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1.
Health Qual Life Outcomes ; 19(1): 73, 2021 Mar 03.
Artigo em Inglês | MEDLINE | ID: mdl-33658031

RESUMO

BACKGROUND: The SF-8 is a short form of the SF-36 Health Survey, which is used for generic assessment of physical and mental aspects of health-related quality of life (HRQoL). Each of the 8 dimensions of the SF-36 is covered by a single item in the SF-8. The aim of the study was to examine the latent model structure of the SF-8. METHOD: One-, two- and three dimensional as well as bi-factor structural models were defined and estimated adopting the ML- as well as the WLSMV-algorithm for ordinal data. The data were collected in a German general population sample (N = 2545 persons). RESULTS: A two- (physical and mental health) and a three-dimensional CFA structure (in addition overall health) represent the empirical data information adequately [CFI = .987/.995; SRMR = .024/.014]. If a general factor is added, the resulting bi-factor models provide a further improvement in data fit [CFI = .999/.998; SRMR = .001]. The individual items are much more highly associated with the general HRQoL factor (loadings: .698 to .908) than with the factors physical, mental, and overall health (loadings: -.206 to .566). CONCLUSIONS: In the SF-8, each item reflects mainly general HRQoL (general factor) as well as one of the three components physical, mental, and overall health. The findings suggest in particular that the evaluation of the information of the SF-8 items can be validly supplemented by a general value HRQoL.

3.
J Psychosom Res ; 130: 109933, 2020 03.
Artigo em Inglês | MEDLINE | ID: mdl-31951963

RESUMO

OBJECTIVE: As sleep disorders have become a major concern in public health, there is strong need for a brief and sound measure for sleep problems. The purposes of the study were to 1) evaluate factor structure and measurement invariance, 2) validate the scale based on sociodemographic data and distress, and 3) provide norm values for the general population. METHODS: In a representative survey of the German population N = 2515 participants (14 to 95 years) filled in the 4-item Jenkins Sleep Scale (JSS-4), sociodemographic questions and the Brief Symptom Inventory-18 (anxiety, depression, somatic symptom load). The JSS-4 was analyzed by principal component analysis, confirmatory and multi-group confirmatory factor analyses. A multiple-indicator-multiple-cause model was tested to investigate the relationship of the JSS-4 to distress and sociodemographic variables. RESULTS: The one-factor structure of JSS-4 was confirmed. Given the heterogeneity of facets of sleep problems captured in the four items, internal consistency of the JSS-4 was remarkably high. The JSS-4 was strictly invariant across both sexes, and partially strictly invariant across income groups and individuals living with or without a partner. With regard to the full age range, it showed partial scalar invariance. CONCLUSION: Female sex, higher age, living without a partner, lower education, lower income and increased distress were associated with more sleep problems. Calculated normative data of sleep problems allow comparisons of JSS-4 scores stratified by sex and age.


Assuntos
Longevidade , Psicometria , Sono , Adolescente , Adulto , Análise de Variância , Feminino , Alemanha , Humanos , Renda , Masculino , Pessoa de Meia-Idade , Angústia Psicológica , Reprodutibilidade dos Testes , Inquéritos e Questionários
4.
Sci Rep ; 9(1): 5080, 2019 03 25.
Artigo em Inglês | MEDLINE | ID: mdl-30911019

RESUMO

Eating disorders and weight problems across the life span have been linked to adverse childhood experiences. Previous research often focused on child abuse and omitted investigating effects of child neglect. The present study evaluates effects of neglect on bodyweight across the life span and how emotional neglect and bodyweight are linked via mental distress. Within a large survey representative of the German population (N = 2,500), individuals completed measures of mental distress, childhood trauma, and height and weight. We conducted logistic regression analyses on bodyweight extremes and a moderated mediation analysis. In men, physical neglect aggravated the risk to be underweight. In women, emotional neglect was linked to severe obesity. In both sexes, emotional neglect was related to mental distress. We found an indirect effect of emotional neglect on bodyweight via mental distress, however, it was only present in women. Our results attest to long-term consequences of adverse early experiences. We showed a possible mechanism for women's higher vulnerability towards eating disorders. In general, investigations of eating and weight disorders should also include men and employ sex-specific methods of analyses. Lastly, neglect should also receive more attention to prevent suffering and negative sequelae over the life span.


Assuntos
Maus-Tratos Infantis/psicologia , Adolescente , Adulto , Sobreviventes Adultos de Maus-Tratos Infantis/psicologia , Idoso , Idoso de 80 Anos ou mais , Ansiedade/epidemiologia , Estatura , Peso Corporal , Feminino , Humanos , Modelos Logísticos , Longevidade , Masculino , Transtornos Mentais/epidemiologia , Pessoa de Meia-Idade , Obesidade/epidemiologia , Angústia Psicológica , Fatores Sexuais , Inquéritos e Questionários , Adulto Jovem
5.
Eur J Cancer Care (Engl) ; 27(2): e12606, 2018 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-27859889

RESUMO

We examined psychological parameters in family caregivers of palliative cancer patients before and after the death of the patients. Caregivers' data about depression and anxiety (Hospital Anxiety and Depression Scale), quality-of-life (Short Form-8 Health Survey), and social support (Oslo Social Support Scale) were collected at the beginning of home care (t1) and 2 months after the patient had died (t2). Regression models were employed to examine factors related to depression and anxiety in the bereaved caregivers. We interviewed 72 relatives, who were the primary caregiver of a patient. One-third (31.9%) of caregivers had high anxiety levels and 29.2% had high depression levels (t1, cut-off = 10). At t2, anxiety and depression had decreased significantly. There were no changes in quality-of-life over time. At both points of assessments, quality-of-life was lower than in the general population. Relevant factors for higher anxiety and depression in the bereaved caregivers were high levels of distress at t1, insufficient social support and low physical function. Bereaved caregivers were particularly depressed when they had been the spouse of the patient. Healthcare professionals should consider social isolation of caring relatives both during homecare and afterwards. Thus, it seems to be important to routinely offer support to spouses.


Assuntos
Ansiedade/etiologia , Cuidadores/psicologia , Transtorno Depressivo/etiologia , Família/psicologia , Neoplasias/psicologia , Cuidados Paliativos , Qualidade de Vida , Adulto , Idoso , Idoso de 80 Anos ou mais , Luto , Feminino , Serviços de Assistência Domiciliar , Humanos , Masculino , Pessoa de Meia-Idade , Fatores de Risco , Apoio Social
6.
Psychooncology ; 27(1): 75-82, 2018 01.
Artigo em Inglês | MEDLINE | ID: mdl-28568377

RESUMO

OBJECTIVE: Psychological distress is common in cancer patients, and awareness of its indicators is essential. We aimed to assess the prevalence of psychological distress and to identify problems indicative of high distress. METHODS: We used the distress thermometer (DT) and its 34-item problem list to measure psychological distress in 3724 cancer patients (mean age 58 years; 57% women) across major tumor entities, enrolled in an epidemiological multicenter study. To identify distress-related problems, we conducted monothetic analyses. RESULTS: We found high levels of psychological distress (DT ≥ 5) in 52% of patients. The most prevalent problems were fatigue (56%), sleep problems (51%), and problems getting around (47%). Sadness, fatigue, and sleep problems were most strongly associated with the presence of other problems. High distress was present in 81.4% of patients reporting all 3 of these problems (DT M = 6.4). When analyzing only the subset of physical problems, fatigue, problems getting around, and indigestion showed the strongest association with the remaining problems and 76.3% of patients with all 3 problems were highly distressed (DT M = 6.1). CONCLUSIONS: Our results show a high prevalence of psychological distress in cancer patients, as well as a set of problems that indicate the likely presence of other problems and high distress and can help clinicians identify distressed patients even if no routine distress screening is available.


Assuntos
Depressão/diagnóstico , Fadiga/diagnóstico , Programas de Rastreamento/métodos , Neoplasias/psicologia , Estresse Psicológico/diagnóstico , Adulto , Idoso , Depressão/epidemiologia , Depressão/psicologia , Emoções , Fadiga/epidemiologia , Fadiga/etiologia , Fadiga/psicologia , Feminino , Inquéritos Epidemiológicos , Humanos , Masculino , Pessoa de Meia-Idade , Neoplasias/complicações , Prevalência , Escalas de Graduação Psiquiátrica , Estresse Psicológico/epidemiologia , Estresse Psicológico/etiologia , Estresse Psicológico/psicologia
7.
Hautarzt ; 68(12): 959-967, 2017 Dec.
Artigo em Alemão | MEDLINE | ID: mdl-29052749

RESUMO

BACKGROUND: More and more people worldwide and also in Germany are using botulinum toxin type A (BoNT-A) and hyaluronic acid injections for skin rejuvenation. OBJECTIVE: Study on body image and self-esteem of women with BoNT-A and/or hyaluronic acid filler treatment. MATERIAL AND METHODS: A total of 145 women who requested BoNT-A and/or hyaluronic acid injections completed a survey comprised of the body dysmorphic disorder questionnaire, the Rosenberg self-esteem scale and questionnaires on the attitudes and motives on measures for optimization of the body and demographic features. Using this instrument data on the body image and self-esteem as well as attitudes and motives for utilization of minimally invasive skin rejuvenation were collated. RESULTS: Female users of minimally invasive skin rejuvenation showed an overall higher socioeconomic status and an above average high monthly income. They lived in a partnership more often in comparison to women of equal age living in Berlin. The users of BoNT-A and/or hyaluronic acid fillers showed no conspicuous differences in body image and self-esteem. They showed a moderately positive attitude to body optimization procedures and 91% achieved their standard weight with a body mass index (BMI) of ≤25 kg/m2 in comparison to 56% of German women in the same age range (25 to ≥75 years old). CONCLUSION: In the first study of body image and self-esteem in users of BoNT­A and/or dermal fillers in German women, the users showed no signs of body dysmorphic patterns or disorders of self-esteem.


Assuntos
Imagem Corporal , Toxinas Botulínicas Tipo A/administração & dosagem , Técnicas Cosméticas/psicologia , Ácido Hialurônico/administração & dosagem , Rejuvenescimento/psicologia , Autoimagem , Envelhecimento da Pele , Adulto , Idoso , Beleza , Transtornos Dismórficos Corporais/diagnóstico , Transtornos Dismórficos Corporais/psicologia , Feminino , Alemanha , Humanos , Pessoa de Meia-Idade , Motivação , Inquéritos e Questionários
8.
BMC Psychiatry ; 17(1): 167, 2017 05 05.
Artigo em Inglês | MEDLINE | ID: mdl-28476149

RESUMO

BACKGROUND: While work-related fatigue has become an issue of concern among European employees, the relationship between fatigue, depression and work-related stressors is far from clear. The purposes of this study were (1) to determine the associations of fatigue with work-related stressors, severe medical disease, health behavior and depression in the working population and (2) to determine the unique impact of work-related stressors on fatigue. METHODS: We used cross-sectional data of N = 7,930 working participants enrolled in the Gutenberg Health Study (GHS) from 2007 to 2012 filled out the Personal Burnout Scale (PBS) of the Copenhagen Psychosocial Questionnaire (COPSOQ), the PHQ-9, and a list of work-related stressors. RESULTS: A total of 27.5% reported increased fatigue, esp. women, younger persons with a lower social status and income, smokers, severely medically ill, previously and currently depressed participants. Fatigue was consistently associated with severe medical disease, health behavior and depression, which need to be taken into account as potential confounders when analyzing its relationship to work-related strains. Depression was consistently associated with work-related stressors. However, after statistically partialling out depression, fatigue was still significantly associated with work-related stress. CONCLUSIONS: Fatigue as an indicator of allostatic load is consistently associated with work-related stressors such as work overload after controlling for depression. The brief Personal Burn-out Scale is suitable for assessing work-related fatigue in the general population.


Assuntos
Esgotamento Profissional/psicologia , Emprego/psicologia , Fadiga/psicologia , Estresse Ocupacional/psicologia , Adulto , Estudos Transversais , Depressão/psicologia , Feminino , Nível de Saúde , Humanos , Masculino , Pessoa de Meia-Idade , Escalas de Graduação Psiquiátrica , Fatores Socioeconômicos , Inquéritos e Questionários
9.
Psychol Med ; 47(10): 1719-1732, 2017 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-28179046

RESUMO

BACKGROUND: DSM-5 introduced a fundamental revision of the category of somatoform disorders, which resulted in the new somatic symptom disorder (SSD) and related disorders. However, prognostic validity of SSD remains unclear, while other classification proposals, such as bodily distress disorder (BDD) or polysymptomatic distress disorder (PSDD), might be promising alternatives for the new ICD-11. Therefore, the comparison of the different approaches concerning long-term prognosis of disorder-relevant factors is of special interest. METHOD: In a longitudinal design (baseline, 1-year, and 4-year follow-up), the three proposals (SSD, BDD, PSDD) were compared in an age-representative sample of the German general population (N = 321). To this end, the baseline sample was divided into three independent pairs of groups (with/without SSD, with/without BDD, with/without PSDD). It was tested how well each approach differentiated with regard to medium- and long-term healthcare utilization, number of symptoms, and impairment. RESULTS: Criteria for BDD distinguished best with regard to future healthcare utilization resulting in a large-sized effect (f = 0.44) for the difference between persons with and without BDD, while SSD and PSDD revealed only medium-sized effects (f = 0.28 and f = 0.32) between subjects with and without diagnosis. The three proposals distinguished equally well with regard to future subjective impairment (between f = 0.39 and f = 0.41) and the number of reported symptoms (between f = 0.77 and f = 0.83). CONCLUSION: In accordance with our data regarding prognostic validity, the current draft of the WHO group is based on the BDD proposal. However, existing limitations and weaknesses of the present proposal for the ICD-11 are further discussed.


Assuntos
Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos , Transtornos Somatoformes/classificação , Transtornos Somatoformes/diagnóstico , Adulto , Idoso , Manual Diagnóstico e Estatístico de Transtornos Mentais , Feminino , Alemanha/epidemiologia , Humanos , Classificação Internacional de Doenças/normas , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade , Prognóstico , Reprodutibilidade dos Testes , Transtornos Somatoformes/epidemiologia , Fatores de Tempo
10.
Eur J Cancer ; 72: 46-53, 2017 02.
Artigo em Inglês | MEDLINE | ID: mdl-28024266

RESUMO

BACKGROUND: Depression is a common co-morbidity of cancer that has a detrimental effect on quality of life, treatment adherence and potentially survival. We conducted an epidemiological multi-center study including a population-based random comparison sample and estimated the prevalence of depressive symptoms by cancer site, thereby identifying cancer patients with the highest prevalence of depression. PATIENTS AND METHODS: We included 4020 adult cancer inpatients and outpatients from five distinct regions across Germany in a proportional stratified random sample based on the nationwide cancer incidence and a comparison group consisting of 5018 participants. Both groups reported depressive symptoms by filling in the Patient Health Questionnaire (PHQ-9). In multivariate analyses adjusted for age and sex, we calculated the odds of being depressed. RESULTS: Out of 5818 eligible patients, 69% participated (51% women, mean age = 58 years). We estimated that one in four cancer patients (24%) is depressed (PHQ-9 ≥ 10). The odds of being depressed among cancer patients were more than five times higher than in the general population (OR, 5.4; 95% CI, 4.6-6.2). Patients with pancreatic (M = 8.0, SD = 5.0), thyroid (M = 7.8, SD = 6.3) and brain tumours (M = 7.6, SD = 4.9) showed the highest prevalence, whereas patients with prostate cancer (M = 4.3, SD = 3.8) and malignant melanoma (M = 5.3, SD = 4.3) had the lowest levels of depressive symptoms. CONCLUSION: Our results help clinicians identify cancer patients in need of psychosocial support when navigating in the growing survivor population.


Assuntos
Transtorno Depressivo/epidemiologia , Neoplasias/psicologia , Adolescente , Adulto , Idoso , Transtorno Depressivo/etiologia , Feminino , Alemanha/epidemiologia , Humanos , Masculino , Pessoa de Meia-Idade , Análise Multivariada , Prevalência , Escalas de Graduação Psiquiátrica , Adulto Jovem
12.
Gesundheitswesen ; 78(4): 209-14, 2016 Apr.
Artigo em Alemão | MEDLINE | ID: mdl-27006989

RESUMO

OBJECTIVES: Depending on the ethnic background of patients, the quality of communication between the parents of pediatric patients and clinicians, as well as the type and frequency of interpreter services was studied in an inpatient setting. METHODS: As part of a questionnaire-based survey, data from parents, doctors and nurses with reference to 220 pediatric patients treated in the Department of Pediatrics at the University Hospital Leipzig from February to May 2013 were analyzed; 18,2% of patients were migrants. RESULTS: No differences were found in the assessment of the quality of communication with clinic staff by migrant and non-migrant parents. Physicians as well as nurses rated the communication with migrant parents compared to non-migrant parents significantly lower. In up to 19,2% (data provided by nursing staff) and 15,3% (data provided by doctors) of the cases characterized by insufficient language skills on the part of migrant parents, interpreter services had to be procured. No professional interpreters were used. CONCLUSION: The results highlight once more the difficulties in communication between clinicians and migrant patients with insufficient language skills. More attention should be paid to the impact of the use of professional interpreters in the health care services.


Assuntos
Barreiras de Comunicação , Comunicação , Pais , Pediatras/estatística & dados numéricos , Relações Médico-Paciente , Migrantes/estatística & dados numéricos , Criança , Cuidado da Criança/estatística & dados numéricos , Pré-Escolar , Feminino , Medicina Geral/estatística & dados numéricos , Clínicos Gerais/estatística & dados numéricos , Alemanha , Departamentos Hospitalares/estatística & dados numéricos , Humanos , Lactente , Recém-Nascido , Masculino , Enfermeiras Pediátricas/estatística & dados numéricos , Satisfação do Paciente/estatística & dados numéricos , Pediatria/estatística & dados numéricos , Tradução
13.
Hautarzt ; 67(5): 385-90, 2016 May.
Artigo em Alemão | MEDLINE | ID: mdl-26893009

RESUMO

Between 0.8 and 1.8 % of the German population suffers from a body dysmorphic disorder. In specific settings like dermatological offices up to 11.9 % of patients suffer from this disease. The highest prevalence could be found in the field of cosmetic dermatology with a prevalence of 13.1 %. Until now, the diagnosis has been made too rarely. The body dysmorphic disorder is a chronic psychic disease, in which the patients feel disfigured and experience shame and disgust at the same time. Comorbidities like social phobia, depression, suicidality, and eating disorders are frequent. The diagnosis is made using questionnaires (e.g., dysmorphic concern questionnaire) or by use of the DSM-5 manual. An early diagnosis seems to be important to avoid chronification and suicidal ideas. Therapeutic approaches should include cognitive behavioral therapies as well as the use of SSRIs.


Assuntos
Ansiedade/diagnóstico , Ansiedade/terapia , Transtornos Dismórficos Corporais/diagnóstico , Transtornos Dismórficos Corporais/terapia , Dermatopatias/diagnóstico , Dermatopatias/terapia , Antidepressivos de Segunda Geração/uso terapêutico , Ansiedade/psicologia , Transtornos Dismórficos Corporais/psicologia , Imagem Corporal , Terapia Cognitivo-Comportamental/métodos , Terapia Combinada/métodos , Medicina Baseada em Evidências , Alemanha , Humanos , Inibidores de Captação de Serotonina/uso terapêutico , Dermatopatias/psicologia , Resultado do Tratamento
14.
J Psychosom Res ; 79(6): 492-7, 2015 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-26553385

RESUMO

OBJECTIVE: The study investigates the association between somatosensory amplification and the reporting of side effects. It establishes a German version of the Somatosensory Amplification Scale and examines its psychometric properties in a representative sample of the German population. METHODS: Sample size was 2.469, with 51% taking any medication. Participants answered the Somatosensory Amplification Scale, Generic Assessment of Side Effects Scale, and indicated whether they were taking any medication and the type of medication. Correlational analysis and binary logistic regression were performed. RESULTS: When examining a subsample reporting both medication intake and general bodily symptoms, participants higher in somatosensory amplification rated more of their general bodily symptoms as medication-attributed side effects. However, somatosensory amplification scores were not associated with the intake of any type of medication. In the overall sample, higher somatosensory amplification scores were associated with an increased report of bodily symptoms. Additionally, participants with higher somatosensory amplification reported intake of a greater number of different medications. The psychometric properties of the translated scale were good, and previously established associations of somatosensory amplification with demographic variables (age, sex) were replicated. CONCLUSION: Results suggest a possible attributional bias concomitant to somatosensory amplification which in turn may increase the reporting of side effects after medication intake.


Assuntos
Efeitos Colaterais e Reações Adversas Relacionados a Medicamentos/psicologia , Córtex Somatossensorial/fisiopatologia , Adulto , Feminino , Alemanha , Humanos , Masculino , Pessoa de Meia-Idade , Psicometria , Fatores de Risco
15.
Neurogastroenterol Motil ; 27(3): 370-8, 2015 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-25581112

RESUMO

BACKGROUND: In 2011, a major outbreak of hemolytic-uremic syndrome (HUS) and bloody diarrhea related to infections from Shiga toxin-producing Escherichia coli O104 (STEC) occurred in Germany. While previous research has focused on the medical components of this disease, we aimed to investigate the course of health-related quality of life (HrQoL) over 12 months including somatic and psychosocial risk factors. Furthermore, the influence of chronic fatigue (CF) on HrQoL was examined. METHODS: A prospective cohort study with n = 389 patients completing self-report scales at baseline, after 6 months (participation rate: 79%) and after 12 months (participation rate: 77%). The courses of physical and mental HrQoL over the 12 month period were calculated by employing general linear mixed models. KEY RESULTS: While the physical component score of HrQoL reached a score comparable to the general population, the mental component score remained below average 12 months after STEC infection. Female gender, prior psychiatric disorder, and prior traumatic events were risk factors for a worse HrQoL course after 12 months, while social support was identified to be protective. CF was associated with low HrQoL. In addition, the somatic symptom burden remained persistently high. CONCLUSIONS & INFERENCES: Our results show high somatic and psychosocial burden in patients 12 months after STEC infection. We recommend considering the risk factors and protective factors of poor HrQoL early in the treatment of STEC or similar diseases. Patients who are suffering from persisting somatic symptoms, CF, and impaired HrQoL may require specific aftercare.


Assuntos
Surtos de Doenças , Infecções por Escherichia coli/epidemiologia , Infecções por Escherichia coli/psicologia , Qualidade de Vida , Escherichia coli Shiga Toxigênica , Adulto , Estudos de Coortes , Feminino , Alemanha/epidemiologia , Síndrome Hemolítico-Urêmica/complicações , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos , Fatores de Risco , Índice de Gravidade de Doença
16.
Gesundheitswesen ; 77(4): 289-95, 2015 Apr.
Artigo em Alemão | MEDLINE | ID: mdl-25268412

RESUMO

BACKGROUND: In 2007, the German Cancer Aid ("Deutsche Krebshilfe e.V.") initiated and funded a programme in 28 selected cancer counselling centres in Germany attempting to both promote and strengthen quality assured psychosocial cancer counselling as well as to ensure long-term financing. The accompanying evaluation programme aims to collect structural data of the institutions and to evaluate processes of quality assurance within the sample of cancer counselling centres. METHODS: On the basis of structured research within scientific databases and internet, as well as with the support of experts, characteristics of structural quality of cancer counselling centres were identified. Structural data were collected using a self-developed questionnaire and a semi-structured interview during the on-site visitations of the institutions. RESULTS: The results show homogeneity in some fields of structural quality such as individual psycho-oncological and social counselling, human resources, room facilities, quality assurance, diagnostics, documentation and public relations. Structural quality of the investigated centres appears more heterogeneous with regard to aspects such as availability and accessibility, barrier-free access, group support offers (counselling, sports, arts, etc.) as well as cooperation, financing and written mission statements. CONCLUSION: The investigated cancer counselling centres ensure mainly good minimum standards according to structural quality of cancer counselling. There is potential for further optimisation including cooperation, quality assurance, room facilities and being differentiated in terms of conceptual content and working concepts. Further achievements on quality assured cancer counselling can use the presented data as a basis for describing minimum standards and obligatory quality criteria.


Assuntos
Instituições de Assistência Ambulatorial/organização & administração , Assistência Ambulatorial/organização & administração , Aconselhamento Diretivo/organização & administração , Programas Governamentais/normas , Neoplasias/terapia , Alemanha , Humanos , Neoplasias/psicologia , Avaliação de Processos em Cuidados de Saúde , Garantia da Qualidade dos Cuidados de Saúde , Apoio Social
17.
Nervenarzt ; 86(5): 588-94, 2015 May.
Artigo em Alemão | MEDLINE | ID: mdl-25403290

RESUMO

BACKGROUND: There is increasing consideration of a family-focused perspective of the psychosocial consequences of cancer. OBJECTIVES: This study examined the psychosocial situation of children and adolescents (11 to 17 years old) of cancer patients assessing their psychological distress and coping over time. METHODS: A total of 110 children and adolescents were assessed post-treatment of parents with cancer (t1), 6 (t2) and 12 months (t3) after t1. Participants completed validated questionnaires assessing coping (KidCope) and depressive symptoms (CES). These data were compared with a matched sample from the general population. RESULTS: The children reported using a combination of coping measures. In particular, active coping was perceived as being helpful. In terms of coping, there were only small gender differences and 6 months after completion of treatment of the parents (t2), depressive symptoms of the children were still elevated. Depression diminished over time and was near the level of the comparison group at t3. CONCLUSION: Children and adolescents are particularly psychologically distressed after cancer treatment of parents. This distress was connected with not helpful coping strategies. The extended adjustment of children/adolescents of cancer patients has to be considered in the clinical and psychosocial care of the families.


Assuntos
Adaptação Psicológica , Filho de Pais Incapacitados/psicologia , Filho de Pais Incapacitados/estatística & dados numéricos , Depressão/psicologia , Neoplasias/psicologia , Estresse Psicológico/psicologia , Adolescente , Criança , Efeitos Psicossociais da Doença , Depressão/diagnóstico , Feminino , Alemanha/epidemiologia , Humanos , Masculino , Neoplasias/epidemiologia , Neoplasias/terapia , Distribuição por Sexo , Estresse Psicológico/diagnóstico , Inquéritos e Questionários
18.
Schmerz ; 28(5): 483-92, 2014 Oct.
Artigo em Alemão | MEDLINE | ID: mdl-25245594

RESUMO

BACKGROUND: There are only few data from representative samples of the general German population on the prevalence of a "pain disease" and on satisfaction with pain therapy of persons with chronic pain available. METHODS: A cross-sectional survey with people aged ≥ 14 years representative for the German population was conducted in 2013. Measures were obtained for presence of chronic pain (based on the definition of the International Association for the Study of Pain) and for "pain disease" by the presence of disabling pain in the Chronic Pain Grade Questionnaire and increased psychological distress in the Patient Health Questionnaire 4. In case of chronic pain reports, the satisfaction with current pain treatment and current treatment by a pain specialist were assessed. RESULTS: Responses were received from 2508 (57.5 %) of the 4360 people contacted. The prevalence of chronic pain was 26.9 % [95 % confidence interval (CI) 25.2-28.6 %]. A total of 7.4 % (95 % CI 5.0-9.9 %) met the criteria for chronic disabling nonmalignant pain, while 2.8 % (95 % CI 2.2-3.4 %) of participants met the criteria of a pain disease. In all, 31.9 % of persons with disabling pain reported current treatment by a pain specialist and 33.1 % of persons with disabling pain were (very) dissatisfied with current pain treatment. Treatment by a pain specialist was associated with higher health care use and lower treatment satisfaction. CONCLUSION: There is a need to improve the care of persons with chronic disabling pain. Whether pain specialist treatment is (cost) effective in chronic disabling pain needs to be examined by longitudinal studies.


Assuntos
Dor Crônica/epidemiologia , Dor Crônica/terapia , Clínicas de Dor , Manejo da Dor/métodos , Manejo da Dor/psicologia , Satisfação do Paciente , Adolescente , Adulto , Idoso , Dor Crônica/psicologia , Comportamento Cooperativo , Estudos Transversais , Avaliação da Deficiência , Feminino , Alemanha , Inquéritos Epidemiológicos , Humanos , Comunicação Interdisciplinar , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários , Adulto Jovem
19.
Schmerz ; 28(3): 259-64, 2014 Jun.
Artigo em Alemão | MEDLINE | ID: mdl-24903039

RESUMO

BACKGROUND: There are no data available on the prevalence of disabling abdominal pain and menstrual cramp in adults in Germany. METHODS: Abdominal pain and menstrual cramp, additional somatic symptoms and depressive symptoms were assessed by the Patient Health Questionnaires (PHQ) 15 and 9 in persons ≥ 14 years from a sample representative of the general German population. The association of disabling abdominal and menstrual cramp with demographic and clinical variables was tested by logistic regression analyses. RESULTS: A total of 2524 out of 4064 (62.1 %) contacted persons participated in the study. Of the participants 11.9 % reported suffering from slight abdominal pain and 0.9 % reported suffering from severe abdominal pain within the last 4 weeks. Female gender with an odds ratio (OR) of 2.23 (95 % confidence interval CI 1.67-2.98, p < 0.001), younger age (OR 0.97, 95 % CI 0.96-0.98, p < 0.001), physical symptom burden PHQ 15 (OR 1.33, 95 % CI 1.26-1.40, p < 0.0001) and depression PHQ 9 (OR 1.13, 95 % CI 1.08-1.77, p < 0.0001) were predictive for abdominal pain. Of the women aged 14-55 years 19.8 % reported to be slightly troubled by menstrual cramp and 3.9 % reported suffering from severe menstrual cramp within the last 4 weeks. Menstrual cramps were predicted by younger age (OR 0.96, 95 % CI 0.94-0.97, p < 0.001), somatic symptom burden PHQ 15 (OR 1.24, 1.12-1.36, p < 0.0001) and depression PHQ 9 (OR 1.08, 95 % CI 1.01-1.15, p < 0.0001). CONCLUSION: Persons in the general German population frequently reported slightly disabling abdominal pain and menstrual cramp; however, severely disabling abdominal pain and menstrual cramp were rarely reported. Abdominal pain and menstrual cramps were associated with additional somatic complaints and depression.


Assuntos
Dor Abdominal/epidemiologia , Avaliação da Deficiência , Dismenorreia/epidemiologia , Adolescente , Adulto , Comorbidade , Estudos Transversais , Transtorno Depressivo/epidemiologia , Feminino , Alemanha , Inquéritos Epidemiológicos , Humanos , Masculino , Pessoa de Meia-Idade , Medição da Dor , Transtornos Somatoformes/epidemiologia , Adulto Jovem
20.
Psychother Psychosom Med Psychol ; 64(9-10): 354-63, 2014 Sep.
Artigo em Alemão | MEDLINE | ID: mdl-24760411

RESUMO

In a cross-sectional study the influence of social inequality on resilience and psychological distress was investigated in a sample of N=4 142 adults. A social stratum was created, including education, financial income and job-status, as well as age (≥ 25 years). Multivariate analysis of variance (MANOVA) showed influences of gender, social status and age on resilience (RS-11) and psychological distress: depression (PHQ-2), anxiety (GAD-7), life satisfaction (FLZ(M)). In contrast to the most continuous influence of the social background in women across any age-group, older males (≥ 65 years) were not affected by their social background. In both sexes members of the social underclass had the lowest resilience. The results indicate the need for specific intervention as to prevention.


Assuntos
Resiliência Psicológica , Fatores Socioeconômicos , Estresse Psicológico/complicações , Estresse Psicológico/psicologia , Adolescente , Adulto , Fatores Etários , Idoso , Idoso de 80 Anos ou mais , Ansiedade/psicologia , Estudos Transversais , Depressão/psicologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Qualidade de Vida/psicologia , Adulto Jovem
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