TY - JOUR A1 - Gitzen, Harald A1 - Schmidt, Jennifer A1 - Martin, Alexandra T1 - Subjective and physiological reactivity to emotional stressors in somatic symptom disorder JF - International Journal of Psychophysiology N2 - Objective: We examined whether autonomic flexibility to experimentally presented stressors is reduced in somatic symptom disorder (SSD) as this would point to reduced vagal control as a proposed indicator of emotion regulation deficits. Method: In this experimental study, the influence of health-related and social stressors on subjective and physiological reactivity was investigated in 29 subjects with SSD without any medical condition SSD(mc−), 33 subjects with SSD with medical condition SSD(mc+) and 32 healthy controls at the age from 18 to 70 years. Self-report and physiological variables were measured before and after/during stressor exposure, using state ratings of symptom intensity, disability, tension and mood, heart rate (HR), and heart rate variability (HRV). Results: Overall, the tension increased and the mood worsened after exposure to stressors compared to pre-exposure. Compared to HC, the two SSD groups showed higher symptom intensity, disability, tension and worse mood. The SSD(mc−) group revealed higher HR than HC (p = .012, d = −0.77). Compared to pre-exposure, symptom impairment increased after social stressor exposure in SSD(mc−) (p < .001, d = 1.36). HRV-root mean square of successive differences (RMSSD) only decreased in HC during exposure (p = .003, d = −1.09), not in the SSD groups. The two SSD groups did not differ in their reactivity to stressors. Conclusion: HRV in SSD, seems to respond less flexibly to stressors, potentially reflecting overall physiological disturbance through reduced parasympathetic influence on HR. Stress reactivity in SSD(mc−) and SSD(mc+) do not seem to differ. Y1 - 2024 U6 - http://dx.doi.org/10.1016/j.ijpsycho.2023.112273 VL - 2024 IS - 195 SP - 112273 EP - 112273 ER - TY - GEN A1 - Enaux, Jennifer A1 - Ortner, Manuela A1 - Kobleder, Andrea A1 - Knecht, Christiane T1 - Advanced practice nurses in the field of pelvic floor disorder – lessons learned five years after role implementation. 24th EAUN Meeting, Paris, 07.04.2024. (Poster) Y1 - 2024 ER - TY - JOUR A1 - Schmidt, Jennifer A1 - Gallinat, Christina A1 - Martin, Alexandra T1 - Appearance-related concerns in individuals with Pathological Skin Picking - A comparison with individuals with dermatological conditions and skin-healthy controls JF - Frontiers in Medicine N2 - Pathological Skin Picking (PSP) is an excessive behavior which characterizes Skin Picking Disorder. Individuals repeatedly pick their skin and cause skin lesions, but are unable to control the behavior, which can cause severe distress. Visible self-inflicted skin lesions can additionally affect individuals with PSP due to emerging appearance-related concerns. However, these concerns and their role in PSP have hardly been studied, especially not in comparison with individuals with dermatological conditions and skin-healthy controls. The present cross-sectional study (n=453, 83.9% female, 15.9% male, 0.2% diverse) aimed at analyzing appearance-related concerns and mental health outcomes between four groups: Individuals with PSP and dermatological conditions (SP/DC; n=83), PSP without dermatological conditions (SP; n=56), dermatological conditions without PSP (DC; n=176) and skin-healthy controls (SH, n=138). We compared questionnaire data on dysmorphic concerns, appearance-based rejection sensitivity, and body dysmorphic symptoms, as well as PSP-symptoms and mental health outcomes (depression, anxiety, and self-esteem) between groups. The analyses showed a significant multivariate group effect in the appearance-related variables, F(6, 896)=19.92, Wilks’ Λ=0.78, p<.001, and mental health outcomes, F(6, 896)=16.24, Wilks’ Λ=0.81, p<.001. The SP/DC group had the strongest appearance-related concerns and mental health impairments, followed by the SP group, the DC group and the SH group. The SP/DC group and SP group only differed significantly with regard to dysmorphic concerns, but not in other variables. The DC group was less affected but still showed higher dysmorphic concerns and mental health impairments than skin-healthy controls. In contrast to the PSP groups, the other two groups did not exceed clinically relevant cut-off scores. The present study shows that individuals with PSP exhibit strong appearance-related concerns, regardless of the presence or absence of underlying or comorbid dermatological conditions. These findings shed new light on the importance of appearance-related concerns in skin picking disorder and the role of PSP as a potentially overlooked risk factor in dermatological patients. Therefore, appearance-related concerns should be explicitly addressed in dermatological and psychotherapeutic settings. Future studies should also include longitudinal and experimental analyses to more clearly classify the role of appearance-related concerns in the etiology of PSP and skin picking disorder. KW - Skin Picking KW - Dermatillomanie KW - Appearance-concerns KW - body image Y1 - 2023 UR - https://www.frontiersin.org/articles/10.3389/fmed.2023.1075743 U6 - http://dx.doi.org/10.3389/fmed.2023.1075743 VL - 10 ER - TY - GEN A1 - Dütthorn, Nadin A1 - Finn, Yvonne A1 - Smyth, Siobhan A1 - Groddeck, Luisa T1 - Virtual Reality Training for Health Care Professioanals. Presentation at University of Limerick, Ireland, 2.03.2023 Y1 - 2023 ER - TY - JOUR A1 - Pernica, Katrin A1 - Virtanen, Heli A1 - Lunddahl Bager, Ida A1 - Jordan, Fionnuala A1 - Dütthorn, Nadin A1 - Stolt, Minna T1 - Virtual reality simulation enabling high level immersion in undergraduate nursing education: A systematic review JF - Journal of Nursing Education and Practice N2 - Background and objectives: Virtual reality simulation (VRS) can be used to complement experiential learning, as it enables nursing students to further learn and refine nursing skills outside of the clinical setting. However, gathering evidence for its effectiveness as a teaching method in achieving learning outcomes is still ongoing, and thus there is a lack of systematic synthesis. The objective of this systematic literature review is to analyze VRS scenarios with a high level of immersion and their impact on learning outcomes in nursing education. Methods: A literature search was performed in the MEDLINE, CINAHL, and ERIC databases in November 2022. As a result, fifteen studies were included and analyzed using deductive content analysis. Results: The studies reported twelve different scenarios for virtual reality simulations with high levels of immersion, the focus of which was on acute critical care, broader nursing processes, neonatal and pediatric care, single nursing interventions, and observation of patients’ symptoms. The associated learning objectives were mainly achieved in the domains of cognition and psychomotor skills. Conclusions: There are several VRS scenarios that show potential for use in nursing education. The VRS scenarios are effective in improving learning outcomes, particularly those related to knowledge and skills. Overall, the supportive body of evidence gained through this review may help nurse educators in integrating virtual simulations in their curricula. In the future, nursing and adult learning theories should be given greater consideration, and the aspect of affective learning could be included in design and implementation. Moreover, future research could benefit from exploring the long-term effects of learning after using VRS with a high level of immersion to provide valuable evidence for developing VRS teaching methods in nursing. Y1 - 2023 U6 - http://dx.doi.org/10.5430/jnep.v13n11p20 SN - 1925-4059 VL - Vol.13 IS - 11 SP - 17 EP - 27 ER - TY - GEN A1 - Fiedler, Manfred A1 - Tarner, Nikolas A1 - Kespohl, Hendrik A1 - Grosse, Gisela A1 - Beck, Felix A1 - Knecht, Christiane T1 - Working on the public image of nursing. A transdisciplinary approach about the essence of nursing. 29th ICN Congress, Montreal, 01.07.2023. (Poster) Y1 - 2023 ER - TY - GEN A1 - Dimitriadou Xanthopoulou, Nikoletta A1 - Große Westermann, Melanie A1 - Oetting-Roß, Claudia A1 - Knecht, Christiane T1 - Identifying the Scope of Practice and Competencies of Advanced Practice Nurses in Critical Care. A Scoping Review. 29th ICN Congress, Montreal, 01.07.2023. (Poster) Y1 - 2023 ER - TY - JOUR A1 - Opwis, Mareile A1 - Bartel, Eva Catrin A1 - Salewski, Christel A1 - Schmidt, Jennifer T1 - Sorry—Bad Habit! Validation of the German Self-Report Habit Index with a Test for Its Relation to Potentially Addictive Forms of Health-Risk Behaviors JF - International Journal of Mental Health and Addiction N2 - Habits are highly automated behaviors that have received renewed attention in addiction research. The Self-Report Habit Index (SRHI) is a widely used measure of habits. Two cross-sectional online studies aimed at validating a German version of the SRHI to assess two everyday health-risk behaviors: caffeine consumption and smartphone/tablet use. In both studies (N = 1310), the SRHI scales (one adapted for caffeine consumption, one for smartphone/tablet use), as well as corresponding addiction scales and health outcomes (study 1), or established validity measures (study 2), were assessed. Both SRHI scales showed satisfying item characteristics, high internal consistencies (αs > .90), adequate construct validity, and a three-factorial solution with a satisfying model fit (CFI/TLIs > .95, SRMRs ≤ 0.05). Highest correlations emerged between SRHI and addiction scales. The studies show that the German SRHI can be used to validly assess health-risk behaviors. The observed strong correlations of the SRHI scales with addiction scales suggest that (self-reported) habit is indeed an important aspect to consider in addiction research. KW - Habit KW - Addiction KW - Caffeine KW - Smartphone KW - Self Report Habit Index Y1 - 2023 UR - https://link.springer.com/article/10.1007/s11469-023-01057-3 U6 - http://dx.doi.org/https://doi.org/10.1007/s11469-023-01057-3 SN - 1557-1882 ER - TY - GEN A1 - Dimitriadou Xanthopoulou, Nikoletta A1 - Große Westermann, Melanie A1 - Oetting-Roß, Claudia A1 - Knecht, Christiane T1 - Identifying the Scope of Practice and Competencies of Advanced Practice Nurses in Critical Care. A Scoping Review. 29th ICN Congress, Montreal. Y1 - 2023 ER - TY - JOUR A1 - Kohmäscher, Anke A1 - Primaßin, Annika A1 - Heiler, Sabrina A1 - da Costa Avelar, Patricia A1 - Franken, Marie-Christine A1 - Heim, Stefan T1 - Effectiveness of Stuttering Modification Treatment in School-Age Children Who Stutter: A Randomized Clinical Trial JF - Journal of Speech, Language, and Hearing Research N2 - Purpose: This study investigated the effectiveness of the stuttering modification intervention Kinder Dürfen Stottern (KIDS) in school-age children who stutter. Method: Seventy-three children who stutter were included in this multicenter, two-group parallel, randomized, wait-list controlled trial with a follow-up of 12 months. Children aged 7–11 years were recruited from 34 centers for speech therapy and randomized to either the immediate-treatment group or the 3 months delayed-treatment group. KIDS was provided by 26 clinicians who followed a treatment manual. Although the primary outcome measure was the impact of stuttering (Overall Assessment of the Speaker’s Experience of Stuttering–School-Age [OASES-S]), the secondary outcomes included objective and subjective data on stuttering severity. Results: At 3 months postrandomization, the mean score changes of the OASESS differed significantly between the experimental (n = 33) and control group (n = 29; p = .026). Furthermore, treatment outcomes up to 12 months were analyzed (n = 59), indicating large effects of time on the OASES-S score (p < .001, partial η2 = .324). This was paralleled by significant improvements in parental ratings and objective ratings (stuttering severity, frequency, and physical concomitants). Conclusions: The significant short-term treatment effects in the OASES-S are in line with the (initial) focus of KIDS on cognitive and affective aspects of stuttering. Over 12 months, these changes were maintained and accompanied by behavioral improvements. The results suggest that individual treatment with KIDS is an adequate treatment option for this age group. KW - stuttering Y1 - 2023 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:hbz:836-opus-171722 VL - 66 IS - 10 SP - 1 EP - 15 ER -