Publications by authors named "Greimel E"

Purpose: This study aims to identify a combination of clinical, demographic, and patient competence determinants of patients' communication with doctors and nurses in an international sample of cancer patients.

Methods: For our cross-sectional study, cancer patients assessed their communication with their doctors or nurses at the start of their treatment. Patients completed EORTC communication questionnaire QLQ-COMU26 to assess ten areas of communication with their doctor or nurses plus another item to assess how competent they felt when communicating with professionals.

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Background: The European Organization of Research and Treatment of Cancer (EORTC) has recently developed and validated a patient-reported outcome measure (PROM) for sexual health (SH) in cancer patients. Here, we present results from a secondary analysis of the EORTC QLQ-SH22 validation study. The objective was to investigate the impact of cancer treatment on SH over the disease trajectory into survivorship in patients who underwent curative treatment.

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Introduction: Early recognition and indicated prevention is a promising approach to decrease the incidence of Major depressive episodes (MDE), targeting the patients during their clinical high-risk state of MDE (CHR-D). The identification of a set of stressors at the CHR-D increases the success of indicated prevention with personalized early interventions. The study evaluated stressors in the early phase of depression, developed on the basis of a patient survey on stressors.

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  • Intermittent theta burst stimulation (iTBS) is a type of repetitive transcranial magnetic stimulation being studied as a treatment for major depressive disorder in young adults (ages 16-26).
  • The EARLY-BURST trial aims to evaluate the safety and efficacy of iTBS on the left dorsolateral prefrontal cortex in patients with various depressive disorders, after a year without antidepressants or antipsychotics.
  • This randomized, double-blind trial will compare the impact of iTBS to a sham treatment, focusing on depression severity at week 6, with plans for future expansions to test additional treatments based on funding.
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  • - The EORTC QLQ-COMU26 is a newly developed questionnaire aimed at assessing how cancer patients perceive their communication with healthcare professionals, tested for validity and reliability among a diverse international sample.
  • - In a study with 498 cancer patients across 10 European countries, Japan, Jordan, and India, the questionnaire demonstrated clarity and minimal emotional distress, with strong reliability and appropriate scale structure confirmed through various assessments.
  • - The QLQ-COMU26 effectively identified differences in patient experiences based on factors like sex, education, and satisfaction with communication, as well as captured changes over time related to patient interactions with healthcare providers.
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  • Researchers wanted to find better ways to help young people avoid mental health problems, especially depression.
  • They tested three different apps: one that helps build emotional skills, one based on cognitive behavioral therapy (CBT), and one for keeping track of feelings.
  • The study included 1,262 young people from several countries, and they checked how the apps helped reduce depression symptoms after three months.
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  • The study investigates the effectiveness of three different self-help apps aimed at improving mental wellbeing among young people, specifically comparing a personalised emotional competence app, a cognitive behavioural therapy (CBT) app, and a self-monitoring app.
  • Conducted as a randomised controlled trial across four countries, the research involved 2532 young participants aged 16-22 without major depression, who were monitored for 12 months to assess changes in mental wellbeing.
  • The primary measurement for evaluating success was the Warwick-Edinburgh Mental Well Being Scale (WEMWBS) at a 3-month follow-up, ensuring that the outcomes were objectively assessed by unaware evaluators.
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Objectives: Sexuality is an important dimension of health-related quality of life (HRQOL) in cancer patients. Studies evidence that most patients report impairments of their sexual health related to their disease or its treatment. The Quality of Life Group of the European Organization for the Research and Treatment of Cancer (EORTC) developed a patient reported outcome measure assessing multidimensional aspects of sexual health.

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Background: There is evidence that overexposure to digital media devices (DMD) can not only lead to addictive patterns of internet use, but also cause insomnia symptoms. The aim of this cross-sectional study among adolescents is to provide an estimate of the prevalence of sleep impairments and to explore the mediating role of after-midnight use of DMD between internet-related addictive behavior (IRAB) and insomnia.

Methods: 2,712 school students from Styrian schools participated in a population-representative online survey in a supervised school setting in spring 2022.

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Many newly emerging and re-emerging viruses have neuroinvasive potential, underscoring viral encephalitis as a global research priority. Upon entry of the virus into the CNS, severe neurological life-threatening conditions may manifest that are associated with high morbidity and mortality. The currently available therapeutic arsenal against viral encephalitis is rather limited, emphasizing the need to better understand the conditions of local antiviral immunity within the infected CNS.

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Purpose: BioMD-Y is a comprehensive biobank study of children and adolescents with major depression (MD) and their healthy peers in Germany, collecting a host of both biological and psychosocial information from the participants and their parents with the aim of exploring genetic and environmental risk and protective factors for MD in children and adolescents.

Participants: Children and adolescents aged 8-18 years are recruited to either the clinical case group (MD, diagnosis of MD disorder) or the typically developing control group (absence of any psychiatric condition).

Findings To Date: To date, four publications on both genetic and environmental risk and resilience factors (including , glucocorticoid receptor activation, polygenic risk scores, psychosocial and sociodemographic risk and resilience factors) have been published based on the BioMD-Y sample.

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Changes in sleep are reported in adolescents with depression with a frequency of up to 71%. Aspects of chronobiology and sleep based on the current scientific literature are illustrated and summarized in this narrative review. The circadian clock synchronizes organisms to the light-dark structure of the environment.

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  • Emotion regulation (ER) can be affected in people with major depression, but researchers are not sure how much it affects them.
  • A study looked at people with a history of major depression and healthy individuals to see if they had different ways of handling emotions when viewing negative images.
  • Both groups were able to cope with negative feelings in the study, but those with a history of depression reported struggling more with emotional regulation in daily life.
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Research shows the important role of parents' mental health literacy in detecting depressive symptoms and supporting their children to seek professional help. Improving mental health literacy in parents has recently gained even greater importance due to the negative impact of the COVID-19 pandemic on children and adolescents' mental health. The aim of the present experimental pre-post-follow-up study was to examine knowledge change after the reception of contents from an innovative web-based platform ( www.

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Background: To decrease the incidence of major depressive episodes, indicated prevention that targets clinical high-risk individuals with first detectable signs that forecast mental disorder is a highly relevant topic of preventive psychiatry. Still little is known about the prodrome of MDE. The aim of the current study was to identify the occurrence of a clinical high-risk state of depression, its duration and symptom constellation.

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Difficulties in emotion regulation (ER) are thought to contribute to the development and maintenance of major depression (MD) in adolescents. In healthy adults, a task-based training of ER has previously proven effective to reduce stress, but no such studies are available for MD. It is also unclear whether findings can be generalized onto adolescent populations.

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Background: Prediction of mental disorders based on neuroimaging is an emerging area of research with promising first results in adults. However, research on the unique demographic of children is underrepresented and it is doubtful whether findings obtained on adults can be transferred to children.

Methods: Using data from 6916 children aged 9-10 in the multicenter Adolescent Brain Cognitive Development study, we extracted 136 regional volume and thickness measures from structural magnetic resonance images to rigorously evaluate the capabilities of machine learning to predict 10 different psychiatric disorders: major depressive disorder, bipolar disorder (BD), psychotic symptoms, attention deficit hyperactivity disorder (ADHD), oppositional defiant disorder, conduct disorder, post-traumatic stress disorder, obsessive-compulsive disorder, generalized anxiety disorder, and social anxiety disorder.

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Objectives: This study compared aesthetic outcome, psychosexual distress, and treatment satisfaction between women receiving surgical treatment or medical treatment with imiquimod for vulvar high-grade squamous intraepithelial lesion.

Materials And Methods: This is an extended analysis of the multicenter, randomized noninferiority trial "topical imiquimod versus surgery for vulvar intraepithelial neoplasia." Patients were randomized to primary topical treatment or surgery and stratified by unifocal or multifocal disease.

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Background: Adolescent major depression (MD) is characterized by deficits in emotion regulation (ER). Little is known about the neurophysiological correlates that are associated with these deficits. Moreover, the additional examination of visual attention during ER would allow a more in-depth understanding of ER deficits but has not yet been applied simultaneously.

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  • Early guidelines set a minimally important difference (MID) of ≥10 points for the EORTC QLQ-C30, but evidence suggests that MIDs vary based on scale, type of cancer, and other factors, questioning the validity of a universal standard.
  • This study analyzed data from 21 EORTC Phase III trials involving 13,015 patients across nine different cancer types to identify pattern differences in MIDs for within- and between-group changes over time.
  • Results showed that anchor-based MIDs typically ranged from 5 to 10 points, with notable variations based on scale and cancer type, highlighting the need for researchers to consider specific contexts rather than relying on a one-size-fits-all MID approach.
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Background: Adolescents with depression often show barriers to seek treatment offers due to various reasons, including limited knowledge about the manifestation of the disorder, its treatment options, or fear of stigmatization. Psychoeducational approaches might reduce these barriers by increasing depression literacy. The aim of the present randomized controlled study was to evaluate whether an innovative and age-appropriate evidence-based information booklet about youth depression increases depression-specific knowledge in adolescents with depression and is also appealing to the target group.

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Since Croatia joined the European Union, majority of the studies on Croatian emigrants have predominantly addressed the reasons for migration and their future predictions. The primary purpose of this study was to investigate the relationship between the sense of coherence, health behavior, acculturation, adaptation, perceived health, and quality of life (QoL) in first-generation Croatian migrants living in Austria and Ireland. Our study is the first study that addresses the perceived health and QoL of Croatian migrants since the last emigration wave in 2013.

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Background: Urogenital atrophy affects >50 % of women after breast cancer (BC) and there is reluctance to use local estrogen for this group. Hormone-free therapies like intravaginal laser therapy and hyaluronic acid suppositories have been shown to produce symptom relief in women with BC and urogenital atrophy, but have not been tested against each other. The aim of this study was to compare these nonhormonal modalities in women with urogenital atrophy after BC in a randomized fashion.

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During the corona pandemic, youths were confronted with substantial challenges and in urgent need of information on how to prevent mental health problems. This experimental pre-post-follow-up study examined the efficacy and reception of an innovative website ( www.corona-und-du.

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Background: The neonatal intensive care unit causes maternal stress and postpartum depressive symptoms in preterm and term mothers. Personal resources like maternal resilience are usually not considered in counselling these women.

Objective: This study aims to evaluate the resilience and differences in postpartum depression after admission of newborns at the neonatal intensive care unit.

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