Now showing 1 - 5 of 5
  • Publication
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    Screening for Posttraumatic Stress Disorder in Refugees: Comparison of the Diagnostic Efficiency of Two Self-Rating Measures of Posttraumatic Stress Disorder
    (2019)
    Wulfes, Nele 
    ;
    Del Pozo, Melina 
    ;
    Buhr-Riehm, Brigitte 
    ;
    Heinrichs, Nina 
    ;
    There is a high prevalence of posttraumatic stress disorder (PTSD) in the refugee population. In order to identify affected individuals and offer targeted help, there is an urgent need for easily understandable, reliable, valid, and efficient screening measures. The aim of the present study was to compare the diagnostic efficiency of the Process of Recognition and Orientation of Torture Victims in European Countries to Facilitate Care and Treatment (PROTECT) questionnaire (PQ) to that of the eight-item short-form Posttraumatic Diagnostic Scale (PDS-8) and the Patient Health Questionnaire (PHQ-9). Using structured clinical interviews, the prevalence rates of PTSD and major depression episode (MDE) were assessed in a refugee sample (N = 118), and receiver operating characteristic analyses were determined and compared. Of participants in the sample, 29.7%, 95% CI [22.0%, 38.5%], were diagnosed with PTSD and 33.1%, 95% CI [24.4%, 41.9%], were diagnosed with MDE. The area under the curve (AUC) for all measures was moderate, AUCs = 0.79-0.86; hence, measures did not differ in terms of their discriminatory abilities. Using the favored cutoff points, sensitivity and specificity were 80-97% and 60-70%, respectively. In terms of their discriminatory abilities, none of the investigated measures can be favored more than the others. Thus, for detection of these two disorders, the shorter PQ could be more efficient. Because the high co-occurrence of PTSD and MDE might limit the explanatory power of results in the present study, the findings should be cross-validated in the future. Spanish Abstracts by Asociación Chilena de Estrés Traumático (ACET) Tamizaje para Trastorno de Estrés Postraumático en Refugiados: Comparación de la Eficiencia Diagnóstica de 2 Medidas de auto-reporte para el Trastorno de Estrés Postraumático TAMIZAJE PARA TEPT EN REFUGIADOS Hay una alta prevalencia de Trastorno de Estrés Postraumático (TEPT) en la población de refugiados. Se requieren con urgencia medidas de tamizaje fácilmente comprensibles, confiables, válidas y eficientes, para identificar a los individuos afectados y ofrecer ayuda focalizada. El objetivo del presente estudio fue comparar la eficiencia diagnóstica del cuestionario PROTECT (PQ) con la de la forma corta de 8 ítems de la Escala de Diagnóstico Postraumático (PDS-8, por sus siglas en inglés) y del Cuestionario sobre la Salud del Paciente (PHQ-9, por sus siglas en inglés). Mediante el uso de entrevistas clínicas estructuradas, se evaluaron las tasas de prevalencia de TEPT y Episodio Depresivo Mayor (EDM) en una muestra de refugiados (n=118), además de determinar y comparar los análisis de las características operativas del receptor. De los participantes en la muestra, 29.7%, IC 95% [22.0%, 38.5%], fueron diagnosticados con TEPT y 33.1%, IC 95% [24.4%, 41.9%] fueron diagnosticados con EDM. El área bajo la curva (AUC en sus siglas en inglés) para todas las mediciones fue moderada, AUCs=.79-.86; por lo tanto, las mediciones no difirieron en términos de su capacidad discriminatoria. Usando los puntos de corte favorecidos, la sensibilidad y especificidad fueron 80-97% y 60-70% respectivamente. En términos de su capacidad discriminatoria, ninguna de las medidas investigadas puede ser favorecida más que las otras. Por lo tanto, al detectar estos dos trastornos, la PQ breve puede ser más eficiente. Dado que la co-ocurrencia de TEPT y EDM podría limitar el poder explicatorio de los resultados del presente estudio, los resultados deben ser validados de forma cruzada en el futuro. Traditional and Simplified Chinese Abstracts by the Asian Society for Traumatic Stress Studies (AsianSTSS) 簡體及繁體中文撮要由亞洲創傷心理研究學會翻譯 Screening for Posttraumatic Stress Disorder in Refugees: Comparison of the Diagnostic Efficiency of Two Self-Rating Measures for Posttraumatic Stress Disorder Traditional Chinese 標題: 為難民進行創傷後壓力症篩查:對比兩種創傷後壓力症自評測量工具的診斷效率 撮要: 創傷後壓力症(PTSD)在難民當中極為普遍。我們急切需要一個容易理解、可靠、既有效又有效率的篩查工具༌以找出受影響人士並提供針對性協助。本研究旨在對比PROTECT問卷(PQ)、8個項目的創傷後壓力診斷量表(PDS-8)簡要版、及病人健康狀況問卷(PHQ-9)的診斷效率。我們透過與難民樣本(N = 118)進行結構性臨床面談༌評估樣本的PTSD普遍率與嚴重抑鬱節段(MDE);亦找出接收者操作特徵༌並進行對比分析。樣本中༌29.7%人士被診斷患有PTSD(95% CI [22.0%, 38.5 %])༌33.1%患有MDE(95% CI [24.4%, 41.9%])。所有測量中༌曲線下面積(AUC)均為中等(AUCs = .79 -.86)。因此༌測量工具在判別效能方面並無差別。採用偏愛的取錄點檢視༌敏感性與特殊性分別為80-97%與60-70%。在判別效能方面༌檢視的測量工具中並無任何一種表現特別好。因此༌當對以上兩種疾病作篩查時༌採用較簡短的PQ可能更有效率。由於PTSD與MDE的共病率高༌有可能削弱了本研究的解釋力༌未來研究應與是次研究的發現作交叉驗證。 Simplified Chinese 标题: 为难民进行创伤后压力症筛查:对比两种创伤后压力症自评测量工具的诊断效率 撮要: 创伤后压力症(PTSD)在难民当中极为普遍。我们急切需要一个容易理解、可靠、既有效又有效率的筛查工具༌以找出受影响人士并提供针对性协助。本研究旨在对比PROTECT问卷(PQ)、8个项目的创伤后压力诊断量表(PDS-8)简要版、及病人健康状况问卷(PHQ-9)的诊断效率。我们透过与难民样本(N = 118)进行结构性临床面谈༌评估样本的PTSD普遍率与严重抑郁节段(MDE);亦找出接收者操作特征༌并进行对比分析。样本中༌29.7%人士被诊断患有PTSD(95% CI [22.0%, 38.5 %])༌33.1%患有MDE(95% CI [24.4%, 41.9%])。所有测量中༌曲线下面积(AUC)均为中等(AUCs = .79 -.86)。因此༌测量工具在判别效能方面并无差别。采用偏爱的取录点检视༌敏感性与特殊性分别为80-97%与60-70%。在判别效能方面༌检视的测量工具中并无任何一种表现特别好。因此༌当对以上两种疾病作筛查时༌采用较简短的PQ可能更有效率。由于PTSD与MDE的共病率高༌有可能削弱了本研究的解释力༌未来研究应与是次研究的发现作交叉验证。.
  • Publication
    Metadata only
    Cognitive distortions in anorexia nervosa and borderline personality disorder
    (2018)
    Del Pozo, Melina 
    ;
    Harbeck, Susanne 
    ;
    Zahn, Sabine 
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    Kliem, Sören 
    ;
    Thought-shape fusion (TSF) is a cognitive distortion associated with eating disorders (ED). A similar distortion, thought-abandonment fusion (TAbF), is assumed to occur in borderline personality disorder (BPD). In this study the specificity of TSF in participants with anorexia nervosa (AN) and TAbF in participants with BPD was examined. 63 patients completed questionnaires assessing the manifestation of trait-TAbF and trait-TSF, as well as relevant psychopathology. Nonparametric conditional inference trees were used to test for cognitive disorder-specificity. Participants with AN exhibited higher trait-TSF-scores than those with BPD, when participants with BPD and a co-occurring AN were removed. Trait-TSF in participants with AN seemed to be disorder-specific. Participants with BPD and a co-occurring AN had the highest TAbF-scores. The specificity hypothesis could only be partially confirmed for trait-TAbF: while participants with BPD and a co-occurring AN tended to have the highest trait-TAbF scores, high mean values could also be found in participants with AN. The results indicate that TAbF is not specific to BPD, but may also play a role in AN. Both distortions seem to play a role in the maintenance of the respective disorders.
  • Publication
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    Stationäre psychodynamisch orientierte multimodale Therapie von Patienten mit Borderline-Persönlichkeitsstörung
    (2018)
    Del Pozo, Melina 
    ;
    Kliem, Sören 
    ;
    Mestel, Robert 
    ;
    Votsmeier-Röhr, Achim 
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    Psychodynamically oriented multimodal therapy approaches are efficacious for outpatients with borderline personality disorder (BPD). Until now, no study has reported the effectiveness, response, and dropout in a psychodynamic oriented multimodal therapy program for inpatients (PDOMT). In this study, we compared the results of 269 individuals seeking a 3-month inpatient treatment with previous studies for BPD inpatients by examining 269 individuals. The Borderline Personality Index (CUT-20-R) was used as the main outcome measure. Therapy outcome was defined in effect size (ES), response, and remission rates. In the pre-post comparison of the CUT-20-R, the ES was 0.74. The response and the remission rates were 34.6% and 2.6%. 50.6% of participants remained unchanged, 6.7% deteriorated, and 27.5% finished treatment prematurely. Male gender and patients with a dependent personality disorder increased the dropout risk. The results suggest that PDOMT might be effective for some, but not all BPD patients. Due to methodological shortcomings of the chosen strategy, future research should examine the effectiveness of PDOMT in a randomized controlled trial. Psychodynamisch orientierte multimodale Therapien haben sich in der ambulanten Behandlung der Borderline-Persönlichkeitsstörung (BPD) als wirksam erwiesen. Bisher hat keine Studie über Wirksamkeit, Response und Drop-out eines psychodynamisch orientierten multimodalen Therapieansatzes im stationären Setting (PDOMK) berichtet. In dieser Studie wurden die Ergebnisse von 269 Patienten, die an einer 3-monatigen stationären Therapie teilgenommen haben, mit Ergebnissen aus früheren Studien verglichen. Als wichtigster Indikator für den Therapieerfolg wurde das Borderline-Persönlichkeits-Inventar (CUT-20-R) herangezogen. Therapieerfolg wurde in Effektstärken (ES) sowie Response- und Remissionsraten ausgedrückt. Im Prä-Post-Vergleich des CUT-20-R betrug die ES 0,74. Die Responserate betrug 34,6% und die Remissionsrate 2,6%. 50,6% der teilnehmenden Patienten zeigten keine Veränderung in ihrer BPD-spezifischen Symptomatik, 6,7% verschlechterten sich und 27,5% beendeten die Therapie vorzeitig. Das Dropout-Risiko war bei Männern sowie Patienten mit einer abhängigen Persönlichkeitsstörung erhöht. Die Ergebnisse sprechen dafür, dass PDOMK bei einigen, jedoch nicht bei allen BPD-Patienten wirksam sein kann. Aufgrund der methodischen Einschränkungen dieser Studie sollten zukünftige Arbeiten die Wirksamkeit von PDOMK in einem randomisiert-kontrollierten Design untersuchen.
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  • Publication
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    Erfassung von Impulsivität und emotionaler Dysregulation bei Jugendlichen mit Borderline-Persönlichkeitsstörung
    (2017) ;
    Del Pozo, Melina 
    ;
    Kosfelder, Joachim 
    ;
    Allroggen, Marc 
    ;
    Grabowski, Gabriele 
    ;
    Legenbauer, Tanja 
  • Publication
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    Effektivität von kognitiver Verhaltenstherapie bei arbeitslosen und erwerbstätigen Patienten mit prävalenten psychischen Störungen
    (2017)
    Maurer, Friederike 
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    Kliem, Sören 
    ;
    Bode, Katharina 
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    Del Pozo, Melina 
    ;
    Background Unemployed individuals suffer more from mental strain than those who have jobs. Up until now, little information could be found regarding the effectiveness of cognitive behavioral therapy (CBT) for unemployed people with mental disorders. The aim of this study was to compare the impact of CBT on employed versus unemployed individuals in a naturalistic setting. Methods 92 outpatients with prevalent mental disorders (depression and anxiety) were matched post-hoc and assessed pre-treatment, post-treatment, and at follow-up. Results Unemployed individuals were more impaired at all assessment points. The multi-level analysis showed that both groups benefited equally. Moderate-to-large effect sizes were found in both groups. At follow-up-assessment, one third of the unemployed sample and one-fifth of those with jobs were classified as unimpaired. The job integration rate was 26%. Discussion The effect sizes indicate that CBT is beneficial for both groups. However, unemployed participants were as impaired at post-treatment as the employed were at pre-treatment. The job integration rate of 26% was comparable to the general integration rate in Germany (25%), although no work-focused interventions were carried out during the adjustment period. Conclusions CBT is effective for unemployed individuals, but because the unemployed participants were still more impaired at post-treatment, they might have a higher risk of relapse.