0000000000060139

AUTHOR

Hans-ulrich Wittchen

0000-0002-6311-7711

showing 8 related works from this author

Utilization of professional psychological care in a large German sample of cancer patients

2016

Objective Although one-third of cancer patients are perceived to have a need for psychological support based on the percentage of mental disorders, little is known about the actual utilization of psychological care in cancer. We aimed to assess cancer patients' reported use of psychological care and its correlates in a large, representative sample. Methods In a multicenter, cross-sectional study in Germany, 4020 cancer patients (mean age 58 years, 51% women) were evaluated. We obtained self-reports of use of psychotherapy and psychological counseling. We measured distress with the Distress Thermometer, symptoms of depression with the Patient Health Questionnaire, anxiety with the Generalize…

medicine.medical_specialtyCancerExperimental and Cognitive PsychologyOdds ratiomedicine.diseaseConfidence intervalPatient Health Questionnaire03 medical and health sciencesPsychiatry and Mental healthDistressSocial support0302 clinical medicineOncology030220 oncology & carcinogenesismedicineAnxiety030212 general & internal medicinemedicine.symptomPsychologyPsychiatryDepression (differential diagnoses)Clinical psychologyPsycho-Oncology
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The need for a behavioural science focus in research on mental health and mental disorders

2013

Psychology as a science offers an enormous diversity of theories, principles, and methodological approaches to understand mental health, abnormal functions and behaviours and mental disorders. A selected overview of the scope, current topics as well as strength and gaps in Psychological Science may help to depict the advances needed to inform future research agendas specifically on mental health and mental disorders. From an integrative psychological perspective, most maladaptive health behaviours and mental disorders can be conceptualized as the result of developmental dysfunctions of psychological functions and processes as well as neurobiological and genetic processes that interact with …

education.field_of_studyPsychotherapistmedia_common.quotation_subjectPopulationPsychological interventionBehavioural sciencesDiseaseMental health3. Good healthPsychology of sciencePsychiatry and Mental healthConceptual frameworkPsychologyeducationDiversity (politics)media_commonInternational Journal of Methods in Psychiatric Research
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People with Alcohol Use Disorders in Specialized Care in Eight Different European Countries

2015

Aim: To provide a description of patients receiving alcohol treatment in eight different European countries, including the level of comorbidities and functional limitations. Methods: Drinking behaviours, DSM-IV alcohol use disorder (AUD), mental and somatic comorbidities, disability and health services utilization of 1767 patients from various specialized treatment settings were assessed as representative for regions of eight European countries. Severity of alcohol dependence (AD) in terms of drinking level was compared with a large representative US sample. Alcohol and Alcoholism, 2015, 1–9 doi: 10.1093/alcalc/agv009 Article © The Author 2015. Medical Council on Alcohol and Oxford Universi…

MaleAlcoholComorbidityAlcohol use disorderAnxietySeverity of Illness Index2738 Psychiatry and Mental HealthDisability Evaluationchemistry.chemical_compoundGermanyPrevalenceYoung adultDepressionLiver DiseasesMental DisordersSmoking3005 Toxicology2701 Medicine (miscellaneous)General MedicineHealth ServicesMiddle AgedAlcoholismItalyAustriaHypertensionAnxietyFemaleFranceSubstance Abuse Treatment Centersmedicine.symptomAlcoholAdultAlcohol servicesmedicine.medical_specialtyAdolescentMEDLINE610 Medicine & healthBinge DrinkingYoung Adultmental disordersSeverity of illnessmedicineHumans10075 Swiss Research Institute for Public Health and AddictionPsychiatryHungarybusiness.industryAlcohol dependencemedicine.diseaseLatviaComorbidityUnited StatesLogistic ModelschemistrySpainPolandAlcohol; Alcohol servicesbusinessAlcohol and Alcoholism
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Obesity and Abdominal Fat Markers in Patients with a History of Stroke and Transient Ischemic Attacks.

2016

Background Abdominal obesity is a well-recognized cardiovascular risk factor. Conflicting data concerning its significance with respect to stroke have been discussed in recent years. The objective of this study was to analyze the association between anthropometric parameters and the risk of stroke and transient ischemic attacks (TIAs) in German primary care. Methods Patient recruitment in this large-scale epidemiological study was performed in 3188 representative primary care offices in Germany. Among 6980 study participants, 1745 patients with a history of stroke or TIA were identified and matched for age and gender with 5235 regional controls. Associations between standard anthropometric …

Male030204 cardiovascular system & hematologyBody Mass Index0302 clinical medicineRisk FactorsGermanyEpidemiologyOdds Ratio030212 general & internal medicineStrokeAbdominal obesityAdiposityAged 80 and overAnthropometryRehabilitationMiddle AgedPrognosisStrokeIschemic Attack TransientArea Under CurveObesity AbdominalFemalemedicine.symptomWaist CircumferenceCardiology and Cardiovascular Medicinemedicine.medical_specialtyWaistAbdominal FatRisk Assessment03 medical and health sciencesPredictive Value of TestsInternal medicinemedicineHumanscardiovascular diseasesRisk factorAgedPrimary Health Carebusiness.industryWaist-Hip RatioOdds ratioAnthropometrymedicine.diseaseCross-Sectional StudiesLogistic ModelsROC CurveCase-Control StudiesPhysical therapySurgeryNeurology (clinical)businessBody mass indexJournal of stroke and cerebrovascular diseases : the official journal of National Stroke Association
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Including gaming disorder in the ICD-11: The need to do so from a clinical and public health perspective: Commentary on: A weak scientific basis for …

2018

The proposed introduction of gaming disorder (GD) in the 11th revision of the International Classification of Diseases (ICD-11) developed by the World Health Organization (WHO) has led to a lively debate over the past year. Besides the broad support for the decision in the academic press, a recent publication by van Rooij et al. (2018) repeated the criticism raised against the inclusion of GD in ICD-11 by Aarseth et al. (2017). We argue that this group of researchers fails to recognize the clinical and public health considerations, which support the WHO perspective. It is important to recognize a range of biases that may influence this debate; in particular, the gaming industry may wish to …

medicine.medical_specialtyInclusion (disability rights)clinical perspective030508 substance abuseMedicine (miscellaneous)DiseaseWorld healthgaming disorder03 medical and health sciences0302 clinical medicineICD-11medicineMedia psychologybusiness.industryPublic healthpublic healthPerspective (graphical)General MedicinePublic relations030227 psychiatry3. Good healthPsychiatry and Mental healthClinical PsychologyCriticismPosition (finance)0305 other medical sciencebusinessPsychologyJournal of behavioral addictions
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Metabolic mediators of the effects of body-mass index, overweight, and obesity on coronary heart disease and stroke: a pooled analysis of 97 prospect…

2014

Summary Background Body-mass index (BMI) and diabetes have increased worldwide, whereas global average blood pressure and cholesterol have decreased or remained unchanged in the past three decades. We quantified how much of the effects of BMI on coronary heart disease and stroke are mediated through blood pressure, cholesterol, and glucose, and how much is independent of these factors. Methods We pooled data from 97 prospective cohort studies that collectively enrolled 1·8 million participants between 1948 and 2005, and that included 57 161 coronary heart disease and 31 093 stroke events. For each cohort we excluded participants who were younger than 18 years, had a BMI of lower than 20 kg/…

medicine.medical_specialtySettore MED/09 - Medicina InternaNutrition and Diseasenoncommunicable diseasesbariatric surgeryscientific statementcardiovascular-diseaseCoronary DiseaseOverweightsystematic analysisBody Mass Indexblood-pressureInternal medicineDiabetes mellitusVoeding en ZiektemedicineHumansProspective cohort studyrisk-factorsStrokeVLAGHuman Nutrition & HealthGlobal NutritionWereldvoedingFramingham Risk Scorebusiness.industryHumane Voeding & GezondheidArticlesGeneral MedicineOverweightmedicine.diseaseObesityStrokeBlood pressurerandomized-trialsPhysical therapyCardiologyall-cause mortalitymedicine.symptombusinessBody mass indexbody-mass index obesity coronary heart disease strokeweight-loss
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Prevalence of psychiatric disorders in an onset cohort of adults with type 1 diabetes

2003

Previous studies indicate a high prevalence of psychiatric disorders in adults with type 1 diabetes mellitus. The aim of our study was to determine if newly diagnosed adults with type 1 diabetes already have an elevated rate of psychiatric disorders at the beginning of their physical illness.The authors consecutively recruited 313 newly diagnosed, adult inpatients with type 1 diabetes (age 17-40 years) from 12 hospitals. A national, representative population sample of 2046 persons of a similar age range served as the reference group. Psychiatric disorders were measured in both groups using structured interviews that provided diagnoses according to DSM-IV.There was a point prevalence of 12.5…

AdultMalemedicine.medical_specialtyEndocrinology Diabetes and MetabolismEndocrinologyReference ValuesGermanyImmunopathologyDiabetes mellitusEpidemiologyPrevalenceInternal MedicinemedicineHumansHypoglycemic AgentsInsulinOccupationsPsychiatryInpatientsType 1 diabetesMarital Statusbusiness.industrymedicine.diseaseComorbidityDiabetes Mellitus Type 1Psychotic DisordersStructured interviewCohortEducational StatusMarital statusFemalebusinessDiabetes/Metabolism Research and Reviews
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GLRB allelic variation associated with agoraphobic cognitions, increased startle response and fear network activation: a potential neurogenetic pathw…

2017

Contains fulltext : 177350.pdf (Publisher’s version ) (Closed access) The molecular genetics of panic disorder (PD) with and without agoraphobia (AG) are still largely unknown and progress is hampered by small sample sizes. We therefore performed a genome-wide association study with a dimensional, PD/AG-related anxiety phenotype based on the Agoraphobia Cognition Questionnaire (ACQ) in a sample of 1370 healthy German volunteers of the CRC TRR58 MEGA study wave 1. A genome-wide significant association was found between ACQ and single non-coding nucleotide variants of the GLRB gene (rs78726293, P=3.3 x 10-8; rs191260602, P=3.9 x 10-8). We followed up on this finding in a larger dimensional AC…

0301 basic medicineMaleStartle responseReflex StartleQH301 BiologyGenome-wide association studyGene mutationAnxiety0302 clinical medicineCognitionReceptors GlycineGene FrequencyGermanyGWASHyperekplexiaGeneticsPanic disordermedicine.diagnostic_testStartleBrainFearGLRBAnxiety DisordersPsychiatry and Mental healthSchizophreniaUrological cancers Radboud Institute for Health Sciences [Radboudumc 15]Panic DisorderFemalemedicine.symptomPsychologyBDCRC0321 Neuroscience. Biological psychiatry. NeuropsychiatryClinical psychologyAdultGenotypeNDASQH426 Genetics03 medical and health sciencesCellular and Molecular NeuroscienceQH301Fear networkSpastic mousemedicineHumansGenetic Predisposition to DiseaseMolecular BiologyQH426AgoraphobiaAllelesNeurodevelopmental disorders Donders Center for Medical Neuroscience [Radboudumc 7]Panic disorderOther Research Radboud Institute for Health Sciences [Radboudumc 0]medicine.diseaseStartle reaction030104 developmental biologyMCPCase-Control StudiesMutationRC0321030217 neurology & neurosurgeryAgoraphobiaGenome-Wide Association StudyMolecular psychiatry
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