TY - JOUR A1 - Heißel, Andreas A1 - Bollmann, Julian A1 - Kangas, Maria A1 - Abdulla, K A1 - Rapp, Michael A. A1 - Sánchez Fernàndez, Alba Cristina T1 - Validation of the German version of the work and social adjustment scale in a sample of depressed patients JF - BMC health services research N2 - 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. KW - Workability KW - Social functioning KW - Depression KW - Psychometric evaluation KW - Translation Y1 - 2021 U6 - https://doi.org/10.1186/s12913-021-06622-x SN - 1472-6963 VL - 21 SP - 1 EP - 11 PB - BioMed Central CY - London ER - TY - JOUR A1 - Pérez Chaparro, Camilo Germán Alberto A1 - Schuch, Felipe Barreto A1 - Zech, Philipp A1 - Kangas, Maria A1 - Rapp, Michael A. A1 - Heißel, Andreas T1 - Recreational exercising and self-reported cardiometabolic diseases in German people living with HIV BT - A cross-sectional study JF - International journal of environmental research and public health : IJERPH / Molecular Diversity Preservation International N2 - Exercise is known for its beneficial effects on preventing cardiometabolic diseases (CMDs) in the general population. People living with the human immunodeficiency virus (PLWH) are prone to sedentarism, thus raising their already elevated risk of developing CMDs in comparison to individuals without HIV. The aim of this cross-sectional study was to determine if exercise is associated with reduced risk of self-reported CMDs in a German HIV-positive sample (n = 446). Participants completed a self-report survey to assess exercise levels, date of HIV diagnosis, CD4 cell count, antiretroviral therapy, and CMDs. Participants were classified into exercising or sedentary conditions. Generalized linear models with Poisson regression were conducted to assess the prevalence ratio (PR) of PLWH reporting a CMD. Exercising PLWH were less likely to report a heart arrhythmia for every increase in exercise duration (PR: 0.20: 95% CI: 0.10–0.62, p < 0.01) and diabetes mellitus for every increase in exercise session per week (PR: 0.40: 95% CI: 0.10–1, p < 0.01). Exercise frequency and duration are associated with a decreased risk of reporting arrhythmia and diabetes mellitus in PLWH. Further studies are needed to elucidate the mechanisms underlying exercise as a protective factor for CMDs in PLWH. KW - HIV KW - exercise KW - cardiovascular diseases KW - metabolic disease KW - sedentary Y1 - 2021 U6 - https://doi.org/10.3390/ijerph182111579 SN - 1660-4601 VL - 18 IS - 21 SP - 1 EP - 10 PB - MDPI CY - Basel, Schweiz ER - TY - JOUR A1 - Pérez Chaparro, Camilo Germán Alberto A1 - Kangas, Maria A1 - Zech, Philipp A1 - Schuch, Felipe B. A1 - Rapp, Michael A. A1 - Heißel, Andreas T1 - Recreational exercise is associated with lower prevalence of depression and anxiety and better quality of life in German people living with HIV JF - AIDS care : psychological and socio-medical aspects of AIDS/HIV N2 - Sedentarism is a risk factor for depression and anxiety. People living with the human immunodeficiency virus (PLWH) have a higher prevalence of anxiety and depression compared to HIV-negative individuals. This cross-sectional study (n = 450, median age 44 (19-75), 7.3% females) evaluates the prevalence rates and prevalence ratio (PR) of anxiety and/or depression in PLWH associated with recreational exercise. A decreased likelihood of having anxiety (PR=0.57; 0.36-0.91; p = 0.01), depression (PR=0.41; 0.36-0.94; p=0.01), and comorbid anxiety and depression (PR = 0,43; 0.24-0.75; p=0.002) was found in exercising compared to non-exercising PLWH. Recreational exercise is associated with a lower risk for anxiety and/or depression. Further prospective studies are needed to provide insights on the direction of this association. KW - HIV KW - depression KW - anxiety KW - exercise Y1 - 2022 U6 - https://doi.org/10.1080/09540121.2021.1889951 SN - 1360-0451 VL - 34 IS - 2 SP - 182 EP - 187 PB - Taylor & Francis Group CY - London [u.a.] ER -