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Faculty
65 Jahre später
(2010)
OBJECTIVE To compare the emotional and behavioral problems of children of patients suffering from cancer or a mental disorder and their association with parental quality of life. METHODS A total of 223 children from 136 families and their 160 parents were investigated from multiple perspectives in a cross-sectional study. The consistency of different adjustment reports between family members was examined. Through mixed models, the differences between parental HRQoL and the children's symptomatology were studied with regard to the type of parental illness. The prediction of children's adjustment through parental HRQoL was further examined. Additionally, gender and age of the children were considered. RESULTS Half of the children exhibited psychosocial problems. Gender and age differences were independent of the type of parental disease. In families with parental cancer, the reports of children's adjustment were more consistent between family members than in families where a parental mental disorder was present. We found differences in HRQoL between families with mentally ill parents and those with parental cancer patients. Specifically, the healthy partners of mentally ill parents showed worse HRQoL compared with healthy partners of cancer patients. Healthy parents' reduced HRQoL was associated with worse adjustment in their children, regardless of the type of parental illness, but this result was not found for ill parents. CONCLUSION Family members confronted with parental cancer or mental disorders are more burdened compared with those from the normal population, independently of the type of disease. Our results indicate that the type of a parental disease has no direct effect on children's adjustment. However, there are disease-specific effects on parental HRQoL, which are associated with children's adjustment.
Persistent feelings of gender dysphoria (GD) are accompanied by distress and body dissatisfaction in most clinically referred adolescents and adults. Transition-related medical interventions (e.g., puberty suppression, hormones, or surgery) may alleviate body dissatisfaction. The aim of the present cross-sectional study was to compare multidimensional body image across clinically referred adolescents and adults undergoing different transition-related medical interventions. Two clinical samples of adolescents (n = 82) and adults (n = 120) referred to specialized departments of four different transgender health services in Germany participated in the study. In total, 202 individuals from the female-to-male (FtM individuals) and male-to-female (MtF individuals) spectrum aged 14-74 years were included at different stages of their transition. Four scales assessing multidimensional aspects of body image (measured by the Body Image Assessment Questionnaire, FBeK) were compared across three groups: sample, gender, and medical interventions (while controlling for age and treatment duration). The results indicated less favorable body image scores compared with the norm in both adolescents and adults with GD. Individuals who had undergone transition-related medical interventions presented a significantly better body image on two of the four scales. Differences according to gender and age were also present. These findings suggest that medical interventions, especially gender-affirming hormones and surgery, are generally beneficial to the body image in individuals with GD. However, not all of the less favorable outcomes in multidimensional body image were positively influenced by the treatment conditions and may thus benefit from additional integrative counseling before and during transition.
Ach, bittrer Winter
(2004)
Aktuelle Probleme in der Amtsvormundschaft/-pflegschaft und Perspektiven zu ihrer Überwindung
(1998)
Altern in der Arbeitswelt
(2009)
An international consensus for assessing internet gaming disorder using the new DSM-5 approach
(2014)
In einvernehmlich nicht monogamen Beziehungen (ENMB) sind Menschen mit mehr als einer Person in einer (sexuellen und/oder emotionalen) Intimbeziehung verbunden. Vermehrt nehmen Personen, die in ENMB leben (wollen), psychosoziale Angebote in Anspruch. Damit Berater*innen angemessen auf deren Beratungsanliegen reagieren können, werden konkrete Empfehlungen für die therapeutische Arbeit formuliert. Die Empfehlungen basieren auf veröffentlichten Fallstudien, die bisher fast ausschließlich in englischer Sprache vorliegen, sowie der Beratungspraxis des Autors. Dadurch soll ein Beitrag zu einer besseren psychosozialen Versorgung von Menschen geleistet werden, die einvernehmlich nicht monogam leben (wollen).
BACKGROUND Anxiety and depression can be a long-term strain in cancer survivors. Little is known about the emotional situation of cancer survivors who have to deal with work- and family-related issues. The purpose of this study was to investigate anxiety and depression in working-age cancer survivors and associated factors. METHODS A register-based sample of 3370 cancer survivors (25 to 55 years at time of diagnosis) diagnosed up to six years prior to the survey was recruited from two German cancer registries. Demographic and medical characteristics as well as self-reported measures were used. RESULTS Overall, approximately 40% of the survivors reported moderate to high anxiety scores and approximately 20% reported moderate to high depression scores. Compared to the general population, working-age cancer survivors were more anxious but less depressed (p < .001). Subgroups with regard to time since diagnosis did not differ in anxiety or depression. Anxiety and depression in cancer survivors were associated with various variables. Better social support, family functioning and physical health were associated with lower anxiety and depression. CONCLUSIONS Overall, we found higher anxiety levels in cancer survivors of working-age than in the general population. A considerable portion of cancer survivors reported moderate to high levels of anxiety and depression. The results indicate the need for psychosocial screening and psycho-oncological support e.g. in survivorship programs for working-age cancer survivors. Assessing the physical health, social support and family background might help to identify survivors at risk for higher emotional distress.
People adapt their word choice to both humans and computers. In this study, language style (elaborated vs. restricted) and perceived conversational partner (human vs. spoken dialogue system) were varied. Convergence was greater when reacting to a restricted language style. Participants preferred human partners and an elaborated language style. In line with communication accommodation theory, results suggest that considering restricted capabilities (cognitive organization) constitutes a central motive for convergence. Implications for spoken dialogue system design are discussed.
Auch alte Hunde können neue Kunststücke erlernen. Eine Standortbestimmung zur Kulturgeragogik.
(2011)
Ausgangspunkt Landwirtschaft
(2005)
Bad Roots to Grow: Deficient Implicit Self-Evaluations in Chronic Depression With an Early Onset
(2016)
KI-basierte Chatbots erlangen zunehmend Bedeutung im Bereich der Beratung und Therapie zur psychischen Gesundheit. Dabei sind Expertensysteme und generative Systeme als technische Grundlagen hinsichtlich der möglichen Effekte zu unterscheiden. Hinsichtlich der sozialen Effekte in der Mensch-Maschine-Interaktion beschreibt und definiert der Beitrag das Phänomen der quasisozialen Beziehung. Besonders relevant sind in diesem Zusammenhang Selbstoffenbarungseffekte, d.h. die Preisgabe persönlicher Informationen, die durch (zugeschriebene) Eigenschaften von Chatbots beeinflusst werden können. In der Beratung zeigt sich das im Teilen von selbstbezogenen Informationen mit einem kommunikativen Gegenüber und führt in Beziehungen zum Aufbau von Nähe. Diskutiert werden Effekte, Chancen und Risiken für die Einordnung des Einsatzes solcher Chatbots in Beratung und Therapie.