nbsp;Andreas Heinz,&nbsp;Hans Heiner Hahne","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>This study is to assess the efficacy of short-term group psychotherapy rooted in depth psychology for Bundeswehr soldiers suffering from depressive, neurotic, stress, or personality disorders.</p><p><strong>Method: </strong>103 participants in the in-patient, closed group setting were evaluated prospectively and compared with a non-randomized waitlisted control group.</p><p><strong>Results: </strong>In all relevant SCL-90-R (Symptom-Check-List-90) and MMPI-K (Minnesota-Multiphasic-Personality-Inventory short-form) scales therapy resulted in significant improvements as compared with the initial values. The control group did not show any significant changes, the therapy group was significantly superior to the control group in the scales of MMPI-K and the GSI-Scale of the SCL-90-R. For soldiers with a stress-reactive disorder (F43), no differences in efficacy could be identified compared with the other diagnosis groups.</p><p><strong>Conclusion: </strong>The results were considered to indicate that in-patient, short-term group psychotherapy may, in combination with additional setting components, be helpful in improving psychological symptoms in German soldiers. The indication range of group therapy offered to Bundeswehr soldiers should be expanded to also include primary prophylaxis and the treatment of mental-health problems following deployments abroad, if applicable.</p>","PeriodicalId":88305,"journal":{"name":"Psycho-social medicine","volume":"5 ","pages":"Doc11"},"PeriodicalIF":0.0,"publicationDate":"2008-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a4/6c/PSM-05-11.PMC2736515.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28393254","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":"Symmetries in a standardized set of emotional facial expressions (JACFEE).","authors":"Henrik Kessler,&nbsp;Franziska Bachmayr,&nbsp;Steffen Walter,&nbsp;Holger Hoffmann,&nbsp;Suzanne Filipic,&nbsp;Harald C Traue","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>To investigate possible asymmetry in a widely used set of standardized emotional facial expressions (JACFEE, Japanese and Caucasian Facial Expressions of Emotion).</p><p><strong>Method: </strong>Chimeric pictures with either two left (LL) or two right (RR) halves of the emotional face were produced from the original set and presented to healthy subjects who rated their intensity.</p><p><strong>Results: </strong>With the exception of \"happiness\", for all other emotions (sadness, disgust, anger, fear and surprise) LL and RR composites were given comparable intensities, speaking for high symmetry in the faces.</p><p><strong>Conclusions: </strong>The JACFEE facial emotion pictures are mostly symmetrical, possibly due to their standardisation procedure when producing the pictures.</p>","PeriodicalId":88305,"journal":{"name":"Psycho-social medicine","volume":"5 ","pages":"Doc09"},"PeriodicalIF":0.0,"publicationDate":"2008-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/05/6d/PSM-05-09.PMC2736516.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28393255","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":"Using artwork to understand the experience of mental illness: Mainstream artists and Outsider artists.","authors":"Terry A Rustin","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>Artwork and psychiatric disorders are often linked. Accomplished artists with psychiatric disorders express themselves and their emotional distress through their works, and art therapists use the visual arts to help clients understand their problems and cope with them. There have been a number of psychiatric patients with no previous art training who produced artwork that many consider museum-worthy (Art Brut, or Outsider Art.) For the past two years, I have used artwork in another way: to better understand my clients and their psychiatric disorders.</p><p><strong>Methods: </strong>Presented here are paintings I have made about the mental illness experience of some of my clients, all well known to me through their therapy. It is a form of visual psychodrama, in which I reverse roles with the client through the paintings. My goal has been to experience the stresses felt by my clients so that I can understand them better.</p><p><strong>Results: </strong>The paintings have served as a point of embarkation for therapy sessions, as a means of clarifying a client's experience, and as a way to show clients that their therapist is attending to what they say. Countertransference undoubtedly plays a role in my choice of clients and their portrayals, but the intent is to help me better understand the clients' experiences.Included here are images of some of these paintings with a short psychiatric history of the client about whom they were made. Accompanying each one are responses from the clients upon viewing \"their\" paintings, and a discussion of the client's psychiatric disorder.</p><p><strong>Conclusions: </strong>Making these paintings has helped me understand better the feelings of isolation, rejection, loss, and alienation that many of my clients experience every day. In turn, they tell me that viewing the paintings is an intense experience for them as well. As an outsider artist, I must leave it to the viewer to determine whether or not these paintings qualify as \"art.\"</p>","PeriodicalId":88305,"journal":{"name":"Psycho-social medicine","volume":"5 ","pages":"Doc07"},"PeriodicalIF":0.0,"publicationDate":"2008-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b1/13/PSM-05-07.PMC2736519.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28393762","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":"The symptom checklist-27-plus (SCL-27-plus): a modern conceptualization of a traditional screening instrument.","authors":"Jochen Hardt","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>The symptom checklist SCL-27-plus is a short, multidimensional screening instrument for mental health problems. It contains five scales on current symptoms: depressive, vegetative, agoraphobic, and sociophobic symptoms and pain; a global severity index (GSI-27); a lifetime assessment for depressive symptoms; and a screening question for suicidality.</p><p><strong>Method: </strong>A reformulated version of screening items constituted a survey of n=374 students. Therefore, a total of 76 items was formulated and presented to the students within a questionnaire booklet, that could be filled out at home.</p><p><strong>Results: </strong>All scales of the SCL-27-plus showed good to satisfactory reliability (i.e. .90 ≥ Cronbach's a ≥ .70). The distributions of the scales were less skewed than in older versions of the symptom checklists and scale inter-correlations were lower. The scale \"symptoms of mistrust\" could not be retained.</p><p><strong>Conclusion: </strong>The SCL-27-plus demonstrates a clear improvement over the SCL-27. Test-statistical properties were improved. In addition, the supplementation by a lifetime scale for depression and a screener for suicidality shall help the clinician as well as the epidemiologist.</p>","PeriodicalId":88305,"journal":{"name":"Psycho-social medicine","volume":"5 ","pages":"Doc08"},"PeriodicalIF":0.0,"publicationDate":"2008-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/7a/8f/PSM-05-08.PMC2736518.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28393761","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":"Self-efficacy in acutely traumatized patients and the risk of developing a posttraumatic stress syndrome.","authors":"Guido Flatten,&nbsp;Dieter Wälte,&nbsp;Volker Perlitz","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Post traumatic stress disorder (PTSD) occurs across 15-20% of victims suffering physical injury. The occurrence of PTSD has been attributed to both the trauma and the victim's individual resources, such as resilience, coping strategies, and social support systems. In the present study, we explored the role of self-efficacy for cognitive self-regulation in the posttraumatic adaptation process of sixty-five patients immediately following trauma (T1) and approximately four months later (T2) assessing posttraumatic stress syndrome according to DSM-IV criteria. We hypothesized perceived self-efficacy as a predictor for an increased risk of developing posttraumatic stress symptoms. Self-efficacy measured immediately following trauma correlated significantly with the development of posttraumatic stress syndromes. This finding suggests that the evaluation of cognitive adaptation to trauma is a helpful marker for clinical outcome assessment and can therefore be used for the identification of patients needing psychotherapeutic intervention.</p>","PeriodicalId":88305,"journal":{"name":"Psycho-social medicine","volume":"5 ","pages":"Doc05"},"PeriodicalIF":0.0,"publicationDate":"2008-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/43/a7/PSM-05-05.PMC2736512.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28393251","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}