J Deckert’s research while affiliated with Deutsche Gesellschaft für Psychiatrie, Psychotherapie, Psychosomatik und Nervenheilkunde  and other places

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Publications (228)


Study design from screening to 6-month follow-up. BAT, Behavioral Approach Task; MRI, magnetic resonance imaging; TMS, transcranial magnetic stimulation; VRET, virtual reality exposure therapy.
Flowchart diagram. MRI, magnetic resonance imaging; VRET, virtual reality exposure therapy; TMS, transcranial magnetic stimulation; ITT, intention-to-treat.
Average trajectories in means with 95% confidence intervals for primary outcome scores. (A) Trajectories for Acrophobia Questionnaire (AQ) subscale “anxiety” (total scores: 0–120). (B) Trajectories for AQ subscale “avoidance” (total scores: 0–40). Both trajectories from baseline to post-assessment and follow-up for both TMS groups. BL, Baseline; Post, Post-assessment; FU, Follow-up.
TMS-induced electrical field binary mask (in red) and significant cluster (in blue; MNI: − 36, 15, 35; cluster size = 31) adjacent to the stimulated brain area and showing effective connectivity to the ventromedial prefrontal cortex (vmPFC; MNI: − 6, 36, 12) Average binary mask for all subjects. Cluster-based on GCA coefficients. L, left; R, right.
Intermittent theta burst stimulation over the left prefrontal cortex: no additional effect for virtual reality exposure therapy in acrophobia—a randomized trial
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November 2024

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B. Bohmeier

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Anxiety disorders are the most prevalent mental health conditions. Besides psycho-pharmacotherapy, cognitive behavioral therapy with an exposure-based approach is considered the gold standard. However, not all patients benefit from this approach. Here, we aimed to translate laboratory findings on enhanced fear extinction with repetitive transcranial magnetic stimulation (TMS) to the clinic. In this double-blind, randomized, placebo-controlled clinical trial, 76 participants with acrophobia received an activating intermittent theta burst stimulation (iTBS) targeting the left posterior prefrontal cortex immediately before two virtual reality exposure therapy sessions. Phobic symptoms were assessed at baseline, post-intervention, and a 6-month follow-up. Results revealed a significant reduction in phobic symptoms from baseline to post-assessment and follow-up and confirmed the efficacy of virtual reality exposure therapy as a treatment for specific phobias. Interestingly, no additional effect was observed for active iTBS compared to sham iTBS. Our post-hoc analyses argue for an individualized TMS application. Further research is needed to determine optimal TMS parameters and validate these results in clinical trials, accounting for methodological and inter- and intra-individual variability, as well as alternative therapeutic processes.

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45 years German Society of Biological Psychiatry (DGBP)

Journal of Neural Transmission

The foundation of a German Society of Biological Psychiatry (DGBP) was initiated at the Second World Congress of Biological Psychiatry of the WFSBP in Barcelona in 1978. Its mission was and is to promote interdisciplinary research on the biology of mental disorders and to translate results of biological research into clinical practice. During the presidency of Peter Falkai, its tasks were defined to improve the quality and support of biologically oriented research in Germany by the DFG (Deutsche Forschungsgemeinschaft; German Research Foundation), BMBF (Bundesministerium für Bildung und Forschung) and EU (European Union), to promote young researchers doing biologically oriented research, to improve on the diagnosis and therapy of mental disorders and to advise policy makers by taking part in legal processes. The DGBP has been a corporate member of the WFSBP from its beginning, became a cooperative member of the DGPPN (Deutsche Gesellschaft für Psychiatrie und Psychotherapie, Psychosomatik und Nervenheilkunde), later of the German Brain Council, and fostered relationships with other scientific societies. Over the past 45 years, more than twenty congresses were held in Germany and neighboring countries. Emerging from the pandemic, the DGBP is ready to continue its mission to promote interdisciplinary research on the biology of mental disorders with a focus on the development of young scientists and to translate results of biological research into clinical practice, with regard to pharmacotherapy in close cooperation with the Arbeitsgemeinschaft Neuropsychopharmakologie und Pharmakopsychiatrie (AGNP). In this sense, this article also aims to stimulate the cooperation of the society with other national and international partners and to foster new relationships with young scientists and professionals interested in the aims and goals of the DGBP.




Citations (24)


... The nNOS, the important enzyme responsible for the onset of erection, is encoded by the NOS1 gene [25], which has functional polymorphisms, including rs41279104 [13,26,27] and rs2682826 [28,29]. Polymorphisms of this enzyme have also been associated with an altered response to sildenafil in ED [13] and the increased risk of psychiatric illnesses such as schizophrenia [30,31], depression [32] and suicidal behavior [29]. ...

Reference:

The rs2682826 Polymorphism of the NOS1 Gene Is Associated with the Degree of Disability of Erectile Dysfunction
Influence of two functional polymorphisms in NOS1 on baseline cortisol and working memory in healthy subjects
  • Citing Article
  • April 2019

Nitric Oxide

... Another study reported an association between a common NOS1 polymorphism and a death by suicide in males (Cui et al., 2010). Regarding possible intermediate phenotypes, NOS1 and NOS 3 polymorphisms, for instance, have also been shown to be implicated in cortisol levels, working memory performance, anxious apprehension, impulsivity, and aggression, possibly via its effect on prefrontal cortex, a key brain region involved in impulse inhibition, oxygenation (Kopf et al., 2012;Kuhn et al., 2016;Roth et al., 2019;Rujescu et al., 2008). These evidences further support the notion that NOS risk genotypes might predispose individuals to maladaptive stress and cognitive responses in face of adversity. ...

Influence of two functional polymorphisms in nitric oxide synthase 1 on baseline cortisol and working memory in healthy subjects
  • Citing Conference Paper
  • February 2019

Pharmacopsychiatry

... Environmental factors contributing to its development include viral infections, sex hormones, diet, and stress (2). Several studies have proposed that childhood traumas can lead to hypothalamicpituitary-adrenal (HPA) axis dysfunction in adulthood, which in turn predisposes individuals to autoimmune diseases (3)(4)(5)(6). Exposure to adversities is considered a major condition for enduring alterations in HPA axis biology and increased sensitivity to trauma-related symptoms (7). Given that the HPA stress response axis undergoes maturational changes throughout childhood and adolescence, it may be particularly sensitive to childhood adversity, resulting in long-term and persistent dysregulation of the HPA pathway (8,9). ...

Childhood trauma dependent anxious depression sensitizes HPA axis function
  • Citing Article
  • January 2019

European Neuropsychopharmacology

... Almost three-quarters of the included studies were cohort studies and were conducted in the US (38/53) and mostly compared MetS prevalence between Non-Hispanic Whites/ White, Non-Hispanic Black/African American and Hispanics/ Mexican American ( [90,91] and one each in Germany [92], Sweden [93] and France [94]. All the studies apart from three [71,78,84] applied random sampling methods. ...

Variations in cardiovascular risk factors in people with and without migration background in Germany – Results from the STAAB cohort study
  • Citing Article
  • October 2018

International Journal of Cardiology

... B. therapeutische und dosisbezogene Referenzbereiche für 154 Arzneimittel, Indikationen und reevaluierte Empfehlungsgrade für den Gebrauch von TDM, Übersichten über Cytochrom-P450-Substrat-, -Inhibitor-und -Induktor eigenschaften der Psychopharmaka, Darstellung der normalen Bereiche von Quotienten von Metaboliten zu Muttersubstanzen) und es wird ein konkreter Handlungsleitfaden für die Praxis einschließlich anschaulicher Fallvignetten gegeben. Diese Leitlinien wurden international empfohlen Zeng et al., 2020) und es gibt sie auch in deutscher (Hefner et al., 2018) ...

Konsensus-Leitlinien für Therapeutisches Drug-Monitoring in der Neuropsychopharmakologie: Update 2017
  • Citing Article
  • June 2018

Psychopharmakotherapie -Stuttgart-

... При сравнении 43 пациентов с ХСН ишемического генеза и 140 здоровых лиц частота генотипа TNF-α-238A / A была значительно выше у пациентов с ХСН, но различий частот аллелей и генотипов ИЛ-6 не выявлено (ФВ ЛЖ авторы не контролировали) [5]. В другом исследовании рецессивные генотипы двух однонуклеотидных полиморфизмов гена С реактивного белка (СРБ) (rs1800947 и rs11265263) были связаны с более высоким риском смерти и более высокими уровнями СРБ, но полиморфизм гена ИЛ-6 не был связан со смерт ностью [8]. ...

CRP genetic variants are associated with mortality and depressive symptoms in chronic heart failure patients
  • Citing Article
  • April 2018

Brain Behavior and Immunity

... There is a consensus on the therapeutic range for both ARI (100-350 ng/mL) and active moiety (AM) (sum of ARI AND DHA) (150-500 ng/mL) 4 . Considering that there is available a target plasma concentration and the evidence that exists on the influence of the metabolizing state of CYP2D6 and CYP3A4 on these concentrations (dose recommendations included in Summary of product characteristics), the influence on aripiprazole plasma concentrations of another important player in the pharmacokinetics of numerous drugs in the body, P-Glycoprotein (P-gp), needs to be further explored. ...

Consensus Guidelines for Therapeutic Drug Monitoring in Neuropsychopharmacology: Update 2017
  • Citing Article
  • September 2017

Pharmacopsychiatry

... Physical interventions and the use of rodenticides can be particularly difficult to implement, due to difficulties intrinsic to rodent physiology and behavioural adaptations. Most pest rodent species show signs of neophobia (Ennaceur et al. 2008;Modlinska et al. 2015;Raab et al. 2018;Witmer et al. 2020;Vicente & De la Casa 2021), both towards novel objects and tastes, which results in high levels of "trap-shyness" (Weihong et al. 1999;Herawati & Purnawan 2019), and low bait acceptance (Brunton et al. 1993;Shumake et al. 2002;Bedoya-Perez et al. 2021). Rodents also learn from the experience of conspecifics; if conspecifics emit signals of distress, e.g., getting caught in a trap as they are less likely to approach the same area later on (Brudzynski & Chiu 1995;Brudzynski 2009;Haapakoski et al. 2018). ...

Increased fear learning, spatial learning as well as neophobia in Rgs2(-/-) mice
  • Citing Article
  • August 2017

... Lubbers et al. demonstrated that mindfulness-based cognitive therapy (MBCT) significantly reduced rumination and negative intrusive thoughts in BD patients (Lubbers et al., 2022). Furthermore, van den Berg et al. reported a significant reduction in depressive symptoms, anxiety, hopelessness, and intrusive and problematic imagery after a four-week intervention using imagery-based cognitive therapy ( (Deckersbach et al., 2010;Preiss et al., 2013;Veeh et al., 2017). Different techniques and approaches were used in these interventions, including cognitive-behavioral therapy (CBT), lifestyle modifications, coping strategies, psychosocial skills, and role-playing (Veeh et al., 2017), and Deckersbach et al. used CBT in their protocols (Deckersbach et al., 2010) (Table 2). ...

Cognitive remediation for bipolar patients with objective cognitive impairment: a naturalistic study

International Journal of Bipolar Disorders

... We combined data from the Recurrent Unipolar Depression (RUD) study, a cross sectional case-control study on patients with recurrent unipolar depression and control subjects [29] and the Munich Antidepressant Response Signature (MARS) project with subprojects MARS-Depression, a prospective multi-centre naturalistic observational study of treatment outcomes in acutely depressed in-patients [30], MARS-Anxiety, a study consecutively recruiting from the Anxiety Disorders Outpatient Clinic at the Max Planck Institute of Psychiatry (MPIP) [31], and MARS-Controls, a population cohort study randomly selected from the Munich resident's registry [32]. The RUD and the MARS project were approved by the respective responsible Ethics Committee of the Bayerische Landesärztekammer and the Ludwig Maximilian University of Munich, Germany. ...

Replication and meta-analysis of TMEM132D gene variants in panic disorder
  • Citing Article
  • May 2016