Hamburger Module zur Erfassung allgemeiner Aspekte psychosozialer Gesundheit für die therapeutische Praxis (HEALTH) – Ein neues Selbstbeurteilungsinstrument zur multidimensionalen Erfassung psychosozialer Gesundheit

Rabung, Sven; Harfst, Timo; Kawski, Stephan; Koch, Ulrich; Wittchen, H. U.; Schulz, H

doi:10.1055/s-2007-970696

Cited by 4 publications

(6 citation statements)

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“…The scale comprises 49 items to assess nine subscales (and a psychological symptoms aggregate), which include mental health symptoms, self-efficacy, well-being, as well as social support and participation. As per Rabung et al (2009) internal consistency is acceptable to very good for all subscales with values between α = 0.73 and 0.91.…”

Section: Instrumentsmentioning

confidence: 86%

“…We used the Hamburg Modules for the Assessment of Psychosocial Health (Rabung et al, 2007(Rabung et al, , 2009 to measure general psychosocial well-being and health in the respondents. The scale comprises 49 items to assess nine subscales (and a psychological symptoms aggregate), which include mental health symptoms, self-efficacy, well-being, as well as social support and participation.…”

Section: Instrumentsmentioning

confidence: 99%

“…Hence, the aim of the study at hand is to analyze item and scale properties, conducted factor analysis and tests of measurement invariance. In addition, to determine convergent and discriminant validity, we examining its associations with a measure of psychosocial health, the HEALTH-49 (Rabung et al, 2007(Rabung et al, , 2009. To this end we expect significant moderate to high correlations between the subscales of the HEALTH-49 related to psychological and somatoform symptoms, difficulties in interactions and social distress and the JAS.…”

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confidence: 99%

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Psychometric properties of the job anxiety scale

Schmalbach

Kalkbrenner

et al. 2023

Front. Psychol.

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BackgroundOccupational stress and specifically job anxiety are crucial factors in determining health outcomes, job satisfaction as well as performance. In order to assess this phenomenon, the Job Anxiety Scale (JAS) is one of the instruments available. It consists of 70 items that are clustered in 14 subscales and five dimensions. This manuscript is a revised version of a retracted article that analyzed the properties of a short version of the JAS. Rather than shortening the scale, the authors of the JAS recommend to further assess the scale in its current state without modification of the factor structure. Hence, the aim of this paper is to assess the psychometric properties of the original JAS.MethodsThe sample consists of 991 – mostly psychosomatic – patients from two different clinics. We applied methods of factor analysis and bivariate correlations to explore and test factor structure and the nomological net of related constructs.ResultsThe Job Anxiety Scale evinced satisfactory psychometric properties. We found very high internal consistency, and invariance across participant age. It displayed good discriminant validity and we found the expected pattern of convergent correlations. However, the model fit is not convincing.ConclusionWith the Job Anxiety Scale, researchers can assess job related worries in a reliable manner. The questionnaire is particularly useful in large-scale surveys, in therapy or work-related contexts. However, the scale could be modified in order to aim for a better fit and assess job related anxiety in a more efficient way.

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Section: Instrumentsmentioning

confidence: 86%

Section: Instrumentsmentioning

confidence: 99%

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confidence: 99%

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Psychometric properties of the job anxiety scale

Schmalbach

Kalkbrenner

et al. 2023

Front. Psychol.

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“…The Hamburger Modules for the assessment of psychosocial health measure, psychosocial health questionnaire (Rabung et al, 2007 ), comprises six modules with nine scales, in total 49 self-report items: somatoform complaints, depressiveness, phobic anxiety, psychological wellbeing, interactional problems, self-efficacy, activity and participation, social support, and social stress. The raw scores range from 0 (not at all) to 4 (very much), providing a measure of the intensity and frequency of psychosocial problems on a 5-point Likert scale.…”

Section: Methodsmentioning

confidence: 99%

“…The raw scores range from 0 (not at all) to 4 (very much), providing a measure of the intensity and frequency of psychosocial problems on a 5-point Likert scale. These scales have demonstrated high reliability in large clinical and healthy German samples (Rabung et al, 2009).…”

Section: Health-mentioning

confidence: 99%

Common mental disorders in Gestalt therapy treatment: a multiple case study comparing patients with moderate and low integrated personality structures

Kaisler,

Fede,

Diltsch

et al. 2023

Front. Psychol.

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IntroductionEmpowerment is central to self-development and growth in Gestalt therapy. The self evolves through interactions with others, forming self- and object-relations, and ego-functions. Underlying structural functions build the ability to regulate, differentiate, and integrate experiences, leading to self-, and emotion-regulation. Our study examined the self-development of seven clients with prevalent mental health issues and structural challenges, all of whom underwent 30 sessions of Gestalt therapy in a real-world individual therapy context.MethodsUsing a multiple case study approach, we contrasted two client groups: those with moderately integrated and those with low-integrated personality structures, as defined by the operationalised psychodynamic diagnostic manual. Our exploration centered on specific factors of empowerment, therapy processes, and interventions. The study's mixed-method design encompassed quantitative outcome measures (empowerment, wellbeing, psychosocial health, and severity of personality functioning), therapy diaries from both clients and therapists, and semi-structured client interviews about empowering factors in therapy.ResultsBoth groups showed positive therapy outcomes on wellbeing, psychosocial health, and empowerment. Specific empowerment-related factors included promoting experiences, relationships, and self-efficacy in the low-integrated group. Support of self-regulation was reported to be essential for successful outcomes in the moderately integrated group. While the therapy processes proceeded similarly in both groups, we observed a strong focus on body awareness-oriented interventions and promotion of verbalisation in the low-integrated group and a relationship-oriented emphasis in the moderately integrated group. Emotional experience linked to positive experience was limited in the low-integrated group, suggesting an impairment of emotional processing, including bodily felt feelings. No change was reported in the level of personality functioning after 30 sessions in both groups.DiscussionThese results underscore the need for tailored therapeutic approaches based on the client's level of personality integration. Future research should probe the long-term effects of therapy and delve deeper into shifts in personality functioning, especially concerning emotional and bodily experiences. In practical terms, therapists should prioritize linking bodily sensations with emotions for clients with low-integrated personalities. For those with moderate integration, the emphasis should be on fostering exploration, awareness, and bolstering self-regulation.

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Milieu-specific differences in symptom severity and treatment outcome in psychosomatic rehabilitation in Germany

Kleineberg-Massuthe,

Papst,

Bassler

et al. 2023

Front. Psychiatry

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IntroductionPrevious studies that focused on socioeconomic differences did not comprehensively explain existing inequalities in psychosomatic rehabilitation in Germany. We applied a social milieu approach, which additionally includes sociocultural factors such as lifestyles, attitudes and values, to investigate differences among patients in symptom severity, psychosocial impairment and improvement over the course of the intervention.MethodsAs a model for social milieus, the empirical Sinus milieus were used. 2,000 patients of two psychosomatic rehabilitation clinics in Germany were included and their milieu was assessed with the Sinus milieu indicator for Germany 10/2018 questionnaire. BDI-II (N = 1,832) and HEALTH-49 (N = 1,829) questionnaires were used to measure depressiveness and psychosocial impairment at admission (T0) and discharge after 5 weeks of treatment (T1). Milieu differences in severity and improvement were analyzed by mixed-model ANOVAs.ResultsMilieu distribution was not representative of the overall population of Germany. We found significant differences between patients from different milieus in both BDI-II and HEALTH-49 (p < 0.001). Patients from the Precarious Milieu had the highest burden of depressive symptoms in BDI-II and the highest impairment on all HEALTH-49 scales at T0 and T1. Over the course of rehabilitation, patients from all milieus improved significantly in all domains (p < 0.001). Significant interaction effects showed milieu-dependent differences in improvement for depressiveness on the BDI-II [F(9, 1822) = 2.50, p = 0.008] and for three HEALTH-49 scales, namely Psychological well-being [F(9, 1819) = 3.30, padj = 0.005], Interactional difficulties [F(9, 1819) = 2.74, padj = 0.036] and Activity and Participation [F(9, 1819) = 4.94, padj < 0.001], while post-hoc tests only revealed two significant group differences for the last scale. In all domains, patients from the Precarious Milieu retained higher symptoms and impairment at T1 than patients from better-off milieus had at T0.DiscussionSocial milieu was associated with symptom severity, treatment access and outcome of psychosomatic rehabilitation patients. Milieu-specific sociocultural habits, psychosocial needs and therapeutic demands may help describe differences and should be considered in therapy planning and implementation, to improve equal access, quality and effectiveness of rehabilitation. Therefore, further research on milieu-specific differences and needs is necessary.

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Hamburger Module zur Erfassung allgemeiner Aspekte psychosozialer Gesundheit für die therapeutische Praxis (HEALTH) – Ein neues Selbstbeurteilungsinstrument zur multidimensionalen Erfassung psychosozialer Gesundheit

Cited by 4 publications

References 0 publications

Psychometric properties of the job anxiety scale

Psychometric properties of the job anxiety scale

Common mental disorders in Gestalt therapy treatment: a multiple case study comparing patients with moderate and low integrated personality structures

Milieu-specific differences in symptom severity and treatment outcome in psychosomatic rehabilitation in Germany

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