@misc{LadwigZhouXuetal.2018,
  author    = {Ladwig, Simon and Zhou, Zien and Xu, Ying and Wang, Xia and Chow, Clara K. and Werheid, Katja and Hackett, Maree L.},
  title     = {Comparison of treatment rates of depression after stroke versus myocardial infarction},
  series = {Psychosomatic medicine},
  volume    = {80},
  journal   = {Psychosomatic medicine},
  number    = {8},
  publisher = {Lippincott Williams \& Wilkins},
  address   = {Philadelphia},
  issn      = {0033-3174},
  doi       = {10.1097/PSY.0000000000000632},
  pages     = {754 -- 763},
  year      = {2018},
  abstract  = {Objective Depression after stroke and myocardial infarction (MI) is common but often assumed to be undertreated without reliable evidence being available. Thus, we aimed to determine treatment rates and investigate the application of guidelines in these conditions. Methods Databases MEDLINE, EMBASE, PsycInfo, Web of Science, CINAHL, and Scopus were systematically searched without language restriction from inception to June 30, 2017. Prospective observational studies with consecutive recruitment reporting any antidepressant treatment in adults with depression after stroke or MI were included. Random-effects models were used to calculate pooled estimates of treatment rates. Results Fifty-five studies reported 32 stroke cohorts (n = 8938; pooled frequency of depression = 34\%, 95\% confidence interval [CI] = 29\%-38\%) and 17 MI cohorts (n = 10,767; pooled frequency of depression = 24\%, 95\% CI = 20\%-28\%). In 29 stroke cohorts, 24\% (95\% CI = 20\%-27\%) of 2280 depressed people used antidepressant medication. In 15 MI cohorts, 14\% (95\% CI = 8\%-19\%) of 2381 depressed people used antidepressant medication indicating a lower treatment rate than in stroke. Two studies reported use of psychosocial interventions, indicating that less than 10\% of participants were treated. Conclusions Despite the high frequency of depression after stroke and MI and the existence of efficacious treatment strategies, people often remain untreated. Innovative strategies are needed to increase the use of effective antidepressive interventions in patients with cardiovascular disease.},
  language  = {en}
}
@phdthesis{Zakarias2018,
  author    = {Zakari{\´a}s, Lilla},
  title     = {Transfer effects after working memory training in post-stroke aphasia},
  doi       = {10.25932/publishup-42360},
  url       = {http://nbn-resolving.de/urn:nbn:de:kobv:517-opus4-423600},
  school      = {Universit{\"a}t Potsdam},
  pages     = {178},
  year      = {2018},
  abstract  = {Background: Individuals with aphasia after stroke (IWA) often present with working memory (WM) deficits. Research investigating the relationship between WM and language abilities has led to the promising hypothesis that treatments of WM could lead to improvements in language, a phenomenon known as transfer. Although recent treatment protocols have been successful in improving WM, the evidence to date is scarce and the extent to which improvements in trained tasks of WM transfer to untrained memory tasks, spoken sentence comprehension, and functional communication is yet poorly understood. Aims: We aimed at (a) investigating whether WM can be improved through an adaptive n-back training in IWA (Study 1-3); (b) testing whether WM training leads to near transfer to unpracticed WM tasks (Study 1-3), and far transfer to spoken sentence comprehension (Study 1-3), functional communication (Study 2-3), and memory in daily life in IWA (Study 2-3); and (c) evaluating the methodological quality of existing WM treatments in IWA (Study 3). To address these goals, we conducted two empirical studies - a case-controls study with Hungarian speaking IWA (Study 1) and a multiple baseline study with German speaking IWA (Study 2) - and a systematic review (Study 3). Methods: In Study 1 and 2 participants with chronic, post-stroke aphasia performed an adaptive, computerized n-back training. 'Adaptivity' was implemented by adjusting the tasks' difficulty level according to the participants' performance, ensuring that they always practiced at an optimal level of difficulty. To assess the specificity of transfer effects and to better understand the underlying mechanisms of transfer on spoken sentence comprehension, we included an outcome measure testing specific syntactic structures that have been proposed to involve WM processes (e.g., non-canonical structures with varying complexity). Results: We detected a mixed pattern of training and transfer effects across individuals: five participants out of six significantly improved in the n-back training. Our most important finding is that all six participants improved significantly in spoken sentence comprehension (i.e., far transfer effects). In addition, we also found far transfer to functional communication (in two participants out of three in Study 2) and everyday memory functioning (in all three participants in Study 2), and near transfer to unpracticed n-back tasks (in four participants out of six). Pooled data analysis of Study 1 and 2 showed a significant negative relationship between initial spoken sentence comprehension and the amount of improvement in this ability, suggesting that the more severe the participants' spoken sentence comprehension deficit was at the beginning of training, the more they improved after training. Taken together, we detected both near far and transfer effects in our studies, but the effects varied across participants. The systematic review evaluating the methodological quality of existing WM treatments in stroke IWA (Study 3) showed poor internal and external validity across the included 17 studies. Poor internal validity was mainly due to use of inappropriate design, lack of randomization of study phases, lack of blinding of participants and/or assessors, and insufficient sampling. Low external validity was mainly related to incomplete information on the setting, lack of use of appropriate analysis or justification for the suitability of the analysis procedure used, and lack of replication across participants and/or behaviors. Results in terms of WM, spoken sentence comprehension, and reading are promising, but further studies with more rigorous methodology and stronger experimental control are needed to determine the beneficial effects of WM intervention. Conclusions: Results of the empirical studies suggest that WM can be improved with a computerized and adaptive WM training, and improvements can lead to transfer effects to spoken sentence comprehension and functional communication in some individuals with chronic post-stroke aphasia. The fact that improvements were not specific to certain syntactic structures (i.e., non-canonical complex sentences) in spoken sentence comprehension suggest that WM is not involved in the online, automatic processing of syntactic information (i.e., parsing and interpretation), but plays a more general role in the later stage of spoken sentence comprehension (i.e., post-interpretive comprehension). The individual differences in treatment outcomes call for future research to clarify how far these results are generalizable to the population level of IWA. Future studies are needed to identify a few mechanisms that may generalize to at least a subpopulation of IWA as well as to investigate baseline non-linguistic cognitive and language abilities that may play a role in transfer effects and the maintenance of such effects. These may require larger yet homogenous samples.},
  language  = {en}
}
@article{KangasHeissel2020,
  author    = {Kangas, Maria and Heissel, Andreas},
  title     = {Mental health literacy, treatment preferences and the lived experience of mental health problems in an Australian cancer sample},
  series = {Psycho-oncology},
  volume    = {29},
  journal   = {Psycho-oncology},
  number    = {11},
  publisher = {Wiley},
  address   = {New York, NY},
  issn      = {1057-9249},
  doi       = {10.1002/pon.5520},
  pages     = {1883 -- 1894},
  year      = {2020},
  abstract  = {Objectives: The prevalence rates for mental health (MH) problems in cancer patients is high, although reduced uptake of services may be influenced by mental health literacy (MHL). The objective of this study was to investigate the MHL for depression and panic disorder (PD), including treatment preferences in Australian adults who had been diagnosed and treated for cancer, and whether MHL and treatment preferences was influenced by sex, age, and individuals' lived MH experience. Method: A total of 421 cancer survivors (n = 378 females) completed a self-report survey. Participants were asked to specify whether they had a lived experience with anxiety and/or depression, and to indicate treatment preferences for managing cancer-related distress. Two vignettes were administered to assess MHL for depression and PD. Results: The MHL accuracy for depression was higher than PD. Accuracy rates were higher for females with a lived experience with anxiety and/or depression; although the accuracy rate for PD was significantly lower in males. A high proportion of individuals preferred exercise and in-person counselling to manage depression and PD. Internet-based therapies were not strongly preferred for managing MH problems. Conclusions: The MHL for depression and PD is moderate for adult cancer survivors, with higher levels indicated for individuals with a personal lived experience with anxiety and/or depression. Public health campaigns for enhancing MHL should broaden to include individuals experiencing comorbid physical health conditions. Health providers also need to take into account client preferences for evidence-based therapies.},
  language  = {en}
}
@phdthesis{Pietrek2023,
  author    = {Pietrek, Anou F.},
  title     = {Basic psychological needs and depression in the context of health and exercise},
  school      = {Universit{\"a}t Potsdam},
  year      = {2023},
  abstract  = {Depressive Erkrankungen gehen mit verminderter Lebenszufriedenheit und reduzierter Arbeitsf{\"a}higkeit einher. Die Wartezeit f{\"u}r eine Psychotherapie betr{\"a}gt in Deutschland derzeit zwischen drei und sechs Monaten. Demnach besteht Bedarf an alternativen, gleichwertigen evidenzbasierten Behandlungsm{\"o}glichkeiten, die den Betroffenen niedrigschwellig zug{\"a}nglich gemacht werden. Eine Vielzahl an empirischen Studien belegt die Wirksamkeit von Sport bei leichten und mittelschweren Depressionen. Zur weiterf{\"u}hrenden Konzeption und Qualit{\"a}tssicherung von Sport als Behandlungsoption ist es notwendig die konkreten Wirkmechanismen zu verstehen. Neben physiologischen spielen auch psychologische Faktoren eine Rolle im Wirkungsgeschehen. Als Metatheorie menschlichen Erlebens und Verhaltens bietet die Selbstbestimmungstheorie (engl.: Self-Determination Theory; SDT) einen n{\"u}tzlichen Bezugsrahmen zum Verst{\"a}ndnis psychologischer Wirkmechanismen mit konkreten Ableitungen f{\"u}r die Behandlungspraktik. Die konzeptionelle Erweiterung der SDT um die Frustration psychologischer Grundbed{\"u}rfnisse erweist sich neben der Bed{\"u}rfnisbefriedigung zunehmend als hilfreich bei der Untersuchung von psychischen Erkrankungen. Der erste Teil dieser Dissertation besteht aus zwei Publikationen, die relevante Messinstrumente in dem genannten Kontext validieren. Der erste Fragebogen misst das Ausmaß an allgemein erlebter Befriedigung und Frustration der psychologischen Grundbed{\"u}rfnisse nach Autonomie, Kompetenz und sozialer Eingebundenheit. Der zweite Fragebogen erhebt die erlebte Bed{\"u}rfnisbefriedigung durch die anleitende Person (hier: Sporttherapeut*in). Der zweite Teil der Dissertation umfasst zwei Publikationen, welche die Befriedigung und Frustration der psychologischen Grundbed{\"u}rfnisse bei depressiven Symptomen untersuchen und einordnen. Es werden die Unterschiede im Ausmaß an Bed{\"u}rfnisbefriedigung und Bed{\"u}rfnisfrustration zwischen einer Stichprobe mit Depression mit einer Stichprobe ohne depressive Symptome untersucht. Der Zusammenhang zwischen Bed{\"u}rfnisfrustration und depressiven Symptomen wird im Kontext etablierter pathologischer Prozesse (Emotionsdysregulation, Rumination) eingeordnet. Die Hauptergebnisse dieser Arbeiten zeigen, dass die SDT durch die Erweiterung der Basic Psychological Needs Theory um die Dimension der Bed{\"u}rfnisfrustration ein nun breiteres Spektrum auf dem Gesundheit-Krankheit-Kontinuum abbildet. Dabei fokussiert die SDT auf die psychologische Wirkung von sozialen Umwelten. Neben der Nichterf{\"u}llung der psychologischen Grundbed{\"u}rfnisse ist es vor allem die Bed{\"u}rfnisfrustration, die einen allgemeinen Vulnerabilit{\"a}tsfaktor f{\"u}r das Vorkommen psychologischer Erkrankungen darstellt. Zudem weist die unausgewogene Befriedigung der psychologischen Grundbed{\"u}rfnisse m{\"o}glicherweise auf ein konflikthaftes Erleben zwischen den Bed{\"u}rfnissen hin. F{\"u}r die Behandlungspraktik abzuleiten ist, dass eine autonomieunterst{\"u}tzende Atmosph{\"a}re, die die ausgewogene Befriedigung aller drei Bed{\"u}rfnisse erm{\"o}glicht, zentral f{\"u}r den Behandlungserfolg ist.},
  language  = {en}
}