Ana N. Tibubos

Johannes Gutenberg University Mainz

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Manfred E. Beutel

Johannes Gutenberg University Mainz

Elmar Brähler

Leipzig University

Philipp S. Wild

German Centre for Cardiovascular Research

Antonia M. Werner

Johannes Gutenberg University Mainz

Thomas Münzel

University Medical Center of the Johannes Gutenberg University Mainz

Mareike Ernst

Johannes Gutenberg University Mainz

Matthias Michal

German Centre for Cardiovascular Research

Karl J. Lackner

University Medical Center of the Johannes Gutenberg University Mainz

Norbert Pfeiffer

Johannes Gutenberg University Mainz

Jörg Wiltink

Johannes Gutenberg University Mainz

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Johannes Gutenberg University Mainz

University Medical Center of the Johannes Gutenberg University Mainz

Klinik und Poliklinik für Psychosomatische Medizin und Psychotherapie

Leipzig University

University Hospital Leipzig

University Medical Center

Goethe University Frankfurt

Heinrich Heine University Düsseldorf

Klinik für Psychosomatik

University of Giessen

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Psychological indicators for healthy aging: validation of the German short version of Ryff’s scales of psychological well-being (SPWB)

Journal of Patient-Reported Outcomes (2025)

Ana N. Tibubos Anna C. Reinwarth Iris Reiner Antonia M. Werner Philipp S. Wild

Abstract Background The important roles of well-being as realization of one’s true potential for healthy aging have been highlighted by literature of the recent decades. The Scales of Psychological Well-being (SPWB) are an internationally recognized measurement tool for psychological well-being. Yet, sound validation of the German SPWB 18-item version has been lacking to date. Therefore, the present study aims to (1) test the psychometric properties of the German SPWB 18-item version in terms of factorial validity and (2) determine construct validity by investigating its correlations with psychosocial variables, mental and physical health. (3) Sociodemographic characteristics of the SPWB in a middle to old age German population was explored. Methodology Data of N = 3,374 participants 45–85 years old of the 10-year follow-up (2017–2022) of the Gutenberg Health Study (GHS) were analyzed. Descriptive analyses and inference statistical analyses were performed to assess construct validity. In order to determine the psychometric properties, item characteristics and reliability coefficients were analyzed. Confirmatory factor analyses tested the proposed theoretical factorial structure. Results Construct validity of the SPWB was established with respect to sociodemographic, psychosocial (social support and resilient coping), and health variables (sleeping problems, depression and anxiety symptoms, stress, loneliness, and somatic diseases). Analysis of the psychometric properties of the German SPWB 18-item version rendered support for the theoretically proposed multidimensional structure of psychological well-being in our sample rather than a one factorial structure. Bi-factor models that take the method effects of positively and negatively formulated items into account are highly recommended. Conclusions The German SPWB 18-item version shows comparable psychometric properties to previous large-scale studies from other countries. The SPWB provides psychological indicators for healthy aging.

10.1186/s41687-025-00854-9

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Depression predicts equivalized income five years later, but not vice versa: Results from the prospective Gutenberg Health Study

Social Science & Medicine (2022)

Felix Wicke Peter Schmidt Julia Petersen Mareike Ernst Lina Krakau

Versa

Depression

Social Medicine

10.1016/j.socscimed.2022.115395

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Sense of Coherence Scale-3; German Adaptation

PsycTESTS Dataset (2020)

Bjarne Schmatbach Ana N. Tibubos Markus Zenger Andréas Hinz Elmar Brähler

10.1037/t77696-000

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Validation of the Personal Attributes Questionnaire-8: Gender Expression and Mental Distress in the German Population in 2006 and 2018

International Journal of Public Health (2022)

Ana N. Tibubos Daniëlle Otten Manfred E. Beutel Elmar Brähler

Objectives: Mental health differences between men and women can be attributed to sex or gender. Due to absence of brief assessments, contributions of gender expressions to the mental health gap between men and women have been understudied. The purpose of this study is to develop and validate a short screening measure of gender expression and test its associations with mental distress. Methods: German representative survey data from 2006 (N = 2,507) and 2018 (N = 2,516) were analysed. A short form of the Personality Attributes Questionnaire with 8 items (PAQ-8) was assessed to measure femininity and masculinity. Validity of the PAQ-8 was tested and associations between femininity, masculinity and mental health were examined. Results: PAQ-8 was a valid screening measure to assess gender expression. Compared to 2006, femininity increased in women and decreased in men in 2018. Higher levels of femininity and masculinity were associated with lower distress. Sex was no longer predictive for mental distress when femininity, masculinity, age and equivalised income were considered. Conclusion: Our findings support the use of gender measures, which may be more predictive of mental health than sex.

Mental distress

10.3389/ijph.2022.1604510

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Gender und psychische Gesundheit

Psychosozial-Verlag eBooks (2019)

Manfred E. Beutel Elmar Brähler Ana N. Tibubos

10.30820/9783837976229-54

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Geschlechts- und regionalspezifische Unterschiede von Kindesvernachlässigung und Gewalt vor der deutschen Wiedervereinigung. Ergebnisse aus GESA, einem Multi-Kohorten Konsortium

PPmP - Psychotherapie · Psychosomatik · Medizinische Psychologie (2022)

Toni Fleischer Christine Ulke Karl-Heinz Ladwig Birgit Linkohr Hamimatunnisa Johar

Zusammenfassung Erste Ergebnisse einer bundesweiten Studie deuten auf geschlechtsspezifische Muster mit weniger berichteten Fällen von Kindesvernachlässigung und Gewalt in den Neuen im Vergleich zu den Alten Bundesländern. Ziel der vorliegenden Studie war es diese Ergebnisse in zwei größeren regionalen Stichproben zu überprüfen. Methode: Prävalenzen von Vernachlässigung- und Gewalterfahrung in der Kindheit wurden mithilfe des Childhood Trauma Screeners in den Regionen Greifswald (SHIP, 2008–2012) und Augsburg (KORA, 2013–2014) erhoben. Analyse geschlechtsstratifizierter und regionaler Unterschiede. Die Prävalenzen beider lokalen Stichproben wurden anschließend miteinander verglichen. Ergebnisse: Insgesamt wurden Vernachlässigung und Gewalt in der Kindheit seltener in der Nord-Ostdeutschen Stichprobe (SHIP) berichtet. Die deutlichsten Unterschiede fanden sich in den Kategorien emotionale Gewalt (SHIP: 6,1%, KORA: 8,7%), körperliche Gewalt (SHIP: 5,7%, KORA: 10,3%) sowie körperliche Vernachlässigung (SHIP:10,0%, KORA: 19,2%). Geschlechtsspezifische Muster von Vernachlässigungs- und Gewalterfahrung in der Kindheit unterschieden sich in SHIP und KORA nicht. Schlussfolgerung: Wir diskutieren den möglichen Einfluss des sozio-politischen Kontexts auf die Prävalenz von Vernachlässigung und Gewalt in der Kindheit, da alle selbstberichteten Ereignisse in die Zeit vor der Wiedervereinigung in zwei politisch unterschiedliche Systeme fallen.

10.1055/a-1926-7428

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A reanalysis of the center for epidemiological studies depression scale (CES-D) using non-parametric item response theory

Psychiatry Research (2020)

Sören Kliem Johannes Beller Ana N. Tibubos Markus Zenger Bjarne Schmalbach

10.1016/j.psychres.2020.113132

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The impact of lockdown stress and loneliness during the COVID-19 pandemic on mental health among university students in Germany

Scientific Reports (2021)

Antonia M. Werner Ana N. Tibubos Lina Marie Mülder Jennifer L. Reichel Markus Schäfer

The COVID-19 pandemic led to a shutdown of universities in Germany. In a longitudinal design, we compared mental health (depression, anxiety, somatic complaints) of university students in Germany before (June to August 2019) and in the course of the COVID-19 pandemic (June 2020) and determined the impact of pandemic-related stress and loneliness on students' mental health in self-report online surveys. We investigated 443 participants (mean age 22.8 years), among them 77% female, and 10.4% medical students. A small increase of depression mean scores was observed (F(1,420) = 5.21; p = .023), anxiety and somatic complaints have not significantly changed. There was a medium increase in loneliness from pre-pandemic scores to the pandemic situation (F(1,423) = 30.56; p < .001). Analyzed with regression analyses, current loneliness and pre-pandemic distress represented the strongest associations with mental health during the pandemic. Additionally, health-related concerns during the pandemic were associated with symptoms of depression [b = 0.21; 95%CI(0.08; 0.34); t = 3.12; p = .002], anxiety [b = 0.07; 95%CI(0.01; 0.12); t = 2.50; p = .013], somatic complaints [b = 0.33; 95%CI(0.18; 0.47); t = 4.49; p < .001], and loneliness [b = 0.10; 95%CI(0.03; 0.17); t = 2.74; p = .006]. Social stress due to the pandemic situation was associated with loneliness [b = 0.38; 95%CI(0.32; 0.45); t = 11.75; p < .001]. The results imply that university students represent a risk group for psychosocial long-term ramifications of the pandemic.

Pandemic

2019-20 coronavirus outbreak

Coronavirus Infections

10.1038/s41598-021-02024-5

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The association of depression and all-cause mortality: Explanatory factors and the influence of gender

Journal of Affective Disorders (2022)

Felix Wicke Mareike Ernst Daniëlle Otten Antonia M. Werner Michael Dreier

Depression

10.1016/j.jad.2022.02.034

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Psychosomatische Medizin in der Gutenberg- Gesundheitsstudie (GHS) – Fragestellungen, Messverfahren, ausgewählte Ergebnisse

Zeitschrift für psychosomatische Medizin und Psychotherapie (2020)

Manfred E. Beutel Ana N. Tibubos Matthias Michal Jörg Wiltink Daniëlle Otten

Summary Psychosomatic medicine in the Gutenberg Health Study (GHS) – research questions, measurement instruments, selected results Goal: Main questions from the Gutenberg Health Study (GHS) related to psychosomatic medicine are presented: (1) Prevalence and incidence of mental illnesses, (2) Sex-specific risk- and protective factors for mental health, (3) Interplay between psychological and somatic diseases and (4) methodical-psychometric developments. Methods: The GHS is an ongoing, prospective and interdisciplinary cohort study in Mainz. The comprehensive examinations include psychological characteristics and clinical and laboratory tests. 15010 respondents were selected in the baseline study from 2007 until 2012 and re-examined after 2.5 years and 5 years. Results: Of the first 5000 respondents in the baseline study 413 women (8.7 %) and 276 men (5.8 %) indicated depressive symptoms (PHQ-9 > = 10). After five years, half of the participants with depressive symptoms at baseline also indicated depressive symptoms five years later. Risk factors for men were a lack of social support, for women smoking and Type D personality. The proportion of new cases of depression at follow-up was 4.4 %. Risk factors were symptoms of anxiety, Type D, smoking and comorbid cancer. Protective were age and social support. Findings on the association of physical and mental disorders and their behavioral and biological links (atherosclerosis, inflammation) are presented. Conclusions: Prospective assessment of biological, psychological and social parameters offers the possibility to study their interplay in the development of mental and somatic illnesses.

Depression

10.13109/zptm.2020.66.4.355

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Citations (3)