Danner U, Avian A, Macheiner T, Salchinger B, Dalkner N, Fellendorf FT, Birner A, Bengesser SA, Platzer M, Kapfhammer HP, Probst M, Reininghaus EZ.
PLoS One. 2017 Oct 16;12(10):e0186597. doi: 10.1371/journal.pone.0186597. eCollection 2017.
Despite the importance of body awareness for health and well-being there is still a lack of valid assessment tools to scan proper body awareness. To respond to the limitations of questionnaires (reading/interpretation problems) the Awareness-Body-Chart (ABC) was designed to assess body awareness by colouring 51 regions according to their awareness. The objective of this study was to investigate the psychometric characteristics of the ABC.
In a questionnaire-study, 106 students in Graz (79 females, 27 males, age median 21 (IQR 20-23) years) filled in the ABC, furthermore a German body awareness questionnaire „KEKS“, and the Beck Depression Inventory II. Factor structure, internal consistency, and retest reliability of the ABC were investigated. Correlations of the ABC with the KEKS and the Beck Depression Inventory II and comparisons of subgroups were conducted.
Through factor analyses, 14 factors with clear assignments to body parts could be categorized: cranium, face, cervical/lumbar region, chest/abdomen, back, shoulder, upper arm, lower arm/elbow, hand, genital area, thigh/hip, knee, lower leg, and foot. The 14 body parts and the total score showed acceptable to high Cronbach’s alphas (α = .64 – .97). The test-retest reliability showed values between ρ = .71 and ρ = .96. The correlation of the ABC and KEKS (r = .66, p < .001) confirmed validity. Further indications of validity could be seen in comparisons of subgroups and in correlations with the Beck Depression Inventory II.
The ABC proved good psychometric properties with acceptable to high internal consistency, acceptable to high retest reliability and high construct validity. It is an easy-to-use tool for clinical settings and research. The ABC opens new insights into body awareness-patterns of various subgroups.
Macheiner T, Skavantzos A, Pilz R, Reininghaus EZ.
J Affect Disord. 2017 Nov;222:28-31. doi: 10.1016/j.jad.2017.06.057. Epub 2017 Jun 27.
Bipolar disorders are ranked amongst the top ten causes of global disability and cause high health care costs. Previous studies have showed that mood stabilizing drug therapy combined with psychological treatments lead to significantly fewer relapses and a reduction in hospitalization rates. However, there is a wide spectrum of psychosocial intervention methods for individuals and groups which have been insufficiently examined on a scientific basis.
Studies published between 2003 and 2015 on different types of adjuvant psychosocial group interventions in the MESH database were reviewed and evaluated for their efficacy on patients with bipolar disorder related to the relapse ratio by a meta-analysis.
The meta-analysis included 24 intervention groups and showed that 75% of treated groups under medication and psychosocial therapy had a lower risk of a relapse than the control groups which only received medication therapy.
The meta-analysis includes a number of trials with participants in different phases of disease course and study designs, the number of studies in each analyzed intervention group was not balanced and many studies focused on recovery and recurrence of episodes, precluding identification of the impact on subsyndromal symptoms CONCLUSIONS: Adjuvant psychosocial interventions seem to be indispensable for patients, their relations as well as for saving costs in the health care system. Nevertheless, an evaluation of effectiveness and impact factors of different psychosocial intervention methods needs further research.
Danner U, Macheiner T, Avian A, Lackner N, Fellendorf F, Birner A, Bengesser SA, Platzer M, Kapfhammer HP, Reininghaus E.
Fortschr Neurol Psychiatr. 2017 Feb;85(2):86-91. doi: 10.1055/s-0042-124506. Epub 2017 Feb 24.
Before patients with bipolar disorder (BD) can begin to perform balanced physical activity, they have to overcome many difficulties. The aim of this study was to examine the acceptance of pedometers as a self-assessment tool in people with BD. Patients who participated in an intervention study with body-oriented groups and psychoeducation groups at the Medical University of Graz/ Department of Psychiatry were invited to use pedometers on a daily basis and keep pedometer diaries over a period of 24 weeks. Most of the patients were satisfied with the pedometers and found them helpful for their health. The difficulties in the study were to recruit patients for this exercise trial, their lack of adherence to the program and a high dropout rate. Out of the 130 invited patients, 41 came to the baseline investigation, 27 of them took part in the group interventions and 14 used pedometers and handed in the pedometer diaries. For clinical practice, specific motivational interventions are recommended to stimulate individuals with BD to engage in regular physical exercise.
Stress – Ist Haar-Cortisol ein nützlicher Stress-Biomarker?
Tanja Macheiner; Referat in Fortschr Neurol Psychiatr 2016; 84(10): 602 DOI: 10.1055/s-0042-117405
Zusammenfassung zum Referat
Stress kann das Erkrankungs- und Rückfallrisiko für psychiatrische Erkrankungen erhöhen. Aber gibt es robuste Methoden zur Messung der biologischen Stressreaktion? Forscher aus Bosnien-Herzegowina haben nun anhand einer neuen Haar-Cortisol-Analysemethode untersucht, ob Unterschiede der Stressreaktionen von Patienten mit bipolaren Erkrankungen und Schizophrenie messbar sind.