Publications by authors named "Larissa Vierl"

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Z Psychosom Med Psychother

September 2024

Unlabelled: Patient characteristics at a psychodynamic training institute Outpatient clinics affiliated with psychotherapeutic training institutions play a crucial role in ensuring the quality of future psychotherapists' training.

Objective: In the present study we examined the characteristics of patients in terms of symptomatology and psychodynamic dimensions.

Methods: The study utilized online questionnaires completed by n = 421 patients between September 2020 and March 2021.

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Article Synopsis
  • Outpatient clinics help train future therapists by providing real-life experience with patients.
  • A study looked at 421 patients to understand their mental health problems and personal issues.
  • Most patients were women, many had depression, and over half showed signs of personality disorders, indicating they had significant emotional struggles.
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Emotion dysregulation has long been considered a key symptom in multiple psychiatric disorders. Difficulties in emotion regulation have been associated with neural dysregulation in fronto-limbic circuits. Real-time fMRI-based neurofeedback (rt-fMRI-NFB) has become increasingly popular as a potential treatment for emotional dysregulation in psychiatric disorders, as it is able to directly target the impaired neural circuits.

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Article Synopsis
  • The study examined the relationship between psychodynamic constructs (like interpersonal relations and personality functioning) and psychopathology in a sample of 2232 psychotherapeutic inpatients using network analysis.
  • Findings showed that passive conflict processing modes correlated more with psychopathology than active ones, except in specific conflicts, and identity diffusion was identified as a key component within these constructs.
  • The research highlighted the importance of personality functioning in understanding the links between psychodynamic constructs and psychopathological issues.
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Personality functioning (PF) is a central construct in many theories of personality pathology. Based on psychodynamic theories, two screening questionnaires to assess PF are widely used: The Inventory of Personality Organization-16 item version and the Operationalized Psychodynamic Diagnosis-Structure Questionnaire Short Form. This study aimed to explore the similarities and differences of the two questionnaires in a large clinical sample of  = 1636 psychotherapeutic inpatients.

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Personality functioning and psychodynamic conflicts are central constructs in psychoanalytic theories of psychopathology as well as in many psychodynamic treatment models. Although there has been a longstanding conceptual discussion on how they relate to each other, empirical evidence on this question is still scarce. In this study, we explore the associations between psychodynamic conflicts and levels of structural integration (which can be used synonymously with personality functioning) by means of a partial correlation network analysis in a sample of = 220 outpatients interviewed and rated according to Operationalized Psychodynamic Diagnosis (OPD-2).

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Psychodynamic therapy effectively reduces symptomatology by focusing on underlying (unconscious) processes instead of symptoms. Nevertheless, the exact interrelationship between psychodynamic constructs and psychopathology remains unclear. This study uses network analysis to explore these associations.

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Objective: The Compulsive Exercise Test (CET) was developed to assess compulsive exercise in patients with eating disorders (EDs), but originally validated in a nonclinical sample, and psychometric properties were only investigated in small clinical samples. Therefore, the aim of this study was to examine its psychometric properties in a large clinical sample of adolescent and adult inpatients with anorexia nervosa and bulimia nervosa.

Method: A sample of 2,535 German female inpatients with EDs completed the CET and other instruments at admission and discharge.

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Objective: The network theory of mental disorders conceptualizes eating disorders (EDs) as networks of interacting symptoms. Network analysis studies in EDs mostly have examined transdiagnostic and/or mixed age samples. The aim of our study was to investigate similarities and differences of networks in adolescents and adults with anorexia nervosa (AN) or bulimia nervosa (BN).

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