Nexhmedin Morina

Nexhmedin Morina
University of Münster | WWU · Department of Psychology

PhD

About

151
Publications
69,317
Reads
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5,134
Citations
Additional affiliations
September 2016 - present
University of Münster
Position
  • Professor
September 2015 - June 2016
Royal Netherlands Academy of Arts and Sciences
Position
  • Fellow
March 2009 - August 2016
University of Amsterdam
Position
  • Professor (Assistant)
Education
August 2004 - February 2008
Friedrich Schiller University Jena
Field of study
  • Clinical Psychology

Publications

Publications (151)
Article
Full-text available
Background: Since current therapies for depression are effective but not for all patients alike, we need to further improve available treatments. Existing research suggests that Acceptance and Commitment Therapy (ACT) may effectively treat Major Depressive Disorder (MDD). We compared ACT with Cognitive Behavioral Therapy (CBT) for depression, testi...
Article
Full-text available
People’s self-concept contributes to their sense of identity over time. Yet self-perception is motivated and serves survival and thus does not reflect stable inner states or accurate biographical accounts. Research indicates that different types of comparison standards act as reference frames in evaluating attributes that constitute the self. Howev...
Article
Full-text available
Background Research indicates that higher study quality may be associated with smaller treatment effects. Yet, knowledge about the association between study quality and treatment efficacy for posttraumatic stress disorder (PTSD) is limited. We aimed at evaluating the efficacy of psychological interventions for adult PTSD and the association between...
Article
Full-text available
Background Attention on harmful effects of psychological interventions for adult post-traumatic stress disorder (PTSD) has increased, yet a comprehensive meta-analysis is lacking. Aims To summarise incidences and relative risks of deterioration, adverse events (AEs) and serious adverse events (SAEs) in trials of psychological interventions for adu...
Article
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The implantation of cardiac devices significantly reduces morbidity and mortality in patients with cardiac arrhythmias. Arrhythmias as well as therapy delivered by the device may impact quality of life of patients concerned considerably. Therefore we aimed at conducting a systematic search and meta-analysis of trials examining the impact of the imp...
Article
The implantation of cardiac devices significantly reduces morbidity and mortality in patients with cardiac arrhythmias. Arrhythmias as well as therapy delivered by the device may impact quality of life of patients concerned considerably. Therefore we aimed at conducting a systematic search and meta-analysis of trials examining the impact of the imp...
Article
Full-text available
Syncopes are a very common phenomenon and have a high recurrence rate. The differentiation between the psychogenic and physical, especially of arrhythmic origin, remains difficult. In many cases, an implantable loop recorder is used for the detection of possible arrhythmias, leading to syncopes. Yet, the existing literature suggests that psychologi...
Article
Full-text available
The perceptual Self-Prioritization effect (SPE) refers to an advantage in attending to stimuli associated with the self relative to those associated with another individual. In the perceptual matching task, arbitrary pairings between oneself and other persons, and a geometric shape need to be learned. Apart from the SPE, this task also produces hig...
Article
Full-text available
Background Self-discrepancy theory posits that greater discrepancy between the actual and ideal self is related to dysphoria and greater discrepancy between the actual and ought self to anxiety. Despite both being transdiagnostically associated with psychopathology, differential effects of actual:ideal and actual:ought discrepancies have not been c...
Article
Full-text available
Posttraumatic stress disorder (PTSD) is a severe condition that is associated with trauma-related guilt. We aimed at providing a comprehensive quantitative systematic review on the relationship between trauma-related guilt and adult PTSD. Database searches in Medline, PsycINFO, PTSDpubs and Web of Knowledge resulted in the inclusion of 163 eligible...
Article
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Background The efficacy of virtual reality exposure therapy (VRET) for fear of flying has been well established. Yet, little is known about the extent to which anxiety sensitivity and self-efficacy predict the efficacy of VRET. We aimed at investigating these cognitive predictors as well as the contribution of the therapeutic alliance to treatment...
Article
Full-text available
Posttraumatic stress disorder (PTSD) is among the most prevalent mental disorders in refugees. Imagery Rescripting (ImRs) has gained growing interest as an innovative and effective treatment for several disorders, including PTSD. The technique aims to change the meaning of traumatic memories by asking the patient to imagine a different outcome of a...
Preprint
Full-text available
While dozens of randomized controlled trials (RCTs) have examined psychological interventions for adult posttraumatic stress disorder (PTSD), no network meta-analysis has comprehensively integrated their results for all interventions and both short and long-term efficacy. We conducted systematic searches in bibliographical databases to identify RCT...
Article
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Somatic symptoms are common among Syrian refugees. To quantify somatic symptom load, sum score models derived from the Patient Health Questionnaire (PHQ-15) have been frequently applied without psychometric justification. Across two studies (total N = 776), we (a) tested different PHQ-15 factor solutions in Syrian refugees, (b) investigated measure...
Article
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Previous research suggests that the effect of therapist factors on patient outcomes is significant. Yet, to date, no reviews have explored the potential effects of therapist characteristics on treatment outcomes for children and youth with posttraumatic stress disorder (PTSD). This systematic review and meta‐analysis aimed to summarize the professi...
Presentation
Full-text available
Both social and temporal comparison information can be used to guide self-assessment of performance. In student and professional samples, false feedback about performance relative to participants’ peer group was found to inform self-assessment over feedback about participants’ change in performance over time. This "overpowering effect of social com...
Article
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The psychosocial environment is pivotal for the adjustment to traumatic experiences, yet the role of social cognition in the development of post-traumatic stress disorder (PTSD) remains obscure. We theorize that comparison with other trauma survivors reporting high or low levels of stress-related symptomatology might attenuate or amplify the develo...
Article
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Many war survivors suffer from chronic posttraumatic stress disorder (PTSD). Unraveling the complexities of PTSD symptoms over time is crucial for understanding this condition. Going beyond a common pathogenic pathway perspective , we applied the network approach to psychopathology to analyze longitudinal data from war survivors with PTSD in five B...
Article
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Judgment of well-being is formed on the spot, and we know little about its foundations. We aimed at examining the role of comparison standards in informing evaluations of well-being in a clinical and a nonclinical sample. In a semi-structured face-to-face interview, individuals seeking psychological treatment and healthy control individuals rated h...
Article
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Background Individuals with posttraumatic stress disorder (PTSD) often report intrusive memories that appear to lack the appropriate spatio-temporal context. Objective We examined whether focusing on the spatio-temporal context of aversive autobiographical memories reduces negative emotions, appraisals, and re-experiencing symptoms. Methods We re...
Article
Objective: Despite elevated mental health problems, refugees tend to hold more negative attitudes toward psychological help seeking than residents of receiving countries. Therefore, we examined variables expected to be related to different aspects of psychotherapy motivation (psychological distress, knowledge about therapy, and denial of psycholog...
Article
Full-text available
Background Trauma-focused treatments for posttraumatic stress disorder (PTSD) are commonly delivered either once or twice a week. Initial evidence suggests that session frequency affects treatment response, but very few trials have investigated the effect of session frequency. The present study’s aim is to compare treatment outcomes of twice-weekly...
Article
Full-text available
Introduction Despite high levels of mental distress, accessing psychological treatment is difficult for asylum seekers in Western host countries due to a lack of knowledge about mental disorders, and the health system, as well as due to cultural and language barriers. This study aims to investigate whether brief culturally sensitive and transdiagno...
Article
Full-text available
Objective: Positive psychotherapy (PPT) aims at increasing positive affect, meaning and engagement. We aimed to synthesise the available evidence on PPT efficacy. Design: We conducted a preregistered systematic literature search and meta-analysis of randomised controlled trials examining the efficacy of PPT for increasing positive (eg, satisfactio...
Article
Background Childhood maltreatment is relatively common and is related to a range of negative consequences, such as Posttraumatic Stress Disorder (PTSD). There are indications that various maltreatment types are related to PTSD severity, although not all types, such as emotional abuse, meet the PTSD Criterion-A. Objective The aim of the present stu...
Article
Full-text available
Objective: Extensive research has demonstrated high prevalences of posttraumatic stress disorder (PTSD) and major depression (MD) in war-surviving populations. However, absolute estimates are lacking, which may additionally inform policy making, research and health care. We aimed at estimating the absolute global prevalence and disease burden of ad...
Article
Many refugees have been exposed to potentially traumatic events and report elevated levels of psychological distress. However, refugees vary greatly in the severity of mental health problems. Intra- and interpersonal factors help some refugees to cope effectively. To shed light on these factors, we scrutinized how potentially traumatic events, resi...
Preprint
Full-text available
The perceptual Self Prioritization effect (SPE) refers to an advantage in attending to stimuli associated with the self relative to those associated with another individual. In the perceptual matching task, arbitrary pairings between oneself and other persons, and a geometric shape need to be learned. Apart from the SPE, this task also produces hig...
Article
Full-text available
Introduction Refugees and asylum seekers are vulnerable to common mental disorders, including post-traumatic stress disorder (PTSD). Using a network meta-analysis (NMA) approach, the present systematic review compared and ranked psychosocial interventions for the treatment of PTSD in adult refugees and asylum seekers. Methods Randomised studies of...
Article
Full-text available
In recent years the development of new virtual environments has been qualitatively high and fast at the same time, but the dissemination of virtual reality (VR) in clinical practice is still scarce. The aim of this review is to give an insight into the state of the art of the use of VR as an assessment tool and treatment intervention in anxiety and...
Article
Background: War survivors often report symptoms of post-traumatic stress disorder (PTSD), depression, anxiety, and somatization. Hence, understanding symptom constellations among different populations of war survivors is critical. Methods: Using the network approach to psychopathology, we examined symptom centrality for these conditions in war sur...
Article
Full-text available
Refugee populations show considerably high rates of mental health problems. Yet, many mental health professionals may have reservations to work with refugees due to suspected cultural differences, language barriers, and the need to provide additional services. However, little is known about psychotherapists’ readiness to work with refugees. In a sa...
Presentation
Full-text available
The perceptual self-prioritization effect (SPE) is the observation that an arbitrary pairing of a geometric shape with a label can be matched more easily when said label refers to one’s own self, rather than another person or object. This perceptual matching task also produces comparatively high performance when labels denote a close other. While c...
Article
Full-text available
Background: The imperative for physical distancing (mostly referred to as social distancing) during COVID-19 pandemic may deteriorate physical and mental health. We aimed at summarising the strength of evidence in the published literature on the association of physical and mental health with social connection via social isolation, living alone and...
Article
Full-text available
Background: Many refugees have experienced multiple traumatic events in their country of origin and/or during flight. Trauma-related disorders such as posttraumatic stress disorder (PTSD) or complex PTSD (CPTSD) are prevalent in this population, which highlights the need for accessible and effective treatment. Imagery Rescripting (ImRs), an imagery...
Article
Full-text available
The association between posttraumatic stress disorder (PTSD) and counterfactual comparisons (CFC) is poorly understood and CFC-measures are missing. We developed and applied the Posttraumatic Counterfactual Comparisons Scale (P-CFC-S), which measures frequency, intensity and affective impact of trauma-related CFC. We further measured trauma history...
Article
Objectives The role of physical activity (PA) in the promotion of mental wellbeing and prevention of psychological disorders in population groups at increased risk for mental health conditions, such as migrant populations, has never been systematically investigated. Methods We conducted a systematic review and meta-analysis according to the Prefer...
Article
Full-text available
Background: Existing therapies for depression are effective, but many patients fail to recover or relapse. To improve care for patients, more research into the effectiveness and working mechanisms of treatments is needed. We examined the long-term efficacy of Cognitive Behavioral Therapy (CBT) and Acceptance and Commitment Therapy (ACT) for Major D...
Article
Full-text available
Effective psychological interventions for anxiety disorders often include exposure to fearful situations. However, individuals with low self-efficacy may find such exposure too overwhelming. We created a vicarious experience in virtual reality, which enables observation of one's experience from a first person perspective without actual performance...
Article
Full-text available
Screening tools developed for Western populations have produced heterogeneous prevalence estimates for depression and anxiety disorders among refugees. The use of these instruments assumes that psychopathological symptoms are manifested similarly across different cultural groups. Here, we scrutinized whether depressive and anxiety symptoms are mani...
Preprint
Full-text available
Background The imperative for physical distancing during the coronavirus disease 2019 (COVID-19) pandemic may deteriorate physical and mental health. We aimed at summarizing the strength of evidence in the published literature on the association of social isolation and loneliness with physical and mental health. Methods We conducted a systematic s...
Article
Full-text available
Background: Exposure to potentially adverse events might intensify thinking about different comparison standards in relation to one’s own well-being. Objective: To examine how frequently survivors of a recent potentially traumatic event use different comparison standards to evaluate their current well-being. Method: A survey with 223 participants d...
Article
Full-text available
Purpose of review: This review provides an overview of current methods and important aspects to consider when applying virtual worlds in the treatment of social anxiety disorder (SAD). Recent findings: Different aspects such as dialogs between avatars and patients have been investigated as well as virtual audiences, emotional facial expression,...
Article
The successful management of refugee immigration, including refugee integration in host societies, requires a sound understanding of underlying psychological processes. We propose the psychological antecedents of refugee integration (PARI) model, highlighting perceived forcedness (i.e., coercion and loss of control from “push” factors) and ensuing...
Article
Full-text available
This meta-analysis aimed at providing an up-to-date estimate on the efficacy of psychological interventions for pediatric PTSD and to analyze the association between treatment efficacy and study quality. We systematically searched PsycINFO, Medline and recent meta-analyses for randomized controlled trials (RCTs). RCTs were eligible if a) they inclu...
Article
Full-text available
Social comparison can guide adaptive behavior in fear-related situations. The aim of this study was to investigate the effects of social comparison standards on acute anxiety levels and phobic symptoms. The sample comprised 159 individuals (Mage = 23.4) with self-reported fear of flying (22.6%) or fear of heights (77.4%) who were randomly assigned...
Article
Full-text available
Research has highlighted the role of social comparison processes in varying affect and psychological wellbeing. These processes can provide greater insight into cognitions and behaviours related to depression and anxiety disorders. This review aimed to examine the relationship of social comparison with depression and anxiety in clinically relevant...
Article
Full-text available
Background: Attachment theory predicts that patients who are not securely attached may benefit less from psychological treatment. However, evidence on the predictive role of attachment in the effectiveness of treatment for depression is limited. Methods: Explicit attachment styles, levels of attachment anxiety and attachment avoidance, as well a...
Chapter
In diesem Aufsatz wollen wir den Zusammenhang zwischen Praxis, Empirie und Theorie im Bereich der Psychotherapie beleuchten. Zunächst werden wir im ersten Abschnitt anhand einer hypothetischen Fallvignette die Ausgangslage für die psychotherapeutische Praxis, Empirie und Theorie illustrieren. Der zweite Abschnitt widmet sich der Entstehungs- und Wi...
Article
Full-text available
Comparative thinking is ubiquitous in human cognition. Empirical evidence is accumulating that PTSD symptomatology is linked to various changes in social, temporal and counterfactual comparative thinking. However, no systematic review and meta-analysis in this line of research has been conducted to this date. We searched titles, abstracts and subje...
Article
Full-text available
Millions of refugees around the globe suffer from post-traumatic stress disorder (PTSD) and/or depression. We conducted a meta-analysis of randomized controlled trials (RCTs) to determine the efficacy of psychological interventions for PTSD and/or depression in refugees. The meta-analysis was registered on the PROSPERO database (CRD42017071384). A...
Article
Full-text available
Post-traumatic stress affects millions of people worldwide. Appraisal training is an intervention that has been used to decrease the negative effects of a traumatic event. In two studies, the acceptance and effects of technology in supporting appraisal was studied. Study 1, a descriptive study, examined the response to and acceptance of a workshop...
Article
Full-text available
Imagining the future is a fundamental human capacity that occupies a large part of people’s waking time and impacts their affective well-being. In this meta-analysis, we examined the effect of (1) positive future imagination and (2) negative future imagination on affect, and (3) compared the affective responses between imagining the future and reme...
Preprint
Full-text available
FROM ACCEPTED MANUSCRIPT: The successful management of refugee immigration, including refugee integration in host societies, requires a sound understanding of underlying psychological processes. We propose a model of the Psychological Antecedents of Refugee Integration (PARI), highlighting perceived forcedness (i.e., coercion and loss of control fr...
Preprint
Full-text available
Background Existing therapies for depression are effective, but many patients fail to recover or relapse. To improve care for patients, more research into the effectiveness and working mechanisms of treatments is needed. We examined the long-term efficacy of Cognitive Behavioral Therapy (CBT) and Acceptance and Commitment Therapy (ACT) for Major De...
Preprint
Full-text available
Background Existing therapies for depression are effective, but many patients fail to recover or relapse. To improve care for patients, more research into the effectiveness and working mechanisms of treatments is needed. We examined the long-term efficacy of Cognitive Behavioral Therapy (CBT) and Acceptance and Commitment Therapy (ACT) for Major De...
Article
Full-text available
[This corrects the article DOI: 10.1371/journal.pone.0092804.].
Poster
Full-text available
Retrieval-induced forgetting (RIF) occurs when retrieving a subset of previously learned materials impairs memory for related materials. Some findings indicate that self-involve- ment may enhance memory and, under some circum- stances, reduce RIF. Preliminary evidence suggests that such self-involvement in the form of imagined ownership can int...
Article
Full-text available
Trauma survivors with post-traumatic stress disorder (PTSD) frequently experience intrusive trauma memories associated with a feeling of “nowness”. Information-processing models of PTSD ascribe these symptoms to an insufficient integration of memories with their spatio-temporal context in the past, turning them into powerful stressors. Here, we tes...
Preprint
Full-text available
Background Attachment theory predicts that patients who are not securely attached may benefit less from psychological treatment. However, evidence on the predictive role of attachment in the effectiveness of treatment for depression is limited. Methods Explicit attachment styles, levels of attachment anxiety and attachment avoidance, as well as imp...
Article
Imagery rescripting (IR) and imaginal exposure (IE) are two efficacious treatments for nightmare disorder, but their discrete underlying mechanism(s) remain largely unknown. We therefore examined mediators of the treatment effects of IR and IE in a randomized wait-list controlled trial (N = 104). Therapeutic outcomes were assessed at pre- and post-...
Article
Full-text available
Background Cognitions play an important role in the development and maintenance of social anxiety disorder (SAD). Methods To investigate whether changes in cognitions during the first six sessions of exposure therapy are associated with treatment outcome, we assessed reported self-focused attention, self-efficacy in social situations, and estimate...