Anne Berghöfer

Anne Berghöfer
Charité Universitätsmedizin Berlin | Charité · Institute for Social Medicine, Epidemiology and Health Economics

Doctor of Medicine

About

144
Publications
15,889
Reads
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4,034
Citations
Additional affiliations
September 2001 - present
Charité Universitätsmedizin Berlin
Position
  • Senior Researcher
July 1992 - July 2001
Freie Universität Berlin
Position
  • Research Assistant

Publications

Publications (144)
Article
Full-text available
During the COVID-19 pandemic, rehearsal and concert activities of professional orchestras and choirs were severely restricted based on the assumption of particularly high infection risks associated with wind instruments and singing. Therefore, our primary objective was to determine the incidence of SARS-CoV-2 infections in orchestra and choir music...
Article
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Mind–Body Medicine (MBM) includes a broad range of interventions with proven preventive and clinical value, such as yoga and meditation. However, people differ in their preferences and response to different MBM treatments and it remains unclear who benefits most from what type of practice. Thus, finding moderators of treatment outcome seems to be a...
Preprint
Full-text available
Mind-Body Medicine (MBM) includes a broad range of interventions of proven pre-ventive and clinical value, such as yoga and meditation. However, people differ in their preferences and response to different MBM treatments, and it remains unclear who bene-fits most from what type of practice. Thus, finding moderators of treatment outcome seems to be...
Article
Full-text available
Background Art therapy is a form of complementary therapy to treat a wide variety of health problems. Existing studies examining the effects of art therapy differ substantially regarding content and setting of the intervention, as well as their included populations, outcomes, and methodology. The aim of this review is to evaluate the overall effect...
Article
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A systematic overview of mental and physical disorders of informal caregivers based on population-based studies with good methodological quality is lacking. Therefore, our aim was to systematically summarize mortality, incidence, and prevalence estimates of chronic diseases in informal caregivers compared to non-caregivers. Following PRISMA recomme...
Article
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Zusammenfassung Hintergrund Wohnungslosigkeit ist Ausdruck und Folge einer komplexen Problemlage, die die medizinischen und sozialen Versorgungssysteme in Deutschland vor große Herausforderungen stellt. Etwa 3 Viertel der wohnungslosen Menschen leiden an psychischen Erkrankungen. Ziel dieser Studie war es, Assoziationen zwischen psychischen Erkran...
Preprint
Irritable bowel syndrome (IBS) is characterised by patient’s high pressure of suffering. Up to 60% of patients with IBS have symptoms of anxiety or depression and only little attention has been paid to their specific requirements. Anthroposophical multimodal therapy (AMT) has been shown to significantly improve health-related quality of life of pat...
Article
Full-text available
Introduction: Since 2003, as a means of enabling integrated care the German mental health care system has offered the innovative option of agreeing a Global Treatment Budget (GTB, also known as a regional psychiatric budget or innovative flexible and integrative forms of treatment FIT) with health insurers and regional care providers across sectors...
Article
Objective: The aim of the study was to use a software application to analyze the examination times and changeover times of two clinically highly applied MRI scanners at a university hospital for radiology and to evaluate whether this could result in optimization potential for examination planning in the daily clinical routine of MRI diagnostics....
Article
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We aimed to systematically identify and evaluate all studies of good quality that compared the occurrence of mental disorders in the self-employed versus employees. Adhering to the Cochrane guidelines, we conducted a systematic review and searched three major medical databases (MEDLINE, Web of Science, Embase), complemented by hand search. We inclu...
Article
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Purpose The postnatal period is a vulnerable time for parents and children but epidemiological and health care utilisation data for Germany on parental mental health during early childhood is scarce. This protocol describes the rationale, aim and study design of a population-based cohort study to assess the occurrence and determinants of psychosoci...
Article
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Background The first years of life are a significant period for child development, when children are particularly sensitive and prone to crises. This early phase lays the foundation for healthy growth. Clinical assessment of psychological symptoms in early infancy and adequate treatment are both important in improving the diagnostic outcome and pre...
Article
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Predicting lithium response (LiR) in bipolar disorder (BD) may inform treatment planning, but phenotypic heterogeneity complicates discovery of genomic markers. We hypothesized that patients with “exemplary phenotypes”—those whose clinical features are reliably associated with LiR and non-response (LiNR)—are more genetically separable than those wi...
Article
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After the birth of a child, parents may experience episodes of stress and psychological strain. Some infants show psychological or somatic stress in the form of early regulatory disorders. While the close connection between parental psychological stress, early regulatory disorders, and the development of the parent–child relationship is well docume...
Article
Purpose Many health systems face challenges such as rising costs and lacking quality, both of which can be addressed by improving the integration of different health care sectors and professions. The purpose of this viewpoint is to present the German health care Innovation Fund (IF) initiated by the Federal Government to support the development and...
Article
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PurposeThis study (a) assessed quality of life (QoL) in a patient sample with severe mental illness in an integrated psychiatric care (IC) programme in selected regions in Germany, (b) compared QoL among diagnostic groups and (c) identified socio-demographic, psychiatric anamnestic and clinical characteristics associated with QoL.Methods This cross...
Chapter
Die sektorenübergreifende Versorgung im regionalen Psychiatriebudget (RPB), einem Modellvorhaben nach § 64b SGB V zur Versorgung psychisch kranker Menschen, soll einen umfassenden Strukturumbau hin zu einer patientenzentrierteren Behandlung ermöglichen. Im Rahmen einer qualitativen Studie wurden 19 leitfadengestützte Interviews mit Experten aus den...
Article
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Background: Many studies have shown that sociodemographic variables significantly predict the use of complementary and alternative medicine (CAM), although these predictions were not particularly strong. A multitude of predictors of the use or approval of CAM have been investigated in the field of personal values and worldviews, but the effects we...
Article
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Background: After the birth of a child, many mothers and fathers experience postpartum mental disorders like depression, anxiety, obsessive-compulsive disorder, stress or other illnesses. This endangers the establishment of a secure attachment between the children and their primary caregivers. Early problems in parent-child interaction can have ad...
Preprint
Full-text available
Predicting lithium response (LiR) in bipolar disorder (BD) could expedite effective pharmacotherapy, but phenotypic heterogeneity of bipolar disorder has complicated the search for genomic markers. We thus sought to determine whether patients with "exemplary phenotypes"---those whose clinical features are reliably predictive of LiR and non-response...
Article
Hintergrund Die Sicherstellung der gesundheitlichen Versorgung in ländli-chen Regionen gestaltet sich zunehmend schwieriger. Inzwi-schen wurde eine Vielfalt von Modellen und Maßnahmen ent-wickelt, die eine langfristige Sicherstellung der gesundheitli-chen Versorgung im ländlichen Raum jenseits der klassischen Bedarfsplanung ermöglichen sollen. Meth...
Chapter
Die Entwicklung innovativer Versorgungsformen im Gesundheitswesen in Deutschland hinkt weit hinter den Erwartungen des Gesetzgebers, der Akteure und den Erfordernissen der Gesundheitsversorgung hinterher. Eine wesentliche Hürde sind in Deutschland die Vielfalt der Finanzierungsträger und eine Institutionszentriertheit des Versorgungssystems anstell...
Article
Buchtipp: Niehoff JU, Hoffmann W, Niehoff ME.(Hrg.) Kompendium der Sozialmedizin. Hefte 1-9, 10 in Vorbereitung. Berlin: SalusCon-Akademie Verlag; 2019
Article
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IntroductionA psychosocial outreach clinic was established to offer counseling and coordination of healthcare and complementary services for persons with psychosocial and mental problems. The cost-effectiveness of these services was measured based on a pre-post comparison.MethodsA prospective observational study was conducted with clients of the ou...
Article
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Purpose Musicians’ practice and performance routines reportedly lead to musculoskeletal complaints and disorders (MCD) that impact their wellbeing and performance abilities. This systematic review aims to assess the prevalence, risk factors, prevention and effectiveness of treatments for MCD in professional musicians and consider the methodological...
Preprint
Full-text available
Background: After the birth of a child, many mothers and fathers experience postpartum mental disorders like depression, anxiety, obsessive-compulsive disorder, stress or other illnesses. This endangers the establishment of a secure attachment between the children and their primary caregivers. Early problems in parent-child interaction can have adv...
Article
Salomon Neumann (1819–1908) is one of the outstanding representatives of 19th century social medicine. As a medical reformer, statistician and city councilor, he made a significant contribution to improving social and hygienic conditions in Berlin. His most famous work was published in 1847 under the title “Die oeffentliche Gesundheitspflege und da...
Article
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A community outreach clinic was established in 2013 in a rural part of Germany to counsel and better integrate patients with mental health disorders or clients with psychosocial problems into the healthcare and complementary social assistance system. In a pilot study, we aimed to evaluate the costs of the integration assistance system after the out...
Article
Objective: Promptly establishing maintenance therapy could reduce morbidity and mortality in patients with bipolar disorder. Using a machine learning approach, we sought to evaluate whether lithium responsiveness (LR) is predictable using clinical markers. Methods: Our data are the largest existing sample of direct interview-based clinical data...
Article
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Background: Symptoms of anxiety co-occur in a variety of disorders including in depressive episodes of bipolar disorder and in patients with thyrotoxicosis. Treatment of refractory bipolar disorder with supraphysiologic doses of levothyroxine (L-T4) has been shown to improve the phenotypic expression of the disorder and is associated with an incre...
Article
Music performance anxiety (MPA) is one of the most common disorders among professional musicians, nevertheless, little is known about the disease. With this systematic review, prevalence, risk factors and treatment procedures for MPA were assessed, and for the first time, quality assessments were carried out for all studies using standardized asses...
Article
Die Sicherstellung der ambulanten und stationären Gesundheitsversorgung in ländlichen Räumen ist aufgrund von demographischem Wandel und anhaltender Urbanisierung mit zunehmenden Herausforderungen konfrontiert. Der vorliegende Beitrag zeigt bestehende Lösungsansätze in systematischer Weise auf. Dabei werden Gestaltungselemente aus den Bereichen Koo...
Article
READ ARTICLE ONLINE: https://www.thieme-connect.de/products/ejournals/abstract/10.1055/a-0800-3783 *** ABSTRACT *** Objective: This study explores the conditions for the stakeholders’ cooperation in an integrative care model for people with psychosocial problems. Methods Expert interviews on various community mental health care providers were led a...
Article
Purpose To analyze the changes in the work profiles of radiologists and the reporting time after the implementation of professional subspecialization in the radiology department of a Swiss university hospital. Methods In a retrospective analysis, the overall number of different radiologic examinations performed in the department of radiology of th...
Research
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Qualitative study on organizational models and actions to secure the provision of health care in German rural areas. We have also explored barriers to the implementaiton of such organizational models as well as their potential. The study is in German.
Article
Die Anwendung von evidenzbasiertem Management stößt aufgrund der Komplexität der Realität und dem insbesondere im deutschen Sprachraum oft eindimensionalen Verständnis des Konzeptes an Grenzen. Mit Blick auf die evidenzbasierte Medizin verdeutlichen wir diese Herausforderungen und zeigen eine Lösung auf: die Reflexivität von Praxis, die in der Führ...
Article
Background: To investigate long-term effects of adjunctive prophylactic treatment with supraphysiologic doses of levothyroxine (L-T4) on cardiovascular tolerability in 23 patients with treatment-refractory mood disorders. Methods: Starting point for a comprehensive cardiovascular assessment in patients was the indication for long-term maintenanc...
Article
READ ARTICLE ONLINE: https://www.thieme-connect.com/products/ejournals/abstract/10.1055/a-0594-2616 *** Objective: Analysis of users' experiences with a low-threshold psychosocial counselling and case management service across separate sectors (e. g., outpatient, inpatient) and legal provisions (e. g., V and XII Books of Social Code). Methods: Ni...
Chapter
Klinisches Management bedeutet im medizinischen Fachjargon eine strukturierte, sowohl individualisierte als auch leitliniengerechte medizinische Versorgung. „Manager“ ist in diesem Fall der behandelnde Facharzt. Seine Tätigkeit umfasst eine Vielzahl von Bestandteilen aus psychiatrischer Diagnostik, Klärung psychosozialer Kontextfaktoren und somatis...
Article
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Background Somatic comorbidities are a serious problem in patients with severe mental illnesses. These comorbidities often remain undiagnosed for a long time. In Germany, physicians are not allowed to access patients’ health insurance data and do not have routine access to documentation from other providers of health care. Against this background,...
Article
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The Regional Psychiatry Budget (RPB), as a special arrangement within the German Federal Hospital Refund Regulation, is based on the capitation principle. A lump sum is allocated to a major inpatient care provider in a large region on a yearly basis. Under this model, the provider is free to offer all forms of treatment and to construct individual...
Article
Background: The aim of this study was to compare the approach of general practitioners (GP) and outpatient specialists for psychiatry, neurology or psychosomatic medicine to patients with somatically unexplained complaints. Methods: Qualitative interviews were conducted with general practitioners in Berlin and with outpatient specialists. Interv...
Article
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Background Numerous drugs used in the treatment of psychiatric disorders are substrates of cytochrome P450 enzymes and are potential candidates for drug-drug interactions (DDIs). Methods Claims data of a German statutory health insurance company from severely mentally ill patients who registered in an integrated care contract from August 2004 to De...
Article
Objective: To investigate the validity of a common depression metric in independent samples. Study Design and Setting: We applied a common metrics approach based on Item-Response Theory for measuring depression to four German-speaking samples that completed the PHQ-9. We compared the PHQ item parameters reported for this common metric to reestimat...
Conference Paper
AIMS: There is still little experience with the practical application of common metrics combining different Patient-Reported Outcomes (PROs) on a common scale. Using the example of the well-established depression scale of the Patient Health Questionnaire (PHQ-9), the present study was aimed at examining the performance of a recently published depre...
Article
Full-text available
Kidney International aims to inform the renal researcher and practicing nephrologists on all aspects of renal research. Clinical and basic renal research, commentaries, The Renal Consult, Nephrology sans Frontieres, minireviews, reviews, Nephrology Images, Journal Club. Published weekly online and twice a month in print.
Article
Full-text available
The study aims to evaluate the prevalence of depression and the severity of depressive symptoms among primary care patients, who are high utilizers (HU) of health care resources. A cross-sectional, two-stage design was applied to screen for depression using the Brief Psychiatric Health Questionnaire and the Diagnostic Expert System for Psychiatric...
Article
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George Wolff was born on April 9, 1886, in Sangerhausen, Germany, to a Jewish business family. He began his medical studies in Berlin in 1906 and started working as an assistant at the Municipal Children's Hospital in 1911. Between 1920 and 1924, Wolff attended the seminars of Alfred Grotjahn on social hygiene, and obtained his postdoctoral teachin...
Article
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The purpose of this study was to investigate the effectiveness and stability of long-term lithium treatment in a prospective, international, multicenter cohort of bipolar patients in a naturalistic setting. Patients were selected according to DSM IV criteria for bipolar disorder and required long-term treatment. They were prospectively followed and...
Article
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With its unequivocal antisuicidal effects lithium is still a useful drug Losing a family member or friend to suicide leaves survivors feeling helpless, bewildered, and guilty for the rest of their lives. The loss of a patient to suicide is one of a doctor’s worst nightmares. For patients with affective disorders, the lifetime risk of committing s...
Article
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Background: The model for integrated care (IC) of those seriously mentally ill patients insured with the DAK-Gesundheit health insurance and various Betriebskrankenkassen (members of the VAG Mitte) from the regions Berlin, Brandenburg, Lower Saxony and Bremen allows a complex treatment in the outpatient setting which consists of psychiatrists, gen...
Article
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This paper's aim is to identify existing and developing new concepts of organization, management, and leadership at a large European university hospital; and to evaluate whether mixed qualitative-quantitative methods with both internal and external input can provide helpful views of the possible future of large health care providers. Using the Delp...
Article
There is still debate about whether the quality of long-term efficacy of lithium in patients with bipolar disorders is influenced by atypical features. Extended Cox regression models allow for the use of all follow-up data on diseases with multiple episodes. The aim of the present analysis was to apply the best suited of these models to analyze the...
Article
Full-text available
Heart failure is an important cardiac disease with an increasing prevalence in Western societies. In addition to a significant reduction of the patient’s physical capability and quality of life, cardiac insufficiency is associated with considerable expenditure by national health care systems. A number of imaging techniques are available for the det...
Article
Full-text available
Heart failure is an important cardiac disease with an increasing prevalence in Western societies. In addition to a significant reduction of the patient's physical capability and quality of life, cardiac insufficiency is associated with considerable expenditure by national health care systems. A number of imaging techniques are available for the det...
Article
Introduction: Medical care of patients with chronic pain has not yet been thoroughly analysed in the German health care system. In particular, there are only sparse data on the use of complementary treatments in chronic pain patients. Materials and methods: In this multi-centre, prospective observational study with a comprehensive retrospective sec...
Article
This paper presents the results of a prospective observational cohort study investigating referral practices to six specialized pain centres (SPCs) in 303 patients with headache (HD), low back pain (LBP), and neuropathic pain (NP). The study was divided into three parts. Part 1: The pain health care history (contacts with general practitioners and...
Article
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Quality management (QM) is an important tool for an effective and safe healthcare which also includes complementary and integrative medicine. Improving the three areas of quality (quality of structure, quality of process, and quality of results) is beneficial for patients and providers. Improvements of process, product and QM systems have a direct...