60 results on '"Kohls, Niko"'
Search Results
2. PATHFINDER-CHD: prospective registry on adults with congenital heart disease, abnormal ventricular function, and/or heart failure as a foundation for establishing rehabilitative, prehabilitative, preventive, and health-promoting measures: rationale, aims, design and methods
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Freilinger, Sebastian, Kaemmerer, Harald, Pittrow, Robert D., Achenbach, Stefan, Baldus, Stefan, Dewald, Oliver, Ewert, Peter, Freiberger, Annika, Gorenflo, Matthias, Harig, Frank, Hohmann, Christopher, Holdenrieder, Stefan, Hörer, Jürgen, Huntgeburth, Michael, Hübler, Michael, Kohls, Niko, Klawonn, Frank, Kozlik-Feldmann, Rainer, Kaulitz, Renate, and Loßnitzer, Dirk
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HEART failure ,CONGENITAL heart disease ,HEART assist devices ,CARDIAC pacemakers ,MEDICALLY underserved persons ,ADULTS ,THERAPEUTICS ,TRANSPLANTATION of organs, tissues, etc. - Abstract
Background: Adults with congenital heart defects (ACHD) globally constitute a notably medically underserved patient population. Despite therapeutic advancements, these individuals often confront substantial physical and psychosocial residua or sequelae, requiring specialized, integrative cardiological care throughout their lifespan. Heart failure (HF) is a critical challenge in this population, markedly impacting morbidity and mortality. Aims: The primary aim of this study is to establish a comprehensive, prospective registry to enhance understanding and management of HF in ACHD. Named PATHFINDER-CHD, this registry aims to establish foundational data for treatment strategies as well as the development of rehabilitative, prehabilitative, preventive, and health-promoting interventions, ultimately aiming to mitigate the elevated morbidity and mortality rates associated with congenital heart defects (CHD). Methods: This multicenter survey will be conducted across various German university facilities with expertise in ACHD. Data collection will encompass real-world treatment scenarios and clinical trajectories in ACHD with manifest HF or at risk for its development, including those undergoing medical or interventional cardiac therapies, cardiac surgery, inclusive of pacemaker or ICD implantation, resynchronization therapy, assist devices, and those on solid organ transplantation. Design: The study adopts an observational, exploratory design, prospectively gathering data from participating centers, with a focus on patient management and outcomes. The study is non-confirmatory, aiming to accumulate a broad spectrum of data to inform future hypotheses and studies. Processes: Regular follow-ups will be conducted, systematically collecting data during routine clinical visits or hospital admissions, encompassing alterations in therapy or CHD-related complications, with visit schedules tailored to individual clinical needs. Assessments: Baseline assessments and regular follow-ups will entail comprehensive assessments of medical history, ongoing treatments, and outcomes, with a focus on HF symptoms, cardiac function, and overall health status. Discussion of the design: The design of the PATHFINDER-CHD Registry is tailored to capture a wide range of data, prioritizing real-world HF management in ACHD. Its prospective nature facilitates longitudinal data acquisition, pivotal for comprehending for disease progression and treatment impacts. Conclusion: The PATHFINDER-CHD Registry is poised to offer valuable insights into HF management in ACHD, bridging current knowledge gaps, enhancing patient care, and shaping future research endeavors in this domain. [ABSTRACT FROM AUTHOR]
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- 2024
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3. Schmerztherapie mit „eye movement desensitization and reprocessing" (EMDR): eine Pilotstudie zur Verbesserung der Lebensqualität.
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Weiß, Katharina and Kohls, Niko
- Abstract
Copyright of Prävention und Gesundheitsförderung is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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- 2023
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4. Expectations Regarding Gastein Healing Gallery Treatment and Their Connection to Health-Related Quality of Life.
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Toussaint, Loren, Huynh, Kien, Kohls, Niko, Sirois, Fuschia, Alberts, Hannah, Hirsch, Jameson, Hanshans, Christian, Nguyen, Quang Anh, van der Zee-Neuen, Antje, and Offenbaecher, Martin
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- 2023
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5. Achtsamkeit in der Schule (AISCHU) – Evaluation der Weiterbildung für Lehrkräfte zur Stressreduktion.
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Kraft, Jana, Kaltwasser, Vera, and Kohls, Niko
- Abstract
Copyright of Prävention und Gesundheitsförderung is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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- 2022
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6. Maßnahmen der kommunalen Gesundheitsförderung im Handlungsfeld Ernährung – Evaluation des Projekts „Gesunde Südstadt" der Stadt Nürnberg.
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John, Dennis, Röhrich, Christina, Walter, Verena, Pfeifer, Gabi, and Kohls, Niko
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- 2021
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7. Pain is not the major determinant of quality of life in fibromyalgia: results from a retrospective "real world" data analysis of fibromyalgia patients.
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Offenbaecher, Martin, Kohls, Niko, Ewert, Thomas, Sigl, Claudia, Hieblinger, Robin, Toussaint, Loren L., Sirois, Fuschia, Hirsch, Jameson, Vallejo, Miguel A., Kramer, Sybille, Rivera, Javier, Stucki, Gerold, Schelling, Jörg, and Winkelmann, Andreas
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QUALITY of life ,FIBROMYALGIA ,DATA analysis ,BECK Depression Inventory ,PAIN ,REGRESSION analysis ,LINEAR statistical models - Abstract
Objective: To identify correlates of quality of life (QoL) measured with the Quality of Life Scale (QOLS) in participants of a multidisciplinary day hospital treatment program for fibromyalgia (FM). Methods: In this cross-sectional, observational study, "real world" data from 480 FM patients including socio-demographics, pain variables and questionnaires such as the SF-36, Beck Depression Inventory (BDI), Multiphasic Pain Inventory (MPI), SCL-90-R and others were categorized according to the components (body structure and function, activities and participation, personal factors, environmental factors) of the International Classification of Functioning (ICF). For every ICF component, a linear regression analysis with QOLS as the dependent variable was computed. A final comprehensive model was calculated on the basis of the results of the five independent analyses. Results: The following variables could be identified as main correlates for QoL in FM, explaining 56% of the variance of the QOLS (subscale/questionnaire and standardized beta in parenthesis): depression (− 0.22), pain-related interference with everyday life (− 0.19), general activity (0.13), general health perception (0.11), punishing response from others (− 0.11), work status (− 0.10), vitality (− 0.11) and cognitive difficulties (− 0.12). Pain intensity or frequency was not an independent correlate. Conclusions: More than 50% of QoL variance could be explained by distinct self-reported variables with neither pain intensity nor pain frequency playing a major role. Therefore, FM treatment should not primarily concentrate on pain but should address multiple factors within multidisciplinary therapy. [ABSTRACT FROM AUTHOR]
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- 2021
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8. Können Volkshochschulen „gesundheitliche Chancengleichheit“? Ein Erfahrungsbericht aus Nürnberg zum Projekt „Gesunde Südstadt“.
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PFEIFER, GABI, WALTER, VERENA, JOHN, DENNIS, KOHLS, NIKO, and RÖHRICH, CHRISTINA
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ADULT education ,SOCIAL marginality ,HEALTH promotion ,PUBLIC health ,SELF-efficacy - Abstract
Copyright of Hessische Blätter für Volksbildung is the property of wbv Media GmbH & Co. KG and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2021
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9. Movement filtered heart rate variability (HRV) data from a chest-worn sensor.
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Hanshans, Christian, Broell, Lukas M., Plischke, Herbert, Offenbaecher, Martin, Zauner, Johannes, Faust, Moritz M. R., Maisch, Bettina, Kohls, Niko, Toussaint, Loren, Hirsch, Jameson, and Siros, Fuschia M.
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HEART beat measurement ,AUTONOMIC nervous system ,CHRONIC pain ,PSYCHOPHYSIOLOGY ,ACCELEROMETERS - Abstract
Recording of heart rate variability (HRV) is a noninvasive and continuous measurement method that allows investigating the autonomic nervous system (ANS) and its reaction to environmental influences. For a precise measurement of HRV data, a carefully chosen study design and environment is required to minimize secondary influences. One major influence to be avoided is movement. However, in the daily routine and for some scientific questions, movement can often not be avoided. If so, a manual or automated method to differentiate between artifacts caused by body movement and the actual psychophysiological effect is needed to ensure the data quality. In this approach, a chest-worn sensor was developed, that measures the heart rate using a single lead ECG and filters the measured change of the HRV caused by movement. Data from an integrated accelerometer is used to detect upper body movements that affect the resting heart rate. The movementcorresponding time stamps are then used to filter the Interbeat Intervals (IBI) accordingly. Functionality and effectiveness of the sensor system have been tested against state-of-the art sports- or clinical devices in varying scenarios. As our test series showed, motion filtering has a decisive effect when motion occurs, two-thirds of all cases showed a significant effect of motion filtering, with small to medium effect sizes for the parameters SD2, SD2/SD1, and SDNN. Thereby, automatic filtering of motion artifacts can help to significantly reduce the need for costly post-processing of distorted data sets. The results show a better data quality of HRV measurement, a method that is commonly used for the investigation of physiological processes in the field of chronic pain, psychology, psychiatry, or sports medicine. [ABSTRACT FROM AUTHOR]
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- 2021
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10. Effectiveness of Progressive Muscle Relaxation, Deep Breathing, and Guided Imagery in Promoting Psychological and Physiological States of Relaxation.
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Toussaint, Loren, Nguyen, Quang Anh, Roettger, Claire, Dixon, Kiara, Offenbächer, Martin, Kohls, Niko, Hirsch, Jameson, and Sirois, Fuschia
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PREVENTION of psychological stress ,PHYSIOLOGICAL stress ,WELL-being ,MEDITATION ,MUSCLE contraction ,BREATHING exercises ,TREATMENT effectiveness ,COMPARATIVE studies ,RANDOMIZED controlled trials ,UNDERGRADUATES ,PRE-tests & post-tests ,QUALITY of life ,HEART beat ,RELAXATION techniques ,VISUALIZATION ,STATISTICAL sampling - Abstract
Research suggests that multiple forms of relaxation training (e.g., progressive muscle relaxation, meditation, breathing exercises, visualization, and autogenics) can help individuals reduce stress, enhance relaxation states, and improve overall well-being. We examined three different, commonly used approaches to stress relaxation—progressive muscle relaxation, deep breathing, and guided imagery—and evaluated them in a head-to-head comparison against each other and a control condition. Sixty healthy undergraduate participants were randomized to one of the four conditions and completed 20 minutes of progressive muscle relaxation, deep breathing, or guided imagery training that was delivered by recorded audio instruction. Baseline and follow-up assessment of psychological relaxation states were completed. Physiological relaxation was also assessed continuously using measures of electrodermal activity and heart rate. Results showed that progressive muscle relaxation, deep breathing, and guided imagery all increased the state of relaxation for participants in those groups, compared to participants in the control group. In each case, the increase was statistically significant and although the groups did not differ on relaxation before training, all groups were significantly higher on relaxation after training, as compared to the control group. Progressive muscle relaxation and guided imagery showed an immediate linear trend toward physiological relaxation, compared to the control group, and the deep breathing group showed an immediate increase in physiological arousal followed quickly by a return to initial levels. Our results lend support to the body of research showing that stress relaxation training can be effective in improving relaxation states at both the psychological and physiological level. Future research could examine stress relaxation techniques in a similar manner using designs where multiple techniques can be compared in the same samples. [ABSTRACT FROM AUTHOR]
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- 2021
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11. Positive Psychological Factors and Impairment in Rheumatic and Musculoskeletal Disease: Do Psychopathology and Sleep Quality Explain the Linkage?
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Hirsch, Jameson K., Altier, Heather R., Offenbächer, Martin, Toussaint, Loren, Kohls, Niko, and Sirois, Fuschia M.
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PSYCHOSOCIAL factors ,OSTEOARTHRITIS ,TREATMENT of fibromyalgia ,TREATMENT of musculoskeletal system abnormalities ,RHEUMATOID arthritis - Abstract
Objective: Little is known about potential mechanisms of action linking protective positive psychological variables and functional disability in patients with rheumatic and musculoskeletal disease. The present study was undertaken to examine symptoms of psychopathology, including stress, depression, anxiety, and sleep quality, as serial mediators of the association between gratitude, self‐compassion, self‐forgiveness, and functional impairment. Methods: We assessed risk and protective factors for functional disability in patients with fibromyalgia (FM), osteoarthritis (OA), rheumatoid arthritis (RA), and ankylosing spondylitis (AS) who were recruited from an Austrian health care facility. Respondents completed online surveys, including the Gratitude Questionnaire 6‐item form, the Self‐Compassion Scale short form, the Self‐Forgiveness and Forgiveness of Others Index, the Perceived Stress Scale 4, the Patient Health Questionnaire 2, the 2‐item Generalized Anxiety Disorder Scale, the Sleep Condition Indicator, and the Health Assessment Questionnaire. Bivariate and serial mediation analyses were conducted. Results: For our sample of 1,218 patients (52% female, n = 632; AS [37%], OA [34%], RA [14%], and FM [24%]), stress, depression, and anxiety, in parallel as first‐order mediators, and sleep quality as a second‐order mediator, explained the association between positive psychological variables and functional disability. Conclusion: Positive psychological factors exert a beneficial downstream effect on mental well‐being, sleep health, and health‐related functional impairment. Therapeutic promotion of gratitude, self‐compassion, and self‐forgiveness may improve mental and physical health in patients with rheumatic and musculoskeletal disease. [ABSTRACT FROM AUTHOR]
- Published
- 2021
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12. The Importance of Daily Activity for Reducing Fibromyalgia Symptoms: A Retrospective "Real World" Data Comparison of two Multimodal Treatment Programs.
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KRAMER, Sybille, DEUSCHLE, Lana, KOHLS, Niko, OFFENBÄCHER, Martin, and WINKELMANN, Andreas
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TREATMENT of fibromyalgia ,COMBINED modality therapy ,HEALTH surveys ,QUESTIONNAIRES ,TREATMENT effectiveness ,PRE-tests & post-tests ,RETROSPECTIVE studies ,EVALUATION of human services programs - Abstract
Objectives: This study aims to evaluate the effectiveness of two multidisciplinary fibromyalgia programs with different intensities. Materials and methods: In this retrospective real-world comparison of patient data, pre- and post-program datasets of Short Form 36 (SF36) and Fibromyalgia Impact Questionnaire (FIQ) were obtained from a total of 210 female patients in two fibromyalgia multidisciplinary day hospital programs including one intensive program with daily treatments summing up to 20 treatment days during four weeks (P20, n=70) versus a less intensive program with 12 treatment days during four weeks (P12, n=140). Results: Multiple subscales of SF36 and FIQ were improved in the pre-post comparison in both groups. In the comparison between the two groups, a statistically significantly higher improvement was found in the P20 group compared to the P12 group for the FIQ subscales of stiffness (p=0.001) and the number of days during which the patient felt "good" (p=0.007). Conclusion: An intensive program of daily treatments and activity seems to be more effective in reducing fibromyalgia-associated stiffness and improving the number of days during which patients feel good than a less intensive program. [ABSTRACT FROM AUTHOR]
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- 2020
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13. Educational needs of patients with rheumatic and musculoskeletal diseases attending a large health facility in Austria.
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Hirsch, Jameson K., Toussaint, Loren, Offenbächer, Martin, Kohls, Niko, Hanshans, Christian, Vallejo, Miguel, Rivera, Javier, Sirois, Fuschia, Untner, Johannes, Hölzl, Bertram, Gaisberger, Martin, and Ndosi, Mwidimi
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ANKYLOSING spondylitis ,FIBROMYALGIA ,HEALTH facilities ,MUSCULOSKELETAL system diseases ,PATIENT education ,QUESTIONNAIRES ,RHEUMATISM ,RHEUMATOID arthritis ,PAIN management ,DISEASE management ,INFORMATION needs - Abstract
Introduction: Patient education is an important part of the management of rheumatic and musculoskeletal diseases. Given that patients with diverse diseases do not have the same needs, it is crucial to assess the educational requirements of targeted groups to provide tailored educational interventions. The aim of our study was to assess educational needs of a large cohort of patients with different rheumatic and musculoskeletal diseases attending a health facility in Austria. Methods: We assessed educational needs, via an online survey of patients with fibromyalgia (FMS), rheumatoid arthritis (RA), and ankylosing spondylitis (AS) recruited from an Austrian health‐care facility, using the Austrian version of the Educational Needs Assessment Tool (OENAT). Results: For our sample of 603 patients, AS (62%), RA (15%), and FMS (24%), there were no educational need differences for the domains of movements, disease process, and self‐help measures. Patients with FMS had less need for pain management education and greater need for education about feelings, than other disease groups. Patients with RA had a greater need for education related to treatments than other groups, and patients with AS had a greater need for treatment education than patients with FMS. Patients with AS reported greater need for support system education than other patient groups. Conclusion: Educational needs vary by disease groups, suggesting that health‐care professionals should assess disease‐specific needs for education to provide optimal assistance in disease management for patients. [ABSTRACT FROM AUTHOR]
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- 2020
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14. Fibromyalgia impact and depressive symptoms: Can perceiving a silver lining make a difference?
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Hirsch, Jameson K., Treaster, Morgan K., Kaniuka, Andrea R., Brooks, Byron D., Sirois, Fuschia M., Kohls, Niko, Nöfer, Eberhard, Toussaint, Loren L., and Offenbächer, Martin
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DIAGNOSIS of mental depression ,PREVENTION of mental depression ,PSYCHOLOGICAL adaptation ,AGE distribution ,COGNITIVE therapy ,ETHNIC groups ,EXERCISE ,FIBROMYALGIA ,PATHOLOGICAL psychology ,QUESTIONNAIRES ,RISK assessment ,SELF-evaluation ,SEX distribution ,POSITIVE psychology ,MOTIVATIONAL interviewing - Abstract
Individuals with fibromyalgia are at greater risk for depressive symptoms than the general population, and this may be partially attributable to physical symptoms that impair day‐to‐day functioning. However, individual‐level protective characteristics may buffer risk for psychopathology. For instance, the ability to perceive a "silver lining" in one's illness may be related to better mental and physical health. We examined perceived silver lining as a potential moderator of the relation between fibromyalgia impact and depressive symptoms. Our sample of persons with fibromyalgia (N = 401) completed self‐report measures including the Fibromyalgia Impact Questionnaire‐Revised, Depression Anxiety Stress Scales, and the Silver Lining Questionnaire. Moderation analyses covaried age, sex, and ethnicity. Supporting hypotheses, increasing impact of disease was related to greater depressive symptoms, and perceptions of a silver lining attenuated that association. Despite the linkage between impairment and depressive symptoms, identifying positive aspects or outcomes of illness may reduce risk for psychopathology. Therapeutically promoting perception of a silver lining, perhaps via signature strengths exercises or a blessings journal, and encouraging cognitive reframing of the illness experience, perhaps via Motivational Interviewing or Cognitive Behavioral Therapy, may reduce depressive symptoms in persons with fibromyalgia. [ABSTRACT FROM AUTHOR]
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- 2020
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15. Lebenswelt Primärversorgung -- Plädoyer für die Integration einer salutogenetischen Säule in ambulante Versorgungsstrukturen.
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SCHNABEL, MONIKA, RÖHRICH, CHRISTINA, and KOHLS, NIKO
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- 2021
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16. Health beliefs, attitudes, and health-related quality of life in persons with fibromyalgia: mediating role of treatment adherence.
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Rowe, Catherine A., Sirois, Fuschia M., Toussaint, Loren, Kohls, Niko, Nöfer, Eberhard, Offenbächer, Martin, and Hirsch, Jameson K.
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ATTITUDE (Psychology) ,FIBROMYALGIA ,HEALTH attitudes ,HEALTH surveys ,LIFE skills ,MENTAL health ,PATIENT compliance ,PHYSICIAN-patient relations ,QUALITY of life ,QUESTIONNAIRES ,SELF-evaluation ,THERAPEUTICS - Abstract
Fibromyalgia is a chronic illness characterized by pain and fatigue. Persons with fibromyalgia experience increased the risk for poor mental and physical health-related quality of life, which may be dependent on multiple factors, including health beliefs, such as confidence in physicians and the health-care system, and health behaviors, such as treatment adherence. Respondents with fibromyalgia (n = 409) were recruited nationally, via support organizations, and completed self-report measures: Multidimensional Health Profile – Health Functioning Index (MHP-H), Short-Form-36 Health Survey (SF-36v2), and Medical Outcomes Study (MOS) Measure of Patient Adherence – General Adherence Items. In mediation models, belief in the healthcare system and health-care personnel, and health efficacy exerted an indirect effect through treatment adherence on mental and physical quality of life. Adaptive health beliefs and attitudes were related to greater treatment adherence and, in turn, to a better quality of life. Maladaptive health beliefs and mistrusting attitudes about physician-level and systemic-level healthcare provision are negatively related to both treatment adherence and consequent physical and mental health-related quality of life in persons with fibromyalgia. Future randomized controlled trials are needed to determine if therapeutic strategies to alter health values might improve adherence and self-rated health. [ABSTRACT FROM AUTHOR]
- Published
- 2019
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17. Anger rumination mediates differences between fibromyalgia patients and healthy controls on mental health and quality of life.
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Toussaint, Loren, Sirois, Fuschia, Hirsch, Jameson, Kohls, Niko, Weber, Annemarie, Schelling, Joerg, Vajda, Christian, and Offenbäecher, Martin
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ANGER ,ANXIETY ,MENTAL depression ,FIBROMYALGIA ,MATHEMATICAL models ,MENTAL health ,QUALITY of life ,STATISTICAL sampling ,THEORY - Abstract
The present study examined differences between fibromyalgia patients and healthy controls on anger rumination, mental health and quality of life and tested anger rumination as a mediator of patient–control differences in mental health and quality of life. Participants were a propensity score‐matched sample of 58 fibromyalgia patients and 58 healthy controls. Participants completed measures of anger rumination, depression and anxiety and quality of life. Patients were higher than controls on all anger rumination scales and depression and anxiety and lower on quality of life. All anger rumination scales were related to poorer mental health and quality of life. Patient–control differences on mental health and quality of life were mediated by anger rumination. In multiple mediator models, the only subscale with unique mediating effects was anger memories. Anger rumination has potent associations with mental health and quality of life, and differences between patients and controls on mental health and quality of life are partially mediated by differences in anger rumination. Addressing tendencies to ruminate on anger experiences in the care of fibromyalgia patients may offer an important avenue to improved health and quality of life. © 2019 John Wiley & Sons, Ltd. [ABSTRACT FROM AUTHOR]
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- 2019
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18. Mindful Leader Development: How Leaders Experience the Effects of Mindfulness Training on Leader Capabilities.
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Rupprecht, Silke, Falke, Pia, Kohls, Niko, Tamdjidi, Chris, Wittmann, Marc, and Kersemaekers, Wendy
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MINDFULNESS ,LEADERSHIP ,QUALITATIVE research ,INTROSPECTION ,CONFLICT management - Abstract
Mindfulness training is a novel method of leader development but contrary to its rising popularity, there is a scarcity of research investigating how mindfulness training may affect leader capabilities. To gain a better understanding of the potential of a new research field, qualitative research is advantageous. We sought to understand how senior leaders experience the impact of mindfulness training in their work lives and leadership ability. The sample comprised 13 leaders (n = 11 male) working in six organizations that completed a 10-week workplace mindfulness training (WMT). We conducted semi-structured interviews 6 to 12 months following course completion. We analyzed the data following thematic analysis steps and based on these findings, we devised a framework of the perceived impact of mindfulness training on self-leadership and leadership capabilities. We show that WMT exhibited impact on three self-leadership capacities: mindful task management, self-care and self-reflection and two leadership capacities: relating to others and adapting to change. Participants' recounts additionally suggested effects may expand to the level of the team and the organization. We show that WMT may be a promising tool for self-directed leadership development and outline avenues for future research. [ABSTRACT FROM AUTHOR]
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- 2019
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19. Klassisches oder digitales Stressmanagement im Setting Hochschule?: Vergleich der Wirksamkeit von Entspannungstrainings mit und ohne digitale Entspannungsübungen.
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Nagel, Andreas, John, Dennis, Scheder, Annette, and Kohls, Niko
- Abstract
Copyright of Prävention und Gesundheitsförderung is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2019
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- View/download PDF
20. Aktuelle Forschungsaktivitäten zur personenzentrierten Medizin in akademischen Instituten für Allgemeinmedizin in Deutschland und Österreich.
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Weber, Annemarie, Schelling, Jörg, Kohls, Niko, van Dyck, Marcus, Poggenburg, Stephanie, Vajda, Christian, Hirsch, Jameson, Sirois, Fuschia, Toussaint, Loren, and Offenbächer, Martin
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- 2018
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21. Transnational Patients: Practical and Ethical Implications for Medical Practices and Health Promotions Policy.
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Zeldes, Nina, Dilger, Hansjörg, FitzGerald, Kevin, Kohls, Niko, Moore, Eileen, Nöfer, Eberhard, and Giordano, James
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HEALTH promotion ,HEALTH equity ,COMMUNITY involvement ,PREVENTIVE medicine ,HEALTH policy - Abstract
Health care is becoming increasingly transnational and a shift to more promotive and preventative approaches forms an integral part of addressing challenges to global health and health disparities. Community and public engagement programs are particularly well suited to successfully developing care that is resonant and meaningful in transnational contexts. Yet many existing programs do not take into account the diverse perspectives of the heterogeneous group of transnational patients, and guidelines that address their specific needs are still scarce. At the same time, little has been done to build a framework to share successful local programs with a broader community. We thus propose a global database of best practices and guidelines for transnational health‐care promotions to improve health care and well‐being across diverse communities, consisting of a three‐step assessment in order to successfully design locally adapted programs that are accepted by target populations and successfully engage transnational patients and their health‐care providers. [ABSTRACT FROM AUTHOR]
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- 2018
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22. The association between different spiritual practices and the occurrence of Exceptional Human Experiences in a non-clinical sample.
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Carmona-Torres, José A., Kohls, Niko, Hood, Ralph W., Silver, Christopher F., and Walach, Harald
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- 2018
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23. A Workplace Mindfulness Intervention May Be Associated With Improved Psychological Well-Being and Productivity. A Preliminary Field Study in a Company Setting.
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Kersemaekers, Wendy, Rupprecht, Silke, Wittmann, Marc, Tamdjidi, Chris, Falke, Pia, Donders, Rogier, Speckens, Anne, and Kohls, Niko
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WORK environment ,PSYCHOLOGICAL well-being ,JOB stress ,MENTAL health ,ANXIETY - Abstract
Background: Mindfulness trainings are increasingly offered in workplace environments in order to improve health and productivity. Whilst promising, there is limited research on the effectiveness of mindfulness interventions in workplace settings. Objective: To examine the feasibility and effectiveness of a Workplace Mindfulness Training (WMT) in terms of burnout, psychological well-being, organizational and team climate, and performance. Methods: This is a preliminary field study in four companies. Self-report questionnaires were administered up to a month before, at start of, and right at the end of the WMT, resulting in a pre-intervention and an intervention period. There was no separate control group. A total of 425 participants completed the surveys on the different time points. Linear mixed model analyses were used to analyze the data. Results: When comparing the intervention period with the pre-intervention period, significantly greater improvements were found in measures of burnout (mean difference = 0.3, p < 0.001), perceived stress (mean difference = -0.2, p < 0.001), mindfulness [mean difference = 1.0 for the Freiburg Mindfulness Inventory (FMI) and 0.8 for the Mindfulness Attention Awareness Scale (MAAS), both p < 0.001], and well-being (mean difference = 0.4, p < 0.001). Additionally, greater increases in team climate, organizational climate and personal performance were reported during the intervention compared to the pre-intervention period with largest improvements in team cooperation (mean difference = 0.3, p < 0.001), productivity (mean difference = 0.5, p < 0.001), and stress (mean difference = -0.4, p < 0.001). Effect sizes were large for mindfulness (d > 0.8), moderate for well-being, burnout and perceived stress (d = 0.5-0.8), and ranged from low to moderate for organizational and team climate and personal performance (d = 0.2-0.8). Conclusion: These preliminary data suggest that compared to the pre-intervention period, the intervention period was associated with greater reductions in burnout and perceived stress, improvements in mindfulness, well-being, and increases in team and organizational climate and personal performance. Due to design limitations, no conclusions can be drawn on the extent to which the WMT or non-specific factors such as time have contributed to the findings. Further studies, preferably using randomized controlled designs with longer follow up periods are needed to evaluate whether the associations found can be attributed to the WMT and whether these sustain after the training. [ABSTRACT FROM AUTHOR]
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- 2018
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24. Mindfulness-Based Coping With University Life: A Randomized Wait-List Controlled Study.
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Lynch, Siobhán, Gander, Marie-Louise, Nahar, Ananda, Kohls, Niko, and Walach, Harald
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- 2018
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25. Gratitude mediates quality of life differences between fibromyalgia patients and healthy controls.
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Toussaint, Loren, Sirois, Fuschia, Hirsch, Jameson, Weber, Annemarie, Vajda, Christian, Schelling, Jorg, Kohls, Niko, and Offenbacher, Martin
- Subjects
FIBROMYALGIA ,GRATITUDE ,QUALITY of life ,PSYCHOLOGICAL adaptation ,SOCIODEMOGRAPHIC factors ,PSYCHOLOGY ,PATIENTS ,MENTAL health ,EMOTIONS ,HUMAN research subjects - Abstract
Purpose: Despite a growing literature on the benefits of gratitude for adjustment to chronic illness, little is known about gratitude in medical populations compared to healthy populations, or the degree to which potential deficits in gratitude might impact quality of life. The purpose of the present study was to (1) examine levels of gratitude and quality of life in fibromyalgia patients and healthy controls and (2) consider the role of gratitude in explaining quality of life differences between fibromyalgia patients and healthy controls.Methods: Participants were 173 fibromyalgia patients and 81 healthy controls. All participants completed measures of gratitude, quality of life, and socio-demographics.Results: Although gratitude was positively associated with quality of life, levels of gratitude and quality of life were lower in the fibromyalgia sample relative to the healthy controls. This difference in gratitude partially mediated differences in quality of life between the two groups after controlling for socio-demographic variables.Conclusions: Our findings suggest that gratitude is a valuable positive psychological trait for quality of life in people with fibromyalgia. Interventions to improve gratitude in this patient population may also bring enhancement in quality of life. [ABSTRACT FROM AUTHOR]- Published
- 2017
- Full Text
- View/download PDF
26. Struggling With Adversities of Life: The Role of Forgiveness in Patients Suffering from Fibromyalgia.
- Author
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Offenbaecher, Martin, Dezutter, Jessie, Kohls, Niko, Sigl, Claudia, Vallejo, Miguel A., Rivera, Javier, Bauerdorf, Felix, Schelling, Jörg, Vincent, Ann, Hirsch, Jameson K., Sirois, Fuschia M., Webb, Jon R., and Toussaint, Loren L.
- Published
- 2017
- Full Text
- View/download PDF
27. Functional limitations in children and adolescents suffering from chronic pain: validation and psychometric properties of the German Functional Disability Inventory (FDI-G).
- Author
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Offenbächer, Martin, Kohls, Niko, Walker, Lynn, Hermann, Christiane, Hügle, Boris, Jäger, Natalie, Richter, Matthias, and Haas, Johannes-Peter
- Subjects
FIBROMYALGIA ,RHEUMATISM ,CRONBACH'S alpha ,PSYCHOMETRICS ,RANK correlation (Statistics) ,EXPLORATORY factor analysis ,CHRONIC pain - Abstract
Our objective was to translate the Functional Disability Inventory (FDI) into German, to evaluate its validity and to assess functional limitation in a large cohort of children and adolescents with juvenile fibromyalgia syndrome (jFMS). We administered several questions (e.g., sociodemographics, school-related issues) and questionnaires to 329 patients and one parent. The questionnaires included, among others, a German version of the FDI, the CHAQ (parent report), KIDSCREEN, tender point score (TPS), Depression Inventory for Children and Adolescents (DIKJ) and others. Patients were asked about the severity of pain today (NRS = numerical rating scale) and other symptoms. Internal consistency was evaluated with Cronbach's alpha. Construct validity of the FDI was evaluated by correlating the FDI with the questionnaires as well as with the pain and other variables, e.g., days missed school. An exploratory factor analysis (EFA) was also performed. Mean age was 13.9 years (SD ±2.48). Means were for pain today 5.37 (±2.39) and for the TPS 39.71 (±21.56). Internal consistency was α = .90. Low-to-moderate correlations were obtained between the FDI and the CHAQ ( ρ = .51**), KIDSCREEN (e.g., physical well-being ρ = −.62**; peers and social support ρ = −.28**) as well as the pain variables (NRS ρ = .24**; TPS ρ = .38**). Psychological variables were also correlated with the FDI (e.g., DIJK ρ = .28**). An EFA suggested a two-factor solution. The FDI is a valid instrument for measuring functional limitations in German children and adolescents with jFMS. [ABSTRACT FROM AUTHOR]
- Published
- 2016
- Full Text
- View/download PDF
28. Mindfulness in German Schools (MISCHO): A Specifically Tailored Training Program: Concept, Implementation and Empirical Results.
- Author
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Kaltwasser, Vera, Sauer, Sebastian, and Kohls, Niko
- Published
- 2014
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29. E-learning innovations for the education of general practitioners at the Bavarian Virtual University (BVU) - a model for other countries.
- Author
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Vogel, Barbara, Kormann, Christina, Mehring, Michael, Schneider, Antonius, Offenbächer, Martin, Kohls, Niko, and Schelling, Jörg
- Published
- 2015
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30. Subjective expansion of extended time-spans in experienced meditators.
- Author
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Wittmann, Marc, Otten, Simone, Schötz, Eva, Sarikaya, Anna, Lehnen, Hanna, Han-Gue Jo, Kohls, Niko, Schmidt, Stefan, and Meissner, Karin
- Abstract
Experienced meditators typically report that they experience time slowing down in meditation practice as well as in everyday life. Conceptually this phenomenon may be understood through functional states of mindfulness, i.e., by attention regulation, body awareness, emotion regulation, and enhanced memory. However, hardly any systematic empirical work exists regarding the experience of time in meditators. In the current cross-sectional study, we investigated whether 42 experienced mindfulness meditation practitioners (with on average 10 years of experience) showed differences in the experience of time as compared to 42 controls without any meditation experience matched for age, sex, and education. The perception of time was assessed with a battery of psychophysical tasks assessing the accuracy of prospective time judgments in duration discrimination, duration reproduction, and time estimation in the milliseconds to minutes range as well with several psychometric instruments related to subjective time such as the ZimbardoTime Perspective Inventory, the Barratt Impulsivity Scale and the Freiburg Mindfulness Inventory. In addition, subjective time judgments on the current passage of time and retrospective time ranges were assessed. While subjective judgements of time were found to be significantly different between the two groups on several scales, no differences in duration estimates in the psychophysical tasks were detected. Regarding subjective time, mindfulness meditators experienced less time pressure, more time dilation, and a general slower passage of time. Moreover, they felt that the last week and the last month passed more slowly. Overall, although no intergroup differences in psychophysical tasks were detected, the reported findings demonstrate a close association between mindfulness meditation and the subjective feeling of the passage of time captured by psychometric instruments. [ABSTRACT FROM AUTHOR]
- Published
- 2015
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- View/download PDF
31. Achtsamkeit in Organisationen: Vom Stressmanagement über das achtsame Interagieren und Führen zur bewussten Gestaltung von Veränderungsprozessen.
- Author
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Kohls, Niko, Berzlanovich, Andrea, and Sauer, Sebastian
- Published
- 2013
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32. Human Adequate Lighting in Optimal Healing Environments – Measuring Non-visual Light Effects of a LED Light Source According to German Draft Pre-standard DIN SPEC 5031-100:2012.
- Author
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Plischke, Herbert, Schierz, Christoph, Paulick, Peyton, and Kohls, Niko
- Published
- 2013
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- View/download PDF
33. Mindfulness in Leadership: Does Being Mindful Enhance Leaders΄ Business Success?
- Author
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Sauer, Sebastian and Kohls, Niko
- Abstract
Is mindfulness – being open, present, and receptive to what is happening from one moment to the next without cognitively evaluating a given state or situation – an omnipresent capacity that can significantly contribute to enhancing leadership performance – or is it a context dependent potential? In this treatise, leadership as a general ability is understood as an anthropological constant as opposed to the prevalence of specific differences in leadership styles found in different cultures or contexts. This chapter advocates that mindfulness can be particularly helpful for leaders and executives as it may enhance leadership as a general ability. We outline a rationale for how and why mindfulness may increase the capacity to lead as well as act as a role model, discuss intercultural aspects related to mindfulness and leadership, and address potential restrictions. The proposition that mindfulness, if properly understood and brought into application, may be a useful tool for enhancing the personal and business success of leaders is developed in four subsections: (1) An epitome of what leadership is and what leaders are supposed to do in their professional role as an implicit criterion for assessing the potential benefits of mindfulness. (2) A definition of what is frequently understood by mindfulness and the changes in psychophysiological parameters that go along with regular mindfulness training, as reported by some empirical findings. This includes an analysis of what can be regarded as fact rather than fiction in the context of mindfulness. (3) A discussion of the potential benefits of mindfulness for leaders based on a general model of what leadership constitutes, as worked-out in the first section. (4) A caveat that takes into account some conceptual and practical pitfalls, to which one may easily fall prey, so as to prevent misunderstandings and misbehavior related to mindfulness. The final section summarizes the above mentioned sections with the conclusion that mindfulness can indeed be helpful but that both research and practical work remain to be done. [ABSTRACT FROM AUTHOR]
- Published
- 2011
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34. Keep It Simple! Assisting Older People with Mental and Physical Training.
- Author
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Plischke, Herbert and Kohls, Niko
- Abstract
The demographic change is having a strong impact upon Europe΄s societies and upon our financial and social security systems. To avoid cost intensive retirement homes, one main goal for European governments is to build up and maintain a socio-technological infrastructure that allows elderly people to stay in their familiar surroundings and cultivate their social networks as long as possible, with support of assistive technologies. However, when deployed in real-life settings, i.e. ˵in the wild″, it has been shown that these will only be accepted and therefore effective, when integrated into an environment that aims at enhancing people΄s health and well-being in general. Although it is well known that moderate physical training as well as mental exercising are crucial for maintaining health and well-being, lack of motivation frequently prevents individuals from exercising regularly. We introduce a simple way to motivate elderly people for mental jogging and physical training with assistive indoor and outdoor technology. [ABSTRACT FROM AUTHOR]
- Published
- 2009
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- View/download PDF
35. Opposite Drug Prescription and Cost Trajectories following Integrative and Conventional Care for Pain – A Case-Control Study.
- Author
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Sundberg, Tobias, Petzold, Max, Kohls, Niko, and Falkenberg, Torkel
- Subjects
DRUG prescribing ,MEDICAL prescriptions ,CASE-control method ,MEDICAL care costs ,ANALGESICS - Abstract
Objectives: Pharmacotherapy may have a limited role in long-term pain management. Comparative trajectories of drug prescriptions and costs, two quality-of-care indicators for pain conditions, are largely unknown subsequent to conventional or integrative care (IC) management. The objectives of this study were to compare prescribed defined daily doses (DDD) and cost of first line drugs for pain patients referred to conventional or anthroposophic IC in Stockholm County, Sweden. Methods: In this retrospective high quality registry case-control study, IC and conventional care patients were identified through inpatient care registries and matched on pain diagnosis (ICD-10: M79), age, gender and socio-demographics. National drug registry data was used to investigate changes in DDD and costs from 90/180 days before, to 90/180 days after, index visits to IC and conventional care. The primary selected drug category was analgesics, complemented by musculo-skeletal system drugs (e.g. anti-inflammatories, muscle relaxants) and psycholeptics (e.g. hypnotics, sedatives). Results: After index care visits, conventional care pain patients (n = 1050) compared to IC patients (n = 213), were prescribed significantly more analgesics. The average (95% CI) group difference was 15.2 (6.0 to 24.3), p = 0.001, DDD/patient after 90 days; and 21.5 (7.4 to 35.6), p = 0.003, DDD/patient after 180 days. The cost of the prescribed and sold analgesics was significantly higher for conventional care after 90 days: euro/patient 10.7 (1.3 to 20.0), p = 0.025. Changes in drug prescription and costs for the other drug categories were not significantly different between groups. Conclusions: Drug prescriptions and costs of analgesics increased following conventional care and decreased following IC, indicating potentially fewer adverse drug events and beneficial societal cost savings with IC. [ABSTRACT FROM AUTHOR]
- Published
- 2014
- Full Text
- View/download PDF
36. Die Rückgabe eines Buches des protestantischen Gelehrten Wilhelm Wundt aus dem Besitz des enteigneten jüdischen Apothekers Leopold Scheyer an seine Erben.
- Author
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Andert, Karin and Kohls, Niko
- Subjects
NAZI pillage ,RESTITUTION & indemnification claims (1933- ) ,ACADEMIC libraries ,NAZI Germany, 1933-1945 ,HISTORICAL source material ,HISTORY of libraries - Abstract
Copyright of Bibliotheksdienst is the property of De Gruyter and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2013
- Full Text
- View/download PDF
37. Die Rückgabe eines Buches des protestantischen Gelehrten Wilhelm Wundt aus dem Besitz des enteigneten jüdischen Apothekers Leopold Scheyer an seine Erben Returning a book of the protestant scholar Wilhelm Wundt, originally owned by the disowned Jewish pharmacist Leopold Scheyer, into the hands of the heirs
- Author
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Andert, Karin and Kohls, Niko
- Subjects
NAZI pillage ,CIVIL restitution ,REPATRIATION of cultural property ,INDEMNITY ,HISTORY of libraries ,JEWS in Nazi Germany, 1933-1945 ,WEIMAR Republic, 1918-1933 ,TWENTIETH century - Abstract
Dieser Beitrag berichtet über die Geschichte eines Buches des jüdischen Apothekers Leopold Scheyer, das, nachdem es im Jahr 2010 aus dem Bibliotheksbestand der Freien Universität Berlin ausgesondert wurde, antiquarisch erworben, sich als NS-Raubgut herausstellte und jetzt an die Erben zurückerstattet wurde. Ein sich daran anschließendes Studium der Entschädigungsakten gibt Einblick in die Praxis der Wiedergutmachung der Bundesrepublik Deutschland in den Nachkriegsjahren. This essay reports the history of a book that was disowned from a Jewish pharmacist during the rule of the NS regime and unjustly assigned to the Berlin (Freie Universität) university library. After the book was discarded by the library in 2010, it was purchased on the book market and subsequently identified as Nazi-loot. As we were fortunate enough to locate the legitimate heirs, the book could be returned into their hands. A resulting investigation of the legal documents of corresponding indemnity process allows to gain insights into the way how compensation cases were legally dealt with in the Federal Republic of Germany. [ABSTRACT FROM AUTHOR]
- Published
- 2013
- Full Text
- View/download PDF
38. Assessment of Mindfulness: Review on State of the Art.
- Author
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Sauer, Sebastian, Walach, Harald, Schmidt, Stefan, Hinterberger, Thilo, Lynch, Siobhan, Büssing, Arndt, and Kohls, Niko
- Abstract
Although alternative methods have been proposed, mindfulness is predominantly measured by means of self-assessment instruments. Until now, several scales have been published and to some degree also psychometrically validated. The number of scales reflects the widespread research interest. While some authors have started to compare the underlying concepts and operationalizations of these scales, up to now no overview has been presented describing, contrasting, and evaluating the different methodological approaches towards measuring mindfulness including questionnaires and alternative approaches. In light of this, the present article summarizes the state of mindfulness measurement. Recommendations on how current measurement practice may be improved are provided, as well as recommendations as to what measurement instruments are deemed to be most appropriate for a particular research context. [ABSTRACT FROM AUTHOR]
- Published
- 2013
- Full Text
- View/download PDF
39. Specific Objectivity of Mindfulness-A Rasch Analysis of the Freiburg Mindfulness Inventory.
- Author
-
Sauer, Sebastian, Ziegler, Matthias, Danay, Erik, Ives, John, and Kohls, Niko
- Abstract
Even as modern research on mindfulness has expanded, debate continues with regard to the measurement and conceptualization of mindfulness. This divergence has manifested in a proliferation of different measurement approaches. The present research contributes to the advancement of mindfulness measurement by performing a Rasch model analysis of the psychometric properties of the short form of the Freiburg Mindfulness Inventory (FMI-14). This rigorous psychometric method belongs to the family item response theory and can be considered to be a set of approaches complementing classical test theory. The FMI-14 was administered to a nonclinical convenience sample of N = 1,452 German adults. Our data showed poor fit to the Rasch model. A reanalysis of the model excluding one particular misfitting item (number 13) yielded an acceptable fit for the originally proposed one-factorial solution to the Rasch model. However, a two-factorial solution with the subfacets 'presence' and 'acceptance' provided a better overall fit than the unidimensional solution. Some degree of differential item functioning could be observed both in the uni- and two-dimensional solution suggesting that potential exists for improving the measurement quality of the FMI-13. In line with the recent research, it is concluded that the FMI-13 should be considered as a two-dimensional rather than a unidimensional instrument. [ABSTRACT FROM AUTHOR]
- Published
- 2013
- Full Text
- View/download PDF
40. Conscious Presence and Self Control as a measure of situational awareness in soldiers - A validation study.
- Author
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Büssing, Arndt, Walach, Harald, Kohls, Niko, Zimmermann, Fred, and Trousselard, Marion
- Subjects
PSYCHOTHERAPY ,MENTAL health counseling ,PSYCHIATRIC treatment ,PSYCHOANALYSIS ,PSYCHOTHERAPISTS ,MULTIVARIATE analysis - Abstract
Background: The concept of 'mindfulness' was operationalized primarily for patients with chronic stressors, while it is rarely used in reference to soldiers. We intended to validate a modified instrument on the basis of the Freiburg Mindfulness Inventory (FMI) to measure soldiers' situational awareness ("mindfulness") in stressful situations/missions. The instrument we will explore in this paper is termed the Conscious Presence and Self Control (CPSC) scale. Methods: The CPSC and further instruments, i.e., Perceived Stress Scale (PSS), stressful military experiences (PCL-M), life satisfaction (BMLSS), Positive Life Construction (ePLC), and self-perceived health affections (VAS), were administered to 281 German soldiers. The soldiers were mainly exposed to explosive ordnance, military police, medical service, and patients with posttraumatic stress disorders. Results: The 10-item CPSC scale exhibited a one-factorial structure and showed a good internal consistence (Cronbach's alpha = .86); there were neither ceiling nor bottom effects. The CPSC scores correlated moderately with Positive Life Construction and life satisfaction, and negatively with perceived stress and health affections. Regression analyses indicated that posttraumatic stress disorder symptoms (negative), and the development of effective strategies to deal with disturbing pictures and experiences (positive) were the best predictor of soldiers' CPSC scores. Soldiers with health affections exhibiting impact upon their daily life had significantly lower CPSC scores than those without impairment (F=8.1; p < .0001). Conclusions: As core conceptualizations of 'mindfulness' are not necessarily discussed in a military context, the FMI was adopted for military personnel populations, while its two factorial structure with the sub-constructs 'acceptance' and 'presence' was retained. The resulting 10-item CPSC scale had good internal consistence, sound associations with measures of health affections and life satisfaction, and thus can be used as a short and rapid measure in pre-post mission and interventional studies. [ABSTRACT FROM AUTHOR]
- Published
- 2013
- Full Text
- View/download PDF
41. Erkanntes und Erlebtes: Die Geschichte eines Buches des protestantischen Gelehrten Wilhelm Wundt aus dem Besitz des jüdischen Apothekers Leopold Scheyer.
- Author
-
Andert, Karin and Kohls, Niko
- Subjects
PSYCHOLOGY of literature ,JEWISH pharmacists ,NATIONAL socialism ,LIBRARY special collections - Abstract
The article discusses the singling out of a book in July 2011 at the library of the Psychologyische Institut (Psychology Institue) of the Frei Universität Berlin (Free University Berlin) in Berlin, Germany during a collection integration project, by Wilhelm Wundt, who is considered the founder of Psychology as an independent academic discipline. The book belonged to a German Jewish pharmacist named Leopold Scheyer who was dispossessed of the book during the rule of the National Socialist party in Germany.
- Published
- 2012
42. Quality of life in patients with fibromyalgia: validation and psychometric properties of the German Quality of Life Scale (QOLS-G).
- Author
-
Offenbächer, Martin, Sauer, Sebastian, Kohls, Niko, Waltz, Millard, and Schoeps, Peter
- Subjects
QUALITY of life ,FIBROMYALGIA ,GERMANS ,SEVERITY of illness index ,BECK Depression Inventory ,EXPLORATORY factor analysis ,PATIENTS - Abstract
Our objectives were to translate the Quality of Life Scale (QOLS) into German and to evaluate its reliability and validity for the use in patients with fibromyalgia (FMS). Together with German versions of the Fibromyalgia Impact Questionnaire (FIQ), the SF-36, a tender point count (TPC) and other questionnaires, we administered the QOLS to 146 patients with FMS. Patients were asked about the severity of pain today (VAS) and the duration of symptoms. Test-retest reliability was assessed using Spearman's correlations. Internal consistency was evaluated with Cronbach's alpha. Construct validity of the QOLS was evaluated by correlating the QOLS with the FIQ, the SF-36, the Beck Depression Inventory (BDI), and the Symptom Checklist (SCL-90-R) as well as with the pain variables. An exploratory factor analysis (EFA) was also conducted. Mean age was 53.1 years. Means were for pain today 6.8 and for duration of symptoms 11.8 years. Test-retest reliability for the total QOLS was rho = .91. Internal consistency was α = .90. Low-to-moderate correlations were obtained between the QOLS and the total FIQ (rho = −.42**), the SF-36 (e.g. physical functioning rho = .37**; mental health rho = .56**) as well as the pain variables (VAS rho = −.11 ns; TPC rho = −.20*). Psychological variables were moderately to substantially correlated with the QOLS (e.g. BDI rho = −.61**). An EFA suggested a three-factor solution. The QOLS-G is a reliable and valid instrument for measuring quality of life in German patients with FMS. [ABSTRACT FROM AUTHOR]
- Published
- 2012
- Full Text
- View/download PDF
43. Mind-Body Practices in Integrative Medicine.
- Author
-
Walach, Harald, Ferrari, Marie-Louise Gander, Sauer, Sebastian, and Kohls, Niko
- Subjects
INTEGRATIVE medicine ,MIND & body ,BEHAVIOR ,CONSCIOUSNESS ,PSYCHOLOGICAL stress - Abstract
Mind-Body practices have become increasingly popular as components of psychotherapeutic and behavior medicine interventions. They comprise an array of different methods and techniques that use some sort of mental-behavioral training and involve the modulation of states of consciousness in order to influence bodily processes towards greater health, well-being and better functioning. Mind-body practices may thus be interpreted as the salutogenetic mirror image of psychosomatic medicine, where psychophysiological and health consequences of specific psychological states are studied, such as stress arousal, psychological trauma or depression. This contribution examines the empirical evidence of the most common mind-body techniques with regard to their salutogenetic potential. We concisely discuss some aspects of the mind-body problem, before we consider some historical aspects and achievements of psychosomatic medicine. We then turn to some prominent mind-body practices and their application, as well as the empirical database for them. [ABSTRACT FROM AUTHOR]
- Published
- 2012
- Full Text
- View/download PDF
44. Mindfulness-based Coping with University Life: A Non-randomized Wait-list-controlled Pilot Evaluation.
- Author
-
Lynch, Siobhan, Gander, Marie‐Louise, Kohls, Niko, Kudielka, Brigitte, and Walach, Harald
- Subjects
PREVENTION of psychological stress ,PSYCHOLOGICAL adaptation ,AMYLASES ,ANALYSIS of variance ,PSYCHOLOGY of college students ,HYDROCORTISONE ,MEDITATION ,RESEARCH ,SALIVA ,STATISTICS ,PILOT projects ,DATA analysis - Abstract
The aim of this study was to explore the feasibility of implementing a new 8-week mindfulness-based programme, 'Mindfulness-Based Coping with University Life' (MBCUL), specifically tailored to the needs and demand of students and to explore its impact in a pilot evaluation. Participants were drawn from the University of Northampton (MBCUL N = 10; control N = 6). A non-randomized wait-list-controlled design was employed. Measures examined anxiety and depression, perceived stress, mindfulness and personally relevant change before and immediately after the programme. The diurnal profile of salivary cortisol and alpha-amylase level was collected for two consecutive days. No significant intergroup differences were observed on any of the measures at either time point. However, significant change was observed for the MBCUL group in terms of perceived stress ( d = 1.06; z = −2.25, p = 0.03), anxiety ( d = 1.04; z = −2.14, p = 0.03), depression ( d = 0.52; z = −0.69, p = 0.5) and personally relevant change ( d = 2.63; z = −2.68, p = 0.01), along with an increase in mindfulness ( d = 1.06; z = −1.89, p = 0.06). In contrast, no significant change was found in the daily profiles of cortisol and alpha-amylase. The data from this pilot tentatively suggest that MBCUL appears to be a promising programme that warrants further evaluation using a randomized study with a larger sample size. Copyright © 2011 John Wiley & Sons, Ltd. [ABSTRACT FROM AUTHOR]
- Published
- 2011
- Full Text
- View/download PDF
45. Measuring Mindfulness: A Rasch Analysis of the Freiburg Mindfulness Inventory.
- Author
-
Sauer, Sebastian, Walach, Harald, Offenbächer, Martin, Lynch, Siobhan, and Kohls, Niko
- Abstract
The objective of the study was to assess the psychometric properties of the Freiburg Mindfulness Inventory (FMI-14) using a Rasch model approach in a cross-sectional design. The scale was administered to N = 130 British patients with different psychosomatic conditions. The scale failed to show clear one-factoriality and item 13 did not fit the Rasch model. A two-factorial solution without item 13, however, appeared to fit well. The scale seemed to work equally well in different subgroups such as patients with or without mindfulness practice. However, some limitations of the validity of both the one-factorial and the two-factorial version of the scale were observed. Sizeable floor and ceiling effects limit the diagnostical use of the instrument. In summary, the study demonstrates that the two-factorial version of the FMI-13 shows acceptable approximation to Rasch requirements, but is in need of further improvement. The one-factorial solution did not fit well, and cannot be recommended for further use. [ABSTRACT FROM AUTHOR]
- Published
- 2011
- Full Text
- View/download PDF
46. Spirituality and the International Classification of Functioning, Disability and Health: content comparison of questionnaires measuring mindfulness based on the International Classification of Functioning.
- Author
-
Offenbächer, Martin, Sauer, Sebastian, Hieblinger, Robin, Hufford, David J., Walach, Harald, and Kohls, Niko
- Abstract
Purpose. To identify and compare the concepts contained in questionnaires measuring mindfulness using the International Classification of Functioning (ICF) as external reference. Method. Questionnaires which are published in peer-reviewed journals and listed in Pubmed or PsycInfo were included. The questionnaires were analysed and, using a content-analytical approach, the respective items were categorised and linked to the ICF. Results. Ten questionnaires were included. Ninety-four per cent ( N == 341) of the concepts could be linked to 37 different ICF categories. One hundred and seventy-one (50.1%%) concepts were linked to ICF categories of the component Body Function, 74 (21.7%%) to categories of the component Activity and Participation and none to categories of the component Environmental Factors. In total, 28.2%% of the linked concepts belonged to Personal factors, which are not yet classified in the ICF. The questionnaires exhibited considerable differences regarding content density (i.e. the average number of concepts per item) and content diversity (i.e. the number of ICF categories per concept). Conclusions. The ICF provides an useful external reference to identify and compare the concepts contained in mindfulness questionnaires. Also, mindfulness questionnaire concepts suggest potentially useful factors for classification within the ICF. [ABSTRACT FROM AUTHOR]
- Published
- 2011
- Full Text
- View/download PDF
47. Mindful Leadership: Sind achtsame Führungskräfte leistungsfähigere Führungskräfte?
- Author
-
Sauer, Sebastian, Andert, Karin, Kohls, Niko, and Müller, Günter F.
- Abstract
Copyright of Gruppendynamik und Organisationsberatung is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2011
- Full Text
- View/download PDF
48. Dialectics of mindfulness: implications for western medicine.
- Author
-
Sauer, Sebastian, Lynch, Siobhan, Walach, Harald, and Kohls, Niko
- Subjects
MINDFULNESS-based cognitive therapy ,THERAPEUTIC use of meditation ,PASSIVITY (Psychology) ,PERSONALITY ,MEDICAL personnel - Abstract
Mindfulness as a clinical and nonclinical intervention for a variety of symptoms has recently received a substantial amount of interest. Although the application of mindfulness appears straightforward and its effectiveness is well supported, the concept may easily be misunderstood. This misunderstanding may severely limit the benefit of mindfulness-based interventions. It is therefore necessary to understand that the characteristics of mindfulness are based on a set of seemingly paradoxical structures. This article discusses the underlying paradox by disentangling it into five dialectical positions - activity vs. passivity, wanting vs. non-wanting, changing vs. non-changing, nonjudging vs. non-reacting, and active acceptance vs. passive acceptance, respectively. Finally, the practical implications for the medical professional as well as potential caveats are discussed. [ABSTRACT FROM AUTHOR]
- Published
- 2011
- Full Text
- View/download PDF
49. Implementing ambient assisting technologies in elder-care: Results of a pilot study.
- Author
-
Hazzam, Astrid M., Kohls, Niko B., Plankensteiner, Astrid A. C., Becker, Ulrich, Ritter, Walter, Maier, Edith, Plischke, Herbert, Sauer, Sebastian, Grigore, Ovidiu, Pohl, Wilfried, and Kempter, Guido
- Subjects
ELDER care ,MEDICAL technology ,PILOT projects ,AGE factors in well-being ,OLD age assistance ,QUALITY of life - Abstract
The residential lighting conditions of elders are an important but frequently neglected aspect that may directly or indirectly infl uence important health and wellbeing parameters. Within the EU-funded project Ambient Lighting Assistance for an Ageing Population (ALADIN) a new adaptive lighting device that is capable to adapt to psycho-physiological parameters of an elderly person has been developed and pilot-tested under real life conditions. The main outcome criteria of this pilot study comprise wellbeing, life quality, mental and physical fi tness as well as sleep quality. The system was installed in the habitations of twelve subjects and evaluated for three months in a fi eld-test with technological support provided on demand. Results indicated a signifi - cant increase of wellbeing, life quality and mental fi tness. However, these results may not only be attributed to the infl uence of the lighting system. Social contacts due to participation in the study and the introduction of new technologies might also be responsible for the positive outcome concerning wellbeing and life quality. Therefore, the potential of ambient assisting technologies for improving the lives of the elderly could be further developed by embedding them into social settings and facilitating social contacts rather than understanding them as technological stand-alone solutions. [ABSTRACT FROM AUTHOR]
- Published
- 2011
50. Ambient Assistive Technologies (AAT): socio-technology as a powerful tool for facing the inevitable sociodemographic challenges?
- Author
-
Schülke, Astrid M., Plischke, Herbert, and Kohls, Niko B.
- Subjects
SOCIODEMOGRAPHIC factors ,OLDER people ,AGE factors in well-being ,LIGHTING - Abstract
Due to the socio-demographic change in most developed western countries, elderly populations have been continuously increasing. Therefore, preventive and assistive systems that allow elderly people to independently live in their own homes as long as possible will become an economical if not ethical necessity. These respective technologies are being developed under the term "Ambient Assistive Technologies" (AAT). The EU-funded AAT-project Ambient Lighting Assistance for an Ageing Population (ALADIN) has established the long-term goal to create an adaptive system capable of improving the residential lighting conditions of single living elderly persons also aiming at supporting the preservation of their independence. Results of an earlier survey revealed that the elderly perceived their current lighting situation as satisfactory, whereas interviewers assessed in-house lighting as too dark and risk-laden. The overall results of ALADIN showed a significant increase in well-being from the baseline final testing with the new adaptive lighting system. Positive results for wellbeing and life quality suggest that the outcome effects may be attributed to the introduction of technology as well as to social contacts arising from participating in the study. The technological guidance of the study supervisors, in particular, may have produced a strong social reactivity effect that was first observed in the famous Hawthorne experiments in the 1930s. As older adults seem to benefit both from meaningful social contacts as well as assistive technologies, the question arises how assistive technology can be socially embedded to be able to maximize positive health effects. Therefore ethical guidelines for development and use of new assistive technologies for handicapped/older persons have to be developed and should be discussed with regard to their applicability in the context of AAT. [ABSTRACT FROM AUTHOR]
- Published
- 2010
- Full Text
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