Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz最新文献_第9页

[Fatigue and burnout - two health disorders with high media presence]. [疲劳和倦怠--媒体高度关注的两种健康疾病]。

IF 1.7 4区医学

Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz Pub Date : 2024-11-01 Epub Date: 2024-11-08 DOI: 10.1007/s00103-024-03965-8

Uwe Koch-Gromus, Joachim Weis

引用次数: 0

[Fatigue in the general population: results of the "German Health Update 2023" study]. [普通人群中的疲劳："德国 2023 年最新健康状况 "研究结果]。

IF 1.7 4区医学

Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz Pub Date : 2024-11-01 Epub Date: 2024-09-26 DOI: 10.1007/s00103-024-03950-1

Christina Poethko-Müller, Angelika Schaffrath Rosario, Giselle Sarganas, Ana Ordonez Cruickshank, Christa Scheidt-Nave, Robert Schlack

{"title":"[Fatigue in the general population: results of the \"German Health Update 2023\" study].","authors":"Christina Poethko-Müller, Angelika Schaffrath Rosario, Giselle Sarganas, Ana Ordonez Cruickshank, Christa Scheidt-Nave, Robert Schlack","doi":"10.1007/s00103-024-03950-1","DOIUrl":"10.1007/s00103-024-03950-1","url":null,"abstract":"Background: Fatigue is an unspecific symptom complex characterized by tiredness, lack of energy, and lack of concentration and is of considerable public health relevance, due to its links with incapacity for work, risk of accidents, and increased need for healthcare.Methods: The analyses are based on data from 9766 adults of the telephone survey \"Gesundheit in Deutschland aktuell (GEDA)\" 2023. Fatigue was recorded using the Fatigue Assessment Scale (FAS), a validated instrument with 10 questions for self-assessment of fatigue. The scale was dichotomized into yes (at least mild to moderate fatigue) versus no (no fatigue). Population-weighted prevalences of fatigue and associated sociodemographic and health-related factors were calculated in descriptive analyses and multivariable Poisson regression.Results: The overall prevalence of fatigue in adults in Germany is 29.7% (95% CI 28.1-31.2), is highest in 18- to 29-year-olds (39.6% (95% CI 35.0-44.4)), and decreases in the age groups up to 65-79 years (20.6% (95% CI 18.2-23.3)). It is higher again in the very old age group (33.2% (95% CI 28.9-37.7)). Women have a higher risk of fatigue than men (aRR 1.19 (95% CI 1.08-1.32)). Fatigue is significantly associated with age, lower education, chronic illness, depression, and long COVID, regardless of covariates.Discussion: GEDA 2023 is one of the few population-based studies to have collected data on fatigue. The results allow estimates to be made for Germany on the frequency of fatigue and the significance of physical, psychological, and social influencing factors. They can be used as a reference or as a basis for trends over time as part of continuous health monitoring in Germany.","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":"1208-1221"},"PeriodicalIF":1.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11549105/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142342232","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Validation of subjective complaints: differential diagnosis of "healthy suffering" using fatigue as an example]. [主观主诉的验证：以疲劳为例对 "健康痛苦 "进行鉴别诊断]。

IF 1.7 4区医学

Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz Pub Date : 2024-11-01 Epub Date: 2024-10-14 DOI: 10.1007/s00103-024-03963-w

Michael Linden

引用次数: 0

[Complementary and integrative medicine in cancer-related fatigue]. [癌症相关疲劳的补充和综合医学]。

IF 1.7 4区医学

Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz Pub Date : 2024-11-01 Epub Date: 2024-10-07 DOI: 10.1007/s00103-024-03957-8

Alina Busch, Alena Krause, Matthias Rostock

{"title":"[Complementary and integrative medicine in cancer-related fatigue].","authors":"Alina Busch, Alena Krause, Matthias Rostock","doi":"10.1007/s00103-024-03957-8","DOIUrl":"10.1007/s00103-024-03957-8","url":null,"abstract":"The majority of cancer patients experience fatigue during the course of their illness. Fatigue should not be seen as an inevitable consequence of cancer and its treatment. Cancer-related fatigue (CRF) is a multidimensional symptom complex that is influenced by a variety of factors. Complementary medicine approaches offer potentially promising strategies to address this fatigue and can therefore be a valuable addition to conventional therapies.In this narrative review, complementary medicine treatment approaches for tumor-associated fatigue are presented according to the historical development and current scientific evidence. The focus is on methods with the highest current evidence based on the recommendations of national and international guidelines. Therapeutic approaches from mind-body medicine, such as mindfulness-based stress reduction (MBSR), mindfulness-based cognitive therapy (MBCT), yoga, tai chi, and qigong, as well as acupuncture, acupressure, moxibustion, and phytotherapeutic treatment approaches are presented.In Germany, the complementary therapies listed here are not generally covered by health insurances. However, a few clinics have developed comprehensive programs in mind-body medicine, for which cost coverage has already been obtained. As a result, complementary medical treatments for cancer-related fatigue that adhere to national and international guidelines are typically available only as private services or within the framework of study participation.","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":"1295-1305"},"PeriodicalIF":1.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11549166/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142388251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Gender-sensitive health indicators for health reporting at the Robert Koch Institute (GBE-GI)-a pilot project as part of the Joint Action PreventNCD project]. [罗伯特-科赫研究所（GBE-GI）用于健康报告的对性别问题有敏感认识的健康指标--作为 "联合行动预防 NCD "项目一部分的试点项目]。

IF 1.7 4区医学

Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz Pub Date : 2024-11-01 Epub Date: 2024-10-02 DOI: 10.1007/s00103-024-03959-6

Hande Gencer, Anke-Christine Saß, Franziska Prütz

{"title":"[Gender-sensitive health indicators for health reporting at the Robert Koch Institute (GBE-GI)-a pilot project as part of the Joint Action PreventNCD project].","authors":"Hande Gencer, Anke-Christine Saß, Franziska Prütz","doi":"10.1007/s00103-024-03959-6","DOIUrl":"10.1007/s00103-024-03959-6","url":null,"abstract":"Health reporting (GBE) based on gender-sensitive indicators can provide information on gender inequalities, improve health promotion and healthcare, promote gender mainstreaming, and provide relevant information for gender equality measures. To date, there is no set of gender-sensitive health indicators for Federal Health Reporting at the Robert Koch Institute. As part of the Joint Action Prevent Non-Communicable Diseases, gender-sensitive health indicators are to be identified, evaluated, and integrated into the Robert Koch Institute's health reporting website in a pilot project. This is done in three work packages. In a scoping review, the available evidence on gender-sensitive health indicators and theoretical explanations for gender inequality in EU and OECD member states since 2014 will initially be assessed (work package 1). Building on this, identified indicators and explanatory approaches will be collated for evaluation and selection in a structured consensus process as part of a three-stage Delphi approach consisting of a focus group discussion and an online survey (work package 2). The evaluated indicator set will then be integrated into the Robert Koch Institute's health reporting website (work package 3). The results will be disseminated via scientific publications and conference presentations. An English full-text version of this article is available at SpingerLink as Supplementary Information.","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":"1315-1320"},"PeriodicalIF":1.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11549133/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142362685","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Immunological aspects and stress regulation in fatigue]. [疲劳的免疫学方面和压力调节]。

IF 1.7 4区医学

Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz Pub Date : 2024-11-01 Epub Date: 2024-09-26 DOI: 10.1007/s00103-024-03952-z

Eva Milena Johanne Peters

{"title":"[Immunological aspects and stress regulation in fatigue].","authors":"Eva Milena Johanne Peters","doi":"10.1007/s00103-024-03952-z","DOIUrl":"10.1007/s00103-024-03952-z","url":null,"abstract":"Fatigue is a term that describes exhaustion as either physically measurable, usually muscular, or perceived. Fatigue as a condition is observed in a wide range of long-term stresses such as chronic infectious, autoimmune, or oncologic diseases as well as mental disorders. This article provides an overview of the currently known biopsychosocial interactions between fatigue, psychosocial stress, and immune response. It describes how chronic inflammatory processes and stress interact in fatigue and for which therapeutic approaches there is evidence to date.Given the current psychoneuroimmunological knowledge and the biopsychosocial model, both high physical and psychosocial stress can converge in neuroendocrine-immunological dysregulation. According to this model, symptoms of fatigue correspond to a chronically overactivated innate immune response. At the same time, chronic immune activation favors a misactivation of the learned immune response, which is dominated by (auto)antibody production and hyperactivated T lymphocytes. However, patients who report fatigue do not necessarily display immunological dysregulations. There is currently a need for research and education in order to identify patient subpopulations and specifically tailored treatment concepts to them.","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":"1222-1230"},"PeriodicalIF":1.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11549199/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142342233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

IF 1.7 4区医学

Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz Pub Date : 2024-11-01 Epub Date: 2024-09-27 DOI: 10.1007/s00103-024-03954-x

Yesim Erim, Franziska Geiser, Petra Beschoner, Lucia Jerg-Bretzke, Kerstin Weidner, Christian Albus, Andreas M Baranowski, Sabine Mogwitz, Eva Morawa

{"title":"[Workplace-related stress experience and mental health of healthcare workers during the COVID-19 pandemic: risk and protective factors from the VOICE study].","authors":"Yesim Erim, Franziska Geiser, Petra Beschoner, Lucia Jerg-Bretzke, Kerstin Weidner, Christian Albus, Andreas M Baranowski, Sabine Mogwitz, Eva Morawa","doi":"10.1007/s00103-024-03954-x","DOIUrl":"10.1007/s00103-024-03954-x","url":null,"abstract":"Background: Healthcare workers have an increased risk of depression and anxiety, and medical staff have faced a wide variety of challenges, especially during the COVID-19-pandemic. The aim of the VOICE study was to investigate risk and protective factors for workplace-related stress experience and mental health.Method: A multicentre, web-based and prospective survey (VOICE study) was initiated in the spring of 2020 by a network of five psychosomatic university clinics (Erlangen, Ulm, Bonn, Cologne and Dresden). More than 25,000 respondents took part in the study at five measurement points.Results: Of 3678 employees examined in a hospital setting during the first wave of the pandemic, 17.4% and 17.8% of physicians, 21.6% and 19.0% of nurses and 23.0% and 20.1% of medical-technical assistants (MTA) were affected by symptoms of depression and anxiety, respectively, to a clinically relevant extent. The most important risk factors for depressive and anxiety symptoms were insufficient relaxation during leisure time, increased alcohol consumption, lower trust in colleagues in difficult work situations and increased fear of becoming ill with COVID-19. Predictors for increased post-traumatic symptoms were increased generalized anxiety and depression as well as increased fear of infecting family members. Sense of coherence, social support, optimism and reward level acted as protective factors.Discussion: The psychological effects of workplace-related stress during the pandemic were found to be significant. Therefore, regular mental health screening and prevention programmes for healthcare workers are indicated.","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":"1248-1255"},"PeriodicalIF":1.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11549185/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142342235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Sport and exercise therapy for burnout and fatigue-a narrative review]. [针对职业倦怠和疲劳的体育锻炼疗法--综述]。

IF 1.7 4区医学

Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz Pub Date : 2024-11-01 Epub Date: 2024-10-31 DOI: 10.1007/s00103-024-03967-6

Lars Gerland, Freerk Theeagnus Baumann

{"title":"[Sport and exercise therapy for burnout and fatigue-a narrative review].","authors":"Lars Gerland, Freerk Theeagnus Baumann","doi":"10.1007/s00103-024-03967-6","DOIUrl":"10.1007/s00103-024-03967-6","url":null,"abstract":"Burnout and fatigue have overlaps in their symptoms. The common denominator is exhaustion. Physical activity has been shown to be a risk-reducing factor for the development or manifestation of symptoms. There is also evidence of an effect of physical activity in the acute phase, rehabilitation, and aftercare of burnout as well as in diseases that are associated with the occurrence of fatigue and their treatments.In burnout research, physical activity is considered a risk-reducing factor and coping strategy, but there are no specific exercise recommendations with regard to symptom severity. In the area of tiredness/fatigue, the overall picture is inconsistent: there are already targeted recommendations for exercise therapy in a multimodal approach for individual clinical pictures. For example, there is high evidence for the use of appropriately dosed physical activity in cancer patients in adjuvant therapy and aftercare. Other diseases associated with the occurrence of fatigue, such as long- and post-COVID, have not yet been sufficiently researched to make clear statements about a dose-response relationship. For some diseases, there are already targeted recommendations for exercise therapy in a multimodal approach.This paper aims to provide an overview of the current state of exercise research in burnout and fatigue and thus, on the one hand, make therapy recommendations for practitioners and patients, and on the other hand, shed light on the evidence in those areas in which there are (still) no general and individualized exercise recommendations and guidelines.","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":"1288-1294"},"PeriodicalIF":1.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11549157/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142557255","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Psychotherapeutic burnout interventions-an umbrella review]. [心理治疗倦怠干预措施--综述]。

IF 1.7 4区医学

Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz Pub Date : 2024-11-01 Epub Date: 2024-10-15 DOI: 10.1007/s00103-024-03961-y

Sarah Kern, Lucia Jerg-Bretzke, Petra Beschoner

{"title":"[Psychotherapeutic burnout interventions-an umbrella review].","authors":"Sarah Kern, Lucia Jerg-Bretzke, Petra Beschoner","doi":"10.1007/s00103-024-03961-y","DOIUrl":"10.1007/s00103-024-03961-y","url":null,"abstract":"Background: Although burnout is not an F‑Diagnosis in the ICD-11, many people are suffering from it. This has many economic and health-related consequences, because burnout is closely tied to an inability to work and significant secondary illnesses. This article provides an umbrella review of therapy approaches for burnout that have already been used and evaluated and shows in which areas there are promising, but still little researched, therapeutic support options for those affected.Methods: A systematic literature search of studies was carried out in PubMed and Google Scholar between 2010 and 2024. The search terms were \"burnout,\" \"therapy,\" and \"intervention\" combined with \"systematic review\" and \"meta-analysis.\" Overall, 10 systematic reviews or meta-analyses met the inclusion criteria.Results: In five systematic reviews or meta-analyses, the therapy approaches focused on a specific professional group (nurses, doctors, and teachers); the others related to students or various groups of people. In seven studies, the effects of mindfulness-based stress reduction on burnout were shown. The effects of cognitive behavioral therapy (CBT) were shown in four studies. Acceptance and commitment-therapy (ACT) as well as rational emotive therapy (RET) also proved to be effective.Conclusion: It still needs to be researched whether established thinking and behavioral patterns can be changed through the therapies discussed. The professional context should be given more attention. Some resource-oriented approaches like optimism, a sense of control, self-efficacy, and self-acceptance seem promising in the treatment of burnout.","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":"1279-1287"},"PeriodicalIF":1.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11549179/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142458721","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Loneliness in Bavaria before and during the COVID-19 pandemic]. [COVID-19大流行之前和期间巴伐利亚的孤独感]。

IF 1.7 4区医学

Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz Pub Date : 2024-10-01 Epub Date: 2024-08-06 DOI: 10.1007/s00103-024-03931-4

Johannes Brettner, Constantin Wiegel, Veronika Reisig, Renate Übe, Wolfgang H Caselmann, Joseph Kuhn

{"title":"[Loneliness in Bavaria before and during the COVID-19 pandemic].","authors":"Johannes Brettner, Constantin Wiegel, Veronika Reisig, Renate Übe, Wolfgang H Caselmann, Joseph Kuhn","doi":"10.1007/s00103-024-03931-4","DOIUrl":"10.1007/s00103-024-03931-4","url":null,"abstract":"Background: Loneliness represents a significant health risk and is associated with numerous mental and physical conditions. The aim of this paper was to describe the prevalence of loneliness in Bavaria before and during the COVID-19 pandemic with respect to socio-demographic attributes.Methods: Data sources were the German Ageing Survey (DEAS) and the Socio-Economic Panel (SOEP). Univariate statistical analyses were carried out for different socio-demographic attributes, such as age, gender, type of household, education, and financial resources.Results: According to the SOEP, the proportion of adults who are often or very often lonely increased from 2.3% in 2017 to 16.2% in 2021. In 2021, women had a higher prevalence of loneliness than men (21.0% vs. 11.3%), and younger adults had the highest prevalence of loneliness (18 to 25 years: 31.7%) compared to the other age groups.Discussion and conclusions: During the COVID-19 pandemic, loneliness increased in almost every population subgroup in Bavaria. Further studies are needed to examine whether this development is temporary or represents a long-term effect even after the measures to prevent the spread of COVID-19 have been lifted.","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":"1113-1120"},"PeriodicalIF":1.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141896858","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}

引用次数: 0