Publications by authors named "Christoph Nikendei"

Introduction: Climate change has significant consequences on mental health, which are summarized under concepts like eco-anxiety or climate change distress. However, these recently developed concepts still suffer from a lack of clarity.

Aim: The aim of this study is to improve the conceptual clarity of climate change distress through analysing its' correlations with various psychological and demographic factors.

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Refugees and forced migrants are particularly susceptible to trauma-related disorders, due exposure to traumatic events before, during or after displacement. In trauma therapy, the concept of psychological stabilization refers to the improvement of a patient's capacity to manage symptoms and emotions associated with traumatic experiences. While exposure-based therapies are widely recommended for treating posttraumatic stress disorder (PTSD), stabilizing interventions may offer a valuable alternative, particularly given the unique challenges in refugee care.

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Practical training formats for the acquisition of psychotherapeutic competencies and skills are currently being developed and tested for their effectiveness. The DYNAMIC curriculum aims to promote the development of psychodynamic intervention skills over the course of therapeutic training, the overall curriculum consists of 8 practical training seminars in 4 years. The study reported here focuses on self-reported, subjectively perceived longitudinal development of general dynamic intervention skills.

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Objectives: With the health impacts of climate change becoming increasingly evident, there is a pressing need to prepare and educate future physicians to address these challenges. This study therefore aims to explore in depth the perspectives of final-year medical students (FYMS) on the integration of Planetary Health Education (PHE) into medical curricula (i.e.

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Background: Previous research has indicated cognitive impairments in patients with post-traumatic stress disorder (PTSD), specifically in attention, memory, and executive functioning. However, there is limited knowledge about the cognitive profile of individuals with complex PTSD (cPTSD), a new diagnosis in ICD-11. Moreover, predictors of cognitive impairment remain unclear.

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Background: Supervisor-subordinate relationship is high relevant in dealing with work-related stress and providing a compassionate, high-quality, and safe nursing care while meeting the needs of the hospital. Our aim was to assess the predisposing risk and resilience factors of the stress of nursing staff as well as to explore the common and distinctive perceptions of these factors between nurses without a managerial position (nursing staff) and employees in a supervising position (nurse managers, ward nurses).

Design: Generic qualitative study using half-standardized interviews.

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Problem: Insights into and data of the experiences of pregnant women seeking asylum in Germany are largely lacking.

Background: Due to multiple stress factors, pregnant refugees are considered a vulnerable group. Gender-specific causes of flight, traumatic experiences during flight, and numerous stressors in the respective host country have a decisive impact on the health of women and affect pregnancy and childbirth.

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Unlabelled: The prevalence of trauma-related disorders, such as post-traumatic stress disorder (PTSD), as well as depressive or anxiety disorders, are significantly increased in refugees compared to the general population. This is due to the high risk of burdening and potentially traumatic experiences before, during and after their flight. However, the treatment options for these mental illnesses are significantly limited due to the legal uncertainties surrounding the asylum procedure as well as language and cultural barriers.

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Climate change is the greatest global health threat of the twenty-first century. Greenhouse gas emissions and the resulting rise in average temperatures are directly linked to heatwaves, droughts, water and food shortages, extreme weather events, rising sea levels and migration movements as well as the loss of biodiversity and the alteration and degradation of ecosystems as we know them. Current estimates suggest that societies need to show much greater efforts to ensure that the global average temperature does not rise by more than 1.

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Objective: Depression negatively affects interpersonal functioning and influences nonverbal behavior. Interpersonal theories of depression suggest that depressed individuals engage in behaviors that initially provoke others' support and reassurance, but eventually lead to rejection that may also be expressed nonverbally.

Methods: This study investigated movement synchrony as a nonverbal indicator of support and rejection and its association with depression severity in a sample of depressed and healthy individuals.

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Background: By the end of 2022, more than 100 million people worldwide fled their homes. Before, during and after their flight, refugees have high risk of experiencing traumatic events. Accordingly, around every third refugee is affected by posttraumatic stress disorder.

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Staff shortages are a global problem in the nursing profession. Negative beliefs about older workers may have detrimental effects on the development and performance capacity of an aging workforce. To date, little is known about the impact of age stereotypes and potential factors on nurses' intent to leave (ITL).

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Background: Borderline personality disorder (BPD) and complex posttraumatic stress disorder (cPTSD) share clinical similarities, complicating diagnosis and treatment. Research on the neurobiology of BPD and monotraumatic PTSD has shown that a prefrontal-limbic imbalance in emotional and reward processing is a hallmark of both disorders, but studies examining this network in cPTSD are lacking. Therefore, this study aimed to directly compare neural processing of emotion and reward during decision making in cPTSD and BPD.

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Introduction: Curiosity is a fundamental human trait that drives learning and exploration. However, research on curiosity has received little attention in the medical field, despite its potential to enhance knowledge acquisition, work performance, and psychosocial well-being. This study aimed to address part of this gap by investigating physicians' perspectives on their personal experiences with curiosity and its role in their professional practice and medical training.

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Torture seeks to undermine not only the physical and emotional well-being of an individual, but to damage the coherence of entire communities. Thus, torture and state repression are used to weaken entire subpopulations. After the failed coup d'état in Türkiye in 2016 and during the subsequently following state of emergency that lasted until 2018, allegations of torture and other degrading treatment in Türkiye spread widely.

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Background: Human trafficking is a human rights violation and urgent public health challenge. It involves the exploitation of a person by means of force, intimidation or deceit and causes severe health risks. Though it occurs all over the world, its true extent is still unknown.

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Background: Adverse childhood experiences were previously identified as relevant risk factors for the development of anxiety disorders. Furthermore, anxiety disorders were shown to be associated with impairments of personality functioning. The objective of this study was to investigate adverse and protective childhood experiences as well as personality functioning, as defined by the Operationalized Psychodynamic Diagnosis system, as potential predictors for the speed of recovery during psychotherapy for patients with anxiety disorders.

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Article Synopsis
  • - International studies indicate that medical students experience high levels of mental health issues, influenced by factors like professional identity challenges, which can be addressed through effective coping strategies and interventions.
  • - A cross-sectional study surveyed 1535 medical students and high school graduates to assess their self-image, ideal and real physician images, and their connection to depression and anxiety symptoms using established evaluation tools.
  • - Findings revealed that most students perceive their self-image as a blend between the ideal and real physician, with significant links found between their professional role models and mental health symptoms, highlighting a notable percentage reporting serious depression and anxiety.
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Article Synopsis
  • The study looked at how different types of training affect people's ability to perform otoscopy, which is a way of looking into the ear, using a high-tech simulator.
  • Participants were divided into four groups and were trained to use the simulator, then they were tested on their skills in a practical exam.
  • Results showed that everyone felt they learned well, but those who got feedback did better at checking the ear parts and making the right diagnoses; overall, using the simulator helped to objectively measure their skills.
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Background: Patients with anorexia nervosa (AN) show overgeneralization of memory (OGM) when generating autobiographical episodes related to food and body shape. These memories are central for the construction of a coherent self-concept, interpersonal relationships, and problem-solving abilities. The current study aims to investigate changes in autobiographical memory following weight gain.

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Objectives: Against the backdrop of poor discharge communication in hospitals, this study explores the purpose of discharge interviews from the physicians' perspective and the challenges they are confronted with. Discharge interviews are legally required in Germany as part of the discharge management. Led by the ward physician, the discharge interview should summarize relevant information about the hospital stay, medication, lifestyle interventions and follow-up treatment.

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Background: Asylum seekers are a particularly vulnerable population due to a wide range of external stressors. Traumatic events and difficult social/economic prospects can lead to an elevated susceptibility for substance use disorders. The aim of the present study was to determine whether asylum seekers suffering from mental or physical distress present higher levels of substance use disorder (SUD) in a state reception center in Germany and whether there are identifiable risk or protective factors.

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