Juergen BengelUniversity of Freiburg | Albert-Ludwigs-Universität Freiburg · Institute of Psychology
Juergen Bengel
Professor
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Introduction
Skills and Expertise
Publications
Publications (593)
Background and Aims
Tobacco smoking represents a major cause for preventable death and morbidity. Results from non‐randomized studies suggest that smoking cessation therapy in a residential setting might be a new viable way to facilitate smoking abstinence. We aimed to test the effects of residential multicomponent group therapy for smoking cessati...
Objective: Early response is considered to be an important predictor for therapy outcomes; yet little is known about its relevance in psychosomatic rehabilitation. This paper aims to describe the association of early response in psychosomatic rehabilitation, as well as the associations of early response with pre-rehabilitative factors such as illne...
Introduction:
Behavioral activation (BA) is effective for the treatment of depression. The Health Action Process Approach (HAPA), which is derived from health psychology, can provide a motivational-volitional framework of BA.
Objective:
This study investigated the efficacy of a HAPA-based internet-delivered BA intervention (iBA; called InterAKTI...
Background
Adults with intellectual disabilities should participate in the diagnostics of their mental health. The Glasgow Depression Scale for people with a Learning Disability (GDS‐LD) and its Carer Supplement (GDS‐CS) were translated into German and tested.
Methods
Internal consistency, criterion validity and inter‐test reliability were tested...
Survivors of intimate partner violence (IPV) face serious health-related, social and economic consequences. Prior meta-analyses indicate efficacy of psychosocial interventions for support of IPV survivors, but their results are affected by methodological limitations. Extensive subgroup analyses on the moderating effects of intervention and study ch...
Background: Validated English language measures for dyadic assessment and analyses of family asthma management are still rare and no such measure is available in the German Language so far. Aim: The aim of our study was the development and psychometric evaluation of a dyadic questionnaire allowing consideration of both adolescent and caregiver perc...
Background:
In the aging population of Western societies, an increasing number of older adults have multiple chronic diseases. As multifaceted health problems imply the involvement of several healthcare professionals, multimorbid older people frequently face a fragmentation of health care. Addressing these challenges, we developed a local, collabo...
Survivors of intimate partner violence (IPV) are at risk for serious health consequences, and providing effective psychosocial interventions to support these individuals is a major global health challenge. Previous systematic reviews and meta-analyses in this field do not allow for clear conclusions about the efficacy of these interventions, owing...
Purpose:
Treatment beliefs play a crucial role for patient satisfaction and the treatment outcome in psychosomatic rehabilitation. The aim of this study was the development and the psychometric evaluation of an indication-specific questionnaire of beliefs about psychosomatic rehabilitation.
Materials and methods:
The study was conducted at a psy...
Purpose
Patients’ illness and treatment beliefs have been shown to predict health outcomes in many health care settings. However, information about their impact on patient satisfaction is scarce. The aim of this study was to investigate illness- and rehabilitation-related treatment beliefs and met rehabilitation-related treatment expectations and t...
Rehabilitationswissenschaften müssen wie jede Wissenschaft Rechenschaft über ihren Untersuchungsgegenstand und über die zentralen Begrifflichkeiten, die relevante sprachliche Abgrenzungen des Feldes ermöglichen, ablegen. Im ersten Teil dieses Beitrags wird eine Perspektive auf die Rehabilitation formuliert, die das Grundverständnis des Begriffs Reh...
Background. The study objective is to analyze the influence of the SARS-CoV-2 pandemic on the psychosocial burden of people suffering from mental illness at the beginning of in-patient rehabilitation treatment in Germany
Methods. Psychosocial stress at the beginning of rehabilitation of patient cohorts before or during the pandemic was compared usi...
Zusammenfassung
Ziel der Studie Kontextfaktoren sind ein zentrales Element der ICF und relevant für die Anamnese und Therapieplanung in der psychosomatischen Rehabilitation. Gleichzeitig ist wenig über die Zusammenhänge von Kontextfaktoren mit der patient*innenseitigen Selbstregulation, einem wichtigen Ziel der Rehabilitation, bekannt.Ziel dieser S...
Purpose of review:
The purpose of this overview is to analyze existing reviews on psychosocial interventions for children of parents with cancer and synthesize implications for further practice, interventions, and research in this field. The aim of this overview is therefore to generate systematic knowledge about what can be classed as evidence-ba...
The experience of a traumatic event is always associated with psychological stress and a reaction of adaptation. This can also affect eyewitnesses, relatives, survivors, helpers, and emergency services. The reaction that follows such an event can manifest itself in an acute stress reaction (ICD), an acute stress disorder (DSM) and/or in the medium...
Refugees are exposed to multiple stressors affecting their mental health. Given various barriers to mental healthcare in the arrival countries, innovative healthcare solutions are needed. One such solution could be to offer low-threshold treatments, for example by culturally adapting treatments, providing them in a scalable format, and addressing t...
Objective
Illness and treatment beliefs are important predictors of health outcomes. However, little is known about their impact on outcomes in psychosomatic rehabilitation. Thus, the aim of this study was to investigate the impact of illness and rehabilitation-related treatment beliefs in patients with mental disorders attending psychosomatic reha...
Rehabilitation ist eine Gesundheitsstrategie, die auf eine Förderung von Funktionsfähigkeit, Teilhabe und Selbstbestimmung von Menschen mit Beeinträchtigungen zielt. Rehabilitation als Prozess erfolgt multimodal und betont ausdrücklich die aktive Rolle der betroffenen Menschen im Rehabilitationsprozess und die dabei unterstützende Rolle der Expert_...
Introduction
Adults with intellectual disabilities (ID) face a high risk of developing psychiatric disorders, yet there is a lack of valid instruments measuring psychopathology in this population. Two existing instruments are the PAS-ADD Checklist questionnaire and the Mini PAS-ADD interview, two third-party assessments that can be used for the pur...
Introduction
Behavioural activation is a highly effective treatment for depression. However, there is considerable heterogeneity of interventions grouped under the term ‘behavioural activation’. A main reason for the heterogeneity is the lack of a unified theory in the intervention development: few of the established intervention manuals give a the...
Background:
Depression occurs frequently in individuals with coronary artery disease (CAD) and is associated with a poor prognosis.
Objectives:
To determine the effects of psychological and pharmacological interventions for depression in CAD patients with comorbid depression.
Search methods:
We searched the CENTRAL, MEDLINE, Embase, PsycINFO,...
Providing accessible and effective healthcare solutions for people living in low- and middle-income countries, migrants, and indigenous people is central to reduce the global mental health treatment gap. Internet- and mobile-based interventions (IMI) are considered scalable psychological interventions to reduce the burden of mental disorders and ar...
Background
Cancer patients' mental health and quality of life can be improved through professional support according to their needs. In previous analyses of the UNSAID study, we showed that a relevant proportion of cancer patients did not express their needs during the admission interview of inpatient rehabilitation. We now examine trajectories of...
For patients with coronary heart disease (CHD) lifestyle changes and disease management are key aspects of treatment that could be facilitated by mobile health applications (MHA). However, the quality and functions of MHA for CHD are largely unknown, since reviews are missing. Therefore, this study assessed the general characteristics, quality, and...
Sleep difficulties are widespread among international students. Internet-based interventions are suggested as a low-threshold treatment option but may require cultural adaptation among culturally diverse populations. The present pilot study investigated the effectiveness and acceptance of an internet-based intervention to improve sleep difficulties...
Background: The efficacy of inpatient psychosomatic rehabilitation in Germany can be considered proven. However, a significant
number of patients with mental disorders remain unsatisfied with rehabilitation or being non-responders. Illness beliefs, as the core element
of the Common-Sense Model of Self-Regulation (CSM), are widely known as predictor...
Background
Many students in Germany do not meet recommended amounts of physical activity. In order to promote physical activity in students, web-based interventions are increasingly implemented. Yet, data on effectiveness of web-based interventions in university students is low. Our study aims at investigating a web-based intervention for students....
Introduction:
Psychotherapy is a first-line treatment for depression. However, capacities are limited, leading to long waiting times for outpatient psychotherapy in health care systems. Web-based interventions (WBI) could help to bridge this treatment gap.
Objective:
This study investigates the effectiveness of a guided cognitive-behavioral WBI...
Background:
Major depression is one of the world's leading causes of disability in adults with long-term physical conditions compared to those without physical illness. This co-morbidity is associated with a negative prognosis in terms of increased morbidity and mortality rates, increased healthcare costs, decreased adherence to treatment regimens...
b> Introduction: There is neither strong evidence on effective treatments for patients with chronic back pain (CBP) and depressive disorder nor sufficiently available mental health care offers. Objective: The aim is to assess the effectiveness of internet- and mobile-based interventions (IMI) as a scalable approach for treating depression in a rout...
Chronische körperliche Erkrankungen bilden eine Gruppe von Krankheiten mit unterschiedlicher Ätiologie, Pathogenese, Symptomatik und Prognose. Den Krankheitsbildern ist gemeinsam, dass sie langfristig bestehen und eine vollständige Heilung in der Regel nicht erreicht werden kann. Die Rehabilitation soll dabei unterstützen, die chronische körperlich...
Die medizinische Rehabilitation hat sich innerhalb von 40 Jahren zu einem wichtigen Arbeitsfeld für Psychologen entwickelt. Über 5000 Psychologen arbeiten in Deutschland im Bereich der Rehabilitation. Die Psychologie als Fach und als Profession hat eine Schlüsselrolle nicht nur in der Rehabilitation von psychischen Erkrankungen und Suchterkrankunge...
Zusammenfassung
Ziel der Studie Patienten warten in Deutschland durchschnittlich 5 Monate auf den Beginn einer ambulanten Psychotherapie. Begleitete webbasierte Selbsthilfeinterventionen können depressive Symptome in der Wartezeit reduzieren. Ziel der Studie ist zu untersuchen, wie Betroffene die Teilnahme an einer webbasierten Intervention zur Sti...
Objective:
Cancer patients often need professional help to alleviate their psychosocial distress. However, not all patients express their needs. In this study, we explored possible barriers to patients' expressing needs, contents of needs difficult to express, and conditions facilitating expressing needs.
Methods:
We conducted semi-structured in...
Background:
Internet- and mobile-based interventions (IMI) are an effective and scalable low-threshold solution to reach people who are undersupplied by current healthcare. Adapting interventions to the cultural and ethnic background of the target group enhances their acceptance and effectiveness. However, no systematic approach to cultural adapta...
Objective
The admission interview in oncological inpatient rehabilitation might be a good opportunity to identify cancer patients' needs present after acute treatment. However, a relevant number of patients may not express their needs. In this study, we examined (1) the proportion of cancer patients with unexpressed needs, (2) topics of unexpressed...
Background:
In Germany, evidence-based outpatient smoking cessation therapies are widely available. Long-term abstinence rates, however, are limited. Studies suggest that short-term residential therapy enables a higher level of environmental control, more intense contact and greater support among patients and from therapists, which could result in...
Zusammenfassung
Bereits 2002 wurde im Rahmen der Sonnenberger Leitlinien die Entwicklung von Fortbildungsprogrammen für Psychotherapeuten im Sinne der interkulturellen Öffnung des psychosozialen Versorgungssystems gefordert [1]. Bislang mangelt es jedoch an evaluierten, zugänglichen (veröffentlichten) Fortbildungskonzepten zur Förderung inter- bzw....
Die medizinische Rehabilitation stellt in Deutschland neben der ambulanten und stationären Akutversorgung einen eigenen Sektor der Gesundheitsversorgung dar. Sie geht auf die Sozialgesetzgebung der Zeit von Bismarck zurück und hat ihre Wurzeln im Kurwesen der 1920er-Jahre. Hauptsächlich Infektionskrankheiten, wie z. B. Tuberkulose, wurden damals in...
Hintergrund und Zielstellung
Gemäß dem Common Sense-Selbstregulationsmodell (CSM) (Leventhal et al., 2003) sind das subjektive Krankheitskonzept sowie das Krankheitsbewältigungsverhalten wesentliche Determinanten der krankheitsbezogenen Selbstregulation. Zudem bettet das CSM die Selbstregulation in den biopsychosozialen Kontext ein und berücksichti...
Parents' and Childcare Teachers' Agreement on Mental Health Problems, Psychosocial Ressources and Need for Action Young Children with mental health problems rarely receive professional help. Recognising a problem is one key factor for mental health care utilisation in kindergarten age. In this study psychosocial problems and ressources of 255 child...
Dieses Buch ist das Lehrbuch zur Psychologie in der medizinischen Rehabilitation für alle Berufsgruppen. Es ist für Reha-Psychologen und klinische Psychologen als Basisbuch verwendbar. Als Praxishandbuch enthält es alle Informationen, die in der medizinischen Rehabilitation gebraucht werden, und dient als Begleitbuch zur Fortbildung „Fachpsychologe...
Zusammenfassung
Hintergrund Patienten mit psychischen Erkrankungen werden in unterschiedlichen Versorgungssektoren und Fachgebieten behandelt. Die Indikationsgrenzen zwischen psychiatrischer und psychosomatischer Versorgung, zwischen Akut- und rehabilitativer Versorgung sowie zwischen der ambulanten, teil- und vollstationären Versorgung können nur...
Hintergrund
Die Effektivität der psychosomatischen Rehabilitation gilt als gesichert. Dennoch gibt es einen nicht unerheblichen Anteil von 20-30% der Patienten, die als Non-Responder gelten und die Rehabilitation vorzeitig beenden. Studien zeigen, dass subjektive Krankheits- und Behandlungskonzepte Prädiktoren gesundheitsbezogener Outcomes und der...
Background:
While postpartum depression is a well-researched disorder in mothers, there is growing evidence indicating that some fathers also develop depressive symptoms (paternal postpartum depression, PPD). A recent meta-analysis revealed a total prevalence of paternal depression during pregnancy and up to one year postpartum of 8.4%, with signi...
Background: There is robust evidence that psychosomatic rehabilitation is effective.
However, 20-30% of patients are considered non-responders and dissatisfied with the
rehabilitation treatment. Primary research found that illness beliefs are relevant predictors of
different rehabilitation related outcome domains. Therefore, using the common-sense...
Background
In Germany, there is widespread use of smartphones that can be operated via voice assistants (VAs). Due to their increasing distribution, they hold the potential to influence health behavior at a population level.
Objectives
This study examines the response behavior of German-speaking VAs to questions on mental and physical health as we...
Hintergrund: Die Kooperation von Hausärzten mit ambulant und stationär tätigen Spezialisten ist in der Versorgung bei psychischen Störungen von zentraler Bedeutung. Empirische Studien zum aktuellen Kooperationsgeschehen fehlen. Ziel war die Analyse der Zusammenarbeit von hausärztlichen, fachärztlichen und psychologisch-psychotherapeutischen Behandl...
Das Erleben eines traumatischen Ereignisses ist immer mit einer psychischen Belastung und einer Anpassungsreaktion verbunden. Dies kann auch Augenzeugen, Angehörige, Hinterbliebene, Helfer und Einsatzkräfte betreffen. Die auf ein solches Ereignis folgende Reaktion kann sich in einer akuten Belastungsreaktion (ICD-10) bzw. akuten Stressreaktion (ICD...
Background: The estimated number of refugees worldwide resulting from persecution, conflict, violence, or human rights violations reached 25.4 million in 2017. An increased prevalence of mental disorders combined with language and socio-cultural barriers pose a challenge for healthcare systems. Internet-based interventions can help to meet this cha...
Zusammenfassung
Die Studie verfolgt das Ziel, ein Modell zu erstellen, wie Therapeuten aktuell Medien in der ambulanten Psychotherapie einsetzen. Es wurden problemzentrierte Interviews mit 12 Psychotherapeuten geführt und anhand der Grounded Theory analysiert. Fünf Kategorien konnten abgeleitet und in einem Modell zusammengefasst werden. Ob Neue Me...
Zusammenfassung
Ziel Übersetzung und Validierung der Glasgow Anxiety Scale for people with an Intellectual Disability (GAS-ID).
Methodik Überprüfung psychometrischer Eigenschaften an einer Stichprobe von 34 Erwachsenen mit Lernbehinderung oder Intelligenzminderung und 38 klinischen Probanden ohne Intelligenzminderung.
Ergebnisse Die GAS-ID erwies s...
Background
Multimorbid older adults suffering from a long-term health condition like depression, diabetes mellitus type 2, dementia or frailty are at high risk of losing their autonomy. Disability and multimorbidity in the older population are associated with social inequality and lead to soaring costs. Our local, collaborative, stepped and persona...
Zusammenfassung
Ziele Der Erfahrungsbereich „Medizinische Reha“ auf der Website www.krankheitserfahrungen.de soll mit qualitätsgesicherten Darstellungen subjektiver Erfahrungsberichte von Rehabilitanden zu einer Vorbereitung auf eine medizinische Rehabilitation beitragen.
Methodik Mit 38 ehemaligen Rehabilitanden, welche nach dem Prinzip des Purpos...
[This corrects the article DOI: 10.1371/journal.pone.0205315.].
Objectives: Given the lack of validated measures assessing illness perceptions in families, the aim of our study was the development and psychometric testing of an adapted version of the Illness Perceptions Questionnaire-Revised (IPQ-R) allowing for Common Sense Model-based dyadic assessment of adolescents’ and caregivers’ perceptions of a chronic...
Objective:
To identify Behaviour Change Techniques (BCTs) applied in interventions to enhance physical activity (PA) adherence in patients with chronic musculoskeletal conditions and to investigate the effectiveness of these interventions in increasing PA adherence.
Methods:
A systematic search of seven databases was conducted. We included (clus...
Objective
To investigate the effect of the number of coaching sessions after communication skills training on the medical communicative performance of oncologists in clinical practice.
Methods/Design
The training, consisting of a workshop and one (control group) vs. four (intervention group) sessions of individual coaching, was evaluated in a rand...
Comparison group difference IG minus CG at t2, baseline t1.
Comparison group difference IGxCG, evaluation of the consultations (all items and domains) by external raters at t2, adjusted in mixed regression models for baseline t1, rater, and patient distress. Parameter Estimates refer to the group difference IG minus CG at t2.
(DOCX)
Evaluation of the consultations at t0 and t1.
Evaluation of the consultations (all items and domains) by external raters at t0 and t1 (scale range: 0–4); p-value from paired t-test to assess differences between t0 and t1.
(DOCX)
Comparison group difference IG minus CG at t1, baseline t0.
Comparison group difference IG minus CG, evaluation of the consultations (all items and domains) by external raters at t1, adjusted in mixed regression models for baseline t0, rater, and patient distress. Parameter Estimates refer to the group difference IG minus CG at t1.
(DOCX)
ComOn-Coaching—Patient sample.
(SAV)
Evaluation of the consultations at t0 and t2.
Evaluation of the consultations (all items and domains) by external raters at t0 and t2 (scale range: 0–4); p-value from paired t-test to assess differences between t0 and t2.
(DOCX)
Comparison group difference IG minus CG at t2, baseline t0.
Comparison group difference IGxCG, evaluation of the consultations (all items and domains) by external raters at t2, adjusted in mixed regression models for baseline t0, rater, and patient distress. Parameter Estimates refer to the group difference IG minus CG at t2.
(DOCX)
Evaluation of the consultations at t1 and t2.
Evaluation of the consultations (all items and domains) by external raters at t1 and t2 (scale range: 0–4); p-value from paired t-test to assess differences between t1 and t2.
(DOCX)
ComOn-Coaching—Physicians sample.
(SAV)
ComOn-Coaching—Consultation ratings.
(SAV)
Zusammenfassung
Psychotherapeutische Praxen in Deutschland können dem Versorgungsbedarf nur mit langen Wartezeiten nachkommen. Eine Möglichkeit der Versorgungslücke zu begegnen ist der Einsatz niedrigintensiver Interventionen. Ziel des Reviews ist es, niedrigintensive Interventionen zur Reduktion depressiver Symptome zu systematisieren und deren Wi...
Following publication of the original article [1], the author reported the errors in the figure and in text reference in the published article. These errors are detailed below. The original article has been corrected.
After the genocide of Yazidis in August 2014 in Shingal, northern Iraq, the humanitarian admissions program Special Quota Project Baden-Wuerttemberg (Sonderkontingent Baden-Württemberg) was implemented. One thousand one hundred Yazidi women and children were brought to Germany and hosted by different municipalities. The target group is a particular...
Zusammenfassung
Innerhalb des vom schweizerischen Nationalen Forschungsprogramms 74 „Gesundheitsversorgung“ geförderten Projekts „Die spirituelle Dimension in der Schmerzbehandlung“ wurden 37 narrative Interviews von chronischen Schmerzpatientinnen und -patienten aus dem deutschen Projekt „krankheitserfahrungen.de“ untersucht. Im Rahmen einer Sekun...
Older adults are major consumers of health care. Within the context of an ageing society, their presence in the health care system will continue to grow. Ageist stereotypes and discrimination against older adults have an impact on the health and well-being of older citizens and are potential barriers to health equality. This chapter addresses ageis...
Background
Due to limited resources, waiting periods for psychotherapy are often long and burdening for those in need of treatment and the health care system. In order to bridge the gap between initial contact and the beginning of psychotherapy, web-based interventions can be applied. The implementation of a web-based depression intervention during...
Der Deutsche Kongress für Rehabilitationsforschung, das 27. Reha-Wissenschaftliche Kolloquium, fand in München unter dem Motto „Rehabilitation bewegt!“ statt. Es betont die besondere Bedeutung von körperlicher Aktivität und Bewegung bei chronischen Erkrankungen und die positiven Auswirkungen auf die körperliche und psychische Gesundheit. Bewegung i...
Hintergrund: Hauptanliegen einer (neuro)psychologischen Behandlung sind die Verbesserung kognitiver Funktionen und affektiver Störungen sowie die Förderung von Aktivitäten und Teilhabe. Dabei erfolgt die Durchführung in der Regel in einem fachübergreifenden und multimodalen Umfeld. Ziel dieses Umbrella Reviews ist eine Darstellung der bestverfügbar...
http://forschung.deutsche-rentenversicherung.de/ForschPortalWeb/ressource?key=tagungsband_27_reha_kolloqu.pdf
Background The majority of humans experience at least one episode of back pain in their lifetime. Patients with persistent, chronic pain cause high costs through incapacity for work and health services. Returning back pain patients to work is therefore a substantial aim of rehabilitation programs. Method The literature search took place in the data...