Psychological Phenomena and Processes | Open Access Articles

Nocebo-Hypothesis Cognitive Behavioral Therapy (Nh-Cbt) For Persons With Functional Neurological Symptoms (Motor Type): Design And Implementation Of A Randomized Active-Controlled Trial, Matt Richardson, Maria Kleinstäuber, Dana Wong

Psychology Faculty Publications

Introduction: Functional Neurological Symptom Disorders (FNSD) are associated with high levels of disability and immense direct and indirect health costs. An innovative interdisciplinary rehabilitation approach for individuals with functional neurological symptoms of motor type–Nocebo-Hypothesis Cognitive Behavioral Therapy (NH-CBT)—combines CBT and movement retraining with video feedback embedded in a comprehensive explanatory model of the etiology of FNSD. Methods: This protocol describes the development and implementation of a phase II, parallel group, randomized controlled trial with blinded outcome assessors to compare the efficacy of NH-CBT with an active control condition (supportive counseling and movement retraining). Individuals meeting diagnostic criteria of an FNSD …

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Definition And Characteristics Of Behavioral Medicine, And Main Tasks And Goals Of The International Society Of Behavioral Medicine –An International Delphi Study, Joost Dekker, Marie Amitami, Anne H. Berman, Helen Brown, Bryan Cleal, Maria João Figueiras, Lila J. Finney Rutten, Egil A. Fors, Konstadina Griva, Jing Gu, Chris Keyworth, Maria Kleinstäuber, Claas Lahmann, Joseph T. F. Lau, Bernd Leplow

Psychology Faculty Publications

Background: In the past decades, behavioral medicine has attained global recognition. Due to its global reach, a critical need has emerged to consider whether the original definition of behavioral medicine is still valid, comprehensive, and inclusive, and to reconsider the main tasks and goals of the International Society of Behavioral Medicine (ISBM), as the umbrella organization in the field. The purpose of the present study was to (i) update the definition and scope of behavioral medicine and its defining characteristics; and (ii) develop a proposal on ISBM’s main tasks and goals. Method: Our study used the Delphi method. A core …

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The Impact Of The Illness Label ‘Gout’ On Illness And Treatment Perceptions In Māori (Indigenous New Zealanders), Nicola Dalbeth, Meihana Douglas, Kate Mackrill, Leanne Te Karu, Maria Kleinstäuber, Keith J. Petrie

Psychology Faculty Publications

Background: Despite contemporary advances in understanding pathogenesis and effective management of gout, beliefs about the disease continue to be focused on gout as a self-inflicted illness. The illness label itself may contribute to inaccurate perceptions of the disease and its management. In Aotearoa/New Zealand, Māori (Indigenous New Zealanders) have high prevalence of severe gout. The aim of this study was to examine the impact of the illness label ‘gout’ on perceptions of the disease and its management for Māori. Methods: Māori supermarket shoppers (n = 172) in rural and urban locations were recruited into a study examining the perceptions about …

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Why Are Some Cases Not On Track? An Item Analysis Of The Assessment For Signal Cases During Inpatient Psychotherapy, Thomas Probst, Maria Kleinstäuber, Michael J. Lambert, Karin Tritt, Christoph Pieh, Thomas H. Loew, Reiner W. Dahlbender, Jamie Delgadillo

Psychology Faculty Publications

Within the Routine Outcome Monitoring system “OQ-Analyst,” the questionnaire “Assessment for Signal Cases” (ASC) supports therapists in detecting potential reasons for not-on-track trajectories. Factor analysis and a machine learning algorithm (LASSO with 10-fold cross-validation) were applied, and potential predictors of not-on-track classifications were tested using logistic multilevel modeling methods. The factor analysis revealed a shortened (30 items) version of the ASC with good internal consistency (α = 0.72–0.89) and excellent predictive value (area under the curve = 0.98; positive predictive value = 0.95; negative predictive value = 0.94). Item-level analyses showed that interpersonal problems captured by specific ASC items (not …

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Internalized And Anticipated Stigmatization In Patients With Gout, Maria Kleinstäuber, Leonie Wolf, Annie S. K. Jones, Nicola Dalberth, Keith J. Petrie

Psychology Faculty Publications

Objective: To investigate the relationship between stigma perception and demographic, clinical, and psychosocial variables. Methods: A sample of 50 patients with gout and prescribed urate-lowering medication (84% were males, mean serum urate 0.34 mmol/l) completed questionnaires on internalized and anticipated stigma, demographics, clinical gout-related variables, and psychosocial variables (illness perceptions, illness-related disability, illness-related body satisfaction, intentional nonadherence). Serum urate level was obtained from the most recent blood test. Results: In this sample, 26% experienced internalized stigma, 26% expected to be stigmatized by friends or family members, and 14% by health care workers. Univariate regression analyses showed that younger age, ethnicity …

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Evaluating Commonalities Between Different Medically Unexplained Symptoms, Dan Guo, Maria Kleinstäuber, Malcolm Henry Johnson, Frederick Sundram

Psychology Faculty Publications

This commentary presents commonalities in medically unexplained symptoms (MUS) across multiple organ systems, including symptoms, aetiological mechanisms, comorbidity with mental health disorders, symptom burden and impact on quality of life. Further, treatment outcomes and barriers in the clinician–patient relationship, and cross-cultural experiences are highlighted. This discussion is necessary in aiding an improved understanding and management of MUS due to the interconnectedness underlying MUS presentations across the spectrum of medical specialties.

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Confirmatory Factor Analysis Of The Causal Illness Attribution Scale In Chinese Patients With Multiple Somatic Symptoms, Ling Zhang, Jeanine Schwarz, Maria Kleinstäuber, Kurt Fritzsche, Wiebke Hannig, Jing Wei, Jianzhong Yang, Lan Zhang

Psychology Faculty Publications

Causal illness attributions influence how individuals cope with somatic symptoms and illnesses. Dimensions of causal symptom attributions have been examined in Western cultures with the subscale ‘causes’ of the revised Illness Perception Questionnaire (IPQ-R). Some previous studies have identified a stronger somatic attribution style in Asian patients. In this study it was examined if the factorial structure of causal attributions identified in Western populations can be identified in a large Chinese sample of patients presenting with somatic symptoms. We recruited 665 patients aged at least 18 who were visiting the hospital for reasons of treatment from departments of traditional Chinese …

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Rock Climbing And Acute Emotion Regulation In Patients With Major Depressive Disorder In The Context Of A Psychological Inpatient Treatment: A Controlled Pilot Trial, Maria Kleinstäuber, Merle Reuter, Norbert Doll, Andreas J. Fallgatter

Psychology Faculty Publications

Background: Major depressive disorder is characterized by deficits in emotion regulation. This study examined associations between rock climbing and acute emotion regulating effects in patients with major depression. Patients and methods: In a nonrandomized, controlled study, 40 major depressive disorder inpatients were assigned to either a climbing session (n=20) or a relaxation session (n=20). Positive and negative affect, depressiveness, and coping emotions were assessed immediately before and after the session. Results: Mixed analyses of variance and covariance revealed significant time × group interaction effects for all assessed outcomes (p≤0.012): positive affect and coping emotions significantly increased and negative affect and …

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Pharmacological Interventions For Somatoform Disorders In Adults, Maria Kleinstäuber, Michael Witthöft, Andrés Steffanowski, Harm Van Marwijk, Wolfgang Hiller, Michael J. Lambert

Psychology Faculty Publications

Background: Somatoform disorders are characterised by chronic, medically unexplained physical symptoms (MUPS). Although different medications are part of treatment routines for people with somatoform disorders in clinics and private practices, there exists no systematic review or meta‐analysis on the efficacy and tolerability of these medications. We aimed to synthesise to improve optimal treatment decisions. Objectives: To assess the effects of pharmacological interventions for somatoform disorders (specifically somatisation disorder, undifferentiated somatoform disorder, somatoform autonomic dysfunction, and pain disorder) in adults. Search methods: We searched the Cochrane Depression, Anxiety and Neurosis Review Group's Specialised Register (CCDANCTR) (to 17 January 2014). This register …

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Non-Pharmacological Interventions For Somatoform Disorders And Medically Unexplained Physical Symptoms (Mups) In Adults, Nikki Van Dessel, Madelon Den Boeft, Johannes C. Van Der Wouden, Maria Kleinstäuber, Stephanie S. Leone, Berend Terluin, Mattijs E. Numans, Henriëtte E. Van Der Horst, Harm Van Marwijk

Psychology Faculty Publications

Background: Medically unexplained physical symptoms (MUPS) are physical symptoms for which no adequate medical explanation can be found after proper examination. The presence of MUPS is the key feature of conditions known as 'somatoform disorders'. Various psychological and physical therapies have been developed to treat somatoform disorders and MUPS. Although there are several reviews on non‐pharmacological interventions for somatoform disorders and MUPS, a complete overview of the whole spectrum is missing. Objectives: To assess the effects of non‐pharmacological interventions for somatoform disorders (specifically somatisation disorder, undifferentiated somatoform disorder, somatoform disorders unspecified, somatoform autonomic dysfunction, pain disorder, and alternative somatoform diagnoses …

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Pharmacological Interventions For Somatoform Disorders In Adults [Protocol], Maria Kleinstäuber, Michael Witthöft, Andrés Steffanowski, Michael Lambert, Günter Meinhardt, Klaus Lieb, Wolfgang Hiller

Psychology Faculty Publications

This is a protocol for a Cochrane Review (Intervention). The objectives are as follows: To assess the effects of pharmacological interventions for somatoform disorders (specifically somatisation disorder, undifferentiated somatoform disorder, somatoform autonomic dysfunction, and pain disorder) in adults.

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Full-Text Articles in Psychological Phenomena and Processes

Nocebo-Hypothesis Cognitive Behavioral Therapy (Nh-Cbt) For Persons With Functional Neurological Symptoms (Motor Type): Design And Implementation Of A Randomized Active-Controlled Trial, Matt Richardson, Maria Kleinstäuber, Dana Wong

Psychology Faculty Publications

Psychology Faculty Publications

The Impact Of The Illness Label ‘Gout’ On Illness And Treatment Perceptions In Māori (Indigenous New Zealanders), Nicola Dalbeth, Meihana Douglas, Kate Mackrill, Leanne Te Karu, Maria Kleinstäuber, Keith J. Petrie

Psychology Faculty Publications

Why Are Some Cases Not On Track? An Item Analysis Of The Assessment For Signal Cases During Inpatient Psychotherapy, Thomas Probst, Maria Kleinstäuber, Michael J. Lambert, Karin Tritt, Christoph Pieh, Thomas H. Loew, Reiner W. Dahlbender, Jamie Delgadillo

Psychology Faculty Publications

Internalized And Anticipated Stigmatization In Patients With Gout, Maria Kleinstäuber, Leonie Wolf, Annie S. K. Jones, Nicola Dalberth, Keith J. Petrie

Psychology Faculty Publications

Evaluating Commonalities Between Different Medically Unexplained Symptoms, Dan Guo, Maria Kleinstäuber, Malcolm Henry Johnson, Frederick Sundram

Psychology Faculty Publications

Confirmatory Factor Analysis Of The Causal Illness Attribution Scale In Chinese Patients With Multiple Somatic Symptoms, Ling Zhang, Jeanine Schwarz, Maria Kleinstäuber, Kurt Fritzsche, Wiebke Hannig, Jing Wei, Jianzhong Yang, Lan Zhang

Psychology Faculty Publications

Rock Climbing And Acute Emotion Regulation In Patients With Major Depressive Disorder In The Context Of A Psychological Inpatient Treatment: A Controlled Pilot Trial, Maria Kleinstäuber, Merle Reuter, Norbert Doll, Andreas J. Fallgatter

Psychology Faculty Publications

Pharmacological Interventions For Somatoform Disorders In Adults, Maria Kleinstäuber, Michael Witthöft, Andrés Steffanowski, Harm Van Marwijk, Wolfgang Hiller, Michael J. Lambert

Psychology Faculty Publications

Psychology Faculty Publications

Pharmacological Interventions For Somatoform Disorders In Adults [Protocol], Maria Kleinstäuber, Michael Witthöft, Andrés Steffanowski, Michael Lambert, Günter Meinhardt, Klaus Lieb, Wolfgang Hiller

Psychology Faculty Publications