Birgit Wagner

Birgit Wagner
Medical School Berlin | MSB · Clinical Psychology and Psychotherapy

PhD

About

126
Publications
65,467
Reads
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3,948
Citations
Additional affiliations
November 2013 - present
Medical School Berlin
Position
  • Professor (Full)
January 2011 - October 2013
University of Leipzig
Position
  • Senior Researcher
January 2006 - December 2009
Universität Zürich

Publications

Publications (126)
Article
Full-text available
Introduction People bereaved by suicide are at high-risk for developing mental disorders and suicidal tendencies. Grief after suicide differs from grief after other types of death, and bereaved persons may require support tailored to their situation. In this study, we evaluate an online intervention for individuals bereaved by suicide and its effec...
Poster
Full-text available
Hintergrund: Für die Behandlung von depressiven Erkrankungen stehen eine Vielfalt von empirisch gut untersuchten psychotherapeutischen Interventionen zur Verfügung, die sich in ihrer Wirksamkeit im Durchschnitt aber nicht wesentlich zu unterscheiden scheinen. Aufgrund dessen schlagen diverse Autoren vor, nicht nur den Summenscore als Outcome-Maß de...
Chapter
Polizist*innen sind in vielerlei Hinsicht mit dem Thema Suizid konfrontiert. Zum einen haben sie im Rahmen der Überbringung von Todesnachrichten Kontakt mit Angehörigen nach einem Suizid. Darüber hinaus werden sie häufig zu Einsätzen mit Personen mit Suizidgedanken gerufen und weisen selbst eine oft berufsbedingte psychische Belastung auf, die eine...
Article
Full-text available
Zusammenfassung Trotz der Relevanz des Themas Suizidalität und gut bekannter Risikofaktoren gibt es bisher keine deutsche Leitlinie zur Suizidalität im Erwachsenenalter. In diesem Beitrag werden zunächst die Geschichte und die Hintergründe der Arbeit mit Leitlinien beschrieben. Der aktuelle Stand der Leitlinien für psychische Erkrankungen in Deutsc...
Article
Full-text available
Background: Police officers are at high risk for mental and physical health problems and suicidal ideation. The specific risk factors are numerous and concern stressful missions and administrative aspects of the police profession. So far, the police get only little training on specific missions as well as on coping with stress and suicidal ideation...
Article
Background Suicide bereavement is associated with increased risk for severe negative mental health outcomes and suicidality. The purpose of this study was to examine the association between mental health symptoms and suicidal ideation among suicide bereaved while taking multiple factors into account. Methods The sample consisted of N = 157 German...
Article
[Background] This study aims to provide a transparent and replicable documentation approach for the cultural adaptation of a cognitive-behavioural transdiagnostic intervention (Common Elements Treatment Approach, CETA) for Arabic-speaking refugees with common mental disorders in Germany. [Method] A mixed-methods approach was used, including literat...
Article
Bereaved siblings often receive insufficient social support and are at higher risk for mental disorders. This study aimed to examine the role of the therapist-rated working alliance in an online intervention for bereaved siblings. Clients (n = 74, 95% female), aged 17–59 received writing assignments and individual feedback by CBT trained therapists...
Article
Full-text available
Background Internet-based cognitive-behavioural interventions seem to be effective for the treatment of posttraumatic stress disorder (PTSD) in Arabic-speaking countries in the MENA region. However, due to high prevalence rates of trauma-related mental disorders in this region, it is important to scale up existing Internet-based interventions in or...
Article
Full-text available
Objective: A profound feeling of guilt and its role in complicating psychological reactions are accepted as central issues in suicide bereavement. However, research examining the relationship of guilt with mental disorders commonly following suicide bereavement is still lacking. This study aimed to examine the association between guilt and symptom...
Article
The delivery of death notifications may affect the mental health of bereaved individuals. Police officers are often the first people with whom the bereaved have contact in this exceptional situation. Therefore, it is essential to assess the behavior of police officers and the impact on the bereaved. We examined the experiences of 86 individuals who...
Article
Full-text available
The field of bereavement research and care is at a tipping point. The introduction of prolonged grief disorder (PGD) in the International Classification of Diseases (ICD-11) has ignited clinical interest in this new disorder, along with debate over challenges in validating and implementing these new criteria. At the same time, the global COVID-19 p...
Article
Full-text available
Background: Dropout from psychotherapy has negative impacts on clients, therapists, and health-care agencies. Research has identified a variety of variables as predictors of dropout, which can be grouped in three domains: socio-demographic, psychological, and treatment-related variables. Objective: In order to further clarify the question of predic...
Article
Full-text available
Purpose The present study aimed to compare prevalence rates of childhood maltreatment between patients with severe obesity undergoing bariatric surgery and patients without a surgical procedure. Second purpose was to calculate the association between childhood maltreatment and outcomes 6 and 12 months after a bariatric procedure. Methods Childhood...
Article
Zusammenfassung Hintergrund Suizidhinterbliebene weisen ein erhöhtes Risiko für psychische und somatische Folgeerkrankungen auf. Dennoch gibt es nur eine geringe Anzahl an Interventionen, welche sich spezifisch an diese Betroffenengruppe richten. Der systematische Review bewertet die Wirksamkeit von Interventionen, die speziell für jugendliche und...
Article
Full-text available
This review summarizes the evidence of bereavement groups for symptoms of grief and depression. The literature search using Web of Science, EBSCO, PubMed, CINAHL, and MEDLINE yielded 14 studies (N = 1519) meeting the inclusion criteria (i.e., randomized-controlled trials, bereaved adults, bereavement group, validated measures). Overall, bereavement...
Article
Full-text available
Background Web-based interventions have been introduced as novel and effective treatments for mental disorders and, in recent years, specifically for the bereaved. However, a systematic summary of the effectiveness of online interventions for people experiencing bereavement is still missing.ObjectiveA systematic literature search was conducted by f...
Article
Jeder Suizid hinterlässt in der Regel sechs bis zehn nahestehende Angehörige, welche durch die Folgen des Suizids direkt betroffen sind. Trauer nach einem Suizid gleicht in einigen Aspekten der Trauer nach anderen Todesumständen, jedoch gibt es Trauerreaktionen, welche sehr spezifisch nach dem Suizid einer nahestehenden Person auftreten können. Häu...
Poster
Full-text available
Die Anpassungsstörung stellt eine der häufigsten psychischen Störungen in der klinischen Praxis dar. Sie tritt oft auch als Folge körperlicher Erkrankungen oder größerer operativer Eingriffe auf. Kardiologische Patienten haben ein erhöhtes Risiko, eine Anpassungsstörung zu entwickeln. Bisher ist es allerdings unklar, welche Aspekte einer Herzerkran...
Article
Full-text available
Introduction: The death of a significant person through suicide is a very difficult experience and can have long-term impact on an individual's psychosocial and physical functioning. However, there are only few studies that have examined the effects of interventions in suicide survivors. In the present study, we examine an online-group interventio...
Preprint
Introduction The death of a significant person through suicide is a very difficult experience and can have long-term impact on an individual’s psychosocial and physical functioning. However, there are only few studies which have examined the effects of interventions in suicide survivors. In the present study, we examined an online-group interventio...
Preprint
Introduction The death of a significant person through suicide is a very difficult experience and can have long-term impact on an individual’s psychosocial and physical functioning. However, there are only few studies which have examined the effects of interventions in suicide survivors. In the present study, we examined an online-group interventio...
Article
Background: The 11th revision of the International Classification of Diseases includes a new chapter of stress-related disorders and presents two distinct sibling conditions: Posttraumatic Stress Disorder (PTSD) and complex PTSD (cPTSD). Studies show that PTSD and cPTSD are associated with different levels of functional impairment but have not yet...
Article
Full-text available
Background: After delivery, some women experience impairment of their mother-infant bonding (MIB), which can lead to long-term disturbances of the mother-child relationship and the child’s social-emotional development. Little is known about the association between early maternal bonding problems and mothers’ own adverse childhood experiences, even...
Article
Zusammenfassung Ziel der Studie Adipositas, eine exzessive Gewichtszunahme und psychische Belastungen während der Schwangerschaft sind mit erheblichen gesundheitlichen Risiken für die Mutter und das ungeborene Kind verbunden. Ziel der Studie war die Erfassung der Prävalenz von Adipositas und einer exzessiven Gewichtszunahme sowie von Zusammenhängen...
Poster
Full-text available
Anmerkung: Im Abstract wird noch der Pretest (N=19) dargestellt, das Poster zeigt bereits die Daten der eigentlichen Erhebung (N = 330) Hintergrund und Fragestellung: Psychische und psychosomatische Erkrankungen sind seit der Jahrtausendwende die häufigste Begründung für Erwerbsminderungsrenten(DRV 2018). Erwerbsminderungsrenten werden zunächst gru...
Presentation
Full-text available
Hintergrund und Fragestellung: In der ICD-11 wurde die komplexe Posttraumatische Belastungsstörung (kPTBS) als eigenständige Diagnose aufgenommen. Da bisher keine Daten zu den Auswirkungen einer kPTBS auf den Lebensbereich Arbeit vorliegen, soll diese Studie erste Erkenntnisse über den Zusammenhang mit Erlebens- und Verhaltensmustern im Beruf liefe...
Article
Background: Even though there is an increasing number of studies on the efficacy of Internet-based interventions (IBI) for depression, experimental trials on the benefits of added guidance by clinicians are scarce and inconsistent. This study compared the efficacy of semistandardized feedback provided by psychologists with fully standardized feedb...
Article
Background: For the next edition of the International Statistical Classification of Diseases (ICD-11) it is proposed to include prolonged grief disorder as a new diagnosis. The diagnosis describes persistent intensive and disabling grief reactions to bereavement (WHO, 2016b). The aim of the present survey was to determine the extent to which the d...
Article
Zusammenfassung Einleitung Zur ökonomischen Erfassung suizidaler Erlebens- und Verhaltensweisen findet der Suicide Behaviors Questionnaire – Revised (SBQ-R) von Osman und Kollegen breiten Einsatz. Dieser Fragebogen umfasst 4 Items, die verschiedene Facetten von Suizidalität erfassen und weist einige Einschränkungen auf. So sind die 4 Items nicht gl...
Chapter
Computerisierte Verfahren zur klinischen Diagnostik, Indikationsstellung und Therapieverlaufskontrolle finden in Form von Fragebögen, strukturierten Interviews und elektronischen Patiententagebüchern zunehmend Eingang in die klinische Praxis. Eine internetbasierte Erfassung der Symptomatik eines Patienten über Smartphone-Apps ist zeitsparend und or...
Chapter
Die Erforschung computergestützter Psychotherapie hat eine lange Tradition. Die aktuelle intensive Forschung zu Online- bzw. Smartphone-Interventionen, Selbsthilfeprogrammen mit oder ohne Therapeutenkontakt und therapeutischen Computerspielen hat gezeigt, dass sie traditionelle verhaltenstherapeutische Ansätze durch fokussierte und zeitlich begrenz...
Article
Full-text available
Background: Pre-pregnancy obesity and postpartum mental disorders are prevalent health risks to both the mother and the offspring. The objective of our study was to examine whether a history of childhood maltreatment is associated with pre-pregnancy obesity and postpartum mental health and whether childhood maltreatment and pre-pregnancy BMI indepe...
Article
Background Pregnancy loss occurs in 20% of all diagnosed pregnancies. For many women, the loss of a child is related to intense grief reactions and posttraumatic stress symptoms. Objective To introduce an Internet-based intervention program for parents who have lost their child during pregnancy and to investigate the short and long-term effects on...
Article
Full-text available
Background Bariatric surgery is an effective method for treating morbid obesity and improving patientsʼ health-related quality of life (HRQoL). As research on predictors that contribute to the amelioration of HRQoL is sparse, our prospective study was conducted to examine the predictive value of demographic, psychological and physiological variable...
Article
The Beck Depression Inventory (BDI-II), Hopkins Symptom Checklist (HSCL-25), and Posttraumatic Diagnostic Scale (PDS) are three widely applied clinical instruments for assessing depression, anxiety, and posttraumatic stress symptoms, respectively. Use of online-based psychological help and assessment is rapidly growing which necessitates the need f...
Article
Arabic-speaking refugees who have fled from war and political unrest in their countries of origin have frequently experienced sequential traumatisation. Studies conducted to date have revealed a high prevalence of mental disorders. The lack of adequate psychotherapeutic and psychiatric care in the refugees’ native language confronts the health syst...
Article
Binge-eating disorder (BED) is a prevalent health condition associated with obesity. Few people with BED receive appropriate treatment. Personal barriers include shame, fear of stigma, geographic distance to mental health services, and long wait lists. The aims of this study were to examine the efficacy of an Internet-based cognitive-behavioral int...
Chapter
Major depression and depressive symptoms are widely prevalent and there is a need for cost-effective and easily available psychological treatments. There is a large and growing literature on guided Internet-based CBT (ICBT) for depression and depressive symptoms. In this chapter, we give examples of programs and review the evidence. When compared a...
Article
Full-text available
Background In recent years, armed conflicts in the Middle East have resulted in high rates of exposure to traumatic events. Despite the increasing demand of mental health care provision, ongoing violence limits conventional approaches of mental health care provision. Internet-based interventions for posttraumatic stress disorder (PTSD) have proved...
Article
Objective: This review is to provide a first overview about prevalences and associations of forms of child maltreatment in binge eating disorder (BED). Methods: Systematic literature search in PubMed and Web of Science in December 2013. Terms considered were "binge eating disorder" AND "child* maltreatment", "child* abuse", "child* sexual abuse", "...
Article
Full-text available
Many patients undergoing bariatric surgery report current or past psychiatric disorders and controversy exists regarding their outcome after bariatric surgery.PRESENTATION OF CASEWe present a case of an obese patient with a borderline personality disorder, a recurrent depressive disorder, post-traumatic stress symptoms and binge eating episodes who...
Article
Full-text available
Previous research has shown an association between certain personality characteristics and suicidality. Methodological differences including small sample sizes and missing adjustment for possible confounding factors could explain the varying results. The aim of this study was to assess the impact of the Big Five personality dimensions on suicidalit...
Article
Full-text available
Background: The loss of a child during pregnancy causes significant psychological distress for many women and their partners, and may lead to long-lasting psychiatric disorders. Internet-based interventions using exposure techniques and cognitive restructuring have proved effective for posttraumatic stress disorder (PTSD) and prolonged grief. This...
Article
Full-text available
Objective: Findings about the association between working alliance and therapy outcome in Internet-based treatments are contradictory. Evidence for the working alliance in Internet-based treatment for Binge Eating Disorder is still missing and can help to elucidate this question. Methods and results: In an Internet-based cognitive-behavioral int...
Article
Objective: Inpatients diagnosed with major depression that had lost a loved person were asked about loss-related variables and symptoms of complicated grief (CG). Methods and results: CG was assessed by the Inventory of Complicated Grief (ICG-R). 14.2% of n = 127 individuals with unipolar depression met the criteria for CG. Depressive patients w...
Article
Full-text available
This systematic review evaluates the efficacy of internet-based interventions for the treatment of different eating disorders in adults. A search for peer reviewed journal articles detailing Randomised Control Trials (RCT) and Controlled Trials (CT) addressing participants with eating disorders aged at least 16 was completed in the electronic datab...
Article
Hintergrund: Der Verlust eines Kindes in der Schwangerschaft stellt für die betroffenen Eltern eine hohe psychische Belastung dar, die zu manifesten psychischen Erkrankungen führen kann. Verschiedene Studien haben gezeigt, dass die wahrgenommene soziale Unterstützung durch das Umfeld der Betroffenen nach einem pränatalen Kindsverlust mit geringerer...
Article
Full-text available
In the past decade, a large body of research has demonstrated that internet-based interventions can have beneficial effects on depression. However, only a few clinical trials have compared internet-based depression therapy with an equivalent face-to-face treatment. The primary aim of this study was to compare treatment outcomes of an internet-based...
Article
Soluble CD14 (sCD14) binds bacterial lipopolysaccharide (LPS) and acts as an anti-inflammatory LPS-inhibitor in vivo. In humans, sCD14 is one of the soluble biomarkers used for various inflammatory diseases and conditions, however, sCD14 assays have not yet been evaluated in horses. Here, we developed and optimized a bead-based assay for the quanti...
Article
Objective: A number of studies have revealed that the number of completed suicides decreases with increasing body mass index (BMI). However, only few studies have evaluated the association between suicidal behavior, suicide attempts, and the various BMI categories. The aim of this study was to determine whether obesity is positively associated wit...
Article
Full-text available
Bariatric surgery is one of the most effective treatments for morbid obesity, and a large body of research indicates significant long-term weight loss. While overall mortality decreases in patients who received bariatric surgery, a number of studies have shown that suicide rates are higher in bariatric patients than in control groups. The objective...
Chapter
Die Art der Todesumstände und die Beziehung zur verstorbenen Person können den Trauerprozess maßgeblich beeinträchtigen und unterschiedliche Formen der Trauerverarbeitung hervorrufen. Sowohl die Dauer als auch die Intensität der Trauersymptomatik kann beeinflusst werden. Im Folgenden werden verschiedene Todesursachen und deren spezifische Folgen un...
Chapter
Die psychischen Reaktionen auf den Tod einer nahestehenden Person können sich sowohl kulturell als auch individuell stark unterscheiden. Dies erschwert die Festlegung der komplizierten Trauer auf einheitliche diagnostische Kriterien. Insbesondere stellt sich die Frage, wie eine normale Trauerreaktion in Abgrenzung zu einem pathologischen Prozess ve...
Chapter
Der Verlust einer nahestehenden Person hat in der Regel einen normalen und nicht‐pathologisch verlaufenden Trauerprozess zur Folge. Komplizierte Trauer definiert sich im Wesentlichen durch die Abgrenzung zur normalen Trauer und unterscheidet sich an Intensität und Abweichung in den folgenden drei Merkmalen: 1.) Intensität, 2.) Qualität und 3.) Daue...
Chapter
Die Ergebnisse der Studien, Meta-Analysen und Überblicksartikel zu Trauerinterventionen verdeutlichen, dass eine Trauerintervention, die sich an alle Trauernden richtet keine Behandlungswirksamkeit hat oder sogar negative Auswirkungen haben kann. Dagegen zeigen Trauerinterventionen bessere Behandlungseffekte, wenn sie sich an Trauernde richten, die...
Chapter
Die bisherigen wissenschaftlichen Studienerkenntnisse zu Trauerinterventionen können gute Empfehlungen geben, für welche Trauergruppen eine psychotherapeutische Intervention indiziert ist und welche Therapieangebote wirksam sind. Im folgenden Kapitel wird eine Beschreibung und Anleitung für die Planung und Durchführung der einzelnen Schritte gegebe...
Article
Full-text available
BACKGROUND: During the Khmer Rouge (KR) regime from 1975 to 1979 millions of Cambodians were confronted with the death or murder of family members. The long-term psychological consequences of these traumatic losses have not yet been investigated. The purpose of this study was to determine the rate and potential predictors of prolonged grief disorde...