Christoph Herrmann-Lingen

German Centre for Cardiovascular Research

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Christian Albus

University Hospital Cologne

Gereon Heuft

University Hospital Münster

Kerstin Weidner

TU Dresden

Wolfgang Herzog

University Hospital Heidelberg

Mechthild Neises

FH Aachen

Johannes Kruse

University of Giessen

Wolfgang Söllner

Nuremberg Hospital

Stephan Herpertz

LWL-Universitätsklinikum Bochum

Volker Köllner

Deutsche Rentenversicherung Bund

Manfred Cierpka

Heidelberg University

Cooperative Institutions

Klinik für Psychosomatik

Heidelberg University

University Hospital Heidelberg

Universität Hamburg

University Medical Center Hamburg-Eppendorf

Klinik und Poliklinik für Psychosomatische Medizin und Psychotherapie

University of Freiburg

University of Göttingen

German Centre for Cardiovascular Research

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Evaluation eines fakultativ multimodalen Behandlungskonzeptes in einem medizinischen Versorgungszentrum mit psychosomatischem Schwerpunkt

Ärztliche Psychotherapie (2022)

Holger Kappe Thomas J. Meyer Jochen Timmermann Christoph Herrmann-Lingen

Problematische Aspekte ambulanter Psychotherapie in Deutschland sind die geringe Zahl versorgter Patienten pro Kassensitz und die seit Jahren langen Wartezeiten auf einen Therapieplatz. Neuere ambulante Versorgungsmodelle beziehen nichtakademische Berufsgruppen in die Behandlung ein, wodurch die Behandlungskapazitäten steigen und die Wartezeiten verkürzt werden. Die Studie untersucht die Anwendung eines flexiblen, fakultativ multimodalen Therapiekonzeptes in der Behandlung psychosomatisch erkrankter Patienten in einem norddeutschen medizinischen Versorgungszentrum (MVZ).

10.21706/aep-17-1-51

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Validity of a Multidimensional Psychosocial Screener Based on the ESC Cardiovascular Prevention Guidelines – Evidence from the General and Cardiovascular Patient Population

Sophie C.M. van den Houdt Christian Albus Christoph Herrmann-Lingen Jos Widdershoven Nina Kupper

Aim. To evaluate the psychometric properties and validity of the updated version of the Dutch multidimensional European Society of Cardiology (ESC) psychosocial screening instrument in patients with heart disease and the general population. Method. 678 participants (Mage = 48.2, SD = 16.8; 46% male) of the Dutch general population and 312 cardiac patients (Mage = 65.9, SD = 9.9; 77% male) who recently received percutaneous coronary intervention completed the ESC Psychosocial screening instrument and validated questionnaires for depression (PHQ-9), anxiety (GAD-7), Type D personality (DS14), hostility (CMHS), anger (STAS-T), trauma (SRIP), and chronic work and family stress (ERI, MMQ-6). Results. Confirmatory factor analysis (CFA) confirmed that the eight screened risk factors were best measured as separate entities, rather than as broader indications of distress. Inter-instrument agreement, assessed with the intraclass coefficient (ICC) and the screening accuracy indicators (receiving operator characteristic [ROC] curves, sensitivity, specificity, and the positive and negative predictive values [PPV;NPV]) were good for most screened risk factors. PPV was low in low prevalence risk factors like anxiety and trauma. Conclusion. Overall, the current version of the ESC Psychosocial screening instrument has an acceptable performance in both populations, with a fair to excellent level of agreement with established full questionnaires. Besides a few suggestions for further refinement, the screener may be implemented in primary care and cardiological practice.

Hostility

Type D personality

10.31234/osf.io/qxahd

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The Journal of Cardiovascular Nursing (2023)

Hannah Spielmann Katharina Tigges‐Limmer Wolfgang Albert Christine Spitz‐Köberich Sandra Semmig‐Könze

Background Ventricular assist device (VAD) implantation has become an alternative treatment for patients with end-stage heart failure. In Germany, valid and reliable instruments to assess health-related quality of life in patients with VAD are lacking. Objective The aim of this study was to present the psychometric validation of the German version of the Quality of Life with a Ventricular Assist Device questionnaire. Methods In a multicenter, cross-sectional study, 393 participants (mean age, 58.3 years; 85.8% male, 60.3% bridge to transplant, and 72.8% living with VAD for ≤2 years) completed the German Quality of Life with a Ventricular Assist Device questionnaire of physical, emotional, social, cognitive, and meaning/spiritual domains. Item and confirmatory factor analyses were conducted to test item difficulty and discrimination and the underlying structure, respectively. To examine internal consistency, Cronbach α was assessed. Convergent construct validity was tested using the Kansas City Cardiomyopathy Questionnaire and the Patient Health Questionnaire-9. Readability was examined using Flesch Reading Ease index and Vienna Factual Text Formula. Results The Quality of Life with a Ventricular Assist Device showed reasonable item difficulty ( P total = .67) and mostly moderate to high discriminatory power ( r it > 0.30). In confirmatory factor analysis, root-mean-square error of approximation (0.07) was acceptable for model fit, but no other indices. Acceptable internal consistency was found ( α ≥ 0.79), with the exception of the cognitive domain ( α = 0.58). The overall questionnaire and single domains demonstrated convergent validity ( r ≥ 0.45, P < .001). The questionnaire showed adequate readability (Flesch Reading Ease, 64.11; Vienna Factual Text Formula, 6.91). Conclusion Findings indicate a promising standardized clinical instrument to assess health-related quality of life in patients with VAD.

Convergent validity

10.1097/jcn.0000000000001064

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Psychokardiologische Grundversorgung

PiD - Psychotherapie im Dialog (2011)

Christoph Herrmann-Lingen

Die Erkennung und adäquate Behandlung psychosozialer Probleme bei Herzpatienten scheitert oft an mangelnder Sensibilisierung und Ausbildung der Kardiologen. Psychotherapeuten scheuen die Arbeit mit Herzpatienten wegen Unsicherheiten im Umgang mit schwer körperlich Kranken bzw. den dort typischen Problemstellungen. Analog zur psychosomatischen Grundversorgung haben wir daher einen Fortbildungskurs zur psychokardiologischen Grundversorgung entwickelt und führen diesen seit 2009 mit sehr positiver Resonanz durch. Besonders wertvoll ist dabei, dass der Kurs sich sowohl an Kardiologen als auch an Psychotherapeuten richtet. So können im gemeinsamen Lernen auch eine gemeinsame Sprache, persönliche Kontakte zwischen Kardiologen und Psychotherapeuten sowie ein umfassendes biopsychosoziales Verständnis der Patienten entstehen.

10.1055/s-0030-1266034

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Citations (4)

Herzinsuffizienz und –Herzrhythmusstörungen

Elsevier eBooks (2016)

Christoph Herrmann-Lingen Christian Albus

10.1016/b978-3-437-21833-0.00079-6

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Behaviour and motivation

Oxford University Press eBooks (2015)

Christian Albus Christoph Herrmann-Lingen

Changing one’s lifestyle is difficult and adherence to medication in people at high cardiovascular risk and established cardiovascular disease is low. Lifestyle is usually based on longstanding patterns and is highly determined by social environment and socioeconomic status. Additional factors such as chronic stress, cognitive impairment, and negative emotions (e.g. depression, anxiety) further impede the ability to adopt a healthy lifestyle, as does complex or confusing advice by medical caregivers. In clinical practice, increased awareness of these factors will facilitate empathetic counselling and the provision of simple and explicit advice. Established cognitive-behavioural strategies are important tools to help with behaviour change and medication adherence. Specialized healthcare professionals (e.g. nurses, dieticians, psychologists) should be involved whenever necessary and feasible. Reducing dosage demands to the lowest applicable level is the single most effective means for enhancing adherence to medication.

Dieticians

Depression

Health Professionals

10.1093/med/9780199656653.003.0009

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Psychokardiologie - Psychosomatik im Herzen der Medizin

psychoneuro (2006)

Christoph Herrmann-Lingen

Herz-Kreislauferkrankungen stellen die häufigste Todesursache in Deutschland dar. Weltweit wird allein die koronare Herzkrankheit im Jahre 2020 voraussichtlich die führende Ursache krankheitsbedingter Beeinträchtigungen sein - direkt gefolgt von der unipolaren Major Depression. Die Komorbidität dieser beiden Erkrankungen stellt allein angesichts ihre quantitativen Bedeutung schon eine enorme Herausforderung für die Medizin dar und bildet auch einen Roten Faden des vorliegenden Heftes.

10.1055/s-2006-947137

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Curriculum psychokardiologische Grundversorgung

Ärztliche Psychotherapie und Psychosomatische Medizin (2009)

Christoph Herrmann-Lingen

Source

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Effects of a psychotherapy intervention in depressed patients with coronary artery disease

Christoph Herrmann-Lingen

Depression