0000000000082572

AUTHOR

Achim Knebel

Veränderungen in der Stresswahrnehmung und -bewältigung bei Jugendlichen mit Diabetes im Vergleich zu gesunden Jugendlichen

Zusammenfassung. Ziel dieser Studie war eine Reanalyse der Daten zu Stress und Coping von Jugendlichen mit Typ 1 Diabetes (n = 91) im Vergleich zu gesunden (n = 107) im Längsschnitt (Alter bei Ersterhebung: M = 13.9, SD = 1.35). Über vier Erhebungswellen wurde Stress und Coping erhoben und mittels verschiedener Modellierungen mit latenten Wachstumsmodellen analysiert. Neben der Abklärung, ob der Gesundheitsstatus eher eine Moderator- oder eine Mediatorvariable in Bezug auf Stress und Coping in der Adoleszenz darstellt, wurden die Auswirkungen des Geschlechts und des Alters zu Studienbeginn untersucht. Weitere Analysen gingen dem Einfluss der Qualität der glykämischen Kontrolle bei Jugendlic…

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Base rates for depersonalization according to the 2-item version of the Cambridge Depersonalization Scale (CDS-2) and its associations with depression/anxiety in the general population.

Abstract Background Recently, the two item version of the Cambridge Depersonalization Scale (CDS-2) has been validated in a clinical sample and has demonstrated that it is a useful tool for the detection of clinically significant depersonalization (DP). In order to provide a framework for the interpretation of the CDS-2 scores the aim of this study was to achieve normative data of a representative sample of the German population and to evaluate the associations with depression, anxiety and sociodemographic characteristics. Methods A nationally representative face-to-face household survey was conducted during the mid of 2009 in Germany. The sample comprised N = 2512 participants. The survey …

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Soziale Phobie – eine im psychosomatischen Ambulanz- und Konsildienst unterdiagnostizierte Angsterkrankung?

Social fears are common, whereas Social Phobia is diagnosed infrequently. Therefore, we compared the clinical diagnoses (ICD-10) in an outpatient and CL service of a psychosomatic university hospital to patients' self ratings in social fears on the Liebowitz Social Anxiety Scale (LSAS). Over the course of one year 688 patients could be characterized regarding their clinical diagnoses, LSAS-scores, symptom severity (SCL-90R) and psychosomatic complaints (GBB-24). Patients were assigned to three groups by their levels of social fears (LSAS). Social Phobia was diagnosed rarely by clinicians (5.5%), but generalized social fears (LSAS>60) were commonly reported by patients (14.6%). Patients with…

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Altered orientation of spatial attention in depersonalization disorder

Difficulties with concentration are frequent complaints of patients with depersonalization disorder (DPD). Standard neuropsychological tests suggested alterations of the attentional and perceptual systems. To investigate this, the well-validated Spatial Cueing paradigm was used with two different tasks, consisting either in the detection or in the discrimination of visual stimuli. At the start of each trial a cue indicated either the correct (valid) or the incorrect (invalid) position of the upcoming stimulus or was uninformative (neutral). Only under the condition of increased task difficulty (discrimination task) differences between DPD patients and controls were observed. DPD patients sh…

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Theory of Mind and Emotional Awareness Deficits in Patients With Somatoform Disorders

To explore whether deficits are present in the mental representation of emotion signals and whether these are related to more general deficits in Theory of Mind (ToM) functioning test. To test this hypothesis in patients suffering from somatoform disorders, we used the Frith-Happé-Animations Task (AT)-an established ToM measure. We previously demonstrated that somatization in psychiatric patients is associated with decreased emotional awareness as measured by the Levels of Emotional Awareness Scale (LEAS). These findings suggest that individuals with decreased emotional awareness often fail to experience affective arousal as feelings and instead experience emotional distress somatically.We …

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