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Publications (62)
We previously found that rumination maintains obsessive–compulsive (OC) symptoms. Our goal was to explore the moderating roles of three characteristics in the immediate and intermediate effects of rumination on OC symptoms: trait rumination, severity of comorbid depressive symptoms, and the tendency to misinterpret the occurrence of unwanted intrus...
Objective: The Eating Disorder Examination–Questionnaire (EDE–Q) is one of the most widely used self-report measures for the assessment of eating disorder (ED) symptomatology. However, proposed cut-off scores that may indicate the presence of an ED have been heterogeneous. Therefore, the current study derived cut-off scores from two large samples:...
Background
Some persons with obsessive–compulsive disorder (OCD) refuse or drop out of treatment because of the aversive nature of exposure and response prevention therapy when they have to face and tolerate unpleasant thoughts, emotions, and bodily sensations. Indeed, one study suggested that a higher willingness to experience unpleasant thoughts,...
Background: Therapist-guided exposure and response prevention (ERP) for the treatment of obsessive-compulsive disorder (OCD) is frequently conducted within clinical settings but rarely at places where patients are usually confronted with OCD symptom-provoking situations in daily life (eg, at home).
Objective: This study aimed to investigate patient...
Persons with obsessive–compulsive disorder (OCD) are often impaired in their daily level of functioning due to their time-consuming obsessions and/or compulsions. To date, however, studies are lacking that quantify how much time persons with OCD actually spend on activities of daily living. Therefore, the current study assessed 13 daily life activi...
Objective
The Eating Disorder Examination‐Questionnaire (EDE‐Q) is one of the most widely used self‐report measures for the assessment of eating disorder (ED) symptomatology. However, proposed cutoff scores that may indicate the presence of an ED have been heterogeneous. Therefore, the current study derived cutoff scores from two large samples: one...
BACKGROUND
Therapist-guided exposure and response prevention (ERP) for the treatment of obsessive-compulsive disorder (OCD) is frequently conducted within clinical settings but rarely at places where patients are usually confronted with OCD symptom-provoking situations in daily life (eg, at home).
OBJECTIVE
This study aimed to investigate patients...
Therapist-guided exposure and response prevention (ERP) for the treatment of obsessive-compulsive disorder (OCD) is frequently conducted within clinical settings but rarely at places where patients are usually confronted with OCD symptom-provoking situations in daily life (e.g., at home). Therefore, the aim of this study was to investigate patients...
Mental illness is a central risk factor for occupational incapacity and premature retirement. One of the contributors for mental illness as well as somatic diseases is chronic stress at work. Therefore, it is essential for affected individuals to get professional help in order to identify and ease mental stress at work as well as to regain their wo...
Zwangsstörungen sind eine häufige und besonders hartnäckige Form der psychischen Erkrankung. Auch wenn wirksame Behandlungsansätze vorliegen, werden diese oftmals nur unzureichend in der Praxis angewandt. Der Ratgeber liefert eine fundierte Einführung in die Behandlungsmöglichkeiten von Zwangsstörungen. Er eignet sich insbesondere dazu, therapiebeg...
Persons with obsessive-compulsive disorder (OCD) are often impaired in their daily level of functioning due to their time-consuming obsessions and compulsions. To date, however, studies are lacking that pinpoint how much time patients with OCD actually spend on activities of daily living. Therefore, we assessed the duration of 13 daily life activit...
Background: Willingness to experience unpleasant thoughts, emotions, and bodily sensations (WTE) has been found to predict treatment outcome in patients with obsessive–compulsive disorder (OCD). Yet, these findings are limited to few studies. Methods: We examined whether WTE at admission predicted treatment outcome in a sample of 324 inpatients wit...
Background: Willingness to experience unpleasant thoughts, emotions, and bodily sensations (WTE) has been found to predict treatment outcome in patients with obsessive–compulsive disorder (OCD). Yet, these findings are limited to few studies.
Methods: We examined whether WTE at admission predicted treatment outcome in a sample of 324 inpatients wit...
Mental illness is a central risk factor for occupational incapacity and premature retirement. One of the contributors for mental illness as well as somatic diseases is chronic stress at work. Therefore, it is essential for affected individuals to get professional help in order to identify and ease mental stress at work as well as to regain their wo...
A major burden for persons with obsessive–compulsive disorder (OCD) is that their obsessions and compulsions are very time-consuming, which substantially affects their daily routine. However, little is known about how much time daily activities actually take up in persons with OCD. In the current study, 273 adolescents and adults with OCD (59% fema...
The perception-filter model posits that the generation of medically-unexplained symptoms is associated with (I.) more intense afferent bodily signals, (II.) impaired filter system activity to differentiate relevant from irrelevant signals, and (III.) altered perception of bodily signals. We tested these assumptions for cardiac perception in patient...
PSYCHOTHERAPEUTENJOURNAL 4 _ 2021; 312-322 plus Supplement.------------------------ ----------------------------------------------------
Zusammenfassung (deutsch):
Psychometrische Verfahren zur Evaluation psychotherapeutischer Behandlungen werden immer mehr zum Standard und sichern die Bestimmung des Erfolgs eigener Maßnahmen ab – neben Patientenbe...
The objectives of this study were to investigate the naturalistic effectiveness of routine inpatient treatment for patients with obsessive–compulsive disorder (OCD) and to identify predictors of treatment outcome. A routinely collected data set of 1,596 OCD inpatients (M = 33.9 years, SD = 11.7; 60.4% female) having received evidence-based psychoth...
Rumination is common in individuals diagnosed with obsessive-compulsive disorder (OCD). We sought to clarify the causal role of rumination in the immediate and intermediate maintenance of obsessive-compulsive symptoms and depressed mood. In total, 145 individuals diagnosed with OCD were asked to read aloud their most distressing obsessive thought (...
Therapieerfolg beurteilen - durch stoerungsspezifische und veraenderungssensitive diagnostische Instrumente. Messinstrumente mit Fokus auf Evaluation / Outcome zu 19 Stoerungen gemaess ICD 10. Response (kritische Differenz) und Remission (Cut off)
Objective: Altered interoception may play a major role in the etiology of medically unexplained symptoms (MUS). It remains unclear, however, if these alterations concern noticing of signals or if they are limited to the interpretation of signals. We investigated whether individuals with MUS differ in interoceptive awareness as assessed with the Mul...
Objective:
To assess cardiac interoception in anorexia nervosa (AN) using a multidimensional approach.
Methods:
We assessed the physiological dimensions of cardioception, i.e. the peripheral signal itself (heart rate, HR, and heart rate variability, HRV) and its cortical representation (heartbeat evoked potentials, HEPs), and the psychological d...
Angesichts der aktuellen, von zunehmendem Druck dominierten Arbeitswelt, erleben viele berufstätige Menschen andauernden Stress, nicht wenige fühlen sich überlastet und „ausgebrannt“. Chronischer beruflicher Stress und Erschöpfungszustände beeinträchtigen die Lebensqualität und sind u.a. ein Risikofaktor dafür, psychisch zu erkranken. Der Ratgeber...
In dieser Studienübersicht berichten Ulrich Voderholzer und Stefan Koch über die aktuellen Entwicklungen in der Therapie von Zwangsstörungen anhand einer Metaanalyse zur Pharmakotherapie, über Studien zur Augmentation mit D-Cycloserin, zu Adhärenz und Therapieerfolg bei Zwangsstörungen und über eine Pilotstudie zu Schematherapie als Ergänzung zu Ex...
Somatic marker theory predicts that somatic cues serve intuitive decision making; however, cardiovascular symptoms are threat cues for patients with panic disorder (PD). Therefore, enhanced cardiac perception may aid intuitive decision making only in healthy individuals, but impair intuitive decision making in PD patients.
PD patients and age-and s...
Vorgestellt wird ein Programm zur berufsbezogenen Therapie psychischer Störungen bei Lehrkräften. Ergänzend zu einer fachgerechten symptombezogenen Therapie bietet sich, mit Blick auf die von vielen Lehrer-Patienten als für ihre Erkrankung (mit-)entscheidend erlebten beruflichen Belastungen, das Angebot zusätzlicher berufsbezogener Therapiebaustein...
In contrast to popular assumptions there is no consistent evidence that vocational demands in teachers result in elevated rates of psychiatric disorders. In fact elevated burnout experience and early retirements reflect complex social and legal conditions in the public sector. With the AGIL program a job-specific group therapy concept for mentally...
Die Symptomatik einer Depression ist durch reduzierte emotionale Schwingungsfähigkeit, negative Kognitionen, sozialen Rückzug und negatives Selbstwerterleben charakterisiert. Es wird eine erhöhte Reaktivität auf negative Stimuli (negative potentiation) bzw. eine reduzierte Sensitivität auf den emotionalen Kontext (emotion context insensitivity) ang...
In the public view as well as amongst teachers burnout was commonly regarded as an innate problem of this particular profession. Based on a critical evaluation of the phenomenon of burnout current concepts of mental health in teachers are presented. On the one hand they encompass job-related profiles of coping in schoolteachers. Other concepts focu...
In der Öffentlichkeit wie unter Lehrern wurde Burnout lange als immanentes Problem dieses Berufes angesehen. Ausgehend von einer kritischen Bewertung des Burnout-Phänomens werden aktuelle Konzepte der Lehrergesundheitsforschung dargestellt. Diese umfassen zum einen Ansätzen, die arbeitsbezogene Bewältigungsprofile im Lehrerberuf abbilden. Andere Ko...
Was Sie in diesem Kapitel erwartet: Im ersten Teil dieses Kapitels werden die typischen Bausteine von Stress-Bewältigungs-Trainings (SBT) beschrieben. Der zweite Teil fasst die Erkenntnisse über die Wirksamkeit von SBTs zusammen. Es werden zudem vier allgemeine Wirkprinzipien von psychologischen Trainings vorgestellt. Im dritten Teil wird ein SBT b...
Background
Poor outcome of psychotherapeutic treatment has not yet been sufficiently investigated. It is assumed that approximately 25–30% of patients are treatment non-responders and about 5–10% suffer deterioration.
Study design and methods
The therapeutic success of a total of 2,323 consecutively admitted inpatients with a depressive episode (F3...
Questions: The aim of occupational health management is the support of employees' physical and mental health. Occupational health management should benefit both employee and employer. What percentage of employees, especially of those with already compromised health, are using such services? Methods: 133 patients working as employees or civil servan...
The use of cut-off values is common in research on the effort-reward imbalance (ERI) model. They are often used to identify health risk situations or behaviour at work, although little is known about their diagnostic properties. The aim of the study was to investigate empirically cut-off points for the effort-reward ratio and the overcommitment (OC...
Psychosomatic rehabilitation research increasingly agrees that symptom-related therapies need to be supplemented by work-related therapeutic interventions. However, there is a lack of evaluated diagnostic instruments for determination of an indication for and evaluation of specific work-related interventions. This article presents an analysis of th...
Hintergrund: In der psychosomatischen Rehabilitation besteht zunehmend Konsens, dass symptombezogene Therapiemethoden durch berufsbezogene Behandlungsangebote zu ergänzen sind. Demgegenüber besteht ein Mangel an evaluierten diagnostischen Instrumenten zur Indikationsstellung und Evaluation spezifischer berufsbezogener Behandlungsmaßnahmen. Die Stud...
Zusammenfassung. Wahrend es eine breite Vielfalt bewahrter berufsbezogener Stress-Interventionen bei berufstatigen Zielgruppen gibt, mangelt es an gezielten Evaluationen berufsbezogener Behandlungseffekte bei psychosomatisch erkrankten und in besonderer Weise von beruflichen Belastungen und Erwerbslosigkeit betroffenen Zielgruppen. Ziel der Studie...
Entwicklung und Evaluation einer berufsbezogenen Gruppentherapie für die stationäre kognitive Verhaltenstherapie. Development and evaluation of a occupation-referred group therapy for the stationary cognitive behavior therapy.
Hintergrund: Trotz steigender beruflicher Belastungen und deren Bedeutung f�r die Entstehung und Aufrechterhaltung psychosomatischer Beschwerden fehlen bislang spezifische berufsbezogene Behandlungsans�tze. F�r die kognitiv-verhaltenstherapeutisch fundierte station�r-psychosomatische Behandlung wurde eine berufsbezogene Therapiegruppe �Stressbew�lt...
