TY - JOUR A1 - Ladwig, Simon A1 - Zhou, Zien A1 - Xu, Ying A1 - Wang, Xia A1 - Chow, Clara K. A1 - Werheid, Katja A1 - Hackett, Maree L. T1 - Comparison of treatment rates of depression after stroke versus myocardial infarction BT - a systematic review and meta-analysis of observational data JF - Psychosomatic medicine N2 - 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. KW - depression KW - myocardial infarction KW - pharmacoepidemiology KW - stroke KW - treatment Y1 - 2018 U6 - https://doi.org/10.1097/PSY.0000000000000632 SN - 0033-3174 SN - 1534-7796 VL - 80 IS - 8 SP - 754 EP - 763 PB - Lippincott Williams & Wilkins CY - Philadelphia 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 - Gropalis, Maria A1 - Bailer, Josef A1 - Weck, Florian A1 - Witthöft, Michael T1 - Optimierung von Expositionstherapie bei pathologischen Krankheitsängsten T1 - Optimization of exposure therapy for pathological health anxiety BT - Theoretische Grundlagen und praktische Implikationen BT - Theoretical principles and practical implications JF - Psychotherapeut N2 - Pathologische Krankheitsängste wurden bislang nach ICD und DSM primär als somatoforme Störung bzw. als somatische Belastungsstörung klassifiziert. Theoretische Erwägungen und empirische Befunde legen jedoch nahe, dass es sich bei pathologischen Krankheitsängsten eigentlich um eine Angststörung handelt. Innerhalb des vorliegenden Beitrags wird dafür argumentiert, dass Defizite in der aktuellen Behandlungspraxis und in der Wahrnehmung von Patienten mit Hypochondrie als „schwierige Patienten“ teilweise auf Unklarheit in der Nosologie sowie bezüglich der entscheidenden Mechanismen der Entstehung und Aufrechterhaltung zurückzuführen sind. Ausgehend von innovativen theoretischen Ansätzen zur Erklärung pathologischer Krankheitsängste werden Vorschläge für eine verbesserte therapeutische Praxis skizziert. Der Fokus liegt hierbei auf einem verstärken Einsatz expositionsbasierter Behandlungselemente, die sich am „Inhibitory-learning“-Ansatz orientieren und sich bei anderen Angststörungen bereits bewährt haben. N2 - Up to now pathological health anxiety has been classified primarily as a somatoform disorder or a somatic symptom disorder in ICD and DSM. Theoretical and empirical evidence, however, suggest that pathological health anxiety basically represents an anxiety disorder. In this paper, it is argued that deficits in the treatment and perception of patients with pathological health anxiety as "difficult patients" are partly attributable to a lack of clarity in terms of nosology and with respect to central mechanisms of etiology and pathogenesis. Based on novel theoretical approaches for the explanation of pathological health anxiety, suggestions for an improved therapeutic practice are outlined. This approach focuses on a more intensive use of exposure-based treatment elements that are oriented to the inhibitory learning approach, which has already proven its effectiveness for other anxiety disorders. KW - Hypochondriasis KW - Anxiety disorders KW - Inhibition KW - Learning KW - Cognitive behavior therapy KW - Hypochondrie KW - Angststörungen KW - Inhibition KW - Lernen KW - Kognitive Verhaltenstherapie Y1 - 2018 U6 - https://doi.org/10.1007/s00278-018-0285-1 SN - 0935-6185 SN - 1432-2080 VL - 63 IS - 3 SP - 188 EP - 193 PB - Springer CY - New York ER - TY - JOUR A1 - Hohenstein, Sven A1 - Matuschek, Hannes A1 - Kliegl, Reinhold T1 - Linked linear mixed models: A joint analysis of fixation locations and fixation durations in natural reading JF - Psychonomic bulletin & review : a journal of the Psychonomic Society N2 - The complexity of eye-movement control during reading allows measurement of many dependent variables, the most prominent ones being fixation durations and their locations in words. In current practice, either variable may serve as dependent variable or covariate for the other in linear mixed models (LMMs) featuring also psycholinguistic covariates of word recognition and sentence comprehension. Rather than analyzing fixation location and duration with separate LMMs, we propose linking the two according to their sequential dependency. Specifically, we include predicted fixation location (estimated in the first LMM from psycholinguistic covariates) and its associated residual fixation location as covariates in the second, fixation-duration LMM. This linked LMM affords a distinction between direct and indirect effects (mediated through fixation location) of psycholinguistic covariates on fixation durations. Results confirm the robustness of distributed processing in the perceptual span. They also offer a resolution of the paradox of the inverted optimal viewing position (IOVP) effect (i.e., longer fixation durations in the center than at the beginning and end of words) although the opposite (i.e., an OVP effect) is predicted from default assumptions of psycholinguistic processing efficiency: The IOVP effect in fixation durations is due to the residual fixation-location covariate, presumably driven primarily by saccadic error, and the OVP effect (at least the left part of it) is uncovered with the predicted fixation-location covariate, capturing the indirect effects of psycholinguistic covariates. We expect that linked LMMs will be useful for the analysis of other dynamically related multiple outcomes, a conundrum of most psychonomic research. KW - Linear mixed model KW - Model linkage KW - Eye movements KW - Reading Y1 - 2017 U6 - https://doi.org/10.3758/s13423-016-1138-y SN - 1069-9384 SN - 1531-5320 VL - 24 SP - 637 EP - 651 PB - Springer CY - New York 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 - Esser, Günter T1 - Rezension zu: Geissler, Julia; Vloet, Timo D.; Romanos, Marcel; Zwanzger, Ulrike; Jans, Thomas: Verhaltenstherapie bei ADHS im Jugendalter : ein modular aufgebautes Therapieprogramm. - Göttingen: Hogrefe, 102 S. - (Therapeutische Praxis, Bd. 94). - ISBN: 978-3-8017-2979-0 JF - Zeitschrift für Klinische Psychologie und Psychotherapie Y1 - 2020 U6 - https://doi.org/10.1026/1616-3443/a000551 SN - 1616-3443 SN - 2190-6297 VL - 49 IS - 2 SP - 138 EP - 139 PB - Hogrefe CY - Göttingen ER - TY - JOUR A1 - Weck, Florian T1 - Ein praxisnaher Leitfaden zur kognitiv-verhaltenstherapeutischen Behandlung von Auftrittsängsten bei Musikerinnen und Musikern BT - Rezension zu: Mumm, Jennifer ; Plag, Jens ; Fehm, Lydia ; Witzleben Ines von ; Fernholz, Isabel; Schmidt, Alexander; Stöhle, Andreas: Auftrittsängste bei Musikerinnen und Musikern : ein kognitiv-verhaltenstherapeutischer Behandlungsleitfaden. - Göttingen: Hogrefe, 2020. - 231 S. - ISBN 978-3-8017-2988-2 JF - Zeitschrift für Klinische Psychologie und Psychotherapie Y1 - 2021 SN - 978-3-8017-2988-2 U6 - https://doi.org/10.1026/1616-3443/a000615 SN - 1616-3443 SN - 2190-6297 VL - 50 IS - 1 SP - 46 EP - 47 PB - Hogrefe CY - Göttingen ER - TY - JOUR A1 - Maaß, Ulrike T1 - Rezension zu: Edelmann, Walter, Wittmann, Simone: Lernpsychologie – mit Online-Material. - (8., vollständig überarbeitete Auflage). - Weinheim; Basel: Beltz, 2019. - 264 S. : Illustrationen, Diagramme. - ISBN 978-3-621-28601-5 JF - Zeitschrift für klinische Psychologie und Psychotherapie : Forschung und Praxis ; Organ der Deutschen Gesellschaft für Psychologie (DGPS), der Sektion Klinische Psychologie im Berufsverband Deutscher Psychologinnen und Psychologen (BDP), der Deutschen Gesellschaft für Verhaltenstherapie e.V. (DGVT), der Gesellschaft für wissenschaftliche Gesprächspsychotherapie e.V. (GWG) und der Sektion Klinische Psychologie im Berufsverband Österreichischer Psychologen (B.Ö.P.) Y1 - 2021 SN - 978-3-621-28601-5 U6 - https://doi.org/10.1026/1616-3443/a000604 SN - 1616-3443 SN - 2190-6297 VL - 50 IS - 2 SP - 100 EP - 101 PB - Hogrefe CY - Göttingen ER - TY - JOUR A1 - Poltz, Nadine T1 - Rezension zu: Bernart, Hartmut E.; Weinig, Jacob. - Rechenschwierigkeiten und Rechenstörungen – Multimodales Therapieprogramm für Kinder- und Jugendliche. - Beltz: Weinheim, 2020. - 300 S. - ISBN 978-3-621-28698-5 JF - Zeitschrift für Klinische Psychologie und Psychotherapie Y1 - 2020 SN - 978-3-621-28698-5 U6 - https://doi.org/10.1026/1616-3443/a000584 SN - 1616-3443 SN - 2190-6297 VL - 49 IS - 3 SP - 191 EP - 192 PB - Hogrefe CY - Göttingen ER - TY - JOUR A1 - Mota, Simon A1 - Leckelt, Marius A1 - Geukes, Katharina A1 - Nestler, Steffen A1 - Humberg, Sarah A1 - Schröder-Abe, Michela A1 - Schmukle, Stefan C. A1 - Back, Mitja D. T1 - A comprehensive examination of narcissists’ self-perceived and actual socioemotional cognition ability JF - Collabra: Psychology N2 - Narcissists are assumed to lack the motivation and ability to share and understand the mental states of others. Prior empirical research, however, has yielded inconclusive findings and has differed with respect to the specific aspects of narcissism and socioemotional cognition that have been examined. Here, we propose a differentiated facet approach that can be applied across research traditions and that distinguishes between facets of narcissism (agentic vs. antagonistic) on the one hand, and facets of socioemotional cognition ability (SECA; self-perceived vs. actual) on the other. Using five nonclinical samples in two studies (total N = 602), we investigated the effect of facets of grandiose narcissism on aspects of socioemotional cognition across measures of affective and cognitive empathy, Theory of Mind, and emotional intelligence, while also controlling for general reasoning ability. Across both studies, agentic facets of narcissism were found to be positively related to perceived SECA, whereas antagonistic facets of narcissism were found to be negatively related to perceived SECA. However, both narcissism facets were negatively related to actual SECA. Exploratory condition-based regression analyses further showed that agentic narcissists had a higher directed discrepancy between perceived and actual SECA: They self-enhanced their socio-emotional capacities. Implications of these results for the multifaceted theoretical understanding of the narcissism-SECA link are discussed. KW - narcissism KW - socioemotional cognition KW - self-perceived ability KW - actual ability KW - empathy KW - emotional intelligence KW - self-enhancement Y1 - 2018 U6 - https://doi.org/10.1525/collabra.174 SN - 2474-7394 VL - 5 IS - 1 PB - University of California Press CY - Oakland ER -