Ingo Schäfer

Ingo Schäfer
University Medical Center Hamburg - Eppendorf · Department of Psychiatry and Psychotherapy

Prof. Dr. med., MPH
Head, Trauma Research Group (UKE) / Director, Center for Interdisciplinary Addiction Research (ZIS), Univ. of Hamburg

About

287
Publications
63,995
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4,065
Citations
Citations since 2016
155 Research Items
2928 Citations
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Introduction
Ingo Schäfer is director of the Center for Interdisciplinary Addiction Research at the University of Hamburg (ZIS) and head of the Trauma and Stress Research Group at the Department of Psychiatry and Psychotherapy, University Medical Center Hamburg - Eppendorf (UKE).

Publications

Publications (287)
Article
Full-text available
Mental health is central to health, and research has recognized the vulnerability of refugees, asylum seekers and internally displaced persons in relation to mental health.1 Escalating wars and continuous conflicts contributed to mass displacement of people during 2015. By the end of 2015 almost 60 million individuals were forcibly displaced. In 20...
Article
Full-text available
The European countries have a long history of exposure to large-scale trauma. In the early 1990s the increasing awareness of the consequences of trauma within the mental health community led to the foundation of local societies for psychotraumatology across Europe and the European Society of Traumatic Stress Studies (ESTSS), which celebrated its 25...
Book
Die S3-Leitlinie „Posttraumatische Belastungsstörung“ (PTBS) wurde in ihrer aktualisierten Version von 2019 von zahlreichen Fachgesellschaften unter der Federführung der Deutschsprachigen Gesellschaft für Psychotraumatologie (DeGPT) erarbeitet. Sie enthält gegenüber der Vorversion verschiedene Neuerungen: Aufgrund der Einführung der Diagnose „Kompl...
Article
Full-text available
Background: Traumatic events are strongly associated with mental health problems. At present, traumatic events and trauma-specific needs are commonly underdetected in therapeutic settings. Many mental health professionals lack key competencies for trauma inquiry and treatment. Objective: In this study, we aimed to investigate the everyday practi...
Article
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Background: A dissociative subtype of posttraumatic stress disorder (D-PTSD) was introduced into the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) but latent profiles and clinical correlates of D-PTSD remain controversial. Objective: The aims of our study were to identify subgroups of individuals with distinct...
Article
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Background: The psychological treatment of comorbid post-traumatic stress disorder (PTSD) and substance use disorder (SUD) is clinically challenging, and outcomes are often poor. Objective: This paper describes a systematic review and meta-analysis which sought to establish the current efficacy for a number of established psychological approache...
Article
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Background: Afghan refugees often face hardship and traumatic experiences before, during, and after migration and frequently suffer from mental health burdens. Evidence based psychological treatments for refugees mostly focus on symptoms of posttraumatic stress disorder (PTSD), however, refugees often suffer from a variety of general health problem...
Article
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Background: While many elaborated treatment protocols focus on post-traumatic stress symptoms, a large number of refugees suffer from a range of mental health problems. Thus, brief and transdiagnostic psychological interventions may be helpful first interventions for help-seeking refugees and asylum seekers in a stepped-care approach. Critically,...
Article
Full-text available
This study assessed the validity and reliability of the Pandemic Coping Scale (PCS), a new brief measure of coping with pandemic-related stressors. Methods The PCS was administered to N = 2316 German participants during the COVID-19 pandemic. Exploratory and confirmatory factor analysis was applied among random splits of the sample. Global goodnes...
Article
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Background: The COVID-19 pandemic is a health emergency resulting in multiple stressors that may be related to posttraumatic stress disorder (PTSD). Objective: This study examined relationships between risk and protective factors, pandemic-related stressors, and PTSD during the COVID-19 pandemic. Methods: Data from the European Society of Traumatic...
Chapter
Nalmefene is an opioid-receptor modulator with antagonistic effects at the μ- and δ-opioid receptors, with partial antagonism only at the κ-opioid receptor. Nalmefene has been studied in alcohol use disorder since the 1990s. Initial studies were conducted in the United States, followed by a series of large-scale studies in Europe followed by a stud...
Article
Full-text available
Background Refugees often report high levels of psychological distress due to traumatic experiences before and during flight as well as many post-migration stressors. Refugees with hazardous substance use or existing substance use disorder (SUD) are a particularly vulnerable group for whom few preventive and therapeutic measures are available. The...
Article
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Background: A negative self-concept is characterised by dysfunctional cognitions about the self and has been suggested to be a key factor involved in the development and maintenance of posttraumatic stress disorder (PTSD). In addition, the current definitions of PTSD according to DSM-5 and the new ICD-11 diagnosis of Complex PTSD (CPTSD) include as...
Chapter
Daten zur Komorbidität bei medikamentenbezogenen Störungen liegen nach Kenntnis der Autor*innen für Deutschland nicht ausreichend vor.
Article
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Background: Network analysis has gained increasing attention as a new framework to study complex associations between symptoms of post-traumatic stress disorder (PTSD). A number of studies have been published to investigate symptom networks on different sets of symptoms in different populations, and the findings have been inconsistent. Objective: W...
Article
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Background: During the current COVID-19 pandemic, people need to cope with multiple stressors which may affect their well-being. This study aimed (1) to identify latent coping profiles in the German general population, and (2) to investigate differences between these profiles in well-being. Methods: In total, N = 2,326 German participants were r...
Article
b> Hintergrund: Schwere sexualisierte Gewalt erfolgt meist in Verbindung mit körperlicher und psychischer Gewalt an Kindern, Jugendlichen und Erwachsenen. In den letzten Jahren wurde deutlich, dass einige Formen von sexualisierter Gewalt systematisch und durch untereinander bekannte Täter:innen oder Netzwerke organisiert ausgeübt werden und mehrere...
Article
Ziel dieses systematischen Reviews ist die Erfassung des internationalen Forschungsstands zu Diagnostik und Therapie Posttraumatischer Belastungsstörungen bei erwachsenen Menschen mit intellektueller Beeinträchtigung. Durchgeführt wurde eine Internetrecherche nach PRISMA-Standard für 1990 bis 2020. Nach Anwendung der Ausschlusskriterien konnten sec...
Article
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Background Psychological distress due to the ongoing war, violence, and persecution is particularly common among Afghan asylum seekers and refugees. In addition, individuals face a variety of post-migration living difficulties (PMLDs). Complex posttraumatic stress symptoms are among the most common mental health problems in this population, and wer...
Article
Full-text available
Background: This study aimed to assess the factorial validity and reliability of the Pandemic Stressor Scale (PaSS), a new measure to assess the severity of distress for different stressors relevant during a pandemic or epidemic. Methods: The PaSS was administered in N = 2760 German participants. Exploratory factor analysis was used to extract f...
Article
Objective: Investigation of the differences in dealing with traumatic experiences of patients between psychotherapists with and without further training in trauma therapy or partial qualification. Methods: Online survey of outpatient psychotherapists (N = 148) on possible obstacles in addressing traumatic experiences of patients and self-reporte...
Preprint
The Approach and Avoidance Task (AAT) has been shown effective in reducing relapse rates among patients with alcohol-use disorder and thus can enhance treatment outcome. However, until now the working mechanisms of the AAT are poorly understood. An intriguing possibility is that response inhibition, as a predominantly reflective process, might play...
Article
Full-text available
Introduction: Many studies have investigated the latent structure of the DSM-5 criteria for posttraumatic stress disorder (PTSD). However, most research on this topic was based on self-report data. We aimed to investigate the latent structure of PTSD based on a clinical interview, the Clinician-Administered PTSD Scale (CAPS-5). Method: A clinica...
Article
Full-text available
Background The COVID-19 pandemic has led to a wide range of stressors related to depressive symptoms. Prevention measures like physical distancing have burdened the general population, especially in highly urbanized areas. However, little is known about the associations between pandemic-related stressors, coping strategies, and depressive symptoms...
Chapter
Patients with post-traumatic stress disorder (PTSD) who have been subjected to sexual, physical or emotional violence in childhood often have a wide range of symptoms. These are often difficulties in interpersonal relationships and in the emotional sphere. They may find it difficult to build trust, to allow intimacy, to deal with criticism from oth...
Article
Full-text available
Background: Numerous traumatic experiences and post-migration living difficulties (PMLDs) increase the risk of developing symptoms of complex post-traumatic stress disorder (CPTSD) among Afghan refugees and asylum seekers, living in Austria. Research has repeatedly associated higher levels of CPTSD with higher levels of PMLDs. Summarizing PMLDs int...
Article
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Background Refugees often suffer from multiple mental health problems, which transdiagnostic interventions can address. STARC (Skills-Training of Affect Regulation – A Culture-sensitive Approach) is a culturally sensitive transdiagnostic group intervention that has been developed for refugees to improve affect regulation. In refugees with substance...
Article
Background Little is known about Syrian refugees ‘perspectives on substance use. Syrians have been the largest groups of refugees in Germany since 2014. To investigate Syrian refugees’ perspectives on substance use we applied a qualitative study design. Methods Five semi-structured focus group discussions with a total of 19 refugees were conducted...
Article
Full-text available
BACKGROUND The COVID-19 pandemic exposes individuals to multiple stressors, such as quarantine, physical distancing, job loss, risk of infection, and loss of loved ones. Such a complex array of stressors potentially lead to symptoms of adjustment disorder. OBJECTIVE This cross-sectional exploratory study examined relationships between risk and prot...
Article
Full-text available
Engagement in “chemsex” among men who have sex with men is associated with higher rates of STIs and HIV seroconversion as well as an increased mental health burden. MSM were recruited for an anonymous online survey. The survey included questions of substance use, consumption motives, sexual risk behavior, HIV serostatus, and psychological character...
Article
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Background: Childhood maltreatment (CM) is thought to play a key role in the etiology and course of psychotic disorders (PD). In addition, CM is related to neurobiological and clinical characteristics that can lead to poor social functioning. However, the extent to which CM and social functioning are directly associated in individuals with PD, is u...
Article
Background: The most extensively used instrument to measure dissociation is the Dissociative Experiences Scale (DES). Recently, an extended version of this instrument was provided, which also measures somatoform symptoms of dissociation. The aim of this study was to examine the component structure and internal consistency of the extended version of...
Article
Full-text available
Several types of psychological treatment for posttraumatic stress disorder (PTSD) are considered well established and effective, but evidence of their long-term efficacy is limited. This systematic review and meta-analysis aimed to investigate the long-term outcomes across psychological treatments for PTSD. MEDLINE, Cochrane Library, PTSDpubs, Psyc...
Preprint
Full-text available
Background: This study aimed to assess the factorial validity and reliability of the Pandemic Stressor Scale (PaSS), a new measure to assess the severity of distress for different stressors relevant during a pandemic or epidemic. Methods: The PaSS was administered in N = 2760 German participants. Exploratory factor analysis was used to extract fact...
Article
Full-text available
Background Syrians have been the largest group of refugees in Germany since 2014. Little is known about Syrian refugees` perspectives on substance use. The aim of this study is to investigate the perspective of male refugees from Syria and to foster specific knowledge and understanding of substance use. Methods We applied a qualitative study desig...
Preprint
Full-text available
Background: This study aimed to assess the factorial validity and reliability of the Pandemic Coping Scale, a new brief measure of coping behavior in response to the stressors of a pandemic. Methods: The scale was administered to N = 2,316 German participants during the COVID-19 pandemic. An exploratory and a confirmatory factor analysis were appli...
Article
Background Research has described subtypes with more internalizing and more externalizing symptoms in samples of patients with post-traumatic stress disorder (PTSD) and samples of patients with substance use disorders (SUD). Objective This study sought to examine the respective subtypes in female PTSD-SUD patients and potential relationships with...
Article
Full-text available
The COVID-19 pandemic has changed life in Europe and globally. The pandemic affects both individuals and the broader society across many domains, including physical and psychological health, the economy and general welfare. The measures taken to counteract the pandemic have significantly altered daily life and, along with the threat of contracting...
Article
Full-text available
Introduction: Once-weekly or once-monthly injectable depot buprenorphine is a new opioid substitution treatment (OST) medication that provides clinically relevant plasma concentrations without daily peaks. Together with a high tolerability and acceptance reported by patients, the prolonged release of injectable depot buprenorphine might have benefi...
Article
The latest revision of the guidelines on posttraumatic stress disorder (PTSD) of the Association of the Scientific Medical Societies in Germany contains 15 recommendations on the diagnostics and treatment in adults. Of central importance are trauma-focused cognitive behavioral therapy and eye movement desensitization and reprocessing. The effects o...
Article
Die aktualisierte S3-Leitlinie zur posttraumatischen Belastungsstörung der Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften enthält 15 Empfehlungen zu Diagnostik und Behandlung im Erwachsenenalter. Von zentraler Bedeutung sind die traumafokussierte kognitive Verhaltenstherapie oder Eye Movement Desensitization and Reproce...
Article
Objective: The present study investigated predictors of treatment attendance among 226 women with posttraumatic stress disorder (PTSD) and substance use disorder (SUD). Participants received either an integrated intervention for PTSD and SUD ("Seeking Safety") or a relapse prevention training (RPT) as part of a multicenter randomized controlled tri...
Article
Background The study of substance use disorder among communities affected by mass violence has not received equal attention as other health concerns. This has led to the majority of psychosocial interventions in post-conflict zones being unresponsive to substance use-related problems among refugees. This study focused on gaining an in-depth underst...
Article
Full-text available
During the current COVID-19 pandemic, the people in Europe are exposed to self-isolation, quarantine, job loss, risk of contracting COVID-19, or grief of loved ones. Such a complex array of stressors may lead to symptoms of adjustment disorder or posttraumatic stress disorder. This research protocol describes a study launched by the European Societ...
Article
Full-text available
Background: During the current COVID-19 pandemic, the people in Europe are exposed to self-isolation, quarantine, job loss, risk of contracting COVID-19, or grief of loved ones. Such a complex array of stressors may lead to symptoms of adjustment disorder or posttraumatic stress disorder. This research protocol describes a study launched by the Eur...
Article
Objective A history of childhood abuse and neglect (CAN) is significantly associated with psychopathologies in adulthood, including comorbid posttraumatic stress disorder (PTSD) and substance use disorders (SUD). Difficulties in emotion regulation (ER) might influence the association between CAN and PTSD. The aim of this study was to examine the re...
Article
Full-text available
Background Patient reported outcomes (PRO) can help to reduce uncertainties about hepatitis C (HCV) treatment with direct-acting antivirals (DAA) among people who inject drugs and increase the treatment uptake in this high-risk group. Besides clinical data, this study analysed for the first time PRO in a real-world sample of patients in opioid agon...
Book
Full-text available
European Society for Traumatic Stress Studies (ESTSS) Recommendations on Mental Health and Psychosocial Care During Pandemics derived from the framework of The European Network of Traumatic Stress Guidelines for Psychosocial Care Following Disasters and Major Incidents - TENTS Guidelines (Bisson et al, 2010). The recommendations are developed for m...
Article
Zu den zentralen Aussagen der revidierten S3-Leitlinie Posttraumatische Belastungsstörung (PTBS) gehört die Empfehlung, dass bei der PTBS die traumafokussierte Psychotherapie die Behandlung erster Wahl ist, bei der der Schwerpunkt auf der Verarbeitung der Erinnerung an das traumatische Ereignis und / oder seiner Bedeutung liegt. Eine traumafokussie...
Article
Die S3-Leitlinie „Posttraumatische Belastungsstörung“ (PTBS) wurde in ihrer aktualisierten Version von Februar 2019 von zahlreichen Fachgesellschaften unter Federführung der Deutschsprachigen Gesellschaft für Psychotraumatologie (DeGPT) erarbeitet. Sie enthält gegenüber der Vorversion verschiedene Neuerungen. Aufgrund der Einführung der Diagnose „...
Article
Full-text available
In this web-based field study, we compared the diagnostic accuracy and clinical utility of 10 selected mental disorders between the ICD-11 Clinical Descriptions and Diagnostic Guidelines (CDDG) and the ICD-10 CDDG using vignettes in a sample of 928 health professionals from all WHO regions. On average, the ICD-11 CCDG displayed significantly higher...
Article
Full-text available
Background: Asylum seekers and refugees are at great risk for developing mental disorders. Afghan refugees are a particularly vulnerable group with a low average education and mental health literacy level. Traumatic experiences and hardship before and during migration are predictive of mental health problems. However, post-migration living difficu...
Article
Full-text available
Childhood maltreatment (CM) is a strong risk factor for alcohol dependence (AD) and is associated with a more severe course of the disease. Alterations of the hypothalamic‐pituitary‐adrenal (HPA) axis may play an important role in this relationship. The aim of the present study was to systematically investigate potential alterations in HPA function...
Article
Background The German Guideline on Screening, Diagnosis and Treatment of Alcohol Use Disorders aims to increase the uptake of evidence-based interventions for the early identification, diagnosis, prevention and treatment of alcohol-related disorders in relevant healthcare settings. To date, dissemination has not been accompanied by a guideline impl...