@article{BuchmannHellwegRietscheletal.2013,
  author    = {Buchmann, Arlette F. and Hellweg, Rainer and Rietschel, Marcella and Treutlein, Jens and Witt, Stephanie H. and Zimmermann, Ulrich S. and Schmidt, Martin H. and Esser, G{\"u}nter and Banaschewski, Tobias and Laucht, Manfred and Deuschle, Michael},
  title     = {BDNF Val 66 Met and 5-HTTLPR genotype moderate the impact of early psychosocial adversity on plasma brain-derived neurotrophic factor and depressive symptoms - a prospective study},
  series = {European neuropsychopharmacology : the journal of the European College of Neuropsychopharmacology},
  volume    = {23},
  journal   = {European neuropsychopharmacology : the journal of the European College of Neuropsychopharmacology},
  number    = {8},
  publisher = {Elsevier},
  address   = {Amsterdam},
  issn      = {0924-977X},
  doi       = {10.1016/j.euroneuro.2012.09.003},
  pages     = {902 -- 909},
  year      = {2013},
  abstract  = {Recent studies have emphasized an important role for neurotrophins, such as brain-derived neurotrophic factor (BDNF), in regulating the plasticity of neural circuits involved in the pathophysiology of stress-related diseases. The aim of the present study was to examine the interplay of the BDNF Val(66)Met and the serotonin transporter promoter (5-HTTLPR) polymorphisms in moderating the impact of early-life adversity on BDNF plasma concentration and depressive symptoms. Participants were taken from an epidemiological cohort study following the long-term outcome of early risk factors from birth into young adulthood. In 259 individuals (119 males, 140 females), genotyped for the BDNF Val(66)Met and the 5-HTTLPR polymorphisms, plasma BDNF was assessed at the age of 19 years. In addition, participants completed the Beck Depression Inventory (BDI). Early adversity was determined according to a family adversity index assessed at 3 months of age. Results indicated that individuals homozygous for both the BDNF Val and the 5-HTTLPR L allele showed significantly reduced BDNF levels following exposure to high adversity. In contrast, BDNF levels appeared to be unaffected by early psychosocial adversity in carriers of the BDNF Met or the 5-HTTLPR S allele. While the former group appeared to be most susceptible to depressive symptoms, the impact of early adversity was less pronounced in the latter group. This is the first preliminary evidence indicating that early-life adverse experiences may have lasting sequelae for plasma BDNF levels in humans, highlighting that the susceptibility to this effect is moderated by BDNF Val(66)Met and 5-HTTLPR genotype.},
  language  = {en}
}
@article{DrosselmeyerJacobRathmannetal.2017,
  author    = {Drosselmeyer, Julia and Jacob, Louis and Rathmann, Wolfgang and Rapp, Michael A. and Kostev, Karel},
  title     = {Depression risk in patients with late-onset rheumatoid arthritis in Germany},
  series = {Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation},
  volume    = {26},
  journal   = {Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation},
  number    = {2},
  publisher = {Springer},
  address   = {Dordrecht},
  issn      = {0962-9343},
  doi       = {10.1007/s11136-016-1387-2},
  pages     = {437 -- 443},
  year      = {2017},
  abstract  = {The goal of this study was to determine the prevalence of depression and its risk factors in patients with late-onset rheumatoid arthritis (RA) treated in German primary care practices. Longitudinal data from general practices (n=1072) throughout Germany were analyzed. Individuals initially diagnosed with RA (2009-2013) were identified, and 7301 patients were included and matched (1:1) to 7301 controls. The primary outcome measure was the initial diagnosis of depression within 5 years after the index date in patients with and without RA. Cox proportional hazards models were used to adjust for confounders. The mean age was 72.2 years (SD: 7.6 years). A total of 34.9 \% of patients were men. Depression diagnoses were present in 22.0 \% of the RA group and 14.3 \% of the control group after a 5-year follow-up period (p < 0.001). In the multivariate regression model, RA was a strong risk factor for the development of depression (HR: 1.55, p < 0.001). There was significant interaction of RA and diagnosed inflammatory polyarthropathies (IP) (RA*IP interaction: p < 0.001). Furthermore, dementia, cancer, osteoporosis, hypertension, and diabetes were associated with a higher risk of developing depression (p values < 0.001). The risk of depression is significantly higher in patients with late-onset RA than in patients without RA for subjects treated in primary care practices in Germany. RA patients should be screened routinely for depression in order to ensure improved treatment and management.},
  language  = {en}
}
@article{FrodlJanowitzSchmaaletal.2017,
  author    = {Frodl, Thomas and Janowitz, Deborah and Schmaal, Lianne and Tozzi, Leonardo and Dobrowolny, Henrik and Stein, Dan J. and Veltman, Dick J. and Wittfeld, Katharina and van Erp, Theo G. M. and Jahanshad, Neda and Block, Andrea and Hegenscheid, Katrin and Voelzke, Henry and Lagopoulos, Jim and Hatton, Sean N. and Hickie, Ian B. and Frey, Eva Maria and Carballedo, Angela and Brooks, Samantha J. and Vuletic, Daniella and Uhlmann, Anne and Veer, Ilya M. and Walter, Henrik and Schnell, Knut and Grotegerd, Dominik and Arolt, Volker and Kugel, Harald and Schramm, Elisabeth and Konrad, Carsten and Zurowski, Bartosz and Baune, Bernhard T. and van der Wee, Nic J. A. and van Tol, Marie-Jose and Penninx, Brenda W. J. H. and Thompson, Paul M. and Hibar, Derrek P. and Dannlowski, Udo and Grabe, Hans J.},
  title     = {Childhood adversity impacts on brain subcortical structures relevant to depression},
  series = {Journal of psychiatric research},
  volume    = {86},
  journal   = {Journal of psychiatric research},
  publisher = {Elsevier},
  address   = {Oxford},
  issn      = {0022-3956},
  doi       = {10.1016/j.jpsychires.2016.11.010},
  pages     = {58 -- 65},
  year      = {2017},
  abstract  = {Childhood adversity plays an important role for development of major depressive disorder (MDD). There are differences in subcortical brain structures between patients with MDD and healthy controls, but the specific impact of childhood adversity on such structures in MDD remains unclear. Thus, aim of the present study was to investigate whether childhood adversity is associated with subcortical volumes and how it interacts with a diagnosis of MDD and sex. Within the ENIGMA-MDD network, nine university partner sites, which assessed childhood adversity and magnetic resonance imaging in patients with MDD and controls, took part in the current joint mega-analysis. In this largest effort world-wide to identify subcortical brain structure differences related to childhood adversity, 3036 participants were analyzed for subcortical brain volumes using FreeSurfer. A significant interaction was evident between childhood adversity, MDD diagnosis, sex, and region. Increased exposure to childhood adversity was associated with smaller caudate volumes in females independent of MDD. All subcategories of childhood adversity were negatively associated with caudate volumes in females - in particular emotional neglect and physical neglect (independently from age, ICV, imaging site and MDD diagnosis). There was no interaction effect between childhood adversity and MDD diagnosis on subcortical brain volumes. Childhood adversity is one of the contributors to brain structural abnormalities. It is associated with subcortical brain abnormalities that are relevant to psychiatric disorders such as depression. (C) 2016 Published by Elsevier Ltd.},
  language  = {en}
}
@article{GeirhosDomhardtLunkenheimeretal.2022,
  author    = {Geirhos, Agnes and Domhardt, Matthias and Lunkenheimer, Frederike and Temming, Svenja and Holl, Reinhard and Minden, Kirsten and Warschburger, Petra and Meissner, Thomas and Mueller-Stierlin, Annabel S. and Baumeister, Harald},
  title     = {Feasibility and potential efficacy of a guided internet- and mobile-based CBT for adolescents and young adults with chronic medical conditions and comorbid depression or anxiety symptoms (youthCOACH(CD)): a randomized controlled pilot trial},
  series = {BMC pediatrics},
  volume    = {22},
  journal   = {BMC pediatrics},
  number    = {1},
  publisher = {Springer Nature},
  address   = {London},
  issn      = {1471-2431},
  doi       = {10.1186/s12887-022-03134-3},
  pages     = {15},
  year      = {2022},
  abstract  = {Background: Adolescents and young adults (AYA) with a chronic medical condition show an increased risk for developing mental comorbidities compared to their healthy peers. Internet- and mobile-based cognitive behavioral therapy (iCBT) might be a low-threshold treatment to support affected AYA. In this randomized controlled pilot trial, the feasibility and potential efficacy of youthCOACH(CD), an iCBT targeting symptoms of anxiety and depression in AYA with chronic medical conditions, was evaluated. Methods: A total of 30 AYA (M-age 16.13; SD= 2.34; 73\% female), aged 12-21 years either suffering from cystic fibrosis, juvenile idiopathic arthritis or type 1 diabetes, were randomly assigned to either a guided version of the iCBT youthCOACH(CD) (IC, n=15) or to a waitlist control group (CG, n=15), receiving an unguided version of the iCBT six months post-randomization. Participants of the IG and the CG were assessed before (t0), twelve weeks after (t1) and six months after (t2) randomization. Primary outcome was the feasibility of the iCBT. Different parameters of feasibility e.g. acceptance, client satisfaction or potential side effects were evaluated. First indications of the possible efficacy with regard to the primary efficacy outcome, the Patient Health Questionnaire Anxiety and Depression Scale, and further outcome variables were evaluated using linear regression models, adjusting for baseline values. Results: Regarding feasibility, intervention completion was 60\%; intervention satisfaction (M = 25.42, SD = 5.85) and perceived therapeutic alliance (M = 2.83, SD = 1.25) were moderate and comparable to other iCBTs. No patterns emerged regarding subjective and objective negative side effects due to participation in youthCOACH(CD). Estimates of potential efficacy showed between group differences, with a potential medium-term benefit of youthCOACH(CD) (beta = -0.55, 95\%Cl: -1.17; 0.07), but probably not short-term (beta = 0.20, 95\%Cl: -0.47; 0.88). Conclusions: Our results point to the feasibility of youthCOACH(CD) and the implementation of a future definitive randomized controlled trial addressing its effectiveness and cost-effectiveness. Due to the small sample size, conclusions are premature, however, further strategies to foster treatment adherence should be considered.},
  language  = {en}
}
@phdthesis{Gschwendt2002,
  author    = {Gschwendt, Miriam A.},
  title     = {Early manifestations of aggression in infants of high risk mother-infant dyads},
  url       = {http://nbn-resolving.de/urn:nbn:de:kobv:517-0000528},
  school      = {Universit{\"a}t Potsdam},
  year      = {2002},
  abstract  = {Ziel dieser Untersuchung war es fr{\"u}he Risikofaktoren von aggressivem Verhalten bei Kleinkindern in einer Stichprobe von Teenager-M{\"u}ttern und ihren Babys aus sozial schwachen Verh{\"a}ltnissen (high risk sample) zu identifizieren. In den zur{\"u}ckliegenden zwei Jahrzehnten haben Wissenschaftler immer wieder auf die Bedeutung von Strategien hingewiesen, die es erm{\"o}glichen, Kinder und Babys mit einem Risiko f{\"u}r aggresives Verhalten zu identifiezieren. Eine fr{\"u}he Identifizierung ist besonders wichtig, weil schon Babys und Kinder eine signifikante Psychopathologie besitzen k{\"o}nnen und u. U. von einer Behandlung profitieren. Außerdem postulieren einige Entwicklungstheorien, dass der Ursprung einer sp{\"a}teren Psychopathologie schon in Verhaltensmustern in den ersten Lebensjahren erkannt werden kann. Dies scheint insbesondere f{\"u}r aggressives Verhalten zu gelten. Deshalb besteht grosses Interesse daran, relevante Faktoren in der fr{\"u}hen Kindheit zu identifizieren, die es erlauben aggressives Verhalten im weiteren Verlauf der Kindheit vorauszusagen. Methodik 60 Teenager-M{\"u}tter im Alter zwischen 14 und 20 Jahre und ihre Kleinkinder im Alter zwischen 12 und 17 Monaten aus sozial schwachen Verh{\"a}ltnissen wurden untersucht (high risk sample). Die Teenager-M{\"u}tter f{\"u}llten Frageb{\"o}gen {\"u}ber ihre Kleinkinder (The Infant-Toddler Social and Emotional Assessment [ITSEA], Carter \& Briggs-Gowan, 1993) und {\"u}ber sich selber aus (The Parenting Stress Index [PSI], Abidin, 1990, The Symptom CheckList-90-Revised [SCL-90-R], Derogatis, 1986, The Demographic Q{\"u}stionnaire, Zelenko et al., in press). Die Kleinkinder nahmen weiters an zwei objektiven Laboruntersuchungen teil (The Strange Situation Procedure, [SS], Ainsworth, 1978, The Bayley Scales of Infant Development Assessment, [BSID-II], Bayley, 1993). Die Studie untersuchte folgende Beziehungen: (1) Psychosoziale Funktionen der Mutter mit berichteter (berichet von Mutter anhand des ITSEA) und beobachteter Aggression und negativer Emotionalit{\"a}t bei Kleinkindern (beobachtet w{\"a}hrend des BSID-II und SS), (2) berichtete Aggression und negative Emotionalit{\"a}t mit beobachteter Aggression und negative Emotionalit{\"a}t bei Kleinkindern, (3) negative Emotionalit{\"a}t mit Aggression bei Kleinkindern, (4) Emotionsregulation mit Aggression und negativer Emotionalit{\"a}t bei Kleinkindern, und (5) eine m{\"o}gliche Interaktion zwischen Emotionsregulation und negativer Emotionalit{\"a}t in Beziehung zu Aggression bei Kleinkindern. Zus{\"a}tzlich wurde die Frage untersucht, ob Geschlecht einen Einfluss hat auf die oben genannten f{\"u}nf Beziehungen. Ergebnisse M{\"u}tter mit h{\"o}heren Depressionenswerten und Stresswerten berichteten signifikant mehr negative Emotionalit{\"a}t und tendenziell mehr Aggressionen bei ihren Kleinkindern als M{\"u}tter mit niedrigeren Depressionswerten und Stresswerten. Keine signifikanten Beziehungen konnten festgestellt werden zwischen Depressionswerten und Stresswerten der Mutter und objektiv beobachteten Aggressionen und negativer Emotionalit{\"a}t bei Kleinkindern. Die Beziehung zwischen beobachteter und berichteter negativer Emotionalit{\"a}t bei Kleinkindern war schwach signifikant. Keine signifikante Beziehung konnte jedoch zwischen beobachteter und berichteter Aggression bei Kleinkindern gezeigt werden. Sowohl berichtete als auch beobachtete negative Emotionalit{\"a}t korrelierte signifikant mit berichteter und beobachteter Aggression bei Kleinkindern. Eine signifikante Beziehung zwischen Emotionsregulation und negativer Emotionalit{\"a}t und Aggression bei Kleinkindern konnte aufgezeigt werden. Kleinkinder mit schwacher Emotionsregulation zeigten signifikant mehr negative Emotionalit{\"a}t und Aggressionen als Kleinkinder mit starker Emotionsregulation. Kleinkinder mit hohen negativen Emotionswerten und schwacher Emotionsregulation zeigten signifikant mehr Aggressionen als Kleinkinder mit hohen negativen Emotionswerten und starker Emotionsregulation und Kleinkindern mit niedrigen negativen Emotionswerten und schwacher oder starker Emotionsregulation. Das Geschlecht des Kleinkindes hatte einen signifikanten Einfluss auf folgende Beziehungen: M{\"u}tter mit h{\"o}heren Depressionswerten und Stresswerten berichteten signifikant mehr Aggressionen und negative Emotionalit{\"a}t bei ihren T{\"o}chtern, jedoch nicht signifikant mehr Aggressionen und negative Emotionalit{\"a}t bei ihren S{\"o}hnen als M{\"u}tter mit niedrigeren Depressionswerten und Stresswerten. Das Geschlecht des Kleinkindes hatte keinen signifikanten Einfluss auf die Beziehung zwischen Depressionswerten und Stresswerten der Mutter und beobachteter Aggression und negativer Emotionalit{\"a}t bei Kleinkindern. Ein interessantes Ergebnis ergab sich hinsichtlich Geschlecht und Emotionsregulationsverhaltensweisen. Buben mit h{\"o}heren Aggressionswerten schauten signifikant weniger zu ihrer Mutter und signifikant weniger in die Umgebung als Buben mit niedrigeren Aggressionswerten. M{\"a}dchen mit h{\"o}heren Aggressionswerten schauten signifikant mehr zu ihrer Mutter, signifikant mehr in die Umgebung und signifikant mehr auf Spielzeuge als M{\"a}dchen mit niedrigen Aggressionswerten. Schlussfolgerung Die Ergebnisse der Untersuchung haben Implikationen f{\"u}r die Einsch{\"a}tzung und die Behandlung von Aggressionen bei Kleinkindern. Erstens, die Ergebnisse weisen darauf hin, dass es unter Umst{\"a}nden wichtig sein k{\"o}nnte verschiedene Messverfahren (Mutter Report und objektive Messverfahren) zu verwenden, um Kleinkinder zu diagnostizieren, die ein erh{\"o}htes Risiko aufweisen im Laufe ihres Lebens Aggressionen zu entwickeln. Zweitens, Ergebnisse identifizierten m{\"u}tterliche negative Attributionen als einen m{\"o}glichen Risikofaktor f{\"u}r sp{\"a}teres Aggressionsverhalten bei Kindern. Zuk{\"u}nftige Studien sollten die Beziehung zwischen Aggressionsverhalten im Kleinkindalter und Aggressionen im sp{\"a}teren Leben untersuchen. Ein weiteres interessantes Ergebnis ergab sich hinsichtlich Emotionsregulation. Kleinkinder mit hoher negativer Emotionalit{\"a}t und schwacher Emotionsregualtion zeigten die meisten Aggressionen. F{\"u}r die Behandlung und die zuk{\"u}nftige Erforschung von Kleinkindaggressionen sollten die drei Konstrukte (Emotionsregualtion, negative Emotionalit{\"a}t und Aggression) miteinander kombiniert werden und nicht alleine untersucht werden.},
  subject      = {Junge Mutter / Kind / Aggressivit{\"a}t / Risikoverhalten},
  language  = {en}
}
@misc{HeisselZechRappetal.2019,
  author    = {Heissel, Andreas and Zech, Philipp and Rapp, Michael A. and Schuch, Felipe B. and Lawrence, Jimmy B. and Kangas, Maria and Heinzel, Stephan},
  title     = {Effects of exercise on depression and anxiety in persons living with HIV: A meta-analysis},
  series = {Journal of psychosomatic research},
  volume    = {126},
  journal   = {Journal of psychosomatic research},
  publisher = {Elsevier},
  address   = {Oxford},
  issn      = {0022-3999},
  doi       = {10.1016/j.jpsychores.2019.109823},
  pages     = {12},
  year      = {2019},
  abstract  = {Objective: The purpose of this systematic review and meta-analysis was to examine the effects of exercise on depression and anxiety in people living with HIV (PLWH), and to evaluate, through subgroup analysis, the effects of exercise type, frequency, supervision by exercise professionals, study quality, and control group conditions on these outcomes. Method: A literature search was conducted through four electronic databases from inception to February 2019. Considered for inclusion were randomized controlled trials (RCTs) investigating exercise interventions and depression or anxiety as outcomes in people living with HIV (>= 18 years of age). Ten studies were included (n = 479 participants, 49.67\% females at baseline), and the standardized mean difference (SMD) and heterogeneity were calculated using random-effect models. An additional pre-post meta-analysis was also conducted. Results: A large effect in favor of exercise when compared to controls was found for depression (SMD = -0.84, 95\%CI = [-1.57, -0.11], p = 0.02) and anxiety (SMD = -1.23, 95\%CI = [-2.42, 0.04], p = -0.04). Subgroup analyses for depression revealed large effects on depression for aerobic exercise only (SMD = -0.96, 95\%CI = [-1.63, -0.30], p = 0.004), a frequency of >= 3 exercise sessions per week (SMD = -1.39, 95\%CI = [-2.24, -0.54], p < 0.001), professionally supervised exercise (SMD = -1.40, 95\%CI = [-2.46, -0.17], p = 0.03]), and high-quality studies (SMD = -1.31, 95\%CI = [-2.46, -0.17], p = 0.02). Conclusion: Exercise seems to decrease depressive symptoms and anxiety in PLWH, but other larger and high-quality studies are needed to verify these effects.},
  language  = {en}
}
@misc{HeisselBollmannKangasetal.2021,
  author    = {Heißel, Andreas and Bollmann, J and Kangas, Maria and Rapp, Michael A. and S{\´a}nchez, Alba Cristina and Abdulla, K},
  title     = {Validation of the German version of the work and social adjustment scale in a sample of depressed patients},
  series = {Zweitver{\"o}ffentlichungen der Universit{\"a}t Potsdam : Humanwissenschaftliche Reihe},
  journal   = {Zweitver{\"o}ffentlichungen der Universit{\"a}t Potsdam : Humanwissenschaftliche Reihe},
  publisher = {Universit{\"a}tsverlag Potsdam},
  address   = {Potsdam},
  issn      = {1866-8364},
  doi       = {10.25932/publishup-54781},
  url       = {http://nbn-resolving.de/urn:nbn:de:kobv:517-opus4-547810},
  pages     = {1 -- 11},
  year      = {2021},
  abstract  = {Background Depression is one of the key factors contributing to difficulties in one's ability to work, and serves as one of the major reasons why employees apply for psychotherapy and receive insurance subsidization of treatments. Hence, an increasing and growing number of studies rely on workability assessment scales as their primary outcome measure. The Work and Social Assessment Scale (WSAS) has been documented as one of the most psychometrically reliable and valid tools especially developed to assess workability and social functioning in patients with mental health problems. Yet, the application of the WSAS in Germany has been limited due to the paucity of a valid questionnaire in the German language. The objective of the present study was to translate the WSAS, as a brief and easy administrable tool into German and test its psychometric properties in a sample of adults with depression. Methods Two hundred seventy-seven patients (M = 48.3 years, SD = 11.1) with mild to moderately severe depression were recruited. A multistep translation from English into the German language was performed and the factorial validity, criterion validity, convergent validity, discriminant validity, internal consistency, and floor and ceiling effects were examined. Results The confirmatory factor analysis results confirmed the one-factor structure of the WSAS. Significant correlations with the WHODAS 2-0 questionnaire, a measure of functionality, demonstrated good convergent validity. Significant correlations with depression and quality of life demonstrated good criterion validity. The WSAS also demonstrated strong internal consistency (α = .89), and the absence of floor and ceiling effects indicated good sensitivity of the instrument. Conclusions The results of the present study demonstrated that the German version of the WSAS has good psychometric properties comparable to other international versions of this scale. The findings recommend a global assessment of psychosocial functioning with the sum score of the WSAS.},
  language  = {en}
}
@article{HeisselBollmannKangasetal.2021,
  author    = {Heißel, Andreas and Bollmann, Julian and Kangas, Maria and Abdulla, K and Rapp, Michael A. and S{\´a}nchez Fern{\`a}ndez, Alba Cristina},
  title     = {Validation of the German version of the work and social adjustment scale in a sample of depressed patients},
  series = {BMC health services research},
  volume    = {21},
  journal   = {BMC health services research},
  publisher = {BioMed Central},
  address   = {London},
  issn      = {1472-6963},
  doi       = {10.1186/s12913-021-06622-x},
  pages     = {1 -- 11},
  year      = {2021},
  abstract  = {Background Depression is one of the key factors contributing to difficulties in one's ability to work, and serves as one of the major reasons why employees apply for psychotherapy and receive insurance subsidization of treatments. Hence, an increasing and growing number of studies rely on workability assessment scales as their primary outcome measure. The Work and Social Assessment Scale (WSAS) has been documented as one of the most psychometrically reliable and valid tools especially developed to assess workability and social functioning in patients with mental health problems. Yet, the application of the WSAS in Germany has been limited due to the paucity of a valid questionnaire in the German language. The objective of the present study was to translate the WSAS, as a brief and easy administrable tool into German and test its psychometric properties in a sample of adults with depression. Methods Two hundred seventy-seven patients (M = 48.3 years, SD = 11.1) with mild to moderately severe depression were recruited. A multistep translation from English into the German language was performed and the factorial validity, criterion validity, convergent validity, discriminant validity, internal consistency, and floor and ceiling effects were examined. Results The confirmatory factor analysis results confirmed the one-factor structure of the WSAS. Significant correlations with the WHODAS 2-0 questionnaire, a measure of functionality, demonstrated good convergent validity. Significant correlations with depression and quality of life demonstrated good criterion validity. The WSAS also demonstrated strong internal consistency (α = .89), and the absence of floor and ceiling effects indicated good sensitivity of the instrument. Conclusions The results of the present study demonstrated that the German version of the WSAS has good psychometric properties comparable to other international versions of this scale. The findings recommend a global assessment of psychosocial functioning with the sum score of the WSAS.},
  language  = {en}
}
@article{KieferKrahlHirtetal.2019,
  author    = {Kiefer, Thomas and Krahl, Dorothea and Hirt, Carsten and V{\"o}ller, Heinz and Voelkel, Lorenz and Daeschlein, Georg},
  title     = {Influence of treatment caused impairments on anxiety and depression in patients with cancer of the Esophagus or the Esophagogastric junction},
  series = {Journal of gastrointestinal cancer},
  volume    = {51},
  journal   = {Journal of gastrointestinal cancer},
  number    = {1},
  publisher = {Springer},
  address   = {New York},
  issn      = {1941-6628},
  doi       = {10.1007/s12029-018-00193-7},
  pages     = {30 -- 34},
  year      = {2019},
  abstract  = {Purpose After therapy of cancer of the esophagus or the esophagogastric junction, patients often suffer from anxiety and depression. Some risk factors for elevated anxiety and depression are reported, but the influence of steatorrhea, the frequency of which has only recently been reported, has not yet been investigated. Method Using the Hospital Anxiety and Depression Scale (HADS), we analyzed the correlation of anxiety and depression with steatorrhea, appetite, and weight loss in 72 patients with cancer of the esophagus or of the esophagogastric junction, who were treated at our rehabilitation clinic between January 2011 and December 2014. In addition, effectiveness of psychological interviews was analyzed. Results We have evaluable anxiety questionnaires from 51 patients showing a median anxiety value of 5 (range 0-13). As for the depression, results from evaluable questionnaires of 54 patients also showed a median value of 5 (range 0-15). Increased anxiety and depression values (> 7) were observed in 25.4\% and 37.0\% of the patients respectively. Patients who were admitted with steatorrhea for rehabilitation showed a statistically higher anxiety value (median 6.3 vs. 4.7, p < 0.05), reduced appetite, and a weight loss above 15 kg depicting a correlation to anxiety and depression. Psychological conversations helped lowering the depression but had no influence on anxiety. Conclusions Impairments after cancer treatment, such as steatorrhea, appetite loss, and weight loss, should be interpreted as an alarm signal and should necessitate screening for increased anxiety and depression. Psychological therapy can help improving the extent of the depression.},
  language  = {en}
}
@article{KonradJacobRappetal.2016,
  author    = {Konrad, Marcel and Jacob, Louis and Rapp, Michael A. and Kostev, Karel},
  title     = {Depression risk in patients with coronary heart disease in Germany},
  series = {World Journal of Cardiology},
  volume    = {8},
  journal   = {World Journal of Cardiology},
  publisher = {Baishideng Publishing Group},
  address   = {Pleasanton},
  issn      = {1949-8462},
  doi       = {10.4330/wjc.v8.i9.547},
  pages     = {547 -- 552},
  year      = {2016},
  abstract  = {AIM To determine the prevalence of depression and its risk factors among patients with coronary heart disease (CHD) treated in German primary care practices. METHODS Longitudinal data from nationwide general practices in Germany (n = 1072) were analyzed. Individuals initially diagnosed with CHD (2009-2013) were identified, and 59992 patients were included and matched (1: 1) to 59992 controls. The primary outcome measure was an initial diagnosis of depression within five years after the index date among patients with and without CHD. Cox proportional hazards models were used to adjust for confounders. RESULTS Mean age was equal to 68.0 years (SD = 11.3). A total of 55.9\% of patients were men. After a five-year follow-up, 21.8\% of the CHD group and 14.2\% of the control group were diagnosed with depression (P < 0.001). In the multivariate regression model, CHD was a strong risk factor for developing depression (HR = 1.54, 95\% CI: 1.49-1.59, P < 0.001). Prior depressive episodes, dementia, and eight other chronic conditions were associated with a higher risk of developing depression. Interestingly, older patients and women were also more likely to be diagnosed with depression compared with younger patients and men, respectively. CONCLUSION The risk of depression is significantly increased among patients with CHD compared with patients without CHD treated in primary care practices in Germany. CHD patients should be routinely screened for depression to ensure improved treatment and management.},
  language  = {en}
}