TY  - JOUR
A1  - Gleich, Tobias
A1  - Spitta, Gianna
A1  - Butler, Oisin
A1  - Zacharias, Kristin
A1  - Aydin, Semiha
A1  - Sebold, Miriam Hannah
A1  - Garbusow, Maria
A1  - Rapp, Michael Armin
A1  - Schubert, Florian
A1  - Buchert, Ralph
A1  - Heinz, Andreas
A1  - Gallinat, Jürgen
T1  - Dopamine D2/3 receptor availability in alcohol use disorder and individuals at high risk
BT  - towards a dimensional approach
JF  - Addiction Biology
N2  - Alcohol use disorder (AUD) is the most common substance use disorder worldwide. Although dopamine-related findings were often observed in AUD, associated neurobiological mechanisms are still poorly understood. Therefore, in the present study, we investigate D2/3 receptor availability in healthy participants, participants at high risk (HR) to develop addiction (not diagnosed with AUD), and AUD patients in a detoxified stage, applying F-18-fallypride positron emission tomography (F-18-PET). Specifically, D2/3 receptor availability was investigated in (1) 19 low-risk (LR) controls, (2) 19 HR participants, and (3) 20 AUD patients after alcohol detoxification. Quality and severity of addiction were assessed with clinical questionnaires and (neuro)psychological tests. PET data were corrected for age of participants and smoking status. In the dorsal striatum, we observed significant reductions of D2/3 receptor availability in AUD patients compared with LR participants. Further, receptor availability in HR participants was observed to be intermediate between LR and AUD groups (linearly decreasing). Still, in direct comparison, no group difference was observed between LR and HR groups or between HR and AUD groups. Further, the score of the Alcohol Dependence Scale (ADS) was inversely correlated with D2/3 receptor availability in the combined sample. Thus, in line with a dimensional approach, striatal D2/3 receptor availability showed a linear decrease from LR participants to HR participants to AUD patients, which was paralleled by clinical measures. Our study shows that a core neurobiological feature in AUD seems to be detectable in an early, subclinical state, allowing more individualized alcohol prevention programs in the future.
KW  - alcohol
KW  - D2/3 receptors
KW  - dependence
KW  - dopamine
KW  - high risk
KW  - PET
Y1  - 2020
U6  - https://doi.org/10.1111/adb.12915
SN  - 1369-1600
VL  - 26
IS  - 2
SP  - 1
EP  - 10
PB  - Wiley-Blackwell
CY  - Hoboken
ER  - 
TY  - JOUR
A1  - Heissel, Andreas
A1  - Pietrek, Anou F.
A1  - Rapp, Michael Armin
A1  - Heinzel, Stephan
A1  - Williams, Geoffrey
T1  - Perceived health care climate of older people attending an exercise program
BT  - validation of the german short version of the health care climate questionnaire
JF  - Journal of aging and physical activity : JAPA ; the official journal of the International Society for Aging and Physical Activity
N2  - The role of perceived need support from exercise professionals in improving mental health was examined in a sample of older adults, thereby validating the short Health Care Climate Questionnaire. A total of 491 older people (M = 72.68 years; SD = 5.47) attending a health exercise program participated in this study. Cronbach's alpha was found to be high (alpha = .90). Satisfaction with the exercise professional correlated moderately with the short Health Care Climate Questionnaire mean value (r = .38; p < .01). The mediator analyses yielded support for the self-determination theory process model in older adults by showing both basic need satisfaction and frustration as mediating variables between perceived autonomy support and depressive symptoms. The short Health Care Climate Questionnaire is an economical instrument for assessing basic need satisfaction provided by the exercise therapist from the participant's perspective. Furthermore, this cross-sectional study supported the link from coaching style to the satisfaction/frustration of basic psychological needs, which in turn, predicted mental health. Analyses of criterion validity suggest a revision of the construct by integrating need frustration.
KW  - autonomy support
KW  - basic psychological need satisfaction and frustration
KW  - depression
KW  - need support
KW  - physical activity
Y1  - 2019
U6  - https://doi.org/10.1123/japa.2018-0350
SN  - 1063-8652
SN  - 1543-267X
VL  - 28
IS  - 2
SP  - 276
EP  - 286
PB  - Human Kinetics Publ.
CY  - Champaign
ER  - 
TY  - JOUR
A1  - Deeken, Friederike
A1  - Rapp, Michael Armin
T1  - Technology-based interventions as an approach to treating apathy in people with dementia
JF  - International psychogeriatrics : the official journal of the International Psychogeriatric Association
Y1  - 2022
U6  - https://doi.org/10.1017/S1041610222000035
SN  - 1741-203X
VL  - 34
IS  - 2
SP  - 95
EP  - 96
PB  - Cambridge Univ. Press
CY  - Cambridge
ER  - 
TY  - JOUR
A1  - Heissel, Andreas
A1  - Sanchez, Alba
A1  - Pietrek, Anou F.
A1  - Bergau, Theresa
A1  - Stielow, Christiane
A1  - Rapp, Michael Armin
A1  - Van der Kaap-Deeder, Jolene
T1  - Validating the German Short Basic Psychological Need Satisfaction and Frustration Scale in Individuals with Depression
JF  - Healthcare
N2  - Satisfaction and frustration of the needs for autonomy, competence, and relatedness, as assessed with the 24-item Basic Psychological Need Satisfaction and Frustration Scale (BPNSFS), have been found to be crucial indicators of individuals’ psychological health. To increase the usability of this scale within a clinical and health services research context, we aimed to validate a German short version (12 items) of this scale in individuals with depression including the examination of the relations from need frustration and need satisfaction to ill-being and quality of life (QOL). This cross-sectional study involved 344 adults diagnosed with depression (Mage (SD) = 47.5 years (11.1); 71.8% females). Confirmatory factor analyses indicated that the short version of the BPNSFS was not only reliable, but also fitted a six-factor structure (i.e., satisfaction/frustration X type of need). Subsequent structural equation modeling showed that need frustration related positively to indicators of ill-being and negatively to QOL. Surprisingly, need satisfaction did not predict differences in ill-being or QOL. The short form of the BPNSFS represents a practical instrument to measure need satisfaction and frustration in people with depression. Further, the results support recent evidence on the importance of especially need frustration in the prediction of psychopathology.
KW  - basic psychological need frustration
KW  - need satisfaction
KW  - mental health
KW  - ill-being
KW  - depression
Y1  - 2023
U6  - https://doi.org/10.3390/healthcare11030412
SN  - 2227-9032
VL  - 11
IS  - 3
PB  - MDPI
CY  - Basel
ER  - 
TY  - CHAP
A1  - Dahling, Volker
A1  - May, Susann
A1  - Greiner, Timo
A1  - Thoma, Samuel
A1  - Peter, Sebastian von
A1  - Schwantes, Ulrich
A1  - Rapp, Michael Armin
A1  - Heinze, Martin
T1  - Verschreibungspraxis von Psychopharmaka in brandenburgischen Pflegeheimen
T2  - Zeitschrift für Gerontologie und Geriatrie : Organ der Deutschen Gesellschaft für Gerontologie und Geriatrie
T2  - Prescribing practice of psychotropic drugs in Brandenburg nursing homes
Y1  - 2021
SN  - 0948-6704
SN  - 1435-1269
VL  - 54
IS  - SUPPL 1
SP  - S26
EP  - S26
PB  - Springer Medizin
CY  - Heidelberg
ER  - 
TY  - JOUR
A1  - Heissel, Andreas
A1  - Pietrek, Anou F.
A1  - Schwefel, Melanie
A1  - Abula, Kahar
A1  - Wilbertz, Gregor
A1  - Heinzel, Stephan
A1  - Rapp, Michael Armin
T1  - STEP.De study
BT  - a multicentre cluster-randomised effectiveness trial of exercise therapy for patients with depressive symptoms in healthcare services : study protocol
JF  - BMJ open
N2  - Introduction Although exercise therapy has widely been shown to be an efficacious treatment modality for depression, evidence for its effectiveness and cost efficiency is lacking. The Sport/Exercise Therapy for Depression study is a multicentre cluster-randomised effectiveness trial that aims to compare the effectiveness and cost efficiency of exercise therapy and psychotherapy as antidepressant treatment. <br /> Methods and analysis 480 patients (aged 18-65) with an International Classification of Diseases diagnosis associated with depressive symptoms are recruited. Up to 30 clusters (psychotherapists) are randomly assigned to allocate patients to either an exercise or a psychotherapy treatment as usual in a 2: 1 ratio. The primary outcome (depressive symptoms) and the secondary outcomes (work and social adjustment, quality of life) will be assessed at six measurement time points (t0: baseline, t1: 8 weeks after treatment initiation, t2: 16 weeks after treatment initiation, t3/ 4/5: 2, 6, 12 months after treatment). Linear regression analyses will be used for the primary endpoint data analysis. For the secondary endpoints, mixed linear and logistic regression models with fixed and random factors will be added. For the cost efficiency analysis, expenditures in the 12 months before and after the intervention and the outcome difference will be compared between groups in a multilevel model. Recruitment start date was 1 July 2018 and the planned recruitment end date is 31 December 2020. <br /> Ethics and dissemination The study protocol was approved by the ethics committee of the University of Potsdam (No. 17/2018) and the Freie Universitat Berlin (No. 206/2018) and registered in the ISRCTN registry. Informed written consent will be obtained from all participants. The study will be reported in accordance with the Consolidated Standards of Reporting Trials and the Recommendations for Interventional Trials statements. The results will be published in peer-reviewed academic journals and disseminated to the public.
Y1  - 2020
U6  - https://doi.org/10.1136/bmjopen-2019-036287
SN  - 2044-6055
VL  - 10
IS  - 4
PB  - BMJ Publishing Group
CY  - London
ER  - 
TY  - JOUR
A1  - Pietrek, Anou F.
A1  - Kangas, Maria
A1  - Kliegl, Reinhold
A1  - Rapp, Michael Armin
A1  - Heinzel, Stephan
A1  - Van der Kaap-Deeder, Jolene
A1  - Heissel, Andreas
T1  - Basic psychological need satisfaction and frustration in major depressive disorder
JF  - Frontiers in Psychiatry - Mood Disorders
N2  - Basic psychological needs theory postulates that a social environment that satisfies individuals’ three basic psychological needs of autonomy, competence, and relatedness leads to optimal growth and well-being. On the other hand, the frustration of these needs is associated with ill-being and depressive symptoms foremost investigated in non-clinical samples; yet, there is a paucity of research on need frustration in clinical samples. Survey data were compared between adult individuals with major depressive disorder (MDD; n = 115; 48.69% female; 38.46 years, SD = 10.46) with those of a non-depressed comparison sample (n = 201; 53.23% female; 30.16 years, SD = 12.81). Need profiles were examined with a linear mixed model (LMM). Individuals with depression reported higher levels of frustration and lower levels of satisfaction in relation to the three basic psychological needs when compared to non-depressed adults. The difference between depressed and non-depressed groups was significantly larger for frustration than satisfaction regarding the needs for relatedness and competence. LMM correlation parameters confirmed the expected positive correlation between the three needs. This is the first study showing substantial differences in need-based experiences between depressed and non-depressed adults. The results confirm basic assumptions of the self-determination theory and have preliminary implications in tailoring therapy for depression.
KW  - basic need satisfaction and frustration
KW  - depressive symptoms
KW  - clinical sample
KW  - need profiles
KW  - social environment
Y1  - 2022
U6  - https://doi.org/10.3389/fpsyt.2022.962501
SN  - 1664-0640
SP  - 1
EP  - 10
PB  - Frontiers Media S.A.
CY  - Lausanne, Schweiz
ER  - 
TY  - JOUR
A1  - Herold, Fabian
A1  - Theobald, Paula
A1  - Gronwald, Thomas
A1  - Rapp, Michael Armin
A1  - Müller, Notger Germar
T1  - Going digital – a commentary on the terminology used at the intersection of physical activity and digital health
JF  - European review of aging and physical activity
N2  - In recent years digital technologies have become a major means for providing health-related services and this trend was strongly reinforced by the current Coronavirus disease 2019 (COVID-19) pandemic. As it is well-known that regular physical activity has positive effects on individual physical and mental health and thus is an important prerequisite for healthy aging, digital technologies are also increasingly used to promote unstructured and structured forms of physical activity. However, in the course of this development, several terms (e.g., Digital Health, Electronic Health, Mobile Health, Telehealth, Telemedicine, and Telerehabilitation) have been introduced to refer to the application of digital technologies to provide health-related services such as physical interventions. Unfortunately, the above-mentioned terms are often used in several different ways, but also relatively interchangeably. Given that ambiguous terminology is a major source of difficulty in scientific communication which can impede the progress of theoretical and empirical research, this article aims to make the reader aware of the subtle differences between the relevant terms which are applied at the intersection of physical activity and Digital Health and to provide state-of-art definitions for them.
KW  - Digital Health
KW  - Electronic Health
KW  - Mobile Health
KW  - Telehealth
KW  - Telemedicine
KW  - Physical activity
KW  - Physical training
KW  - Aging
Y1  - 2022
U6  - https://doi.org/10.1186/s11556-022-00296-y
SN  - 1861-6909
VL  - 19
PB  - Springer
CY  - Berlin ; Heidelberg
ER  - 
TY  - JOUR
A1  - Heissel, Andreas
A1  - Pietrek, Anou F.
A1  - Kangas, Maria
A1  - Van der Kaap-Deeder, Jolene
A1  - Rapp, Michael Armin
T1  - The Mediating Role of Rumination in the Relation between Basic Psychological Need Frustration and Depressive Symptoms
JF  - Journal of Clinical Medicine
N2  - Research within the framework of Basic Psychological Need Theory (BPNT) finds strong associations between basic need frustration and depressive symptoms. This study examined the role of rumination as an underlying mechanism in the association between basic psychological need frustration and depressive symptoms. A cross-sectional sample of N = 221 adults (55.2% female, mean age = 27.95, range = 18–62, SD = 10.51) completed measures assessing their level of basic psychological need frustration, rumination, and depressive symptoms. Correlational analyses and multiple mediation models were conducted. Brooding partially mediated the relation between need frustration and depressive symptoms. BPNT and Response Styles Theory are compatible and can further advance knowledge about depression vulnerabilities.
KW  - psychopathology
KW  - elf-determination theory
KW  - response styles theory
KW  - frustration
KW  - depressive disorder
KW  - emotional regulation
KW  - rumination
Y1  - 2023
U6  - https://doi.org/10.3390/jcm12020395
SN  - 2077-0383
VL  - 12
SP  - 1
EP  - 10
PB  - MDPI
CY  - Basel, Schweiz
ET  - 2
ER  - 
TY  - JOUR
A1  - Bangeow, Petjo
A1  - Rapp, Michael Armin
T1  - Beurteilung und Nutzung der 2016 reformierten Psychotherapierichtlinie
T1  - Assessment and use of 2016 reformed psychotherapeutic guideline
BT  - Teil II : Ost-West- und Stadt-Land-Vergleich
BT  - part II : comparing Eastern and Western Germany as well as urban and rural areas
JF  - Psychiatrische Praxis : Sozialpsychiatrie, klinische Psychiatrie, public mental health, Versorgungsforschung
N2  - Ziel der Studie Dieser Artikel untersucht, inwiefern sich die 2016 reformierte Richtlinie im Stadt-Land- sowie im Ost-West-Vergleich auf die ambulante psychotherapeutische Arbeit und Versorgung auswirkt.
Methodik Eine Onlineumfrage unter vertragsärztlich tätigen TherapeutInnen wurde durchgeführt. Die Fragen bezogen sich auf verschiedene Neuerungen in der Richtlinie.
Ergebnisse Unabhängig von der Region schätzten die Befragten ein, dass die Reform zu keiner verbesserten Versorgung führte.
Im Westen und in der Stadt tätige TherapeutInnen verwiesen PatientInnen nach der Sprechstunde öfter an andere Psychotherapiepraxen, im Osten und auf dem Land tätige hingegen öfter auf andere Hilfeangebote.
Schlussfolgerung Stärkere Anreize für die psychotherapeutische Tätigkeit auf dem Land sind zu schaffen. Abbaumaßnahmen der Ost-West-Ungleichheiten in der Versorgungsdichte scheinen nötig.
N2  - Objective This article investigated whether or not the reformed psychotherapeutic guideline had different effects on outpatient psychotherapeutic work and services comparing urban and rural areas as well as eastern and western Germany.
Methods An online survey of psychotherapists was conducted. The survey included questions on various innovations within the reformed guideline.
Results Regardless of region, therapists stated overall that the reform has not led to improved psychotherapeutic care.
Therapists in the West and in urban areas referred more patients to other psychotherapeutic practices after their consultation. Therapists in the East and in rural areas referred more patients to other institutions and services.
Conclusions Psychotherapeutic work in rural areas should be better incentivized. Interventions to reduce east-west inequalities in the density of service provision seem to be necessary.
KW  - Psychotherapierichtlinie
KW  - Ostdeutschland
KW  - Westdeutschland
KW  - Stadt-Land-Vergleich
KW  - psychotherapy guidelines
KW  - Eastern-Western Germany
KW  - urban-rural
KW  - comparison
Y1  - 2020
U6  - https://doi.org/10.1055/a-1045-9820
SN  - 0303-4259
SN  - 1439-0876
VL  - 47
IS  - 07
SP  - 383
EP  - 387
PB  - Thieme
CY  - Stuttgart
ER  -