839 results match your criteria: "Center for Psychosocial Medicine[Affiliation]"

Background: Extraintestinal symptoms (EIS) in inflammatory bowel diseases, including fatigue, depression and anxiety, are highly prevalent, but poorly understood. Alterations of brain function may contribute to EIS, but their association with disease activity is unclear. This study analyzed intrinsic neural activity (INA) of individuals with Crohn's disease (CD) in different disease states and examined the relationship between INA and EIS.

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Background: Music can directly influence emotions, the regulation of which are known to be impaired in major depressive disorder (MDD). While music therapy (MT) could be an effective complement to treat MDD, studies investigating such effects have not yet yielded conclusive results. We hypothesized that group music therapy (GMT) might lead to a significant reduction of depressive symptoms (DS).

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Maternal prenatal depressive symptoms (PD symptoms) pose a risk factor for child adjustment difficulties (CAD), defined as internalizing and externalizing symptoms. This study examined the underlying mechanisms of the link between PD symptoms and CAD in a longitudinal study. Longitudinal data from pregnancy to age 3, encompassing four assessment points, were analyzed for = 582 mothers participating in the German family panel .

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Maternal capabilities to engage in sensitive caregiving are important for infant development and mother-infant-interaction, however, can be negatively affected by cortisol due to a stress response. Previous research suggested that cortisol possibly impairs cognitive functions important for caregiving behavior, which potentially leads to less maternal sensitivity. However, studies investigating the influence of cortisol using endocrine parameters on the mother-infant-interaction during the early postpartum are lacking.

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Contrasting genetic burden for bipolar disorder: Early onset versus late onset in an older adult bipolar disorder sample.

Eur Neuropsychopharmacol

December 2024

Bipolar and Depressive Disorders Unit, Hospital Clinic de Barcelona, Barcelona, Spain; Fundació Clínic per la Recerca Biomèdica-Institut d'Investigacions Biomèdiques August Pi i Sunyer (FCRB-IDIBAPS), Barcelona, Spain; Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Instituto de Salud Carlos III, Madrid, Spain.

Older Adults with Bipolar Disorder (OABD) represent a heterogeneous group, including those with early and late onset of the disorder. Recent evidence shows both groups have distinct clinical, cognitive, and medical features, tied to different neurobiological profiles. This study explored the link between polygenic risk scores (PRS) for bipolar disorder (PRS-BD), schizophrenia (PRS-SCZ), and major depressive disorder (PRS-MDD) with age of onset in OABD.

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Psychometric properties of the parent-rated assessment scale of positive and negative parenting behavior (FPNE) in a German sample of school-aged children.

Child Adolesc Psychiatry Ment Health

December 2024

Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany.

Background: The aim of this study was to develop and psychometrically evaluate a parent-rated parenting assessment scale including positive and negative dimensions of parenting. Factorial validity, reliability, measurement invariance, latent mean differences and construct validity of the Assessment Scale of Positive and Negative Parenting Behavior (FPNE) were tested in a pooled sample of five studies of 1,879 school-aged children (6.00 to 12.

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Brain connectivity disruptions in PTSD related to early adversity: a multimodal neuroimaging study.

Eur J Psychotraumatol

December 2024

Department of Neuroimaging, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.

Article Synopsis
  • PTSD is common among individuals with adverse childhood experiences (ACE), but its neurobiological basis remains poorly understood.
  • The study used neuroimaging techniques and involved 119 participants to analyze brain connectivity differences between those with ACE-related PTSD and those without.
  • Findings highlighted specific connectivity changes in brain regions crucial for cognitive control and social behavior, suggesting potential deficits in these areas for individuals with PTSD linked to ACE.
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Alzheimer's disease-specific transcriptomic and epigenomic changes in the tryptophan catabolic pathway.

Alzheimers Res Ther

November 2024

Department of Psychiatry and Neuropsychology, Faculty of Health, Medicine and Life Sciences (FHML), Mental Health and Neuroscience Research Institute (MHeNs) and European Graduate School of Neuroscience (EURON), Maastricht University, Maastricht, 6211 LK, the Netherlands.

Background: Neurodegenerative disorders, including Alzheimer's disease (AD), have been linked to alterations in tryptophan (TRP) metabolism. However, no studies to date have systematically explored changes in the TRP pathway at both transcriptional and epigenetic levels. This study aimed to investigate transcriptomic, DNA methylomic (5mC) and hydroxymethylomic (5hmC) changes within genes involved in the TRP and nicotinamide adenine dinucleotide (NAD) pathways in AD, using three independent cohorts.

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Introduction: A growing literature has shown that exposure to adverse life events during childhood or adolescence is associated with the presence of psychotic-like experiences (PLEs), which is in turn associated with the risk of psychotic outcomes. Ruminative thinking, i.e.

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Objective: Research on nonverbal synchrony (NVS) as a core element in the therapeutic relationship has substantially increased and suggests that NVS influences therapeutic alliance and outcomes.

Method: Studies on NVS regarding body movements, vocal pitch, peripheral physiological measures, and hormonal states were included. A random-effects multilevel meta-analysis was performed on 23 publications from 13 trials.

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Diurnal Profiles of the Endocrine Stress Response in Internet Gaming Disorder.

Psychopathology

November 2024

University Hospital of Child and Adolescent Psychiatry and Psychotherapy, University of Bern, Bern, Switzerland.

Background: Differences in subjective stress perception and acute response of the hypothalamic-pituitary-adrenal axis have been reported in internet gaming disorder (IGD). The present study aimed to further investigate alterations in diurnal profiles of the endocrine stress response system in IGD compared to healthy controls (HCs).

Methods: The diurnal course of endocrine markers (salivary cortisol and α-amylase) was investigated in a clinical sample of n = 29 adolescents with IGD compared to n = 26 HC.

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Epistemic trust, defined as trust in socially transmitted knowledge, is discussed as a psychopathological factor in the context of new transdiagnostic approaches for the assessment of mental disorders. The aim of this study is to test the factorial, convergent, and discriminant validity of the German version of the new Epistemic Trust, Mistrust and Credulity-Questionnaire (ETMCQ). Data were collected cross-sectionally from the German-speaking general population (N = 584) and in a second sample of clinical (n = 30) and non-clinical (n = 30) participants.

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Article Synopsis
  • Ovarian cancer often leads to muscle loss, malnutrition, and fatigue, adversely affecting patients' quality of life, especially during first-line chemotherapy.
  • A new study aims to assess an app-based exercise and nutrition program's effectiveness over six months compared to standard care, with physical performance measured by the 6-Minute Walk Test as the main focus.
  • The study will involve a multicenter trial with a minimum of 182 participants, all diagnosed with advanced ovarian cancer, and assess various health and nutrition indicators alongside physical performance improvements.
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  • Aripiprazole, a medication approved for severe mental disorders, is often prescribed off-label to children and adolescents, yet there are no established therapeutic serum level reference ranges for this population.
  • A study aimed to investigate the relationship between aripiprazole dosage and serum concentrations in youth, identifying factors like sex, age, and weight that might influence these levels.
  • The findings suggested a strong correlation between daily dosage and serum concentration, leading to a preliminary reference range for treating pediatric patients, which indicated potentially better outcomes and fewer side effects when using interquartile ranges for dose determination.
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Measuring health-related quality of life in a Chinese Mainland adolescent population: psychometric properties of the Mandarin Chinese self-reported KIDSCREEN-27 and KIDSCREEN-10 index.

BMC Psychol

October 2024

Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, Center for Psychosocial Medicine, University Medical Center Hamburg-Eppendorf, Martinistraße 52, W 29, Hamburg, 20246, Germany.

Background: The self-reported KIDSCREEN questionnaires are ideal for capturing children's and adolescents' health-related quality of life (HRQoL) and have gained worldwide popularity. Responding to demands for the concise nature of KIDSCREEN among Chinese Mainland researchers and practitioners, this study aimed to evaluate the psychometric properties of the Mandarin Chinese self-reported KIDSCREEN-27 (KS-27) and KIDSCREEN-10 index (KS-10), which are short versions of the self-reported KIDSCREEN-52 (KS-52).

Methods: This study reanalyzed the validation dataset of the Mandarin Chinese self-reported KS-52.

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Risk and protective factors for mental health problems in children and adolescents during the COVID-19 pandemic: results of the longitudinal COPSY study.

Eur Child Adolesc Psychiatry

October 2024

Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, Research Division "Child Public Health", Center for Psychosocial Medicine, University Medical Center Hamburg-Eppendorf, Martinistraße 52, W 29, 20246, Hamburg, Germany.

The COVID-19 pandemic has had profound effects on the mental health of children and adolescents worldwide, exacerbating existing challenges and introducing new stressors. This paper explores the impact of risk and protective factors on the mental well-being of young individuals during the pandemic. Using data from the German nationwide, population-based, longitudinal COPSY study (n = 2,471, girls: 50.

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Article Synopsis
  • Hypoxia is increasingly recognized as a key factor that helps brain cells adapt to low oxygen levels and reduced metabolism, leading to what the authors call "functional hypoxia."
  • The study investigates the effects of combined mild inspiratory and functional hypoxia during motor-cognitive training in a group of 20 participants, including healthy individuals and those with depression or autism spectrum disorder.
  • Initial findings suggest that this training under low oxygen conditions is well-tolerated and may improve well-being, cognitive performance, physical fitness, and affect immune cell responses, warranting further research with a controlled trial to better assess the benefits.
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Genetic contribution to sleep homeostasis in early adolescence.

Eur J Neurosci

November 2024

University Hospital of Child and Adolescent Psychiatry and Psychotherapy, University of Bern, Bern, Switzerland.

Article Synopsis
  • The study investigates how genetics influence sleep homeostasis during adolescence, specifically focusing on sleep pressure dissipation measured through slow wave energy (SWE).
  • Using a high-density EEG setup, researchers observed 14 monozygotic and 12 dizygotic twin pairs around age 13 to assess the genetic contribution to variants in SWE and sleep pressure decay.
  • Results indicate that while about 76% of the variance in SWE is attributed to genetics, only 33% of the rate of sleep pressure dissipation is genetically influenced, with most of it (67%) being affected by unique environmental factors.
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Article Synopsis
  • Many young people struggle with irritability, which can make it hard for them to manage their feelings and behavior.
  • This review looked at 82 studies to understand how self-regulatory control (SRC) plays a role in irritability among kids and teens under 18.
  • It found that kids with irritability often have trouble controlling their emotions, especially anger, and that how parents react can also affect their child's irritability.
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Neural variability, or variation in brain signals, facilitates dynamic brain responses to ongoing demands. This flexibility is important during development from childhood to young adulthood, a period characterized by rapid changes in experience. However, little is known about how variability in the engagement of recurring brain states changes during development.

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Effects of intranasal oxytocin on fear extinction learning.

Neuropsychopharmacology

February 2025

Department of General Psychiatry, Center for Psychosocial Medicine, Heidelberg University, Heidelberg, Germany.

Article Synopsis
  • Once a threat is gone, getting rid of the associated fear is helpful to conserve resources, but anxiety disorders can make this process difficult.
  • Studies on animals show that oxytocin (OT) helps fear extinction if given before fear conditioning, but hurts it if given before extinction learning.
  • This human study found that OT consistently impaired fear extinction learning and altered brain activity, leading to new insights for future research and treatment options.
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Background: Socioeconomic status (SES) has consistently been associated with depressive symptoms, however, it remains unclear which subset of SES variables is most relevant to the development of depressive symptoms. This study determined a standardized SES-Index to test the relationship of its sub-dimensions with depressive symptoms.

Methods: HCHS data ( = 10,000; analysis sample = 8,400), comprising participants 45+ years of age, was used.

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Prognostic value of Alzheimer's disease plasma biomarkers in the oldest-old: a prospective primary care-based study.

Lancet Reg Health Eur

October 2024

Division of Neurogenetics and Molecular Psychiatry, Department of Psychiatry and Psychotherapy, Faculty of Medicine and University Hospital Cologne, University of Cologne, Kerpener Str. 62, 50937, Cologne, Germany.

Background: Blood-based biomarkers offer a promising, less invasive, and more cost-effective alternative for Alzheimer's disease screening compared to cerebrospinal fluid or imaging biomarkers. However, they have been extensively studied only in memory clinic-based cohorts. We aimed to validate them in a more heterogeneous, older patient population from primary care.

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Gender-affirming hormonal therapy induces a gender-concordant fecal metagenome transition in transgender individuals.

BMC Med

September 2024

Institute of Forensic Psychiatry and Sex Research, Center for Translational Neuro- and Behavioral Sciences, University of Duisburg-Essen, Alfredstr. 68-72, Essen, 45130, Germany.

Article Synopsis
  • This study investigates how gender-affirming hormonal therapy (GAHT) affects gut microbiota in transgender individuals, focusing on the nuanced impact of sex steroids on microbial changes.
  • Thirty-six participants (17 trans women and 19 trans men) were analyzed for shifts in gut microbiota before and after 12 weeks of GAHT, using advanced sequencing techniques.
  • Findings revealed significant changes in specific gut bacteria related to affirmed gender, indicating that GAHT leads to distinct microbial profiles and may affect health outcomes for trans men and women.
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