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Beutel M.E.,Universitatsmedizin Mainz | Schulz H.,Universitatskrankenhaus Hamburg Eppendorf
Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz | Year: 2011

Based on the literature, the assessment of psychological comorbidity in epidemiological studies is reviewed along with prevalence rates of psychological comorbidity and the effect of mental diseases on the development and course of chronic disease as exemplified by coronary heart disease. Psychological comorbidity is associated with reduced quality of life, disease progression, and increased mortality, as numerous studies in coronary heart disease and other chronic diseases have shown. In spite of available valid screening measures which enable large population surveys, diagnostic problems remain, especially with respect to separating mental and somatic symptoms and diagnosing somatic diseases reliably. Psychological comorbidity is frequently overlooked in medical care and poses a high risk for the future somatic and mental course of disease, associated with individual suffering and serious health economic consequences. There is a need for research on suitable interventions for patients with chronic disorders and psychological comorbidity in order to improve their care. © 2010 Springer Medizin Verlag.

Jeske J.,Universitatsklinik Hamburg Eppendorf | Bullinger M.,Universitatsklinik Hamburg Eppendorf | Bullinger M.,Universitatskrankenhaus Hamburg Eppendorf | Wiegand-Grefe S.,Universitatsklinik Hamburg Eppendorf
Familiendynamik | Year: 2010

The article discusses connections between family functioning as an indicator of interaction quality in families with a mentally ill parent and the health-related life quality of 72 children of mentally ill parents. Family functioning was assessed (1) from the parents' viewpoint via family questionnaires (FB-A) and (2) from the physician/therapist viewpoint via the Global Assessment of Relational Functioning Scale (GARF). The children's life quality from the viewpoint of the mentally ill parents was assessed via the parents' version of the KINDL-R. We established medium-strength correlations between family functioning and the parents' assessments of the life quality of their children. Mentally ill parents tend to give an unfavourable assessment of family functioning and have a low opinion of their children's life quality in comparison with a reference population of healthy parents. The findings support hypotheses suggesting that positive family functioning is significant for the high health-related life quality of children from the parents' perspective. They also indicate that interventions aimed at improving family functioning may be operative in improving the life quality of children of mentally sick parents.

Hartmann M.,Universitatskrankenhaus Hamburg Eppendorf | Krege S.,Abteilung Radiologie | Souchon R.,Universitatsklinik Tubingen | De Santis M.,Abteilung fur Onkologie | And 2 more authors.
Urologe - Ausgabe A | Year: 2011

Background: Clear treatment recommendations for patients with testicular cancer exist and their stringent application has led to significant improvements in remission and survival rates. Moreover, active surveillance has become a cornerstone in the management of clinical stage I seminomatous and nonseminomatous germ cell tumors. On the other hand, the existing recommendations for the follow-up of testis cancer patients differ widely and have been changed frequently in recent years. Material and methods: Follow-up recommendations in this young patient population have to be as evidence-based as possible, feasible in order to ensure adherence, and should not be harmful. Primarily, attention has to be paid to the negative impact of unnecessary radiation exposure. Results: Recently, new evidence has become available regarding the relapse pattern of different disease stages of testicular cancer, the use of imaging at follow-up, and the risks of excessive radiation due to imaging, in particular that of CT scans. An interdisciplinary multinational working group consisting of urologists, medical oncologists, and radiation oncologists has reviewed and discussed the current evidence and on this basis formulated new recommendations for patients with germ cell tumors of the testis. © 2011 Springer-Verlag.

Papanikolaou I.S.,National and Kapodistrian University of Athens | Rosch T.,Universitatskrankenhaus Hamburg Eppendorf | Schulz H.-J.,Sana Klinikum Lichtenberg
Endoskopie heute | Year: 2012

he report on the 19th United European Gastroenterology Week (UEGW: 22.-26. October 2011, Stockholm, Sweden) presents an update of gastrointestinal endoscopy, focussing on oral presentations and selected poster presentations and aims to review them in the light of recent literature, in particular endoscopy resection and other endotherapy techniques, new endoscopy imaging methods, Barrett's esophagus, gastrointestinal bleeding, enteroscopy, colonoscopy, ERCP, EUS, NOTES, PEG. © Georg Thieme Verlag.

Wiegand-Grefe S.,Universitatskrankenhaus Hamburg Eppendorf | Geers P.,University of Bremen | Petermann F.,University of Bremen | Plass A.,Universitatskrankenhaus Hamburg Eppendorf
Fortschritte der Neurologie Psychiatrie | Year: 2011

Objective: Children of mentally ill parents are known as a high-risk population for the development of psychological disturbances. In this study, the psychiatric diagnoses, the severity and chronicity and the comorbidity of a parental mental illness as well as the non-specific parameters were examined in terms of their influence on the children's mental health. Methods: n = 62 children of psychiatric inpatients were examined regarding their psychic symptomatology, assessed with the CBCL-Parent Report Form. The psychiatric ICD-10 diagnoses and comorbidities as well as the severity (CGI) of the mentally ill parents were collected from psychiatric assessment forms. Results: Children of parents with personality disorders (PD) are evaluated as highly affected by their parents, regardless of whether the PD is the primary or the comorbid diagnosis. Children of parents suffering from addictive disorders are seen as the least affected by their parents. Overall, children of parents with multiple diagnoses tend to be rated as more affected. Severity of illness and chronicity do not have a considerable impact on the children's development of mental health problems. Strikingly, children with a high length of exposure to a parental illness are psychologically less affected than children with shorter times of exposure. Thus, children possibly acquire effective coping mechanisms with increasing time of exposure. Conclusions: The results reveal the necessity of preventive programmes, especially in case of personality disorders. In addition the necessity for external assessment of the children becomes clear, especially in those cases where the parents exhibit a poor acceptance of their disease. © Georg Thieme Verlag KG Stuttgart · New York.

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