- Gambling Behavior and Treatments
- Substance Abuse Treatment and Outcomes
- Sexuality, Behavior, and Technology
- Alcohol Consumption and Health Effects
- Schizophrenia research and treatment
- Personality Disorders and Psychopathology
- Smoking Behavior and Cessation
- Child and Adolescent Psychosocial and Emotional Development
- COVID-19 and Mental Health
- Homelessness and Social Issues
- Health Promotion and Cardiovascular Prevention
- Psychiatric care and mental health services
- Digital Mental Health Interventions
- Obesity, Physical Activity, Diet
- SARS-CoV-2 and COVID-19 Research
- Liver Disease and Transplantation
- Doping in Sports
- Viral gastroenteritis research and epidemiology
- COVID-19 epidemiological studies
- Prenatal Substance Exposure Effects
- Cannabis and Cannabinoid Research
- Animal health and immunology
- Child Abuse and Trauma
- Behavioral Health and Interventions
- Migration, Health and Trauma
University of Cologne
2023-2025
University Hospital Cologne
2023-2025
IFT Institut für Therapieforschung
2018-2024
Centre for Mental Health
2024
Abstract Background Traumatic experiences in childhood can have far-reaching and serious consequences for the development of those affected. Little is known about age- sex-specific symptom patterns children adolescents following a traumatic event. These do not always manifest symptoms that meet diagnostic criteria post-traumatic stress disorder according to ICD 10. Methods In an outpatient cohort 84 aged 6 18 years, we utilised dimensional Child Behaviour Checklist (CBCL) analyse occurring...
Introduction The SARS-CoV-2 pandemic has significantly impacted children and adolescents, leading to mental health challenges. Knowledge on their resources difficulties is crucial there a need for valid instruments assess psychosocial condition especially in this exceptional situation. We assessed psychopathological symptoms using the SDQ during pandemic, comparing pre-pandemic data. Our study aims understand adolescents’ strengths amidst COVID-19, evaluating SDQ’s utility crisis settings....
While there is evidence for self-exclusion (SE) as an individual-level harm reduction intervention, its effects on reducing from gambling at the population level remain unclear. Based a review of national legal frameworks and SE programs, including their utilization enforcement in selected high-income societies, present analysis aims to explore reach strengths protection gamblers these jurisdictions. It places particular emphasis programs' potential prevent minimize level. The overview...
Abstract Young adult men who gamble frequently face an elevated risk of developing gambling-related problems. So far, little is known about how changing levels perceived social support interact with the course gambling behaviour and problems in this population. Using data from a prospective single-arm cohort study (Munich Leisure Time Study), we applied hierarchical linear models to investigate longitudinal association changes emotional (hereafter PESS; operationalized as ENRICHD Social...
Individuals with gambling disorder (GD) often suffer from psychiatric comorbidities. Previous studies demonstrated greater severity of GD among gamblers However, evidence on the association between comorbidity and course during after outpatient treatment is sparse. This study analyses data a longitudinal one-armed cohort addiction care clients over three years.We investigated using 123 in 28 facilities Bavaria generalized estimation equations (GEE). We applied time* interaction to examine...
Abstract Introduction In recent years, beverage composition of total alcohol consumption has changed substantially in Sweden. As choice is strongly associated with drinking practices, our paper aims to analyse trends by age, period and cohort. Methods Age‐period‐cohort (APC) analysis was conducted using monthly data from the Swedish Alcohol Monitoring Survey (2003–2018). The sample consisted n = 260 633 respondents aged 16–80 years. APC on drinkers only ( 193 954; 96 211 males, 97 743...
Introduction Rapid testing for Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) infections was an essential step in reducing the spread of virus and monitoring pandemic development. Most mandatory standard Germany has been performed schools daycare facilities. We investigated influence behavioral attitudinal characteristics children caregivers on their acceptance (i) antigen-based nasal swab rapid (ii) oral saliva-based pooled Polymerase Chain Reaction (PCR) tests. Methods...
Aims: Voluntary self-exclusion (VSE) programmes are intended to minimise gambling-related harm. They considered effective for the individual but several weaknesses have been reported that deter individuals from enrolment. The present paper summarises opinions about and experiences with VSE strategies assesses gaps needs regard current regulations in seven jurisdictions. Methods: A total of 102 representatives various sectors (research community; addiction help care services; prevention;...
Nephrotic syndrome in a seven-year-old Chinese shar pei resulted oliguric renal failure, coagulopathy, and acute anemia. Renal amyloidosis widespread thromboses were diagnosed postmortem. Splenic vein thrombosis caused significant splenic congestion, coagulative necrosis, is reported here as an unusual consequence of nephrotic the dog.
Abstract Background and aims Sweden has experienced a substantial decrease in adolescent drinking over the past decades. Whether reduction persists into early adulthood remains unclear. Using survey data, present study aimed to determine whether reductions indicators of alcohol use observed among adolescents remain changes intake are consistent light/moderate heavy drinkers. Design Data from Swedish monthly Alcohol Monitoring Survey (2001–20) were used construct five 5‐year birth cohorts...
Evidence on the course of gambling disorder (GD) in clients seeking help from outpatient addiction care facilities is sparse. To close this knowledge gap, longitudinal one-armed cohort study portrays development GD help-seeking over a 3-year timeframe. We investigated changes severity as well frequency and intensity 145 gamblers treatment Bavaria using generalized estimation equations (GEEs). investigate potentially different trajectories between participants with without migration...
This paper explores trends in beverage preference adolescents, identifies related regional differences, and examines cluster differences key drinking measures. Data were obtained from the European School Survey Project on Alcohol Other Drugs (ESPAD), covering 24 countries between 1999 2019. Trends distribution of alcoholic beverages participants’ most recent occasion analysed by sex country using fractional multinomial logit regression. Clusters based predicted proportions compared regarding...
Zusammenfassung. Hintergrund und Fragestellung: Spielersperren stellen eine effektive Maßnahme des Spielerschutzes dar. Sie bedürfen jedoch einer Anpassung an die Bedürfnisse von Personen mit Glücksspielproblemen. Studien weisen auf Defizite hinsichtlich Sperrvorgang -dauer sowie Zugangskontrollen hin. Ziel der qualitativen Untersuchung war es, Empfehlungen für Optimierung abzuleiten. Methodik: Mit semi-strukturierten Leitfäden wurden am Prozess Spielesperre beteiligten Akteure zu Regelungen...
Abstract Objective The prospective naturalistic study ‘Katamnese‐Studie’ conducted between 2014 and 2019 gathers evidence on the course of gambling disorder in German routine outpatient addiction care. This elucidates design methodological advantages caveats study. Methods Participants multi‐centre cohort received written questionnaires at admission 6‐, 12‐, 24‐ 36‐month follow‐up to assess socio‐demographic data, behaviour, gambling‐related consequences care offers sought. Subsequently,...
Abstract Background Given low utilization by individuals experiencing gambling problems the potential of self-exclusion (SE) might be not fully exploited in Germany. This paper aims to gain insight into different actors’ perceptions and reflections on difficulties process delineate which specific attitudes hamper a successful implementation SE. Methods 13 individual four group interviews with governmental or commercial providers were examined. A Grounded Theory Approach was used portray...
Mandatory breaks have been discussed as a harm reduction strategy in the context of gambling for several years, but their effectiveness remains unclear. The TESSA pilot study examines association physiological arousal (PA) and mandatory during with an aim to conceptualize framework subsequent randomized controlled trial.
Introduction Individuals with gambling disorder (GD) harbor cognitive distortions and dysfunctional beliefs about that may foster problematic behaviour. Evidence on particularly detrimental attitudes is however lacking. To close this knowledge gap, we analysed associations between (Gambling Attitudes Beliefs Survey (GABS-15)) severity of (DSM-5 criteria met) in a German cohort 123 individuals receiving outpatient treatment. Methods Data from the "Katamnese-Study" covering 36-months timeframe...
Public health measures during the COVID-19 pandemic had dramatic consequences for children and adolescents. However, policy-makers healthcare researchers did not give sufficient weight to children's perspectives. One common public measure was mandatory SARS-CoV-2 tests in schools. This study examines evaluation of such testing.
School Absence as Functional Impairment of Juveniles with Personality Disorders Based on ICD-11 This longitudinal study focused the question whether specialized treatment applied transference psychotherapy in a day hospital program can improve school dysfunction adolescents borderline and other personality disorders (PD). Moreover, we investigated influential factors for improvement attendance. Among 175 juvenile patients, before 60 % showed absence. Our results indicate that could...
Zusammenfassung Einleitung Nach der Collectivity-of-Drinking-Cultures-Theorie von Skog finden Veränderungen des Alkoholkonsums in allen Bevölkerungsgruppen und -schichten als parallele Verschiebungen statt. Ziele vorliegenden Beitrags sind (1) die Darstellung zeitlicher Trends riskanten Konsums episodischen Rauschtrinkens nach Altersgruppen Geschlecht (2) Prüfung, ob parallel verlaufen („Kollektivität“) oder zwischen divergieren („Polarisierung“). Methoden Datengrundlage 9 Erhebungen...
Einleitung Die exzessive Nutzung von Glücksspielen ist häufig mit schwerwiegenden negativen Konsequenzen verbunden. Effektive Maßnahmen zum Schutz exzessiver Glücksspieler stellen Spielersperren dar, die es ermöglichen, Spielerinnen und Spieler für bestimmte Zeit vom Glücksspiel auszuschließen. Bestimmungen zu unterscheiden sich in Deutschland je nach Bundesland, lediglich das staatliche gibt ein bundesweit einheitliches Sperrsystem. Trotz nachgewiesener Wirksamkeit Inanspruchnahme gering....
Einleitung Vor dem Hintergrund des rückläufigen Alkoholkonsums unter Jugendlichen in Europa wird eine eingehende Analyse Trinkverhaltens von 15-16-Jährigen mit Schwerpunkt auf riskantem Konsum durchgeführt. Die zeitlichen Verläufe Jugendlichem leichtem/moderatem und werden miteinander verglichen. Zudem Entwicklungen der Getränkewahl analysiert, zwischen Ländern verglichen ihr Zusammenhang Indikatoren riskanten Konsums untersucht. Assoziationen Trinkmotiven negativen alkoholbedingten Folgen...