Individuelle Ergebnismessung - Vergleich zwischen prospektiven und retrospektiven Problemangaben in der psychosomatischen Rehabilitation

Steffanowski, Andrés; Lichtenberg, Stephanie; Nübling, Rüdiger; Wittmann, Werner W.; Schmidt, Jürgen

doi:10.1055/s-2003-37045

Cited by 6 publications

(4 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The Relationship Scales Questionnaire (RSQ) [ 66 , 67 ] captures different aspects of attachment via the scales “Separation anxiety”, “Closeness anxiety”, “Lack of trust” and “Wish to be independent”, which are associated with adult interpersonal relationship patterns [ 68 ].…”

Section: Methodsmentioning

confidence: 99%

Psychobiological Factors Affecting Cortisol Variability in Human-Dog Dyads

et al. 2017

View full text Add to dashboard Cite

Stress responses within dyads are modulated by interactions such as mutual emotional support and conflict. We investigated dyadic psychobiological factors influencing intra-individual cortisol variability in response to different challenging situations by testing 132 owners and their dogs in a laboratory setting. Salivary cortisol was measured and questionnaires were used to assess owner and dog personality as well as owners' social attitudes towards the dog and towards other humans. We calculated the individual coefficient of variance of cortisol (iCV = sd/mean*100) over the different test situations as a parameter representing individual variability of cortisol concentration. We hypothesized that high cortisol variability indicates efficient and adaptive coping and a balanced individual and dyadic social performance. Female owners of male dogs had lower iCV than all other owner gender-dog sex combinations (F = 14.194, p<0.001), whereas owner Agreeableness (NEO-FFI) scaled positively with owner iCV (F = 4.981, p = 0.028). Dogs of owners high in Neuroticism (NEO-FFI) and of owners who were insecure-ambivalently attached to their dogs (FERT), had low iCV (F = 4.290, p = 0.041 and F = 5.948, p = 0.016), as had dogs of owners with human-directed separation anxiety (RSQ) or dogs of owners with a strong desire of independence (RSQ) (F = 7.661, p = 0.007 and F = 9.192, p = 0.003). We suggest that both owner and dog social characteristics influence dyadic cortisol variability, with the human partner being more influential than the dog. Our results support systemic approaches (i.e. considering the social context) in science and in counselling.

show abstract

Section: Methodsmentioning

confidence: 99%

Psychobiological Factors Affecting Cortisol Variability in Human-Dog Dyads

et al. 2017

View full text Add to dashboard Cite

show abstract

“…[28,51]) und die damit verbundenen Erwartungen an die Rehabilitation [52]. Dabei ist es nicht unerheblich, zu welchem Zeitpunkt eine solche Erhebung stattfindet [53], was darauf hindeutet, dass nicht nur Versorgungspräferenzen, sondern auch die Bewertungen eigener Gesundheit im Rehabilitationsprozess zeitlich instabil sind [18]. …”

Section: Diskussion Und Schlussfolgerungenunclassified

Erwartungen von Schlaganfall-Rehabilitanden an die stationäre und teilstationäre neurologische Rehabilitation in der Phase D

Bölsche

Hasenbein²,

Reissberg³

et al. 2004

Rehabilitation

View full text Add to dashboard Cite

Setting preferences and expectations before and appraisals and criticisms after neurological rehabilitation of stroke patients who fulfilled German phase-D criteria (cooperative and independent in basic ADL-functions) were longitudinally assessed in a rehabilitation centre with in-patient and out-patient facilities of comparable therapeutic quality and intensities, and followed-up for 6 months. 53 patients fulfilled inclusion criteria, of whom 16 opted for and received out-patient rehabilitation, 21 opted for out-patient rehabilitation but had to receive in-patient treatment mainly for geographical reasons, and 16 preferred and received in-patient rehabilitation. Setting preferences and setting assignment did not influence patients' expectations. When assessed at discharge and after 6 months, a considerable number of patients expressed changes in setting preferences and altered reasons for setting choice. At rehabilitation onset, patients were generally optimistic that rehabilitation would lead to an improvement of functional abilities and health status. This optimism was not fulfilled, although patients improved in functional independence/activities of daily life and physical dimensions of quality of life. The subjective realization of expectations was neither associated with setting preference nor with realized setting. Improvements of functional disabilities and independence were not correlated with rehabilitation satisfaction. Patients were less disappointed with rehabilitation outcome the more they improved in dimensions of quality of life (or vice versa). The fact that setting preferences are indifferent and not stable over time indicates deficits of information and decision capacity in rehabilitation patients after stroke and may be explained by characteristics of this disease and a specific, short time-limit for decision-making. For the evaluation of rehabilitation programmes, it can also be concluded that multidimensional assessments such as the SF-36 cannot be replaced by patient satisfaction scores.

show abstract

“…Als "Königsweg" gilt die indirekte Veränderungsmessung. Dazu werden zu unterschiedlichen Erhebungszeitpunkten Statusmessungen durchgeführt und das Ausmaß der Veränderungen zwischen Prä-und Postmessung zum Beispiel in Form von standardisierten Mittelwertdiff erenzen (Eff ektstärken) abgebildet [ 7 ] . Behandlungseff ekte können aber auch mittels expliziter Veränderungsurteile durch die Patienten selbst erfasst werden, indem z.…”

unclassified