A5070793141- Migration, Health and Trauma
- Mental Health Treatment and Access
- Health Systems, Economic Evaluations, Quality of Life
- Posttraumatic Stress Disorder Research
- Disaster Response and Management
- Employment and Welfare Studies
- Disaster Management and Resilience
- Health disparities and outcomes
- Global Health Workforce Issues
- Health, psychology, and well-being
- Health and Medical Studies
- Psychiatric care and mental health services
- Global Health Care Issues
- Mental Health and Patient Involvement
- Dementia and Cognitive Impairment Research
- Psychosomatic Disorders and Their Treatments
- Migration and Labor Dynamics
- Digital Mental Health Interventions
- Schizophrenia research and treatment
- Geriatric Care and Nursing Homes
- Pharmaceutical Economics and Policy
- Education and experiences of immigrants and refugees
- Viral Infections and Outbreaks Research
- Intergenerational Family Dynamics and Caregiving
- COVID-19 and Mental Health
University Medical Center Hamburg-Eppendorf
2016-2025
Universität Hamburg
2016-2025
University of Bremen
2023
Background Syrian refugees residing in Germany often develop posttraumatic stress as a result of the civil war, their escape, and postmigration stressors. At same time, there is lack adequate treatment options. The smartphone-based app Sanadak was developed to provide cognitive behavioral therapy–based self-help Arabic language for with stress. Objective aim this study evaluate effectiveness cost-effectiveness app. Methods In randomized controlled trial, eligible individuals were randomly...
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Syrians represent the largest group among refugees in Germany. Many of them were exposed to sequential traumatizing events including war, escape and post-migration stressors, which significantly increase risk develop symptoms posttraumatic stress other mental disorders. However, there is a lack adequate treatment options for traumatized Moreover, their access psychosocial care often restricted due legal regulation, language barriers, unclear cost coverage. We therefore aim low-threshold...
Syria has been the main country of citizenship refugees in Germany since 2013. Syrians face numerous human rights violations their that can be accompanied by experience potentially traumatic events, loss and displacement. Along migration process, are exposed to various factors have an impact on mental health. The aim this study is investigate sociodemographic, war- flight-related as well post-migration predictors posttraumatic stress, depression, somatization anxiety Syrian with stress...
Collaborative and stepped care (CSC) models are recommended in guidelines because of their documented effectiveness treating depression anxiety disorders. The evidence for efficacy against other mental disorders is limited. In this study, we evaluated the a collaborative model (COMET) patients with depressive, anxiety, somatoform and/or alcohol-related related comorbidities outpatient setting Germany. We conducted prospective, cluster-randomized, controlled, parallel-group superiority trial;...
Depressive disorders are highly prevalent among older adults (60+) in Europe. Activating these patients was a core component of the GermanIMPACT study, which evaluated collaborative care cluster-randomized primary setting. The intervention group showed significant improvement PHQ-9 remission. aim this secondary analysis to investigate activities were planned and whether their implementation or non-implementation associated with depressive symptoms (PHQ-9) after 12 months. Behavioural...
Objectives For transgender and gender-diverse (TGD) people, it is known that there a lack of healthcare professionals with experience in trans healthcare. This may result either inadequate provision or an increased seeking adequate Little about services utilisation resulting costs treatment-seeking TGD people gender incongruence dysphoria (GIC/GD). Therefore, the aim this study was to determine excess associated GIC/GD Germany. Design In secondary analysis, baseline data randomised...
Refugees from war zones often have missing significant others. A loss without confirmation is described as an ambiguous loss. This physical absence with simultaneous mental persistence can be accompanied by economic, social or legal problems, boundary ambiguity (i.e., uncertainty about who belongs to the family system), and a negative impact on health. The aim of this study was identify sociodemographic loss-related predictors for prolonged grief, anxiety, depression, post-traumatic stress...
Background: The high prevalence of mental disorders related to posttraumatic stress among Syrian refugees is often in contrast with their low utilization health care the host countries. Mental self-stigma, i.e., internalized stigma having a disorder, could prevent individuals from seeking care. Therefore, we aimed provide evidence on different aspects self-stigmatization adult symptoms residing Germany. Moreover, investigated associations sociodemographic and psychopathological variables...
In this prospective study (NCT01595295), 272 patients treated with azacitidine completed 1456 EuroQol 5-Dimension (EQ-5D) questionnaires. Linear mixed-effect modelling was used to incorporate longitudinal data. When compared a matched reference population, myeloid reported more pronounced restrictions in usual activities (+28%, p < 0.0001), anxiety/depression (+21%, selfcare (+18%, 0.0001) and mobility (+15%, as well lower mean EQ-5D-5L indices (0.81 vs. 0.88, self-rated health on the...
The primary health care setting is considered a major starting point in successful obesity management. However, research indicates insufficient quality of weight counseling care. Aim the present study was to implement and evaluate 5A online tutorial aimed at improving management provider-patient-interaction stand-alone low-threshold minimal e-health intervention for general practitioners based on 5As guidance by Canadian Obesity Network.
Introduction Persons with a direct migration background made up share of around 17% the total German population in year 2020. Not much is known about migration-related determinants health-related quality life (HrQoL) persons background. This study aimed to analyze associations between HrQoL, sociodemographic, and characteristics Germany. Methods The sample this was based on four waves (2014, 2016, 2018, 2020) samples (M1 M2) Socio-Economic Panel (SOEP). SF-12 used measure HrQoL using its...
Abstract Background Germany played a key role as receiving country during the so-called refugee and displacement crisis with about 5 million asylum seekers arriving in EU between 2014 2020. It is well known that refugees (ASRs) have high burden of disease are particularly prone to mental disorders such trauma, stress-related affective disorders. Not much determinants health-related quality life (HrQoL) among ASRs, especially context flight. Therefore, aim this study was analyze associations...
Late-life depression is a highly prevalent disorder that causes large economic burden. A stepped collaborative care program was set up in order to improve for patients with late-life primary Germany: GermanIMPACT the adaption of Improving Mood-Promoting Access Collaborative Treatment (IMPACT) has already been established USA. The aim this study determine cost-effectiveness compared treatment as usual from societal perspective.This part 12-month bi-centric cluster-randomized controlled trial...
Abstract The purpose of this study was to estimate the health-related quality life (HrQoL) asylum seekers and refugees that arrived during European migrant refugee crisis in Germany between 2014 2017. analysis based on 2016 2017 samples German Socio-Economic Panel ( n = 6821). HrQoL measured using a modified version SF-12v2 questionnaire presented as physical (PCS) mental (MCS) component summary scores. PCS MCS scores for total sample, males females were calculated by sociodemographic...
Introduction Mental healthcare is one of the biggest challenges for systems. Comorbidities between different mental disorders are common, and patients suffer from a high burden disease. While effectiveness collaborative stepped care models has been shown single disorders, comorbid have rarely addressed in such models. The aim present study to evaluate model depressive, anxiety, somatoform alcohol use within multiprofessional network compared with treatment as usual. Methods analysis In...
Recruitment of so called rare populations, including refugees, for participation in research studies is challenging. We aim to share our lessons learned regarding recruitment strategies used the "Sanadak" trial, a randomized controlled trial evaluation self-help app Syrian refugees with posttraumatic stress.We conducted an interim strategies. A quantitative analysis addressed how potential study participants first about and which way they made contact us. qualitative part included...
Abstract Background It is known that the health-care service utilization in primary care of persons with a direct migration background lower compared to non-migrants. However, potential migration-related determinants are not known. Therefore, this study aimed analyze associations between and characteristics Germany. Methods The samples (M1 M2) German Socio-Economic Panel (SOEP) were used as sample for study. Associations number visits physicians previous three months examined using...
Many Syrian refugees residing in Germany have been exposed to traumatizing events, while treatment options are scarce. Therefore, the self-help app “Sanadak” was developed target post-traumatic stress refugees. We aimed inspect recruitment and baseline characteristics of participants trial, which is conducted evaluate app. Analyses were based on sample (n = 170) trial 133). Data collected during structured face-to-face interviews Arabic language. Targeted outcomes included (primary;...