A5058278164- Eating Disorders and Behaviors
- Obsessive-Compulsive Spectrum Disorders
- Psychosomatic Disorders and Their Treatments
- Cardiac Health and Mental Health
- Mental Health Treatment and Access
- Chronic Disease Management Strategies
- Obesity and Health Practices
- Health Systems, Economic Evaluations, Quality of Life
- Heart Failure Treatment and Management
- Impact of Technology on Adolescents
- Health and Medical Studies
- Mental Health and Psychiatry
- Bariatric Surgery and Outcomes
- Psychiatric care and mental health services
- Health disparities and outcomes
- Child Nutrition and Feeding Issues
- Health, psychology, and well-being
- Diet and metabolism studies
- Patient-Provider Communication in Healthcare
- Psychotherapy Techniques and Applications
- Schizophrenia research and treatment
- Body Image and Dysmorphia Studies
- Heart Rate Variability and Autonomic Control
- Complementary and Alternative Medicine Studies
- Body Contouring and Surgery
Heidelberg University
2016-2025
University Hospital Heidelberg
2016-2025
Klinik für Psychosomatik
2010-2023
Chirurgische Universitätsklinik Heidelberg
2006-2010
Regenstrief Institute
2003
Indiana University – Purdue University Indianapolis
2003
Northern General Hospital
2000
Objective: The aim of the study was to assess association hypertension and symptoms depression generalized anxiety in a large cohort elderly people. Methods: Data were derived from 8-year follow-up (2008–2010) epidemiological ESTHER-cohort study. A total 3124 randomly chosen participants aged 57–84 visited at their homes by trained doctors. General practitioner based diagnosis, self-reported status hypertension, medication, blood pressure measurement considered define existence hypertension....
In recent years, electronic diaries are increasingly used in medical research and practice to investigate patients' processes fluctuations symptoms over time. To model dynamic dependence structures feedback mechanisms between symptom-relevant variables, a multivariate time series method has be applied. We propose analyse the temporal interrelationships among variables by structural modelling approach based on graphical vector autoregressive (VAR) models. give comprehensive description of...
Inefficient cognitive flexibility is considered a neurocognitive trait marker involved in the development and maintenance of anorexia nervosa (AN). Cognitive Remediation Therapy (CRT) specific treatment targeting this style. The aim study was to investigate feasibility efficacy (by estimating effect size) specifically tailored CRT for AN, compared non-specific training.A prospective, randomized controlled, superiority pilot trial conducted. Forty women with AN receiving as usual (TAU) were...
To analyze the association of health care costs with predisposing, enabling, and need factors, as defined by Andersen's behavioral model utilization, in German elderly population.Using a cross-sectional design, cost data 3,124 participants aged 57-84 years 8-year-follow-up ESTHER cohort study were analyzed. Health utilization 3-month period was assessed retrospectively through an interview conducted trained physicians at respondents' homes. Unit applied to calculate from societal...
Conditional probability judgments of rare events are often inflated when some meaningful relation exists between the condition and low-baserate event. While traditional explanations assume that human generally insensitive to statistical baserates, more recent evidence shows much better performance problems presented in natural frequency (as opposed probability) formats conditions refer categories. The theory advanced here suggests a different explanation. Rather than postulating an priori...
Patients with medically unexplained symptoms (MUS) are frequent in primary care and substantially impaired their quality of life (QoL). Specific training general practitioners (GPs) alone did not demonstrate sustained improvement at later follow-up current reviews. We evaluated a collaborative group intervention.We conducted cluster randomized controlled trial. Thirty-five GPs recruited 304 MUS patients (intervention group: 170; control 134). All were trained diagnosis management (control...
Objective The aim of the study was to determine association between prevalence clinically significant depression and age in a large representative sample elderly German people. Methods In second follow‐up (2005–2007) ESTHER cohort study, 15‐item geriatric scale (GDS‐15) as well sociodemographic clinical questionnaire were administered 8270 people ages 53 80 years. estimated using GDS cut‐off score 5/6. Prevalence rates for different categories. Association analyzed logistic regression,...
ABSTRACT Objective To estimate direct and indirect costs of anorexia nervosa (AN), to identify cost determinants. Methods In a subsample ( n = 225) the ANTOP trial (Anorexia Nervosa Treatment OutPatients) health care utilization productivity losses were assessed at baseline for previous 3 months monetarily valued. Included females aged 18 years older diagnosed with AN or subsyndromal AN, body mass index (BMI) between 15 18.5 kg/m 2 . account missing data multiple imputation was employed....
Body image disturbance represents a central characteristic of anorexia nervosa (AN). Depression and anxiety are the most common mental comorbidities in patients with AN. This study aims to investigate relationship body symptoms depression during outpatient psychotherapy Analyses were conducted using data set Anorexia Nervosa Treatment Outpatient Study (ANTOP) randomized controlled trial. The ANTOP included N = 242 females AN between 18 56 years age. trial was designed compare enhanced...
This study investigates the role of body image self-appraisal in predicting outcomes outpatient psychotherapy patients with anorexia nervosa (AN). Multiple linear regression analyses and a path-analysis model were applied to test hypotheses that at baseline predicts treatment AN follow-up measurement. The conducted as secondary subgroup (n = 148) outpatient-cohort (ANTOP-study) (N 242) AN. results show Negative Evaluation Body perceived stress during psychotherapy, which turn depressive...
Objectives The aim of the PACT (Prioritization by pArticipation) study was to evaluate 'Life and Vitality Assessment' (LAVA) in terms visualizing exploiting priorities, resources, problem areas elderly people.
Conditional probability judgments of rare events are often inflated. Early accounts assumed a general deficit in using statistical base rates. More recent approaches predict improvement when problems presented frequency format or refer to natural categories. The present theory focuses on sampling processes. Experiment 1 showed that seeming advantage over formats is due confounded factor, the need mentally transform stimulus samples. An information search paradigm was used 2. When by...
Anorexia nervosa is a serious eating disorder leading to high morbidity and mortality as result of both malnutrition suicide. The seriousness the requires extensive knowledge effective treatment options. However, evidence for efficacy in this area remarkably weak. A recent Cochrane review states that there an urgent need large, well-designed studies patients with anorexia nervosa. aim particular multi-centre study evaluate two standardized outpatient treatments nervosa: focal psychodynamic...
Background The aim of the study was to determine predictors that influence health-related quality life (HRQOL) in a large cohort elderly diabetes patients from primary care over follow-up period five years. Methods and Results At baseline measurement ESTHER (2000–2002), 1375 out 9953 participants suffered (13.8%). 1057 these responded second-follow up (2005–2007). HRQOL at measured using SF-12; mental component scores (MCS) physical (PCS) were calculated; multiple linear regression models...
In order to limit rising publicly-financed health expenditure, out-of-pocket payments for care services (OOPP) have been raised in many industrialized countries. However, higher health-related OOPP may burden social subgroups unequally. Germany, inequalities rarely analyzed. The aim of this study was examine the German elderly population different sectors system. Socio-economic and morbidity-related determinants were analyzed.This cross-sectional analysis used data N = 3,124 subjects aged 57...