Wolfgang Trapp

Wolfgang Trapp
Sozialstiftung Bamberg/Klinikum Bamberg · Department of Psychiatry

Doctor of Psychology

About

38
Publications
2,951
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265
Citations

Publications

Publications (38)
Article
Full-text available
Many people with psychiatric disorders experience impairments in cognition. These deficits have a significant impact on daily functioning and sometimes even on the further course of their disease. Cognitive remediation (CR) is used as an umbrella term for behavioral training interventions to ameliorate these deficits. In most but not all studies, C...
Article
Full-text available
Background: Extensive research has reported that electroconvulsive therapy (ECT) can be highly effective in approximately 80% of patients suffering from depression. Its clinical use is mainly limited by historical objections and the concern about unwanted adverse effects (AEs), including serious and potentially life-threatening adverse events (pLTA...
Article
Full-text available
It is well established that individuals with cognitive impairment present with disturbed forms of pain processing of still unknown origin. As a neurocognitive factor, executive functions have become favored candidates for explanation. For further insights, we aimed at comparing executive functions and memory in their association with parameters ind...
Article
Full-text available
Background Currently, many patients suffering from dementia do not have a diagnosis when admitted to geriatric hospitals. This is the case despite an increased risk of complications affecting the length of stay and outcome. Unfortunately, many dementia screening tests cannot be used on geriatric inpatients, who are often bedridden. Therefore, we ai...
Preprint
BACKGROUND Recently, non-drug treatment options to reduce cognitive decline in dementia have become increasingly prominent. First results from qualitative studies show that tablet-based applications are perceived as attractive by dementia patients. OBJECTIVE Attractiveness, validity and usability of a cognitive stimulation app developed for groups...
Article
Cognitive models of depression emphasize the relevance of cognitive biases for development, onset and maintenance of major depressive disorder (MDD). Attentional biases consisting of increased attention to negative, mood congruent stimuli and reduced attention to positive, mood-incongruent stimuli are postulated but have rarely been tested for earl...
Article
Full-text available
Schizophrenia is associated with deficits in working memory (WM) and executive functioning (EF) that are present from prodrome to chronic stages of the disease and are related to social and occupational functioning. Recent empirical findings suggest that schizophrenia patients might suffer from a specific speed deficit regarding WM operations that...
Article
Objectives: Although electroconvulsive therapy (ECT) is considered a safe and highly effective treatment option for major depressive disorder, there are still some reservations with regard to possible adverse cognitive adverse effects. This is the case despite a large body of evidence showing that these deficits are transient and that there even s...
Article
Full-text available
Objective Neurocognitive deficits that persist despite antidepressive treatment and affect social and vocational functioning are well documented in major depressive disorder. Cognitive training approaches have proven successful in ameliorating these deficits in other psychiatric groups, but very few studies have been conducted in unipolar depressiv...
Article
Full-text available
Due to physical limitations (e.g. difficulties in reading and writing), geriatric inpatients are often not able to complete relevant dementia screening tests.The Bamberg Dementia ScreeningTest (BDST) is a new dementia screening measure that can be administered in a few minutes as “true bedside” – test. 150 patients suffering from mild cognitive imp...
Article
Full-text available
Background: Chronic low back pain (CLBP) is a serious health problem in industrialised countries and the efficacy of current treatment options is unsatisfying. Objective: The present study examines the effects of a combined intervention that utilizes visual feedback, motion and sensory discrimination training in CLBP patients. Methods: Thirty...
Article
Full-text available
Cognitive deficits are stable features of schizophrenia that are linked to functional outcome. Cognitive remediation approaches have been proven successful in ameliorating these deficits, although effect sizes vary considerably. Whether cognitive deficits are serious predictors of clinical outcome is less clear. Sixty patients suffering from schizo...
Article
Concerning prescription habits of psychopharmacologic drugs in German psychiatric hospitals no data exist so far. This article presents results of a survey that describes the medication concepts of n=235 physicians regarding mood stabilizers. A large acceptance of traditional substances like lithium or valproate could be confirmed as well as of aty...
Article
Results from a survey concerning medication concepts of physicians (n = 243) in psychiatric hospitals in Germany are presented. The results indicate that pharmacological treatment of cognitive losses in dementia is regarded as important by the physicians and estimated importance grows with professional experience. The psychiatrists almost exclusive...
Article
Data regarding prescription habits and reasons for drug selection in German psychiatric hospitals are missing so far. Results of a survey concerning medication concepts of n = 279 physicians regarding antidepressants are presented. In general, newer antidepressants like mirtazapine, citalopram and venlafaxine are preferred, the dosages are in accor...
Article
The medical staff (n=289) of 20 psychiatric state hospitals was asked for their opinions concerning tranquilizers and hypnotics. Generally there is good knowledge of the limitations, e.g. the duration of a treatment and also the knowledge of addictive potentials. BZD and BZRA are considered to be important and undisputable in the therapy of patient...
Article
For every second generation antipsychotic at least one study exists denominating it "best of its class". Therefore, choosing the appropriate antipsychotic is difficult for the practitioner. This study describes results from a survey concerning medication concepts of physicians (n = 283) in psychiatric hospitals in Germany. Particularly differential...
Article
Die Diskussion, inwieweit Psychoedukationsgruppen Aufgabe von Pflegekraften sein kann und ist, nimmt zu. Dabei wird sich in Zukunft zeigen, ob sich Pflegende eher als „Hilfstherapeuten” einsetzen lassen oder sich kompetent bei der Krankheitsbewaltigung von Betroffenen und ihren Angehorigen einbringen.
Article
Full-text available
Cognitive deficits are a core symptom in schizophrenia, but until now controlled efficacy studies of cognitive training methods have shown inconclusive results. This study examined the effects of computer-aided cognitive training using motivational software that evokes positive emotions in patients suffering from schizophrenia. Forty patients were...
Article
Beside the psychopharmacological therapy psychotherapy also represents an important element in the treatment of bipolar patients. Within psychotherapy psychoeducation has a central importance because of its different components like acquiring models of illness, description of possible courses of illness or the recognition of early warning signs. Th...
Article
Zusammenfassung Neben der medikamentösen Behandlung stellt auch die Psychotherapie einen wichtigen Baustein in der Versorgung bipolarer Patienten dar. Dabei kommt der Psychoedukation eine zentrale Bedeutung bei. Insbesondere deshalb, da die unterschiedlichen Komponenten dieser Intervention wie die Erarbeitung von Krankheitsmodellen, die Darstellung...
Article
Anliegen Bei Kindern mit einer Aufmerksamkeitsdefizit- bzw. Hyperaktivitätsstörung stellen Tests zur Messung des Aufmerksamkeitsdefizits Routineuntersuchungen dar. Methode 79 Kinder bearbeiteten zwei adaptive Übungen aus dem computergestützten kognitiven Trainingsprogramm X-Cog®, den d2-Test sowie den HAWIK-III. Ergebnisse Es fanden sich hohe Korre...
Article
This article should give an overview about cognitive deficits including patients suffering from an affective disorder (ICD-10: F31 - F33). As well bipolar illness as depression with their separate cognitive domains is discussed and a comparison with schizophrenia should represent the similarity of cognition impairment of affective disorders and sch...
Article
With the introduction of atypical neuroleptics, the therapy of schizophrenia has been improved by a group of antipsychotic substances characterized by better tolerability concerning extrapyramidal side effects and higher efficiency against negative symptoms. However, these atypical antipsychotics are not a homogeneous class of drugs but rather repr...
Article
Mit der Einfhrung der atypischen Neuroleptika steht der Behandlung schizophrener Erkrankungen eine Gruppe von antipsychotisch wirksamen Medikamenten zur Verfgung, die sich im Vergleich zu den klassischen Neuroleptika durch eine gnstigere Vertrglichkeit bezglich extrapyramidal-motorischer Nebenwirkungen sowie durch eine bessere Wirksamkeit auf Negat...
Article
This study aimed to examine performance improvement and compliance of schizophrenic patients participating in computerbased cognitive training with X-Cog(R). 20 patients (5 women, 15 men) with the diagnosis of schizophrenia (ICD10 F20.X) were trained ten weeks (twice a week, duration 1h) using the software X-Cog(R) in different wards of the Bezirks...
Article
In patients suffering from chronic schizophrenia, both altered temporospatial structure of the EEG and impaired activation during cognitive tasks have repeatedly been demonstrated. The present study evaluates whether similar abnormalities are present in drug-naive first-episode schizophrenics. The EEGs of 32 schizophrenic patients and of 52 healthy...
Article
Full-text available
To test the hypothesis of a planning dysfunction in schizophrenia using a precise temporal definition, the readiness potential (RP), a negative cortical wave preceding self-initiated movements and reflecting motor preparation processes, was studied in patients under stable medication and in controls. The supplementary motor area (SMA), known to be...
Book
Full-text available
This book is a compilation of contributions at a symposium held at the University of Lund in 1998. It contains cell-physiology by G.Ehret and KH Esser, Brain imaging i.e. fMRI, EEG, MEG, PET related to psychoacoustics (authors Beisteiner R. et al, Günther E. et al, Hari R - Mäkelä J.P.,, Van de Moortele P.F. et al. and Griffiths T.D.) Steinberg R....
Article
Fifteen alcoholics diagnosed according to DSM-III-R, who were detoxified for at least 2 weeks and showed no clinical withdrawal signs, were investigated with 16 channel EEG mapping during resting, manumotor and music perception conditions, and were compared with 13 control persons. Single photon emission computed tomography (SPECT) using hexa-methy...
Article
Gilles de la Tourette's syndrome (TS) is a neurobehavioral disorder of childhood onset that is characterized by motor and vocal tics and associated behavioral disturbances including obsessive-compulsive symptoms. We performed 30 channel quantitative electroencephalograms (EEGs) on 13 Tourette patients and 26 controls and studied both resting and ma...
Chapter
Bei ersten 16 Kanal EEG Mapping Untersuchungen waren Manumotorik und Musikhören funktionale „Fenster“ und brachten bei psychiatrischen Patienten, besonders bei schizophrenen Kranken, deutliche Hinweise auf „pathologische EEG-Aktivierungsmuster“ gegenüber Gesunden. Eine Fortsetzung dieser Untersuchungen mit 32 Kanal EEG Mapping bezog morphologische...

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