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Blume-Peytavi U.,Charité - Medical University of Berlin | Atkin S.,Academic Endocrinology | Gieler U.,Klinik fur Psychosomatik und Psychotherapie | Grimalt R.,University of Barcelona
European Journal of Dermatology | Year: 2012

Menopause is defined by 12 months of amenorrhea after the final menstrual period. The reduction in ovarian hormones and increased androgen levels can manifest as hair and skin disorders. Although hirsutism, unwanted facial hair, alopecia, skin atrophy and slackness of facial skin are common issues encountered by post-menopausal women, these problems receive very little attention relative to other menopausal symptoms. The visibility of these disorders has been shown to cause significant anxiety and may impact on patients' self-esteem and quality of life, particularly given the strong association of hair and skin with a woman's femininity and beauty, which is demonstrated by extensive marketing by the cosmetic industry targeting this population and the large expenditure on these products by menopausal women. The proportion of the female population who are in the post-menopausal age group is rising. Therefore, the prevalence of these dermatological symptoms is likely to increase. Current therapies aim to rectify underlying hormonal imbalances and improve cosmetic appearance. However, there is little evidence to support treatment for these disorders specifically in post-menopausal women. This review discusses the assessment and treatment of both the physiological and psychological aspects of hair and skin disorders pertinent to the growing post-menopausal population.


Hilbert A.,Charité - Medical University of Berlin | Brahler E.,Universitatsmedizin Leipzig | De Zwaan M.,Klinik fur Psychosomatik und Psychotherapie
PPmP Psychotherapie Psychosomatik Medizinische Psychologie | Year: 2012

In a representative German population sample, the prevalence of eating disturbances was determined using the Eating Disorder Examination-Questionnaire. Overall, 3,9% revealed eating disturbances. In particular, young women and obese persons had an increased likelihood of these disturbances, but men and older persons were concerned as well. Further research is warranted on eating disturbances across the life span, both sexes and weight status. © Georg Thieme Verlag KG Stuttgart · New York.


Brauhardt A.,Universitatsmedizin Leipzig | De Zwaan M.,Klinik fur Psychosomatik und Psychotherapie | Hilbert A.,Universitatsmedizin Leipzig
Zeitschrift fur Psychiatrie, Psychologie und Psychotherapie | Year: 2014

While guidelines recommend gold standards for psychotherapy in bulimic eating disorders (bulimia nervosa and binge-eating disorder), little is known about psychotherapeutic process aspects. In a systematic literature search, based on the well-established Generic Model of Psychotherapy, studies relating process aspects to treatment outcome, defined as symptom reductions or remission, were identified (process-outcome research). While effects of treatment settings can not yet be estimated, specific interventions, rapid response, and the therapeutic bond repeatedly predicted outcome. Process-outcome research in bulimic eating disorders will be necessary to support clinical practice and to enhance treatment efficacy. © 2014 Verlag Hans Huber, Hogrefe AG.


Schwandt B.,Klinik fur Psychosomatik und Psychotherapie | De Zwaan M.,Klinik fur Psychosomatik und Psychotherapie | Jager B.,Klinik fur Psychosomatik und Psychotherapie
PPmP Psychotherapie Psychosomatik Medizinische Psychologie | Year: 2012

The core symptoms of the night eating syndrome (NES) are overeating in the evening and/or nocturnal awakenings with the ingestion of food. The aim of this study was to examine metabolic and psychopathological differences between patients with type 2 diabetes mellitus with and without night eating (NE). A total of 226 individuals with type 2 diabetes mellitus participated in the study. Night eating (NE), defined as the ingestion of ≥25% of the daily food intake in the evening or nighttime, was reported by 28 (12.4%) of the participants. In addition, diabetes-related variables, eating and dieting behavior as well as eating-related and general psychopathology (depression, quality of life) were assessed. Compared to patients without NE patients with NE showed higher HbA1c values, higher scores on the disinhibition and the perceived hunger scale, lower scores on the quality of life scale and higher depression scores. © Georg Thieme Verlag KG Stuttgart · New York.


Muller A.,Klinik fur Psychosomatik und Psychotherapie
PPmP Psychotherapie Psychosomatik Medizinische Psychologie | Year: 2015

Previous research has indicated a complex association between obesity and psychiatric disorders caused by biological, psychosocial and environmental factors and dependent from the severity of obesity. For example, empirical data confirmed a reciprocal link between depression and obesity. Obesity was found to increase the risk of depression and vice versa. There is further a growing body of research pointing towards the important role of impulsivity in obesity, particularly in obese individuals with a binge eating disorder. © Georg Thieme Verlag KG Stuttgart New York.


Muller A.,Klinik fur Psychosomatik und Psychotherapie | Smits D.,Catholic University of Leuven | Claes L.,Catholic University of Leuven | De Zwaan M.,Klinik fur Psychosomatik und Psychotherapie
Fortschritte der Neurologie Psychiatrie | Year: 2013

Background: The Behavioural Inhibition System/Behavioural Activation System Scale (BIS/BAS-Scales) developed by Carver and White 1 is a self-rating instrument to assess the dispositional sensitivity to punishment and reward. The present work aims to examine the factor structure of the German version of the BIS/BAS-Scales. Material and Methods: In a large German population-based sample (n = 1881) the model fit of several factor models was tested by using confirmatory factor analyses. Results: The best model fit was found for the 5-factor model with two BIS (anxiety, fear) and three BAS (drive, reward responsiveness, fun seeking) scales, whereas the BIS-fear, the BAS-reward responsiveness, and the BAS-fun seeking subscales showed low internal consistency. The BIS/BAS scales were negatively correlated with age, and women reported higher BIS subscale scores than men. Conclusion: Confirmatory factor analyses suggest a 5-factor model. However, due to the low internal reliability of some of the subscales the use of this model is questionable.© Georg Thieme Verlag KG Stuttgart . New York.


Jasper S.,Klinik fur Psychosomatik und Psychotherapie | Oliver Rennekampff H.-.,RWTH Aachen | De Zwaan M.,Klinik fur Psychosomatik und Psychotherapie
PPmP Psychotherapie Psychosomatik Medizinische Psychologie | Year: 2013

Due to progress in burn treatment, more patients even with severe burn injuries survive. Despite this positive development, however, there are still negative somatic and mental consequences. These include the life-long care of scars and pain. In addition, posttraumatic-stress disorder and depression are common consequences. Also distress due to disfigurement and body image problems have to be considered, since this is likely to result in social withdrawal, low self-esteem, and reduction of quality of life. Overall, the impact of mental strain on burn victims is quite high. Therefore, psychotherapeutic treatment approaches should be integrated into the care of patients with burns. This might be helpful for both coping and compliance with long-term treatment. This paper provides a review of the mental co-morbidity of burn victims and of psychotherapeutic treatment approaches focusing on changes in body image and the respective social consequences. © Georg Thieme Verlag KG. Stuttgart. New York.


De Zwaan M.,Klinik fur Psychosomatik und Psychotherapie
PPmP Psychotherapie Psychosomatik Medizinische Psychologie | Year: 2015

The use of information and communication technologies (e-mental health) has been suggested for the prevention and treatment of eating disorders as an addition to conventional treatment approaches. Guided internet-based self-help programs can be viewed as evidence-based treatment options for bulimia nervosa (BN) and binge eating disorder (BED) based on existing controlled studies. They represent an option within a stepped-care treatment approach and as relapse prevention after inpatient treatment. Additional fields of application for e-mental health in eating disorders are prevention and early intervention as well as carers' support. © Georg Thieme Verlag KG Stuttgart New York.


Zimmermann T.,Klinik fur Psychosomatik und Psychotherapie
Monatsschrift fur Kinderheilkunde | Year: 2016

One of the key factors for healthy child and adolescent development is the parent-child relationship. Especially family communication skills, both verbal and nonverbal, have an important influence. Parental training provides an excellent opportunity to positively shape the parent-child relationship, improve child development and reduce internalizing and/or externalizing conspicuous behavioral problems. The best empirical evidence has been shown for parent-centered training that focuses on forming a positive relationship with the child. These include two important strategies: showing affection (in a physical way) and the verbal approach (e.g. talking with the child as well as showing interest). The positive parenting program (Triple P) has been shown to be a very effective parent-centered training. In addition to working with parents, the training of communication skills and social competence training for adolescents can also be a useful strategy. Adolescence is of particular significance in this context because decisive foundations for health behavior can be laid at this time and an establishment of unfavorable behavior patterns can be avoided. © 2016, Springer-Verlag Berlin Heidelberg.


De Zwaan M.,Klinik fur Psychosomatik und Psychotherapie
Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen | Year: 2013

The present paper deals with selected aspects of psychotherapy research. Psychotherapy is an effective treatment approach for mental disorders. Since research in psychotherapy is entirely dependent on public funding, several research questions remain open. Psychotherapy efficacy studies can be conducted in a randomised, but not in a placebo-controlled or double-blind manner. Apart from the effect of psychotherapy on the main outcome variables, one has to differentiate between specific and common factors of psychotherapy. Research in psychotherapy will gain societal relevance only after effective approaches have been successfully implemented in general practice. Transfer studies thus represent a new challenge in psychotherapy research. The funding activity of the German Federal Ministry of Education and Research (BMBF) "Networks in Research on Psychotherapy" made it possible that for the first time large multi-centre psychotherapy studies meeting GCP criteria can be conducted in Germany. These studies will generate highly innovative and in part unique findings. (As supplied by publisher).

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