TY - JOUR A1 - Brütt, Anna Levke A1 - Meister, Ramona A1 - Bernges, Tabea A1 - Moritz, Steffen A1 - Härter, Martin A1 - Kriston, Levente A1 - Kühne, Franziska T1 - Patient involvement in a systematic review BT - Development and pilot evaluation of a patient workshop JF - Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheitswesen N2 - Patient involvement (PI) in research is increasingly required as a means to improve relevance and meaningfulness of research results. PI has been widely promoted by the National Institute for Health Research in England in the last years. In Germany, widespread involvement of patients in research is still missing. The methods used to realize PI have been developed mainly in English research contexts, and detailed information on how to involve patients in systematic reviews is rare. Therefore, the aim of the study was that patients contribute and prioritize clinically relevant outcomes to a systematic review on meta-cognitive interventions, and to evaluate a patient workshop as well as patients’ perceptions of research involvement. Seven patients with experience in psychiatric care participated in our workshop. They focused on outcomes pre-defined in the review protocol (e.g., meta-cognitive or cognitive changes, symptomatology, quality of life), neglected other outcomes (like satisfaction with treatment, acceptability), and added relevant new ones (e.g., scope of action/autonomy, applicability). Altogether, they valued the explicit workshop participation positively. However, some suggested to involve patients at an earlier stage and to adapt the amount of information given. Further systematic reviews would benefit from the involvement of patients in the definition of other components of the review question (like patients or interventions), in the interpretation of key findings or in drafting a lay summary. N2 - Die Beteiligung von Patientinnen und Patienten in der Forschung wird zunehmend gefordert, um die Relevanz und Aussagefähigkeit von Forschungsergebnissen zu verbessern. Während das National Institute for Health Research in England die Patientenbeteiligung seit Jahren fördert, fehlt es in Deutschland noch weitgehend an flächendeckender Forschungsbeteiligung. Zudem liegen Informationen über Methoden der Patientenbeteiligung hauptsächlich für englische Forschungskontexte vor, und detaillierte Informationen zur Patientenbeteiligung in systematischen Reviews sind lückenhaft. Das Ziel der Studie war es daher, dass Patienten klinisch relevante Zielgrößen zu einem systematischen Review zu metakognitiven Interventionen beitragen und priorisieren und dass sie einen Patientenworkshop und ihre wahrgenommene Forschungsbeteiligung bewerten. Sieben psychiatrieerfahrene Patienten nahmen an unserem Workshop teil. Sie benannten Zielgrößen, die im Reviewprotokoll schon vorgesehen waren (z.B. metakognitive und kognitive Veränderungen, Symptomatik, Lebensqualität), vernachlässigten andere Endpunkte (z.B. Zufriedenheit, Akzeptanz) und fügten neue Zielgrößen hinzu (z.B. Handlungsspielräume/Autonomie, Anwendbarkeit). Die Patienten würdigten die Workshopteilnahme insgesamt. Einige empfahlen jedoch eine frühere Beteiligung und eine Anpassung der gegebenen Informationen. Zukünftige systematische Reviews können von der Beteiligung von Patienten bei der Definition weiterer Bestandteile der Fragestellung (wie Population oder Interventionen), der Interpretation zentraler Ergebnisse oder der Formulierung einer allgemeinverständlichen Zusammenfassung profitieren. T2 - Beteiligung von Patienten an einem systematischen Review: Entwicklung und Pilotevaluation eines Patientenworkshops KW - patient involvement KW - patient participation KW - consumer participation KW - systematic review KW - meta-analysis Y1 - 2017 U6 - https://doi.org/10.1016/j.zefq.2017.07.005 SN - 1865-9217 SN - 2212-0289 VL - 127-128 SP - 56 EP - 61 PB - Elsevier CY - Jena ER - TY - JOUR A1 - Philipp, Rebecca A1 - Kriston, Levente A1 - Lanio, Jana A1 - Kühne, Franziska A1 - Härter, Martin A1 - Moritz, Steffen A1 - Meister, Ramona T1 - Effectiveness of metacognitive interventions for mental disorders in adults-A systematic review and meta-analysis (METACOG) JF - Clinical psychology & psychotherapy N2 - We evaluated the effectiveness and acceptability of metacognitive interventions for mental disorders. We searched electronic databases and included randomized and nonrandomized controlled trials comparing metacognitive interventions with other treatments in adults with mental disorders. Primary effectiveness and acceptability outcomes were symptom severity and dropout, respectively. We performed random-effects meta-analyses. We identified Metacognitive Training (MCTrain), Metacognitive Therapy (MCTherap), and Metacognition Reflection and Insight Therapy (MERIT). We included 49 trials with 2,609 patients. In patients with schizophrenia, MCTrain was more effective than a psychological treatment (cognitive remediation, SMD = -0.39). It bordered significance when compared with standard or other psychological treatments. In a post hoc analysis, across all studies, the pooled effect was significant (SMD = -0.31). MCTrain was more effective than standard treatment in patients with obsessive-compulsive disorder (SMD = -0.40). MCTherap was more effective than a waitlist in patients with depression (SMD = -2.80), posttraumatic stress disorder (SMD = -2.36), and psychological treatments (cognitive-behavioural) in patients with anxiety (SMD = -0.46). In patients with depression, MCTherap was not superior to psychological treatment (cognitive-behavioural). For MERIT, the database was too small to allow solid conclusions. Acceptability of metacognitive interventions among patients was high on average. Methodological quality was mostly unclear or moderate. Metacognitive interventions are likely to be effective in alleviating symptom severity in mental disorders. Although their add-on value against existing psychological interventions awaits to be established, potential advantages are their low threshold and economy. KW - mental disorders KW - meta-analysis KW - metacognition KW - psychotherapy KW - systematic review Y1 - 2018 U6 - https://doi.org/10.1002/cpp.2345 SN - 1063-3995 SN - 1099-0879 VL - 26 IS - 2 SP - 227 EP - 240 PB - Wiley CY - Hoboken ER - TY - JOUR A1 - Kühne, Franziska A1 - Paunov, Tatjana A1 - Weck, Florian T1 - Recognizing obsessive-compulsive disorder BT - How suitable is the German Zohar-Fineberg obsessive-compulsive screen? JF - BMC psychiatry N2 - Background Despite the prevalence of obsessive-compulsive disorder (OCD), its precise identification remains challenging. With the Zohar-Fineberg Obsessive-Compulsive Screen (ZF-OCS; 5 or 6 items), a brief instrument is widely available mainly in English. As there is a lack of empirical studies on the ZF-OCS, the aim of the present study was to translate the items into German and investigate the instrument in a nonclinical sample. Methods In two consecutive online surveys, n = 304 and n = 51 students participated. Besides the ZF-OCS, they answered established measures on OCD, depression, health anxiety, general anxiety and health-related well-being. Results Whereas internal consistency was low (α = .53–.72; ω = .55–.69), retest reliability (rt1,t2 = .89) at two weeks was high. As expected, we found high correlations with other OCD instruments (r > .61; convergent validity), and significantly weaker correlations with measures of depression (r = .39), health anxiety (r = .29), and health-related well-being (r = −.28, divergent validity). Nonetheless, the correlations with general anxiety were somewhere in between (r = .52). Conclusions Due to heterogeneous OCD subtypes, the ZF-OCS asks diverse questions which probably resulted in the present internal consistency. Nevertheless, the results on retest reliability and validity were promising. As for other OCD instruments, divergent validity regarding general anxiety seems problematic to establish. Even so, the ZF-OCS seems valuable for screening purposes, as it is short and easy to administer, and may facilitate initiating subsequent clinical assessment. Further studies should determine the instrument’s diagnostic accuracy. KW - Obsessive-compulsive disorder KW - Psychodiagnostics KW - Psychometric properties KW - Screening Y1 - 2021 U6 - https://doi.org/10.1186/s12888-021-03458-x SN - 1471-244X VL - 21 PB - Springer Nature CY - London ER - TY - JOUR A1 - Kühne, Franziska A1 - Fauth, Henriette A1 - Destina Sevde, Ay-Bryson A1 - Visser, Leonie N.C. A1 - Weck, Florian T1 - Communicating the diagnosis of cancer or depression: Results of a randomized controlled online study using video vignettes JF - Cancer Medicine N2 - Background Communicating a diagnosis is highly important, yet complex, especially in the context of cancer and mental disorders. The aim was to explore the communication style of an oncologist vs. psychotherapist in an online study. Methods Patients (N = 136: 65 cancer, 71 depression) were randomly assigned to watch a standardized video vignette with one of two communication styles (empathic vs. unempathic). Outcome measures of affectivity, information recall, communication skills, empathy and trust were applied. Results Regardless of diagnosis, empathic communication was associated with the perception of a significantly more empathic (p < 0.001, η2partial = 0.08) and trustworthy practitioner (p = 0.014, η2partial = 0.04) with better communication skills (p = 0.013, η2partial = 0.05). Cancer patients reported a larger decrease in positive affect (p < 0.001, η2partial = 0.15) and a larger increase in negative affect (p < 0.001, η2partial = 0.14) from pre- to post-video than depressive patients. Highly relevant information was recalled better in both groups (p < 0.001, d = 0.61–1.06). Conclusions The results highlight the importance of empathy while communicating both a diagnosis of cancer and a mental disorder. Further research should focus on the communication of a mental disorder in association with cancer. KW - consultation KW - mental health KW - oncology KW - psycho-oncology KW - skills Y1 - 2021 U6 - https://doi.org/10.1002/cam4.4396 SN - 2045-7634 VL - 10 SP - 9012 EP - 9021 PB - Wiley CY - Hoboken, New Jersey, USA ET - 24 ER - TY - JOUR A1 - Kühne, Franziska A1 - Meinders, C. A1 - Mohr, H. A1 - Hafenbrack, K. A1 - Kieseritzky, K. A1 - Rosenberger, C. A1 - Haerter, M. A1 - Schulz-Kindermann, F. A1 - Klinger, R. A1 - Nestoriuc, A. Y. T1 - Psychological treatments for pain in cancer patients. A systematic review on the current state of research JF - Der Schmerz : Organ der Deutschen Gesellschaft zum Studium des Schmerzes, der Österreichischen Schmerzgesellschaft und der Deutschen Interdisziplinären Vereinigung für Schmerztherapie N2 - In cancer patients, pain is one of the main symptoms and especially in the late stages of disease, these symptoms can be associated with considerable suffering. In psycho-oncology, preliminary psychological therapies targeting cancer pain have been tested; however, a systematic review of available interventions is lacking, especially considering their dissemination, evidence base, study quality, and the comparison with established treatments. Therefore, the aim of the current study is to systematically review the current research on psychological treatments for pain in cancer patients. During May 2014, MEDLINE, PsycINFO, PSYNDEX, and CENTRAL databases were searched. Psychological treatments for pain in adult cancer patients studied in randomized, controlled trials (RCTs) and referring to pain as primary or secondary outcome were included. After examination for inclusion, structured data extraction and assessment followed. Data were synthesized narratively. In the review, 32 RCTs were included. Studies mainly referred to patients with breast cancer or patients in earlier stages of the disease. The methodological quality of included studies was heterogeneous. Most commonly, short interventions were delivered by nurses in out-patient settings. Interventions including education and relaxation techniques were utilized most often, followed by interventions with behavioral or cognitive components. A need for research persists regarding efficacy of current psychotherapeutic interventions, or the role of mediator variables (e. g., coping) on pain perception in cancer patients. Studies with high methodological quality which comprehensively and transparently report on interventions and designs are lacking. KW - Neoplasms, psychology KW - Education, patients KW - Relaxation KW - Behavior therapy KW - Cognitive therapy Y1 - 2016 U6 - https://doi.org/10.1007/s00482-016-0169-7 SN - 0932-433X SN - 1432-2129 VL - 30 SP - 496 EP - 509 PB - Springer CY - New York ER - TY - JOUR A1 - Kühne, Franziska A1 - Maaß, Ulrike A1 - Weck, Florian T1 - Einsatz standardisierter Patienten im Psychologiestudium BT - von der Forschung in die Praxis JF - Verhaltenstherapie : Praxis, Forschung, Perspektiven N2 - Hintergrund: Im Rahmen des reformierten Psychotherapeutengesetzes wird eine starkere Praxisorientierung in der klinisch-psychologischen Lehre und in der Prufung psychotherapeutischer Kompetenzen verankert. Hierbei sollen Studierende durch die Interaktion mit standardisierten Patient*innen (SP) therapeutische Kompetenzen erwerben und demonstrieren. Fragestellung: Das Ziel des vorliegenden Beitrags ist es, eine evidenzbasierte Umsetzung dieser neuen Lehr- und Prufungsformate zu unterstutzen, indem bisherige Forschungsbefunde zum Einsatz von SP dargestellt und Bereiche, in denen weitere Forschung notwendig ist, aufgezeigt werden. Ergebnisse: Empirische Befunde zeigen, dass SP psychische Storungen authentisch darstellen konnen. Voraussetzung dafur sind beispielsweise die Auswahl geeigneter SP, detaillierte Rollenanleitungen, spezifisches Training, Feedback und Nachschulungen. Auch wenn einige Forschungsfragen, wie zur vergleichenden Wirksamkeit des Einsatzes von SP, noch unbeantwortet sind, lassen sich praktische Implikationen fur SP-Programme in Lehre, Prufung und Forschung ableiten, die in einem Ablaufschema dargestellt werden. Schlussfolgerungen: Der Einsatz von SP bietet gro ss es Potenzial fur die klinisch-psychologische Lehre und Ausbildungsforschung. Um den Einsatz von SP an anderen Standorten zu unterstutzen, werden Beispielmaterialien (z.B. Rollenanleitung) in den elektronischen Supplementen (siehe www.karger.com/doi/10.1159/000509249 fur alle Supplemente) zum Artikel zur Verfugung gestellt. N2 - Background: Within the pending reformation of the German law of psychotherapy training, education in clinical psychology and the examination of psychotherapeutic competencies are established as more practice oriented. Students will acquire and demonstrate therapeutic skills through interactions with standardized patients (SPs). The aim of the current paper is to enhance evidence-based implementation of these new methods of education and examination by presenting the current evidence regarding the use of SPs and by pointing out areas for further research. Results: Results of recent studies demonstrate that SPs are able to present mental disorders authentically. Prerequisites are, among others, the selection of suitable SPs, detailed role scripts, specific training, feedback, and corrective training. Although some research questions, including the comparative effectiveness of SPs, remain unanswered, practice implications for using SPs in education, examination, and research can be drawn. These implications are illustrated schematically. Conclusions: The use of SPs has large potential for education in clinical psychology and for research on psychotherapy training. With a view to encouraging the widespread use of SPs, we provide exemplary materials (e.g., role script) within the online supplements (see www.­karger.com/doi/10.1159/000509249 [Titel anhand dieser DOI in Citavi-Projekt übernehmen] for all online suppl. material). T2 - Standardized patients in clinical psychology: from research to practice KW - Training KW - Ausbildung KW - Psychotherapie KW - Evidenzbasierte Versorgung KW - training KW - education KW - psychotherapy KW - evidence-based care Y1 - 2021 U6 - https://doi.org/10.1159/000509249 SN - 1016-6262 SN - 1423-0402 VL - 31 IS - 2 SP - 152 EP - 160 PB - Karger CY - Basel ER - TY - JOUR A1 - Maaß, Ulrike A1 - Kühne, Franziska A1 - Maas, Jana A1 - Unverdross, Maria A1 - Weck, Florian T1 - Psychological interventions for health anxiety and somatic symptoms BT - a systematic review and meta-analysis JF - Zeitschrift für Psychologie = Journal of psychology N2 - This study examined the effectiveness of psychological interventions for severe health anxiety (SHA) regarding somatic symptoms (SS) and health anxiety (HA). The databases Web of Science, EBSCO, and CENTRAL were searched on May 15, 2019, May 16, 2019, and August 5, 2019, respectively. Eighteen randomized controlled trials (N = 2,050) met the inclusion criteria (i.e., hypochondriasis, illness anxiety disorder or somatic symptom disorder with elevated HA being assessed with validated interviews: use of standardized outcome measures). Two reviewers independently evaluated the studies' risk of bias using the Revised Cochrane Risk-of-Bias Tool for randomized trials (RoB-2) tool. Overall, psychological interventions were significantly more effective than waitlist, treatment-as-usual, or placebo post-treatment (g(SS) = 0.70, g(HA) = 1.11) and at follow-up (g(SS) = 0.33, g(HA)= 0.70). CBT outperformed other psychological interventions or pharmacotherapy for HA post- treatment (Hedge's g(HA) = 0.81). The number of sessions did not significantly predict the effect sizes. In sum, psychological interventions were effective for SHA, but the generalizability of the results for SS is limited, because only two high-quatity trials contributed to the comparison. KW - health anxiety KW - hypochondriasis KW - systematic review KW - meta-analysis KW - psychotherapy Y1 - 2020 U6 - https://doi.org/10.1027/2151-2604/a000400 SN - 2190-8370 SN - 2151-2604 VL - 228 IS - 2 SP - 68 EP - 80 PB - Hogrefe CY - Göttingen ER - TY - JOUR A1 - Ay-Bryson, Destina Sevde A1 - Weck, Florian A1 - Kühne, Franziska T1 - Can simulated patient encounters appear authentic? BT - development and pilot results of a rating instrument based on the portrayal of depressive patients JF - Training and education in professional psychology N2 - Public Significance Statement This study demonstrates that simulated patients (SPs) can authentically portray a depressive case. The results provide preliminary evidence of psychometrically sound properties of the rating scale that contributes to distinguishing between authentic and unauthentic SPs and may thus foster SPs' dissemination into evidence-based training.
For training purposes, simulated patients (SPs), that is, healthy people portraying a disorder, are disseminating more into clinical psychology and psychotherapy. In the current study, we developed an observer-based rating instrument for the evaluation of SP authenticity-namely, it not being possible to distinguish them from real patients-so as to foster their use in evidence-based training. We applied a multistep inductive approach to develop the Authenticity of Patient Demonstrations (APD) scale. Ninety-seven independent psychotherapy trainees, 77.32% female, mean age of 31.49 (SD = 5.17) years, evaluated the authenticity of 2 independent SPs, each of whom portrayed a depressive patient. The APD demonstrated good internal consistency (Cronbach's alpha = .83) and a strong correlation (r = .82) with an established tool for assessing SP performance in medical contexts. The APD scale distinguished significantly between an authentic and unauthentic SP (d = 2.35). Preliminary evidence for the psychometric properties of the APD indicates that the APD could be a viable tool for recruiting, training, and evaluating the authenticity of SPs. Strengths, limitations, and future directions are also discussed in detail. KW - authenticity KW - evidence-based training KW - standardized patients KW - role-play KW - mental disorders Y1 - 2022 U6 - https://doi.org/10.1037/tep0000349 SN - 1931-3918 SN - 1931-3926 VL - 16 IS - 1 SP - 20 EP - 27 PB - American Psychological Association CY - Washington ER - TY - GEN A1 - Kühne, Franziska A1 - Meinders, C. A1 - Mohr, H. A1 - Hafenbrack, K. A1 - Kieseritzky, K. A1 - Rosenberger, C. A1 - Haerter, M. A1 - Schulz-Kindermann, F. A1 - Klinger, R. A1 - Nestoriuc, A. Y. T1 - Psychologische Interventionen zur Schmerzreduktion T1 - Psychological Interventions for Pain Reduction BT - Organ der Deutschen Gesellschaft zum Studium des Schmerzes, der Österreichischen Schmerzgesellschaft und der Deutschen Interdisziplinären Vereinigung für Schmerztherapie T2 - Der Schmerz N2 - Der Leserbrief fokussiert in weiten Teilen auf das Gutachterwesen, weshalb wir ausschließlich auf die inhaltlichen Punkte im Zusammenhang mit unserer Arbeit eingehen. Untersucht wurden schmerzpsychologische Interventionen, wie beschrieben definiert als psychologische Interventionen, deren primäres Ziel die Schmerzreduktion war. Die extrahierten Zielgrößen, wie Lebensqualität oder Depressivität, ergaben sich aus den in den Primärstudien untersuchten Hauptoutcomes und nicht aus der Suchstrategie. Zur Einschätzung der methodischen Qualität der Primärstudien konnte ein Kriterium des von Johannsen und Kollegen [2] gebildeten Scores nicht berücksichtigt werden, da die eingeschlossenen Primärstudien keine metaanalytische Zusammenfassung erlaubten. Stellt man dies in Rechnung, bleibt die Vergleichbarkeit beider Werte erhalten. Die Evidenzsynthese erfolgte narrativ in Text- und Tabellenform, d. h. in Form einer strukturierten Zusammenfassung und Diskussion von Studien [1]. Um unsere Arbeit zu fokussieren, hätten wir eine weitergehende Gegenüberstellung wie auch eine Überprüfung von Zitaten und Übersetzungen selbstverständlich vorgenommen, wenn wir den Hinweis dazu vor Publikation erhalten hätten. Y1 - 2017 U6 - https://doi.org/10.1007/s00482-017-0223-0 SN - 0932-433X SN - 1432-2129 VL - 31 SP - 404 EP - 404 PB - Springer CY - New York ER - TY - JOUR A1 - Kühne, Franziska A1 - Hermann, Myriel A1 - Preisler, Martina A1 - Rohrmoser, Amy A1 - Letsch, Anne A1 - Goerling, Ute T1 - Prognostic Awareness in Advanced Disease BT - A Review Update and Concept Analysis JF - Frontiers in Psychology N2 - Purpose: Although subjective knowledge about the prognosis of an advanced disease is extremely important for coping and treatment planning, the concept of prognostic awareness (PA) remains inconsistently defined. The aims of the scoping review were to synthesize a definition of PA from the most recent literature, describe preconditions, correlates and consequences, and suggest a conceptual model. Methods: By using scoping review methodology, we searched the Web of Science and PubMed databases, and included publications, reviews, meta-analyses or guidelines on all physical diagnoses, as well as publications offering a conceptual or an operational definition of PA. The data were analyzed by means of content analysis techniques. Results: Of the 24 included publications, 21 referred exclusively to cancer, one to patients with hip fractures and two to palliative care in general. The deduced definition of PA comprised the following facets: adequate estimation of chances for recovery, knowledge of limited time to live, adequate estimation of life expectancy, knowledge of therapy goals, and knowledge of the course of the disease. Further content analysis results were mapped graphically and in a detailed table. Conclusion: There appears to be a lack of theoretical embedding of PA that in turn influences the methods used for empirical investigation. Drawing on a clear conceptual definition, longitudinal or experimental studies would be desirable. KW - prognosis KW - cancer KW - oncology KW - palliative care KW - patient-centered care KW - systematic review KW - advanced disease Y1 - 2020 U6 - https://doi.org/10.3389/fpsyg.2021.629050 SN - 1664-1078 VL - 12 PB - Frontiers Research Foundation CY - Lausanne ER -