Biofeedbackgestutzte kognitiv-behaviorale Intervention bei chronischem Tinnitus: Entwicklung und ... more Biofeedbackgestutzte kognitiv-behaviorale Intervention bei chronischem Tinnitus: Entwicklung und Evaluation eines Behandlungs-leitfadens : [Biofeedback-based behavioural treatment of chronic tinnitus: Development and evaluation of a treatment approach]
It's the end of the year – and we look back to an enormously challenging year. We went throug... more It's the end of the year – and we look back to an enormously challenging year. We went through several restrictions in our professional and private lives, we adapted study programs to legal regulations on behaviour during the Pandemic, we missed the direct personal contacts which in the past used to be so essential to find solutions during debates, and we saw things during Zoom conferences that we didn’t want to see. Our society is experiencing a deep and bitter division that is challenging psychology more than it has in a long time. It is quite understandable that people are annoyed, and have lost the motivation to reflect on the current situation. But still, it's also the time of the year that stands for dreams and wishes. A world without dreams and hopes and wishes is something we would not want to imagine. To exile such a nightmare, we needed an optimistic outlook which can bring us safely through the year 2022. Therefore, we from CPE encouraged the members of our editor...
The original version of this chapter unfortunately contained two errors: in author name and order... more The original version of this chapter unfortunately contained two errors: in author name and order of author. These two errors has been corrected and the below are the updated correction: 1. The author name "Sylvie Hall Hébert" is changed to "Sylvie Hébert". 2. The order of author name Deborah A. Hall is listed before Sylvie Hébert.
premenstrual phase [9]. Serotonin neurotransmission is discussed as a possible key mechanism expl... more premenstrual phase [9]. Serotonin neurotransmission is discussed as a possible key mechanism explaining the relationship between PMDD and depression. However, the involved neuronal brain circuits and the exact changes in serotonin metabolism have been demonstrated to be different between depression and PMDD [8]. In our sample, 15 participants took a selective serotonin reuptake inhibitor and 1 took a tricyclic antidepressant. We statistically controlled for the intake of antidepressants. In summary, we agree with the letter’s authors that it is important to control for depression in a trial of women with PMDD. We put a lot of effort in the diagnostic procedure in our trial. To avoid merging cases of PMDD and premenstrual exacerbation of depression in our study, we excluded women with symptoms classifying for moderate to severe depression. Thus, the moderator effect of seeking social support as a coping mechanism is rather unlikely to be attributed to a current diagnosis of depression only.
Background: Given the high prevalence of clinically relevant premenstrual symptoms and the associ... more Background: Given the high prevalence of clinically relevant premenstrual symptoms and the associated impairment, there is a need for effective treatments. Initial evidence suggests cognitive-behavioural therapy (CBT) as an effective treatment for premenstrual dysphoric disorder (PMDD). The aim of the current randomized clinical trial was to evaluate an Internet-based CBT (iCBT) to reduce the burden of PMDD. Methods: In all, 174 women with PMDD were recruited via newspaper articles, flyers, and social media. They were randomized to a treatment group (TG; n = 86) or waitlist control group (CG; n = 88). Women of the TG received an 8-week therapist-guided iCBT. Data were assessed before and after treatment/waiting, and 6 months after intervention with prospective symptom diaries and questionnaires in the premenstrual phase. Treatment effects and moderators were analysed using hierarchical linear modelling. Results: Significant time × group interaction effects on functional impairment and psychological impairment, impact on everyday life, symptom intensity, and symptom disability in favour of the TG indicated the efficacy of the treatment. Follow-up assessments demonstrated treatment effects to be stable until 6 months after treatment. Additionally, significant interactions with moderator variables were found. In the TG, higher levels of active coping and lower levels of support-seeking coping were associated with stronger improvement in interference in everyday life and symptom intensity. In addition, lower levels of perceived stress were associated with stronger improvement in functional impairment. Conclusion: The iCBT was highly effective in reducing the burden of PMDD. It appears to be particularly important to address coping styles and stress management in the treatment.
ABSTRACT During the premenstrual phase, psychological and physiological changes can occur, which ... more ABSTRACT During the premenstrual phase, psychological and physiological changes can occur, which are associated with different levels of disability. When they appear with Premenstrual Dysphoric Disorder (PMDD), different coping strategies may be used by women to deal with premenstrual changes. Currently no German measure exists for assessing premenstrual symptom-related coping strategies. Therefore, we developed the Premenstrual Change Coping Inventory (PMS-Cope). First, the 33-item questionnaire was tested with an exploratory factor analytic approach (EFA) in a sample of 150 women prospectively diagnosed with PMDD or severe Premenstrual Syndrome from August 2013 until March 2016. The EFA resulted in a 12-item scale with a two-factor structure: “seeking positive affect-inducing activities” and “seeking support”; Cronbach`s alpha of 0.73 and 0.71, respectively, demonstrated good reliability for both factors. Confirmatory factor analysis based on a second sample of 89 women conducted from May 2016 until June 2016 confirmed the two-factor structure. Additionally, a potential third factor “healthcare use behavior” was tested with an EFA. For the three-factor solution, satisfactory Cronbach’s alpha values (0.70–0.72) were detected. The PMS-Cope was shown to be a valid, reliable, and economic measure. In future research, cross validations and confirmatory factor analyses with the three-factor solution should be conducted.
Das Kapitel 6 richtet sich an die fachlichen Leser, die das vorliegende Buch als Behandlungsleitf... more Das Kapitel 6 richtet sich an die fachlichen Leser, die das vorliegende Buch als Behandlungsleitfaden nutzen wollen. Die Informationen in diesem Kapitel dienen insbesondere dazu, gunstige Ausgangsbedingungen fur die Behandlung zu schaffen. Es werden drei Leitfragen vorgestellt, anhand derer wichtige Inhalte fur den Beginn einer Behandlung abgeleitet werden. Die erste Frage befasst sich mit der genauen psychologischen Tinnitusdiagnostik. Die zweite Frage beschaftigt sich damit, welche Vorstellungen die Patienten uber Entstehung und Aufrechterhaltung ihres Tinnitus haben und wie mit einem stark medizinisch orientierten Krankheitsverstandnis umgegangen werden kann. Schlieslich wird mit der dritten Frage darauf hingewiesen, wie Erwartungen der Patienten an die Behandlung erfragt und hinsichtlich deren Nutzen fur die Behandlung gepruft werden konnen. Im letzten Abschnitt des Kapitels werden weitere wichtige Voraussetzungen fur den Beginn des Selbsthilfetrainings vorgestellt.
Das 5. Kapitel gibt einen knappen Uberblick uber Ansatze zur Behandlung bei Tinnitus. Im ersten A... more Das 5. Kapitel gibt einen knappen Uberblick uber Ansatze zur Behandlung bei Tinnitus. Im ersten Abschnitt werden verschiedene medikamentose Behandlungen vorgestellt und deren Einsatzmoglichkeiten sowie Wirksamkeitsbelege angesprochen. Im zweiten Abschnitt werden Masnahmen der apparativ-akustischen Therapie dargestellt. Diese beinhalten beispielsweise die Anpassung eines Horgerates oder eines sogenannten Tinnitus-Noisers. Anschliesend stellen wir im dritten Abschnitt orthopadische Ansatze, Akupunktur und Entspannungsverfahren vor. Schlieslich beschaftigt sich der letzte Abschnitt mit psychologischen Ansatzen, die auf eine Verringerung der Tinnitusbelastung abzielen. Da es eine grose Vielfalt von Behandlungsansatzen gibt, ist es fur Betroffene (wie auch fur Behandler) wichtig, uber verschiedene seriose Behandlungsmoglichkeiten Bescheid zu wissen, um den individuellen Nutzen einzelner Verfahren abwagen zu konnen.
When the two editors-in-chief of this journal met to discuss whether we should strive for a Chris... more When the two editors-in-chief of this journal met to discuss whether we should strive for a Christmas editorial this year, it was a moment of desperation. We began brainstorming potential topics over Zoom. It had been the fourth video conference on a Friday after‐ noon for both of us, and we were starting to experience headaches, fatigue, vision and concentration problems, as well as annoying noises in the ear. And we also felt that we are tired of speaking and writing about all the events that characterized this very special year. Last but not least we considered: Is a Christmas editorial still contemporary and fresh, especially if we want to express our openness to the diversity of people, cultures, and religions? We started by investigating the background of Christmas, and we did it empirically (what else would you expect?). A word search in the Bible with typical, Christmas-asso‐ ciated items seemed a good way to start to evaluate religious chauvinism. However, neither “Rudolph,...
IntroductionDespite high levels of mental distress, accessing psychological treatment is difficul... more IntroductionDespite high levels of mental distress, accessing psychological treatment is difficult for asylum seekers in Western host countries due to a lack of knowledge about mental disorders, and the health system, as well as due to cultural and language barriers. This study aims to investigate whether brief culturally sensitive and transdiagnostic psychoeducation is effective in increasing mental health literacy.Methods and analysisThe study is a parallel two-group randomised controlled trial with 1:1 individual allocation to either culturally sensitive, low-threshold psychoeducation (‘Tea Garden’ (TG)) or a waitlist (WL) control group. It takes place at four study sites in Germany. A total of 166 adult asylum seekers who report at least mild mental distress will be randomly assigned. The TG consists of two 90 min group sessions and provides information about mental distress, resources and mental health services in a culturally sensitive manner. The primary outcome is the percen...
Background Tinnitus is a particularly common condition and can have debilitating psychological co... more Background Tinnitus is a particularly common condition and can have debilitating psychological consequences for certain people. Although several interventions have been helpful in teaching individuals to better cope with tinnitus, no cure exists at present. Neurofeedback is an emerging treatment modality in tinnitus. Previous studies, utilising an alpha/delta training protocol, have shown promise. However, they were characterised by small sample sizes and a lack of neurofeedback control conditions. Therefore, the aim of this study is to investigate whether an alpha/delta neurofeedback training protocol, compared to beta/theta neurofeedback or a diary control group, is effective in reducing not only the tinnitus sound perception but also the psychological symptoms associated with the condition. Methods The study is designed as a three-armed randomised controlled trial. Participants are randomly assigned to a) an established neurofeedback protocol for tinnitus (alpha/delta training), ...
The Bologna Process was initiated to harmonize study processes and contents throughout Europe in ... more The Bologna Process was initiated to harmonize study processes and contents throughout Europe in order to facilitate communication and cross-border study exchange. However, when it comes to postgraduate education and practical work in clinical psychology, no such harmonization exists - there is still significant heterogeneity between European countries. To initiate the section Politics and Education, we analysed the current situation in Europe with regard to national regulations on education, training and practice in clinical psychology and psychological treatment and give a brief summary on the status quo. There are extensive differences across Europe regarding governmental and national regulations for psychologists in general, and clinical psychologists in particular. Whereas some countries have very detailed regulations including a description of reserved activities for clinical psychologists, others leave the profession widely unregulated. When it comes to psychological treatmen...
Biofeedbackgestutzte kognitiv-behaviorale Intervention bei chronischem Tinnitus: Entwicklung und ... more Biofeedbackgestutzte kognitiv-behaviorale Intervention bei chronischem Tinnitus: Entwicklung und Evaluation eines Behandlungs-leitfadens : [Biofeedback-based behavioural treatment of chronic tinnitus: Development and evaluation of a treatment approach]
It's the end of the year – and we look back to an enormously challenging year. We went throug... more It's the end of the year – and we look back to an enormously challenging year. We went through several restrictions in our professional and private lives, we adapted study programs to legal regulations on behaviour during the Pandemic, we missed the direct personal contacts which in the past used to be so essential to find solutions during debates, and we saw things during Zoom conferences that we didn’t want to see. Our society is experiencing a deep and bitter division that is challenging psychology more than it has in a long time. It is quite understandable that people are annoyed, and have lost the motivation to reflect on the current situation. But still, it's also the time of the year that stands for dreams and wishes. A world without dreams and hopes and wishes is something we would not want to imagine. To exile such a nightmare, we needed an optimistic outlook which can bring us safely through the year 2022. Therefore, we from CPE encouraged the members of our editor...
The original version of this chapter unfortunately contained two errors: in author name and order... more The original version of this chapter unfortunately contained two errors: in author name and order of author. These two errors has been corrected and the below are the updated correction: 1. The author name "Sylvie Hall Hébert" is changed to "Sylvie Hébert". 2. The order of author name Deborah A. Hall is listed before Sylvie Hébert.
premenstrual phase [9]. Serotonin neurotransmission is discussed as a possible key mechanism expl... more premenstrual phase [9]. Serotonin neurotransmission is discussed as a possible key mechanism explaining the relationship between PMDD and depression. However, the involved neuronal brain circuits and the exact changes in serotonin metabolism have been demonstrated to be different between depression and PMDD [8]. In our sample, 15 participants took a selective serotonin reuptake inhibitor and 1 took a tricyclic antidepressant. We statistically controlled for the intake of antidepressants. In summary, we agree with the letter’s authors that it is important to control for depression in a trial of women with PMDD. We put a lot of effort in the diagnostic procedure in our trial. To avoid merging cases of PMDD and premenstrual exacerbation of depression in our study, we excluded women with symptoms classifying for moderate to severe depression. Thus, the moderator effect of seeking social support as a coping mechanism is rather unlikely to be attributed to a current diagnosis of depression only.
Background: Given the high prevalence of clinically relevant premenstrual symptoms and the associ... more Background: Given the high prevalence of clinically relevant premenstrual symptoms and the associated impairment, there is a need for effective treatments. Initial evidence suggests cognitive-behavioural therapy (CBT) as an effective treatment for premenstrual dysphoric disorder (PMDD). The aim of the current randomized clinical trial was to evaluate an Internet-based CBT (iCBT) to reduce the burden of PMDD. Methods: In all, 174 women with PMDD were recruited via newspaper articles, flyers, and social media. They were randomized to a treatment group (TG; n = 86) or waitlist control group (CG; n = 88). Women of the TG received an 8-week therapist-guided iCBT. Data were assessed before and after treatment/waiting, and 6 months after intervention with prospective symptom diaries and questionnaires in the premenstrual phase. Treatment effects and moderators were analysed using hierarchical linear modelling. Results: Significant time × group interaction effects on functional impairment and psychological impairment, impact on everyday life, symptom intensity, and symptom disability in favour of the TG indicated the efficacy of the treatment. Follow-up assessments demonstrated treatment effects to be stable until 6 months after treatment. Additionally, significant interactions with moderator variables were found. In the TG, higher levels of active coping and lower levels of support-seeking coping were associated with stronger improvement in interference in everyday life and symptom intensity. In addition, lower levels of perceived stress were associated with stronger improvement in functional impairment. Conclusion: The iCBT was highly effective in reducing the burden of PMDD. It appears to be particularly important to address coping styles and stress management in the treatment.
ABSTRACT During the premenstrual phase, psychological and physiological changes can occur, which ... more ABSTRACT During the premenstrual phase, psychological and physiological changes can occur, which are associated with different levels of disability. When they appear with Premenstrual Dysphoric Disorder (PMDD), different coping strategies may be used by women to deal with premenstrual changes. Currently no German measure exists for assessing premenstrual symptom-related coping strategies. Therefore, we developed the Premenstrual Change Coping Inventory (PMS-Cope). First, the 33-item questionnaire was tested with an exploratory factor analytic approach (EFA) in a sample of 150 women prospectively diagnosed with PMDD or severe Premenstrual Syndrome from August 2013 until March 2016. The EFA resulted in a 12-item scale with a two-factor structure: “seeking positive affect-inducing activities” and “seeking support”; Cronbach`s alpha of 0.73 and 0.71, respectively, demonstrated good reliability for both factors. Confirmatory factor analysis based on a second sample of 89 women conducted from May 2016 until June 2016 confirmed the two-factor structure. Additionally, a potential third factor “healthcare use behavior” was tested with an EFA. For the three-factor solution, satisfactory Cronbach’s alpha values (0.70–0.72) were detected. The PMS-Cope was shown to be a valid, reliable, and economic measure. In future research, cross validations and confirmatory factor analyses with the three-factor solution should be conducted.
Das Kapitel 6 richtet sich an die fachlichen Leser, die das vorliegende Buch als Behandlungsleitf... more Das Kapitel 6 richtet sich an die fachlichen Leser, die das vorliegende Buch als Behandlungsleitfaden nutzen wollen. Die Informationen in diesem Kapitel dienen insbesondere dazu, gunstige Ausgangsbedingungen fur die Behandlung zu schaffen. Es werden drei Leitfragen vorgestellt, anhand derer wichtige Inhalte fur den Beginn einer Behandlung abgeleitet werden. Die erste Frage befasst sich mit der genauen psychologischen Tinnitusdiagnostik. Die zweite Frage beschaftigt sich damit, welche Vorstellungen die Patienten uber Entstehung und Aufrechterhaltung ihres Tinnitus haben und wie mit einem stark medizinisch orientierten Krankheitsverstandnis umgegangen werden kann. Schlieslich wird mit der dritten Frage darauf hingewiesen, wie Erwartungen der Patienten an die Behandlung erfragt und hinsichtlich deren Nutzen fur die Behandlung gepruft werden konnen. Im letzten Abschnitt des Kapitels werden weitere wichtige Voraussetzungen fur den Beginn des Selbsthilfetrainings vorgestellt.
Das 5. Kapitel gibt einen knappen Uberblick uber Ansatze zur Behandlung bei Tinnitus. Im ersten A... more Das 5. Kapitel gibt einen knappen Uberblick uber Ansatze zur Behandlung bei Tinnitus. Im ersten Abschnitt werden verschiedene medikamentose Behandlungen vorgestellt und deren Einsatzmoglichkeiten sowie Wirksamkeitsbelege angesprochen. Im zweiten Abschnitt werden Masnahmen der apparativ-akustischen Therapie dargestellt. Diese beinhalten beispielsweise die Anpassung eines Horgerates oder eines sogenannten Tinnitus-Noisers. Anschliesend stellen wir im dritten Abschnitt orthopadische Ansatze, Akupunktur und Entspannungsverfahren vor. Schlieslich beschaftigt sich der letzte Abschnitt mit psychologischen Ansatzen, die auf eine Verringerung der Tinnitusbelastung abzielen. Da es eine grose Vielfalt von Behandlungsansatzen gibt, ist es fur Betroffene (wie auch fur Behandler) wichtig, uber verschiedene seriose Behandlungsmoglichkeiten Bescheid zu wissen, um den individuellen Nutzen einzelner Verfahren abwagen zu konnen.
When the two editors-in-chief of this journal met to discuss whether we should strive for a Chris... more When the two editors-in-chief of this journal met to discuss whether we should strive for a Christmas editorial this year, it was a moment of desperation. We began brainstorming potential topics over Zoom. It had been the fourth video conference on a Friday after‐ noon for both of us, and we were starting to experience headaches, fatigue, vision and concentration problems, as well as annoying noises in the ear. And we also felt that we are tired of speaking and writing about all the events that characterized this very special year. Last but not least we considered: Is a Christmas editorial still contemporary and fresh, especially if we want to express our openness to the diversity of people, cultures, and religions? We started by investigating the background of Christmas, and we did it empirically (what else would you expect?). A word search in the Bible with typical, Christmas-asso‐ ciated items seemed a good way to start to evaluate religious chauvinism. However, neither “Rudolph,...
IntroductionDespite high levels of mental distress, accessing psychological treatment is difficul... more IntroductionDespite high levels of mental distress, accessing psychological treatment is difficult for asylum seekers in Western host countries due to a lack of knowledge about mental disorders, and the health system, as well as due to cultural and language barriers. This study aims to investigate whether brief culturally sensitive and transdiagnostic psychoeducation is effective in increasing mental health literacy.Methods and analysisThe study is a parallel two-group randomised controlled trial with 1:1 individual allocation to either culturally sensitive, low-threshold psychoeducation (‘Tea Garden’ (TG)) or a waitlist (WL) control group. It takes place at four study sites in Germany. A total of 166 adult asylum seekers who report at least mild mental distress will be randomly assigned. The TG consists of two 90 min group sessions and provides information about mental distress, resources and mental health services in a culturally sensitive manner. The primary outcome is the percen...
Background Tinnitus is a particularly common condition and can have debilitating psychological co... more Background Tinnitus is a particularly common condition and can have debilitating psychological consequences for certain people. Although several interventions have been helpful in teaching individuals to better cope with tinnitus, no cure exists at present. Neurofeedback is an emerging treatment modality in tinnitus. Previous studies, utilising an alpha/delta training protocol, have shown promise. However, they were characterised by small sample sizes and a lack of neurofeedback control conditions. Therefore, the aim of this study is to investigate whether an alpha/delta neurofeedback training protocol, compared to beta/theta neurofeedback or a diary control group, is effective in reducing not only the tinnitus sound perception but also the psychological symptoms associated with the condition. Methods The study is designed as a three-armed randomised controlled trial. Participants are randomly assigned to a) an established neurofeedback protocol for tinnitus (alpha/delta training), ...
The Bologna Process was initiated to harmonize study processes and contents throughout Europe in ... more The Bologna Process was initiated to harmonize study processes and contents throughout Europe in order to facilitate communication and cross-border study exchange. However, when it comes to postgraduate education and practical work in clinical psychology, no such harmonization exists - there is still significant heterogeneity between European countries. To initiate the section Politics and Education, we analysed the current situation in Europe with regard to national regulations on education, training and practice in clinical psychology and psychological treatment and give a brief summary on the status quo. There are extensive differences across Europe regarding governmental and national regulations for psychologists in general, and clinical psychologists in particular. Whereas some countries have very detailed regulations including a description of reserved activities for clinical psychologists, others leave the profession widely unregulated. When it comes to psychological treatmen...
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