Thomas Ehring

Thomas Ehring
Ludwig-Maximilians-University of Munich | LMU · Department of Psychology

PhD

About

166
Publications
82,831
Reads
How we measure 'reads'
A 'read' is counted each time someone views a publication summary (such as the title, abstract, and list of authors), clicks on a figure, or views or downloads the full-text. Learn more
7,016
Citations
Citations since 2016
105 Research Items
5444 Citations
201620172018201920202021202202004006008001,000
201620172018201920202021202202004006008001,000
201620172018201920202021202202004006008001,000
201620172018201920202021202202004006008001,000
Additional affiliations
April 2012 - March 2015
University of Münster
Position
  • Professor (Full)

Publications

Publications (166)
Article
Full-text available
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...
Preprint
Full-text available
BACKGROUND Repetitive negative thinking (RNT) is a cognitive risk factor for various disorders. Although brief mindfulness-based interventions (MBIs; 20-30 minutes or shorter) are effective tools to reduce RNT, the effect of a minimal (five-minute) MBI remains largely unknown. OBJECTIVE We investigated the acute changes in RNT induced by a 10-day...
Article
Full-text available
Introduction Since a high proportion of refugees in Germany suffer from mental disorders, culturally adapted treatments are needed that target a broad range of symptoms. There is much evidence for the efficacy of culturally adapted cognitive behavioural therapy (CA-CBT). Given the promising results of CA-CBT, the combination with problem solving tr...
Article
Full-text available
Nightmares are considerably prevalent in the general population and are known to be closely associated with a variety of mental disorders. However, not much is known about the immediate antecedents and consequences of nightmares. Therefore, we used intensive longitudinal assessments to investigate the night‐to‐night within‐person associations betwe...
Article
Full-text available
Background: Guilt and shame regulate basic human processes such as social cognition and relations. Both emotions are also involved in the aetiology and maintenance of trauma-related mental disorders such as posttraumatic stress disorder (PTSD). However, a concise scale that adequately captures these constructs is currently lacking, impeding researc...
Article
Full-text available
Trauma-focused imagery-based interventions are suspected to alter or even distort declarative voluntary memory of a traumatic event, especially if they involve the active modification of imagery, e.g., as used in imagery rescripting (ImRs). However, systematic research is lacking so far. To investigate whether ImRs modifies voluntary memory of a st...
Article
Full-text available
Social exclusion is a critical event for mental health. Patients with interpersonal dysfunction, e.g., with borderline personality disorder (BPD) or persistent depressive disorder (PDD), are particularly vulnerable, often based on their experiences of early adversity in life. The etiological pathways from childhood maltreatment (CM) to current beha...
Article
Full-text available
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...
Article
Full-text available
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
Imagery Rescripting ist eine in vielen psychotherapeutischen Richtungen und störungsspezifischen Behandlungsansätzen eingesetzte Technik, die auch im Rahmen der Therapie der Posttraumatischen Belastungsstörung (PTBS) Anwendung findet. Das Grundprinzip besteht in der imaginativen Aktivierung einer traumatischen Erinnerung, die in eine gezielte Verän...
Article
Background and objectives Posttraumatic stress disorder (PTSD) related to childhood abuse (CA) is associated with high symptom complexity. This study examined the efficacy of Imagery Rescripting (ImRs) as a stand-alone treatment versus a sequenced approach with Skills training in Affective and Interpersonal Regulation (STAIR) followed by ImRs for C...
Article
Background and objectives Different forms of repetitive negative thinking (RNT) have traditionally been conceptualized as being distinctly linked to specific disorders. However, emerging evidence suggests that a common process lies at the core of different RNT manifestations. This common process might also largely explain the link between RNT and p...
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...
Article
An important aim of basic research in Clinical Psychology is to improve clinical practice (e.g., by developing novel interventions or improving the efficacy of existing ones) based on an improved understanding of key mechanisms involved in psychopathology. In the first part of this article, we examine how frequently this translation has happened in...
Preprint
An important aim of basic research in Clinical Psychology is to improve clinical practice(e.g., by developing novel interventions or improving the efficacy of existing ones) based on animproved understanding of key mechanisms involved in psychopathology. In the first part of thisarticle, we examine how frequently this translation has happened in th...
Preprint
The figure depicts a framework for translational research in Cinical Psychology developed by Ehring, Limburg, Kunze, Wittekind, Werner, Wolkenstein, Guzey & Cludius
Article
Full-text available
Background Although effective treatments for smoking cessation are available, long-term abstinence is the exception rather than the norm. Accordingly, there is a need for novel interventions that potentially improve clinical outcome. Although implicit information processing biases, for example approach biases for smoking-related stimuli, are ascrib...
Article
Full-text available
The Federal Ministry of Education and Research (BMBF) issued a call for a new nationwide research network on mental disorders, the German Center of Mental Health (DZPG). The Munich/Augsburg consortium was selected to participate as one of six partner sites with its concept “Precision in Mental Health (PriMe): Understanding, predicting, and preventi...
Article
Full-text available
Background Repetitive thinking (RT) has been defined as prolonged, recurrent thought about oneself and one’s experiences. Recent studies have shown that various measures of RT load onto a common factor and predict symptoms of depression and anxiety. The relationship with mania symptoms, however, remains underexplored. The current study examined the...
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...
Chapter
Trauma-focused cognitive behavioural therapy (TF-CBT) is one of the first choice treatments for PTSD. TF-CBT comprises several evidence-based treatment manuals, which are first briefly outlined in this chapter. After an introduction to the theoretical principles of TF-CBT, the main part of the chapter then presents important treatment components in...
Article
Full-text available
Background Imagery Rescripting (ImRs) is a promising intervention to reduce symptoms associated with aversive memories, but little is known about its working mechanisms. The present study investigates whether ImRs increases perceived mastery and attenuates emotional reactivity to memory retrieval on a subjective and physiological level. Methods Se...
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
Convergent evidence supports a crucial role for dysfunctional appraisals in the development and maintenance of post-traumatic stress disorder (PTSD). However, most research in this area has used self-report measures, assessing only explicit forms of such negative cognitions; the relevance of their more automatically-activated counterparts, as assum...
Article
Objective Cognitive behavioral therapy (CBT) has been well established in the treatment of posttraumatic stress disorder (PTSD). In recent years, researchers have begun to investigate its underlying mechanisms of change. Dysfunctional cognitive content, i.e. excessively negative appraisals of the trauma or its consequences, has been shown to predic...
Article
Full-text available
Background Mental disorders are prevalent and cause considerable burden of disease. Exercise has been shown to be efficacious to treat major depressive disorders, insomnia, panic disorder with and without agoraphobia and post traumatic stress disorder (PTSD). Methods This pragmatic, two arm, multi-site randomised controlled trial will evaluate the...
Article
Full-text available
Background Promoting well-being and preventing poor mental health in young people is a major global priority. Building emotional competence skills via a mobile app may be an effective, scalable and acceptable way to do this. A particular risk factor for anxiety and depression is elevated worry and rumination (repetitive negative thinking, RNT). An...
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
Borderline personality disorder (BPD) and persistent depressive disorder (PDD) are related to interpersonal dysfunction which might become particularly apparent in situations of social exclusion (SE). While emotional responses to SE have been widely explored, behavioral data in clinical samples are lacking. In this cross-diagnostic study, we applie...
Article
Background and objectives Although most trauma survivors experience some intrusive recollections of the traumatic event, only few subsequently develop posttraumatic stress disorder (PTSD). A well-established proximal risk-factor predictive of post-trauma psychopathology is peritraumatic cognitive processing. Another, more distal risk-factor is pre-...
Article
Full-text available
Background Negative mental images in social anxiety are often linked to memories of distressing social experiences. Imagery Rescripting (ImRs) has been found to be a promising intervention to target aversive memories, but mechanisms underlying ImRs are largely unknown. The present study aimed (a) to investigate the effects of ImRs compared to cogni...
Article
High levels of rumination are a risk factor for developing posttraumatic stress disorder (PTSD). Theoretical models of rumination as well as earlier empirical findings suggest that the dysfunctional effects of rumination are due to an abstract processing style, and that a more concrete style of thinking has beneficial effects on mental well-being....
Article
Full-text available
Refugees and asylum seekers are exposed to multiple burdensome experiences and suffer from ongoing post‐migration stressors that are known to affect the physical and mental health. In psychological treatment offered to refugees and asylum seekers dropout is an important challenge. The current practice‐oriented review aims to provide for the first t...
Article
Full-text available
Background: Refugees and asylum seekers often suffer from migration stressors and related psychopathology. However, providing this population with psychological treatment has a number of barriers (e.g., culture and language differences), which are widely thought to hinder the success and continuation of treatment. Objective: The current systemat...
Article
Full-text available
Background The Covid-19 pandemic is affecting the entire world population. During the first spread, most governments have implemented quarantine and strict social distancing procedures. Similar measures during recent pandemics resulted in an increase in post-traumatic stress, anxiety and depression symptoms. The development of novel interventions t...
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...
Article
Background Substance use disorder (SUD) and posttraumatic stress disorder (PTSD) are highly comorbid. Self-medication hypothesis (SMH) is a seminal theory aiming to account for the relationship between these disorders. The current study examined hypotheses based on SMH in SUD patients during the very first days of detoxification. Based on SMH we ex...
Article
Full-text available
A reciprocal relationship between repetitive negative thinking (RNT) and negative affect (NA) has been found in various types of psychopathology. Recent studies have suggested that the magnitude of this association can vary across time and individuals, which may inform future psychopathology. Here, we explored how these dynamics and interplays are...
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
Background: Preliminary evidence suggests childhood maltreatment to play a causal role in the development and maintenance of obsessive-compulsive disorder (OCD). However, both the effect of childhood maltreatment on the course of OCD treatment and the role of specific subtypes of maltreatment remain largely unknown. Objective: This study aimed to i...
Article
Temporal dynamics in attention bias (AB) have gained increasing attention in recent years. It has been proposed that AB is variable over trials within a single test session of the dot-probe task, and that the variability in AB is more predictive of psychopathology than the traditional mean AB score. More important, one of the dynamics indices has s...
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...
Preprint
This guideline aims to inform and sensitize clinical researchers and therapists about dropout in general as well as specifically in the treatment of refugees and asylum seekers. We first describe the challenging situation, refugees resettled in high-income countries are facing and give a brief overview of the current evidence on the effectiveness o...
Preprint
Full-text available
The Covid-19 pandemic is affecting the entire world population. During the first spread, most governments have implemented quarantine and strict social distancing procedures. Similar measures during recent pandemics resulted in an increase in post-traumatic stress, anxiety and depression symptoms. The development of novel interventions to mitigate...
Article
Full-text available
Background Promoting well-being and preventing poor mental health in young people is a major global priority. Building emotional competence (EC) skills via a mobile app may be an effective, scalable and acceptable way to do this. However, few large-scale controlled trials have examined the efficacy of mobile apps in promoting mental health in youn...
Article
Background: Childhood maltreatment (CM) is associated with enhanced symptom severity of obsessive-compulsive disorder (OCD). However, little is known about the mechanisms underlying this relationship. In order to improve treatment for CM survivors suffering from OCD, it is important to understand the psychological processes mediating the putative a...
Article
Trauma-induced insomnia is a symptom of posttraumatic stress disorder (PTSD), and is reported to be particularly distressing and often persists even after remission of the core symptoms of PTSD. Recently, it has been suggested that fear of sleep plays an important role in the development and maintenance of trauma-induced insomnia. The aim of this r...
Chapter
This chapter presents evidence that repetitive negative thinking (RNT) is a process present across a wide variety of emotional disorders. It focuses on a transdiagnostic approach that centers on identifying key processes that are involved in the development and maintenance of psychopathology across diagnostic categories; developing definitions and...
Article
Recent research has found that repetitive negative thinking (RNT) is an important transdiagnostic process both in adult and child psychopathology. This finding has led some authors to design content-independent measures of RNT that can be administered across disorders. One of these instruments is the Perseverative Thinking Questionnaire (PTQ) and i...
Article
Full-text available
Background Repetitive negative thinking—and worry as a common variant—have been suggested to be transdiagnostic maintaining factors of psychopathology in refugees. Using an ecological momentary assessment (EMA) approach, this study tested the feasibility of EMA and the hypothesis of a self-reinforcing relationship (a) between worry and affect and (...
Article
Background and objectives In imagery rescripting (ImRs), aversive mental images are modified to reduce symptoms in a variety of psychological disorders. However, uniform guidelines on how to optimally implement ImRs do currently not exist. It remains unclear whether therapists should stimulate patients to imagine themselves to actively intervene wi...
Article
Zusammenfassung. Die Ruminationsfokussierte Kognitive Verhaltenstherapie (RFCBT) ist eine neuere Therapie zur Behandlung von Depression. Der Fokus der Behandlung liegt auf der Analyse und Veränderung von Rumination, definiert als repetitive negative Gedanken, die im Rahmen von Depression häufig auftreten. RFCBT basiert auf einem theoretischen Model...
Article
There are several challenges to providing mental health care for refugees, including high comorbidity and structural barriers. Targeting transdiagnostic processes in a low-threshold group intervention appears particularly promising to meet these challenges. This study examined the feasibility, acceptability and effectiveness of a new transdiagnosti...
Article
Full-text available
Dynamical interplays in emotions have been investigated using vector autoregressive (VAR) models, whose estimates can be used to cluster participants into unknown groups. The present study evaluated a clustering algorithm, the alternating least square (ALS) algorithm, for accuracy in predicting individual group membership. We systematically manipul...
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
Full-text available
Background and objectives Misperception of sleep, the underestimation of total sleep time and overestimation of sleep onset latency (SOL) relative to objective measures, is often found in people with sleep disturbances. Theories of insomnia have proposed that perceived sleeplessness triggers excessive intention and effort to sleep, ironically distu...
Article
Full-text available
Repetitive negative thinking (RNT) is a transdiagnostic process and a promising target for prevention and treatment of mental disorders. RNT is typically assessed via self-report questionnaires with most studies focusing on one type of RNT (i.e., worry or rumination) and one specific disorder (i.e., anxiety or depression). However, responses to suc...
Article
Full-text available
The intentional distortion of test results presents a fundamental problem to self-report-based psychiatric assessment, such as screening for depressive symptoms. The first objective of the study was to clarify whether depressed patients like healthy controls possess both the cognitive ability and motivation to deliberately influence results of comm...