Zeitschrift Fur Psychosomatische Medizin Und Psychotherapie最新文献

Objectives: The introduction of a new dimensional approach for the diagnosis of personality disorders in ICD-11 entails the need for valid instruments to operationalize the new model. The present study aims to provide a comprehensive overview of the existing research on the available instruments for the new model.

Methods: A systematic literature search was carried out with PubMed. Only empirical data on the ICD-11 personality model in adults were considered.

Results: Of 93 publications, 79 studies applied at least one relevant diagnostic instrument. The majority showed satisfactory reliability, construct validity and criterion-related validity. The most investigated measures are the Standardized Assessment of Severity of Personality Disorder (SASPD), Personality Disorder Severity ICD-11 scale (PDS-ICD-11), Personality Inventory for ICD-11 (PiCD) and Personality Inventory for DSM-5 Brief-Version-Modified+ (PID-5-BF+M).

Conclusion: The available diagnostic instruments for the new ICD-11 PD model show promising results. The development of a sound structured clinical interview is desirable.

Psychodynamic Conflicts in the Intergenerational Context: A Pilot Study on Adolescents with Mental Health Problems and Their Parents Objectives: Psychodynamic conflicts are intrapsychic phenomena shaped by familial relationship experiences, playing a key role in mental disorders. Studies on intergenerational associations of these conflicts are scarce. This study explores the extent and intergenerational links of psychodynamic conflicts in adolescents with mental health problems and their parents.

Methods: 290 adolescents (Mage = 18.0 ± 1.9), 95 mothers (Mage = 49.7 ± 5.3), and 52 fathers (Mage = 52.4 ± 4.2) completed the Operationalized Psychodynamic Diagnostics Conflict Questionnaires. After examining the extent of conflicts, intergenerational associations were analyzed using regression models.

Results: Adolescents experienced self-worth and identity conflicts, whereas parents struggled with the need for care versus self-sufficiency conflict. Parental and adolescent conflicts were significantly associated. Gender-specific analyses revealed that paternal conflicts particularly explained the passive identity conflict in female adolescents, whereas the maternal active oedipal conflict was linked to the corresponding conflict in male adolescents.

Conclusions: Findings underscore intergenerational and gender-specific conflict dynamics. Longitudinal studies should clarify underlying mechanisms.

Objective: To explore the application and effect of rational-emotive therapy combined with mindfulness breathing in psychological intervention of triple-negative breast cancer (TNBC) patients.

Methods: The subjects of study were 96 patients with breast cancer who were diagnosed as TNBC in the Breast Department of Jiangsu Provincial Hospital from July 2022 to December 2022. Enrolled patients were divided into an observation group (n = 48) and an intervention group (n = 48). Patients in the intervention group received routine psychological care for breast cancer, and those in the observation group were provided with rational-emotive therapy combined with mindfulness breathing on the basis of the former group. Further comparison was conducted on the psychological status and quality of life between the two groups of patients.

Results: After intervention, the number of SCL-90 positive items decreased by 3.1±1.6 in the observation group and 1.9±1.0 only in the intervention group, with statistically significant difference between groups (t = 7.1, P > 0.01). The total average score of the observation group was improved by 2.0±0.8 points, while that was 0.9±0.6 point only the intervention group (t = 12.1, P > 0.01). The PANAS positive emotional factor scored 34.71±5.39 points and 30.7±6.19 points in the observation group and the intervention group, respectively (t = 3.21, P > 0.01). Besides, the total score of FACT-B in the observation group was significantly higher than that in the intervention group (31.3±6.7 points vs. 25.5±6.8 points; t = 4.649, P > 0.001).

Conclusion: Rational-emotive therapy combined with mindfulness breathing can effectively improve the psychological status of TNBC patients and improve their quality of life.

Psychic and psychosomatic longterm sequelae due to political traumatization by GDRdictatorship: An overview Objectives: The subject of this paper is the long-term health effects of political trauma caused by tyranny in the Soviet Occupation Zone (SBZ) and the German Democratic Republic (GDR) between 1945 and 1990.

Methods: The starting points are the clinical experiences of the first author as founder and representative of the psychosomatic chair at the University Hospital Magdeburg from 1996 to 2021, the reference regarding central findings of the state of art in research, and a look at parts of the preliminary results of the research network "Long-term health consequences of SED injustice" funded by the Federal Government.

Results: The long-term consequences that currently persist to a considerable extent are not limited to effects of imprisonment, but also include a number of other forms of experience of repression and consist not only in the shape of post-traumatic stress disorders, but usually in a much more complex network of psychological, psychosomatic and somatic illnesses.

Conclusions: The reappraisal of these damages in criminal law, health care and social law has just as serious shortcomings as the suppression of this part of German history in public discourse.

Mentalization ability of older patients with mental illness - external assessments by psychotherapists Background: The construct of mentalization ability is becoming increasingly important in modern psychotherapy, but little is known about the mentalizing abilities of older patients. Initial results on theory of mind abilities indicate deficits. However, this only sheds light on one aspect of the ability to mentalize. The present study was concerned with a more comprehensive examination of mentalization abilities in older patients and their clinical significance.

Methods: As part of the ÄPP study (Older Patients in Psychotherapy), a sample (N = 527) was examined using the Modes of Mentalization Scale, whereby psychotherapists were each asked to assess a younger or older patient, i. e. psychotherapists acted as raters here. In addition, the psychotherapists were asked to assess the rated patient with regard to various clinical parameters (e. g. suitability for psychotherapy).

Results: Older patients show deficits in mentalization skills compared to younger patients, although these are lower than expected. The reasons for this are discussed as a result of selection factors in psychotherapeutic care. In older patients, however, the assessment of a more limited mentalization ability has a more far-reaching influence on the therapist's clinical assessment.

Conclusions: The therapeutic focus should be on promoting the ability to mentalize. But psychotherapists should also be better trained to deal with corresponding deficits in older patients.