Markus Moessner

Markus Moessner
Universität Heidelberg · Center of Psychosocial Medicine

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117
Publications
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Publications

Publications (117)
Article
Full-text available
Eating disorder mental health literacy (ED-MHL) refers to knowledge about the symptoms, causes, and treatment of eating disorders (EDs) and is an important factor in people’s attitudes towards individuals with EDs and help-seeking for EDs. Associations between ED-MHL, stigma, ED symptomatology, and gender were investigated in a sample of N = 194 Ge...
Article
Objective: Cognitive-behavioural therapy (CBT) delivered face-to-face and via the internet reduces bulimia nervosa (BN) symptoms. However, our empirical understanding of factors affecting patient outcomes is limited. Method: Using data from a randomised, controlled trial comparing internet-based (CBT4BN, n = 78) with face-to-face (CBTF2F, n = 71...
Article
Full-text available
Background: Growing evidence supports the effectiveness of Internet-based prevention programs for eating disorders, but the adjunctive benefit of synchronous peer support has yet to be investigated. In the current study, a randomised controlled trial was conducted to evaluate the effectiveness of an indicated Internet-based prevention program (Pro...
Article
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Background Internet-based interventions promise to enhance the accessibility of mental health care for a greater number of people and in more remote places. Their effectiveness has been shown for the prevention and treatment of various mental disorders. However, their potential when delivered as add-on to conventional treatment (ie, blended care) i...
Article
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Schizophrenia is a severe mental illness associated with a heavy symptom burden and high relapse rates. Digital interventions are increasingly suggested as means to facilitate continuity of care, relapse prevention, and long-term disease management for schizophrenia spectrum disorders. In order to investigate the feasibility of a mobile and interne...
Preprint
Background: Online pro-eating disorder (pro-ED) communities are considered harmful because of their detrimental effects on their users' body dissatisfaction, dieting, and help seeking. To date, it is unknown to which extent participation in pro-ED communities affects users' body weight and desired weight loss. Objective: This study aims to inves...
Article
Background and aims The purpose of this study was to investigate the attitudes toward eating disorders in native German adolescents (Germans), adolescents with Turkish migration background in Germany (Immigrants), and native Turkish adolescents (Turks). Method A total of 507 adolescents (N = 139 Germans; N = 126 Immigrants; N = 242 Turks) read a v...
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The rapid internet penetration in Latin American countries has made it possible to implement digital mental health interventions. “Cuida tu Ánimo” (Take Care of Your Mood) is an internet-based program for the prevention and early intervention of depression in adolescents. A pilot study was conducted in Chile and Colombia to study the feasibility an...
Article
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While the overall effects of social relationships on stress and health have extensively been described, it remains unclear how the experience of social interactions covaries with the activity of psychobiological stress in everyday life. We hypothesized that the valence as well as quantitative characteristics of social interactions in everyday life...
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A large body of literature has shown the effectiveness of mindfulness-based interventions (MBI) on stress-reduction. However, little is known about their effects on psychobiological stress-markers in daily life through an ecological momentary assessment approach. Our study examines the effects of MBI on state mindfulness, perceived stress, and indi...
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Background While previous studies suggested that everyday life fluctuations in situational appraisals (e.g., threat) might not be associated with neuroendocrine stress, the present study investigated whether appraisals of acute stressors in everyday life would be associated with it. Methods A total of N = 135 subjects (69 women) participated in a...
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The impact of school-closings on adolescents’ mental health and well-being in the management of the ongoing COVID-19 pandemic is subject to ongoing public debate. Reliable data to inform a balanced discussion are limited. Drawing on a large ongoing multi-site project in Germany, we assessed differences in self-reported psychopathology in a matched...
Article
Background: The novel 2019 coronavirus disease (COVID-19) has affected individuals with lived experience of eating disorders (ED) strongly with many reporting higher psychological distress, higher prevalence of ED symptoms and compensatory behaviors. The COVID-19 pandemic and the health and safety measures taken to contain its spread also disrupte...
Preprint
Full-text available
Background: Growing evidence supports the effectiveness of Internet-based prevention programs for eating disorders. Peer-to-peer support has also been identified as a potentially useful component of these programs, but the adjunctive benefit of synchronous peer support has yet to be investigated. ProYouth OZ is an Internet-based prevention program...
Article
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Objective: The network theory of mental disorders conceptualizes eating disorders (EDs) as networks of interacting symptoms. Network analysis studies in EDs mostly have examined transdiagnostic and/or mixed age samples. The aim of our study was to investigate similarities and differences of networks in adolescents and adults with anorexia nervosa...
Article
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Adolescents and young adults, particularly females, are highly vulnerable to the development of anxiety disorders, depression, and eating disorders. Comorbid anxiety disorder or depression in eating disorders are associated with greater symptom severity, poorer prognosis, and burden of illness. Nonetheless, studies on what affects the relationship...
Preprint
BACKGROUND COVID-19 has affected individuals with lived experience of eating disorders (EDs), with many reporting higher psychological distress, higher prevalence of ED symptoms, and compensatory behaviors. The COVID-19 pandemic and the health and safety measures taken to contain its spread also disrupted routines and reduced access to familiar cop...
Preprint
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BACKGROUND At the height of the COVID-19 pandemic, several mental health care providers were obliged to shut down outpatient services, including group therapies and psychoeducational sessions. The lockdown in many countries is a serious threat for mental well-being, especially for individuals with severe mental illnesses. Discontinued outpatient tr...
Article
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Background: At the height of the COVID-19 pandemic, several mental health care providers were obliged to shut down outpatient services, including group therapy and psychoeducational sessions. The lockdown in many countries is a serious threat to people's mental well-being, especially for individuals with severe mental illnesses. Discontinued outpat...
Preprint
BACKGROUND Online pro–eating disorder (pro-ED) communities are considered harmful because of their detrimental effects on their users’ body dissatisfaction, dieting, and help seeking. To date, it is unknown to which extent participation in pro-ED communities affects users’ body weight and desired weight loss. OBJECTIVE This study aims to investiga...
Article
Background Personalized process-based or modular therapy approaches have become increasingly popular in recent years. Such approaches heavily depend on the longitudinal monitoring of changes that (do not) occur over the course of psychotherapy.Objective The aim of this paper is to provide an introduction into the field of Internet-based monitoring...
Chapter
In der Praxis zielen Therapien häufig darauf ab, Zusammenhangsmuster zwischen Symptomen und/oder Verhaltensweisen zu durchbrechen (z. B. Schlafmangel verursacht verminderte Aktivität, verursacht depressive Stimmung). Netzwerkanalysen bieten einen konzeptuellen Rahmen, die Bedeutung dieser Zusammenhangsmuster empirisch zu beschreiben und zu untersuc...
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The coronavirus disease 2019 pandemic and the consequent global lockdown posed a particular challenge for youths with mental health problems. Crucial interference with their everyday lives likely increased psychological distress while accessibility of conventional mental health care was limited. Ongoing online trials offer a unique opportunity to a...
Article
Objectives The aim of this study was to investigate help‐seeking attitudes, intentions, and behaviors, and to systematically explore perceived barriers to help‐seeking for eating, weight, or shape concerns among young adults. Differences in perceived barriers as a function of type of eating disorder symptomatology were also examined. Method Data w...
Article
Development of an Online Intervention for Adolescents and Young Adults Engaging in Nonsuicidal Self-injury Nonsuicidal self-injury (NSSI) is a prevalent phenomenon in adolescence. Despite the existence of effective psychotherapeutic interventions, the majority of affected adolescents and young adults do not receive any treatment. Structural (e. g.,...
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Introduction Assisted reproductive technologies are typically perceived by couples as being an emotional burden. The objective of the study “Positive Ausrichtung bei unerfülltem Kinderwunsch” [Positive adjustment in infertility] (PACI) is to examine the efficacy and acceptance of a smartphone-supported psychosocial intervention during infertility t...
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Preventing readmission after hospital discharge is a major issue with regard to the continuity of patients' recovery process and the financial burden on the healthcare system, but adequate aftercare services are lacking. Therefore, a pilot study was conducted to examine the feasibility and acceptability of an Internet-based aftercare program for pa...
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The Importance of Social Exchange for Internet-based Eating Disorder Prevention Internet-based interventions have the potential to complement routine care mental health services. Yet, dissemination and implementation into routine care is challenging and often fails. From a public health point of view, facilitating access to care and dissemination o...
Article
Background: An increasingly important source of informal help for people with depression are online depression communities. This study investigates the prevailing topics in an online depression community and how they are related to participation styles. Methods: A topic model with 26 topics of N = 16,291 posts and N = 71,543 comments of N = 20,0...
Article
Skin picking disorder is accompanied by substantial psychosocial impairment and requires adequate treatment. However, literature on help-seeking attitudes and healthcare utilization in affected individuals is scarce. Therefore, the present study sought to investigate help-seeking behavior and experiences, as well as attitudes and expectations towar...
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Background: E-mental health has become increasingly popular in interventions for individuals with eating disorders (EDs). It has the potential to offer low-threshold interventions and guide individuals to the needed care more promptly. Featback is such an Internet-based intervention and consists of psychoeducation and a fully automated monitoring...
Article
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Background: Non-suicidal self-injury (NSSI) is a clinically significant behavior affecting approximately 18% of adolescents and young adults worldwide. The importance of NSSI is supported by its association with a broad spectrum of mental disorders. Despite its high relevance, evidence-based, specific, time-, and cost-effective treatment approache...
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Introduction Infertility generally counts as a profound crisis in the lives of couples and as an emotionally stressful experience. For couples undergoing fertility treatment, this is especially true of the waiting period following embryo transfer, which couples say is the most stressful period during treatment. However, at this specific phase, psyc...
Preprint
BACKGROUND In spite of the psychosocial burden and medical risks associated with skin picking disorder, healthcare does not provide sufficient treatment for affected individuals to date. Therefore, an Internet-based self-help program for skin picking was developed to offer easily accessible support for this population. OBJECTIVE The present pilot...
Article
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Background: In spite of the psychosocial burden and medical risks associated with skin picking disorder, the health care system does not provide sufficient treatment for affected individuals to date. Therefore, an internet-based self-help program for skin picking was developed to offer easily accessible support for this population. Objective: Th...
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Objective: Research on the dissemination of e-mental health interventions is in an early stage, so that little is known about the reach, costs, participant characteristics, and patterns of program utilization associated with different recruitment strategies and access paths. This study investigated differences between user groups informed about an...
Article
Previous studies suggest elevated prevalence rates of skin picking and self‐harm in patients with obesity compared to individuals in the general population. Hence, further studies should investigate prevalence rates and correlates of skin picking in this population – especially its differentiation to self‐harm. Skin picking and obesity are both ass...
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Background The development of efficacious, cost-effective, and widely accessible programs for the prevention of eating disorders (EDs) is crucial in order to reduce the ED-related burden of illness. Programs using dissonance-based and cognitive behavioral approaches are most effective for the selective prevention of ED. Internet-based delivery is a...
Article
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Background: "Cuida tu Ánimo" (CTA [Take Care of Your Mood]) is an internet-based program for prevention and early intervention of adolescent depression implemented in Chile and Colombia. In the pilot application of the program, participants interacted with the program through a website that provided psychoeducational information, chat, and telephon...
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Background Early and excessive alcohol use is a significant threat to healthy development. Evidence supports the effectiveness of electronic alcohol interventions for young drinkers. However, effects are typically small and studies targeting under 18-year-olds are scarce. This trial is the first to evaluate the effectiveness of a single-session, br...
Article
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Background Schools are an ideal setting in which to promote health. However, empirical data on the effectiveness of school-based mental health promotion programs are rare, and research on universal Internet-based prevention in schools is almost non-existent. Following the life skills approach, stress management training is an important component of...
Article
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Background Depression is a serious mental health problem and is common in children and adolescents. Online interventions are promising in overcoming the widespread undertreatment of depression and in improving the help-seeking behavior in children and adolescents. Methods The multicentre, randomized controlled E.motion trial is part of the German...
Article
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Background: The highest incidence and prevalence of mental health problems across the lifespan as well as the first onset of most long-term mental health conditions are reported for youths between 14 and 25 years of age. At the same time, only 25% of adolescents with mental health problems receive professional treatment. One explanation for poor tr...
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Background Poor knowledge (mental health literacy) and stigma are considered key barriers with respect to the utilization of professional help for eating disorders. Both aspects are common targets in the psychoeducative part of prevention programs. It is unclear to what extent such contents should be adapted depending on participants’ migration bac...
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Background Skin picking disorder is an under-recognized and understudied mental disorder associated with severe psychological and medical consequences. Affected individuals barely receive adequate treatment, given the scarcity of expertise in healthcare professionals and the lack of evidence-based interventions. The present study seeks to evaluate...
Article
Psychotherapie ist wirksam – aber die wenigsten Patienten genesen infolge einer Therapie vollständig. Häufig bestehen Restsymptome und Belastungsfaktoren im sozialen und beruflichen Umfeld, die die Funktionsfähigkeit im Alltag weiter beeinträchtigen. Das Risiko für einen Rückfall ist groß. Können moderne Medien in der Nachsorge eingesetzt werden, u...
Article
Objective Social media plays an important role in everyday life of young people. Numerous studies claim negative effects of social media and media in general on eating disorder risk factors. Despite the availability of big data, only few studies have exploited the possibilities so far in the field of eating disorders. Method Methods for data extra...
Article
Background: In the treatment of depression, primary care teams have an essential role, but they are most effective when inserted into a collaborative care model for disease management. In rural areas, the shortage of specialized mental health resources may hamper management of depressed patients. Objective: The aim was to test the feasibility, a...
Article
Background Network analysis is an emerging approach in the study of psychopathology, yet few applications have been seen in eating disorders (EDs). Furthermore, little research exists regarding changes in network strength after interventions. Therefore the present study examined the network structures of ED and co-occurring depression and anxiety s...
Article
Network theory and analysis is an emerging approach in psychopathology research that has received increasing attention across fields of study. In contrast to medical models or latent variable approaches, network theory suggests that psychiatric syndromes result from systems of causal and reciprocal symptom relationships. Despite the promise of this...
Article
Classifying eating disorders in youth is challenging in light of developmental considerations and high rates of diagnostic migration. Understanding the transactional relationships among eating disorder symptoms, both across the transdiagnostic spectrum and within specific diagnostic categories, may clarify which core eating disorder symptoms contri...
Article
Objective: To evaluate the cost-effectiveness of Internet-based cognitive-behavioral therapy for bulimia nervosa (CBT-BN) compared to face-to-face delivery of CBT-BN. Methods: This study is a planned secondary analysis of data from a randomized clinical trial. Participants were 179 adults (98% female, mean age = 28 years) meeting DSM-IV criteria...
Article
Objective: Although effective interventions for eating disorders (ED) are available, the impact of health care services on a population level is far from satisfactory. A mathematical model of how health care for ED affects the population's disease burden can stimulate discussions and provide guidance about promising strategies to reduce ED-related...
Article
Objective: Flexible, individualized interventions allow participants to adjust the intensity of support to their current needs. Between-persons, participants with greater needs can receive more intense support, within-persons, participants can adjust utilization to their current level of symptoms. The purpose of the present study was to analyze as...
Article
In den letzten 20 Jahren wurde eine Vielzahl von technologie- sowie internetbasierten Interventionen und Angeboten fur die psychosoziale Gesundheitsversorgung entwickelt und evaluiert. Die Angebote erstrecken sich uber das gesamte Spektrum der psychosozialen Versorgung von Pravention bis zu Nachsorge und Krankheitsmanagement. Eine Vielzahl von Stud...
Article
Bulimia nervosa (BN) is characterized by symptoms of binge eating and compensatory behavior, and overevaluation of weight and shape, which often co-occur with symptoms of anxiety and depression. However, there is little research identifying which specific BN symptoms maintain BN psychopathology and how they are associated with symptoms of depressio...
Article
en This study examines the relationship between triadic family interactions and preschoolers’ attachment representations, or internal working models (IWMs), from a qualitative and dimensional perspective. Individual, relational, and sociocultural variables were evaluated using two different samples. The results showed that triadic family interactio...
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Zusammenfassung. Essstorungen sind schwer behandelbare, oft chronisch verlaufende psychische Erkrankungen, die mit einer extremen Belastung auf der psychischen, korperlichen, interpersonellen und sozialen Ebene einhergehen und mit erheblichen direkten und indirekten Kosten assoziiert sind. Pravention und fruhe Intervention besitzen deshalb eine hoh...
Article
Objective: Although cognitive-behavioral therapy (CBT) represents the first-line evidence-based psychotherapy for bulimia nervosa (BN), most individuals seeking treatment do not have access to this specialized intervention. We compared an Internet-based manualized version of CBT group therapy for BN conducted via a therapeutic chat group (CBT4BN)...
Article
Objective: We sought to identify predictors and moderators of failure to engage (i.e., pretreatment attrition) and dropout in both Internet-based and traditional face-to-face cognitive-behavioral therapy (CBT) for bulimia nervosa. We also sought to determine if Internet-based treatment reduced failure to engage and dropout. Method: Participants...
Article
Internet-based programs may help to reduce barriers to help-seeking and to refer individuals in need to appropriate levels of care. This case report of an 18-year-old female who participated in the Internet-based program ProYouth for prevention and early intervention of eating disorders (ED) demonstrates how program utilization could contribute to...
Article
Background: The majorities of individual suffering from eating disorders do not seek or receive adequate professional treatment. Internet-based approaches promise to facilitate access to conventional healthcare by providing an easy-access, low-threshold contact. Aim: The current study investigated whether an Internet-based program for the preven...
Article
Full-text available
Background: Major depression is a highly prevalent and severe mental disease. Despite the effective treatment options available, the risk of relapse is high. Interventions based on information and communication technologies generate innovative opportunities to provide support to patients after they completed treatment for depression. Materials an...
Chapter
Although research indicates that early detection and intervention positively impacts treatment outcome in eating disorders, a considerable percentage of individuals with an eating disorder do not receive help. Limited access to care is multifaceted and determined by several factors including personal, social, clinical and financial barriers. One su...
Article
Psychotherapie wirkt. Die meisten Patienten profitieren von einer Psychotherapie. Die ­Fortschritte sind jedoch oft nicht stabil, sodass es, insbesondere in den ersten Monaten nach Therapieabschluss, haufig zu ­Ruckfallen und Symptomverschlechterungen kommt. ­Zudem zeigt ein ­erheblicher Anteil von ­Psychotherapiepatienten chronische ­Krankheitsver...