Publications by authors named "Riedel-Heller S"

Objective: In Germany, patients with mental disorders can benefit from many medical and non-medical services. However, assessing the consumption of these services is difficult. We developed the questionnaire FIMPsy that can be used to assess health care consumption in patients with mental disorders and thereby facilitate economic evaluations.

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Objective: We aimed at identifying differences regarding cognition, depressive symptoms and health-related quality of life between members of private and statutory health insurance (SHI) in very old age in Germany.

Methods: Cross-sectional data were gathered from the multicenter prospective "Study on Needs, health service use, costs and health-related quality of life in a large sample of oldest-old primary care patients (85+)" (AgeQualiDe), covering primary care patients aged ≥ 85 years (n = 854; with 773 members of SHI). The Global Deterioration Scale measured cognition, the Geriatric Depression Scale assessed depressive symptoms, and health-related quality of life was measured by using a Visual Analogue Scale (EQ-VAS).

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Background: Respondents' report of a previously diagnosed depression by a health professional is frequently used to estimate depression prevalence. This study contributes to a better understanding of survey results based on this measure by comparing it with a comprehensive standardized diagnostic interview.

Methods: Data came from the cross-sectional nationwide German Health Interview and Examination Survey for Adults (DEGS1) and its mental health module (DEGS1-MH, n = 4483).

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Objectives: Pain relief has been shown to be the most frequently reported goal by patients undergoing lumbar disc surgery. There is a lack of systematic research investigating the course of postsurgical pain intensity and factors associated with postsurgical pain. This systematic review focuses on pain, the most prevalent symptom of a herniated disc as the primary outcome parameter.

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Background: The Generalized Anxiety Disorder Scales GAD-7 and GAD-2 are instruments for the assessment of anxiety. The aims of this study are to test psychometric properties of these questionnaires, to provide normative values, and to investigate associations with sociodemographic factors, quality of life, psychological variables, and behavioral factors.

Methods: A German community sample (n=9721) with an age range of 18-80 years was surveyed using the GAD-7 and several other questionnaires.

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Background: Body dissatisfaction has been identified as a psychological correlate of obesity that is related to disordered eating, poor self-esteem, and depression. However, not all individuals with obesity are equally vulnerable to these correlates, and 'normative discontent' is present in individuals with normal weight, too. In this light, the complex relationship of body image and individual weight status seems like a worthwhile direction of research inquiry.

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Background: Arteriosclerotic disorders increase the risk of dementia. As they have common causes and risk factors, coronary heart disease (CHD) could influence the course of dementia.

Aim: To determine whether CHD increases the speed of cognitive decline in Alzheimer's disease, and to discuss the potential for secondary cardiovascular prevention to modify this decline.

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Objectives: To investigate mortality risk and survival time in new-incident cases of cognitive impairment (CI) in old age.

Design: Prospective cohort study in six German cities.

Setting: German Study on Ageing, Cognition, and Dementia in Primary Care Patients (AgeCoDe).

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Objective: To examine whether depressive symptoms affect healthcare costs in old age longitudinally.

Design: Multicenter prospective observational cohort study (two waves with n = 1,195 and n = 951) in Germany.

Setting: Community.

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The disparity between the chronological age of an individual and their brain-age measured based on biological information has the potential to offer clinically relevant biomarkers of neurological syndromes that emerge late in the lifespan. While prior brain-age prediction studies have relied exclusively on either structural or functional brain data, here we investigate how multimodal brain-imaging data improves age prediction. Using cortical anatomy and whole-brain functional connectivity on a large adult lifespan sample (N=2354, age 19-82), we found that multimodal data improves brain-based age prediction, resulting in a mean absolute prediction error of 4.

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Background: If patients are treated according to their personal preferences, depression treatment success is higher. It is not known which treatment options for late-life depression are preferred by patients aged 75 years and over and whether there are determinants of these preferences.

Methods: The data were derived from the German "Late-life depression in primary care: needs, health care utilization, and costs (AgeMooDe)" study.

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Background: Subjective cognitive decline (SCD), i.e., the self-perceived feeling of worsening cognitive function, may be the first notable syndrome of preclinical Alzheimer's disease and other dementias.

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Background: The association between obesity and perceived weight discrimination has been investigated in several studies. Although there is evidence that perceived weight discrimination is associated with negative outcomes on psychological well-being, there is a lack of research examining possible buffering effects of coping strategies in dealing with experiences of weight discrimination. The present study aims to fill that gap.

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Objectives: To investigate time-dependent predictors of frailty in old age longitudinally.

Design: Population-based prospective cohort study.

Setting: Elderly individuals were recruited via GP offices at six study centers in Germany.

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Introduction: Previous studies have demonstrated that an overall high level of mental work demands decreased dementia risk. In our study, we investigated whether this effect is driven by specific mental work demands and whether it is exposure dependent.

Methods: Patients aged 75+ years were recruited from general practitioners and participated in up to seven assessment waves (every 1.

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Subjective cognitive decline is controversially discussed as early notable sign of future dementia in the literature. Therefore, we aimed to investigate whether SCD predicts dementia in a sample of cognitively unimpaired older individuals (75+). 595 cognitively unimpaired individuals who participated in the Leipzig Longitudinal Study of the Aged (LEILA75+) were regularly interviewed and cognitively tested over 8 years.

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Objectives: To examine how visual impairment affects physical and cognitive function in old age.

Design: A longitudinal population-based prospective cohort study.

Setting: General practitioner offices at six study centers in Germany.

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Background: Mental disorders are frequently not or only insufficiently treated. Internet-based interventions offer the potential of closing the existing gaps in the treatment of mental disorders; however, it is very difficult for patients and providers to choose from the numerous interventions available.

Objective: The aim of this study was to develop a set of quality criteria that can help patients and care providers to identify recommendable internet-based interventions.

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Working and living for persons with mental illnesses are a major concern of rehabilitative psychiatry. In Germany the definition of rehabilitation for persons with mental illnesses is closely linked to different sectors of social welfare and to the strongly organized supply chain of prevention, acute treatment, rehabilitation and care. In successfully supporting people with mental health problems in terms of vocational integration, professionals face various obstacles.

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Objective: The DSM-5 introduces mild neurocognitive disorder (miNCD) as a syndrome that recognizes the potential clinical importance of acquired cognitive deficits being too mild to qualify for diagnosis of dementia. We provide new empirical data on miNCD including total, age-, and sex-specific prevalence rates; number and types of neurocognitive domains being impaired; and diagnostic overlap with the well-established mild cognitive impairment (MCI) concept.

Design: Cross-sectional results of an observational cohort study (LIFE-Adult-Study).

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Background: Physician migration is gaining attention worldwide. Despite increasing numbers of foreign physicians in Germany, their perceptions on working in Germany remain unexplored. Within a large survey on Saxon physicians, the aim of this study was to elucidate whether foreign-national physicians' job satisfaction differed from German physicians' job satisfaction.

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Background: It is unknown whether longitudinal stability versus instability in subjective cognitive decline (SCD) is a modifying factor of the association between SCD and risk of incident Alzheimer's disease (AD) dementia.

Objective: We tested the modifying role of temporal stability of the SCD report on AD dementia risk in cognitively normal elderly individuals.

Methods: We analyzed data of 1,990 cognitively normal participants from the longitudinal AgeCoDe Study.

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