Claus Jacobi

Paracelsus-Harz-Klinik Bad Suderode

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L. Trowitzsch

Paracelsus-Harz-Klinik Bad Suderode

Matthias Berking

Friedrich-Alexander-Universität Erlangen-Nürnberg

D. Herbold

Paracelsus-Harz-Klinik Bad Suderode

Matthias Bethge

University of Tübingen

Martin Grosse Holtforth

University of Bern

Achim Tacke-Pook

Simone Salzer

International Psychoanalytic University Berlin

Eric Leibing

University of Göttingen

Christian Stiller

W. V. Bremen

Praxis

Cooperative Institutions

Praxis

Universitätsmedizin Göttingen

Medizinische Hochschule Hannover

University of Göttingen

TU Dresden

University of Bremen

Friedrich-Alexander-Universität Erlangen-Nürnberg

Klinik für Psychosomatik

Universität Hamburg

Indiana University School of Medicine

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Return to work following a multimodal work hardening: A cluster randomised trial

Das Gesundheitswesen (2010)

Matthias Bethge K Spyra D. Herbold L. Trowitzsch Claus Jacobi

Background: Systematic reviews have confirmed the effectiveness of work-related rehabilitation programmes with significant cognitive-behavioural components for patients with musculoskeletal disorders. However, in Germany work-related rehabilitation for patients with musculoskeletal disorders is mainly focussed on evaluating functional capacity and on enhancing it by appropriate modules of exercise therapy while psychosocial work demands have been less considered in the rehabilitation process so far. The aim of our study was the efficacy evaluation of a multimodal work hardening following a cognitive-behavioural approach. Methods: Participants were patients with musculoskeletal disorders and substantial work-related problems that were allocated to an inpatient rehabilitation centre. Included patients were randomised in groups either to a multimodal work hardening or to a common orthopaedic rehabilitation (cluster randomisation). Primary outcome was return to work. Analyses were based on data obtained 6 and 12 months after treatment. Results: 236 (86.8%) patients consented to participate. Response rates after 6 and 12 months were 71.6% (n=169) and 61.9% (n=146). After 6 months participants of the intervention group had a 2.4fold (OR=2.363; 95% CI: 1.266 to 4.410; p=0.007) higher chance of return to work, after 12 months the chance of return to work was 1.9fold (OR=1,914; 95% CI: 0.849 to 4.317; p=0.118) higher than for the control group. Furthermore, participants of the multimodal work hardening reported less depression and anxiety, better mental and physically health-related quality of life and better pain management. Conclusions: Results of the trial confirmed that an intensified work-related programme with a well-defined multimodal structure is able to enhance the chances of return to work for patients with substantial work-related problems.

10.1055/s-0030-1266664

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Work status and health-related quality of life following multimodal work hardening: A cluster randomised trial

Journal of Back and Musculoskeletal Rehabilitation (2011)

Matthias Bethge D. Herbold L. Trowitzsch Claus Jacobi

Background: Systematic reviews have confirmed the effectiveness of work-related rehabilitation with significant cognitive-behavioural components for patients with musculoskeletal disorders (MSDs). In Germany, however, work-related rehabilitation focu

10.3233/bmr-2011-0290

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Empirically based guidelines for goal-finding procedures in psychotherapy: Are some goals easier to attain than others?

Psychotherapy Research (2005)

Matthias Berking Martin Grosse Holtforth Claus Jacobi Birgit Kröner‐Herwig

Abstract Treatment goals are either proposed by a patient or deduced from the case formulation of the therapist. To optimize goal-finding procedures in psychotherapy, therapists need an empirical point of reference to estimate the degree of goal attainment that can be expected for a specific treatment goal. To establish such an empirical basis, treatment goal categories of the primary treatment goals of 2,770 inpatients undergoing cognitive–behavioral therapy were categorized by the Bern Inventory of Treatment Goals. The levels of goal attainment were then compared with respect to 48 different goal categories. The results indicate that goal attainment differs according to treatment goal categories, even if confounding characteristics of the patient are controlled for.

Goal setting

Goal Orientation

Goal Attainment Scaling

10.1080/10503300500091801

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Citations (31)

Die menschliche Springflut

Claus Jacobi

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Reliabilität und Validität des Hannoverschen Screenings der subjektiven Rehabilitationsbedürftigkeit für den Einsatz in der ärztlichen Praxis

Physikalische Medizin Rehabilitationsmedizin Kurortmedizin (2009)

A. Kobelt N. Karpinski Christoph Gutenbrünner I. Ehlebracht-König Gerhard Schmid‐Ott

Fragestellung: Zur Feststellung der subjektiven Rehabedürftigkeit kann ein kurzes Screening wertvolle Hilfe für Haus- und Betriebsärzte sein, um einen Antrag auf medizinische Rehabilitation bei der Rentenversicherung zu stellen. Gleichzeitig ist es sehr schwer, die oftmals multifaktoriell bedingte Entscheidung über einen Antrag auf medizinische Rehabilitation vorherzusagen. In der vorliegenden Arbeit sollen die Gütekriterien eines neuen Screenings vorgestellt werden.

10.1055/s-0029-1233456

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Berufliche Teilhabe durch multimodale medizinisch-beruflich orientierte Rehabilitation

Public Health Forum (2011)

Matthias Bethge D. Herbold L. Trowitzsch Claus Jacobi

Einleitung Seit den 90er Jahren haben in der orthopädischen Rehabilitation Angebote mit einem stärkeren Arbeits- und Berufsbezug an Bedeutung gewonnen. Der Beitrag stellt eines dieser Programme vor, fasst die vorliegende Evidenz zusammen und skizziert die Erfolgsfaktoren für eine wirksame Umsetzung medizinisch-beruflich orientierter Rehabilitation.

10.1016/j.phf.2011.10.002

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Berufliche Wiedereingliederung nach einer medizinisch-beruflich orientierten orthopädischen Rehabilitation: Eine clusterrandomisierte Studie

Die Rehabilitation (2010)

Matthias Bethge D. Herbold L. Trowitzsch Claus Jacobi

Hintergrund: Seit den 1990er Jahren haben in der orthopädischen Rehabilitation stärker berufsorientierte Programme an Bedeutung gewonnen. Allerdings konzentrierte sich die orthopädische Rehabilitation hierzulande zunächst auf eine verbesserte Diagnostik körperlich funktioneller Leistungsfähigkeit und die Entwicklung daraufhin abgestimmter trainingstherapeutischer Module, während psychosoziale Arbeitsbelastungen im Rehabilitationsprozess bislang weniger berücksichtigt wurden.

Depression

10.1055/s-0029-1246143

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Citations (18)

Veränderung klinisch relevanter Ziele und Therapieerfolg: Eine Studie an Patienten während einer stationären Verhaltenstherapie

PPmP - Psychotherapie · Psychosomatik · Medizinische Psychologie (2003)

Matthias Berking Martin Grosse Holtforth Claus Jacobi

According to the consistency theory clinically relevant goals, as explicated by Grosse Holtforth and Grawe, play a prominent role in the development, maintenance and therapy of psychological disorders. Thus effective psychotherapies should "normalize" the subjective importance of these goals. These changes should be positively associated with the success of psychotherapy. To test these assumptions, clinically relevant goals of 64 inpatients undergoing cognitive behavioral therapy were assessed by the Inventory of Approach and Avoidance Goals (German: Fragebogen zur Analyse motivationaler Schemata, FAMOS) before and after therapy. Results show effects of normalization, as expected, especially on scales associated with psychopathology in former studies.

10.1055/s-2003-38008

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Screening for Generalized Anxiety Disorder in inpatient psychosomatic rehabilitation: pathological worry and the impact of depressive symptoms.

PubMed (2009)

Simone Salzer Christian Stiller Achim Tacke-Pook Claus Jacobi Eric Leibing

Pathological worry is considered to be a defining feature for Generalized Anxiety Disorder (GAD). The Penn State Worry Questionnaire (PSWQ) is an instrument for assessing pathological worry. Two earlier studies demonstrated the suitability of the PSWQ as screening instrument for GAD in outpatient and non-clinical samples. This study examined the suitability of the PSWQ as a screening instrument for GAD in a German inpatient sample (N=237). Furthermore, a comparison of patients with GAD and patients with depression and other anxiety disorders regarding pathological worry and depression was carried out in a sub-sample of N=118 patients.Cut-off scores optimizing sensitivity, optimizing specificity and simultaneously optimizing both sensitivity and specificity were calculated for the PSWQ score by receiver operating characteristic analysis (ROC). Differences regarding pathological worry and depression measured by the PSWQ and the Beck Depression Inventory (BDI) across five diagnostic subgroups were examined by conducting one-way ANOVAs. The influence of depression on pathological worry was controlled by conducting an ANCOVA with BDI score as a covariate.The ROC analysis showed an area under the curve of AUC=.67 (p=0.02) with only 54.4% of the patients correctly classified. Comparison of diagnostic subgroups showed that after controlling the influence of depression, differences referring to pathological worry between diagnostic subgroups no longer existed.Contrary to the earlier results we found that the use of the PSWQ as a screening instrument for GAD at least in a sample of psychotherapy inpatients is not meaningful. Instead of that, the PSWQ can be used to discriminate high from low worriers in clinical samples. Thus, the instrument can be useful in establishing e.g. symptom-oriented group interventions as they are established in behavioural-medicine inpatient settings. Furthermore, our findings stress the influence of (comorbid) depressive symptoms on the process of worrying.

Worry

Depression

10.3205/psm000058

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A comparative trial: Cognitive behavior therapy, fluoxetine, and a combination in the treatment of DSM-III-R bulimia nervosa

Biological Psychiatry (1997)

Claus Jacobi B. Dahme K. Wiemann U. Niedermeyer R.W. Dittmann

10.1016/s0006-3223(97)88011-0

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