Psychische Beschwerden und Störungen von Studierenden

Background

Psychological distress among students is receiving growing attention in the scientific community as well as in the general public. There are counseling services available in student societies and universities which address psychological distress among students but scientific research in this area is rudimentary and poorly represented.

Problem in question

In order to present the prevalence, extent and type of psychological disorders in students and the alterations over time, an investigation was carried out to show which psychological complaints and disorders were present in students who consulted a psychotherapeutic counseling center. These data were compared with the psychological complaints of a student field study population. Furthermore, alterations in the psychological complaints and disorders of students over periods of 10 and 15 years will be presented.

Methods

The prevalence and change over time of psychological syndromes in students were identified by a comparison between an unselected sample of counseling center clients and several student field samples from the previous 15 years. The type of distress and severity of symptoms were measured with a Symptom Checklist (SCL-90-R), the Psychosocial Complaints List (PSB), the Satisfaction With Life And Studies Scale (LSZ), the diagnostic assessment according to International Statistical Classification of Diseases and Related Health Problems, 10th revision (ICD-10), the Complaints Severity Score (BSS) and Global Assessment of Functioning (GAF).

Results

Previous results of investigations which showed that 20–25% of students suffer from psychological disorders could be confirmed in this study. However, 60–65% of the clients of a counseling center suffered from clinically relevant psychological disorders, which is significantly higher. The most common disorders were depressive moods, lack of self-confidence and exam anxiety, which can mostly be diagnostically assigned to adjustment, depression and anxiety disorders. The comparison with previous studies showed that the types and severity of psychological distress among students have remained stable over the last 15 years, with the exception of test anxiety which increased by 51% from 1993 to 2008. With respect to alcohol abuse, considerably less impairments were found than had been assumed based on the earlier investigations.

Conclusions

Psychological complaints and disorders are frequently found among students and they cause individual suffering as well as economic expenses. Noticeable was the obvious increase in clinically relevant exam anxiety. Psychological-psychotherapeutic counseling centers make an important contribution to screening, clinical assessment, primary health care and prevention of severe mental disorders among students and have shown a continuously increasing number of cases in recent years. Further studies especially in a process-outcome design of the mostly eclectic counseling centers are needed and possibilities will be presented.     

How schoolchildren’s acceptance of self and others relate to their attitudes to victims of bullying

Previous research has indicated that harm to the mental health of children who are repeatedly victimised by their peers at school can be ameliorated through social or emotional support provided by other students. In this study we examined whether student provictim attitudes are related to more basic attitudes to self and attitudes to others. Measures of these attitudes were developed for use with children, and shown to be internally consistent and possess concurrent validity. Relations between these variables were then examined with a sample of Australian school children ( $N = 212$ ) aged between 9 and 14 years. Provictim attitudes correlated significantly ( $r = .55$ ) with acceptance of others, but not with acceptance of self ( $r = -.04$ ). Controlling for age and gender, multiple regression analyses confirmed these findings. Attitudes to victims were less positive for older students ( $r = -.22$ ). Gender differences, however, were not significant. These findings suggest that among schoolchildren self-acceptance is unrelated to positive attitudes towards victims, whereas acceptance of others has a moderately strong relation with provictim attitude. Implications for improving attitudes to victims among school children were examined.     

Aus vier mach zwei

Background

The diagnostic and statistical manual of mental disorders 5 (DSM-5) includes a revision of the DSM-IV criteria for somatoform disorders. The aim of the current work was to investigate whether (a) patients with DSM-IV diagnoses of somatization disorder, pain disorder and hypochondriasis and (b) whether patients categorized as having the DSM-5 somatic symptom disorder and illness anxiety disorder differ with respect to illness anxiety and cognition regarding somatic symptoms.

Material and methods

The data from 269 inpatients from the psychosomatic clinic Schön Klinik Bad Bramstedt were used. Somatoform disorders were diagnosed using the German version of the structured clinical interview for DSM-IV (SCID).

Results

Patients with a DSM-IV diagnosis of hypochondriasis differed in illness anxiety and catastrophizing interpretation of somatic symptoms compared to patients with other somatoform disorders. Patients with illness anxiety disorder differed in the catastrophizing interpretation of physical symptoms, autonomic sensations, bodily weakness and intolerance of physical complaints compared to patients with somatic symptom disorder.

Conclusion

The present results indicate that illness anxiety and a catastrophizing interpretation of somatic symptoms play a fundamental role in patients with somatoform disorders. Therefore, psychotherapy should address illness anxiety and health-related concerns in all patients with somatoform disorders.     

Belastungen von Bachelor- und Diplom-Studierenden

Background

The restructuring of the European educational system in line with the Bologna process forms a source of complaints in German universities because of the rigid structure of the curricula and higher pressure to perform. By comparison of students in the former diploma system with students in the bachelor master system during the period of restructuring it was analyzed if the changes in the educational system affect psychological distress in a negative way.

Methods

The analysis of 535 datasets from the psychotherapeutic outpatient department for students of the university Göttingen in the years between 2006 and 2010 was carried out to clarify if students in the bachelor master system suffered more from severe psychological distress than students of the former German diploma system. Dependent variables are a questionnaire comprising current problems and the global severity index (GSI) from the symptom checklist (SCL)-90-R. The confounding factors resulting from course of study and stud -time in the period of the restructuring have been controlled.

Results

The bachelor master students who sought help were not generally suffering from more psychological distress than diploma students. However, in comparison to students from the former diploma system they suffered more from psychological distress and problems resulting from the study situation and organization in the first semesters.

Conclusions

Psychotherapeutic university outpatient departments have to be aware of the changing demand. The study organization has to be changed to be more student friendly, especially in the beginning. An adequate infrastructure for psychotherapeutic university outpatients has to be provided.     

Role Definition as a Moderator of the Relationship Between Safety Climate and Organizational Citizenship Behavior Among Hospital Nurses

Purpose

This field study investigated the moderating influence of role definitions on the association between safety climate and employees’ organizational citizenship behavior (OCB).

Design/Methodology

Data were obtained from 94 hospital nurse dyads. Focal nurses and their peers completed paper surveys. All predictor measures were self-reported; whereas the OCB ratings were provided by nurses’ peers.

Findings

Nurses’ perceptions of job requirements regarding OCB (i.e., OCB-specific role definitions) moderated the relationship between psychological safety climate and peer-rated OCB. The correlation between psychological safety climate and OCB was significant when nurses’ role definitions were narrow but non-existent when role definitions were broad.

Implications

This study links managerial commitment to safety to nurses’ pro-social behavior and identifies an important boundary condition.

Originality-Value

The link between safety climate and safety compliance has been firmly established. We investigated a less well-researched association between safety and OCB and proposed a theoretical foundation for this positive association.     

Suchttherapie bei abhängigen Ärzten

Background

International studies indicate an increased incidence of substance abuse disorders among physicians. This article investigates specific variables in the work field and describes existing treatment programs.

Patients and methods

In a cross-sectional study 107 physicians with and 468 without substance abuse disorders were compared. Two highly developed treatment programs in Germany and Canada are described.

Results

The high work-load associated with the medical work environment leads to reduced performance and social isolation. Treatment programs for addicted physicians work with the concept of ?help before restriction“. The abstinence rate of the 5-year Canadian program is over 90%.

Conclusions

As a form of prevention, medical students should be systematically informed about work-related stress in the medical profession. Structured treatment programs should be implemented nationwide. The expert team ?Risk of addiction in physicians“ of the German Addiction Foundation, whose members are authors of this article, may be a small step in this direction.     

Schizophrene Patienten der forensischen Psychiatrie im Vergleich zu schizophrenen Patienten der Allgemeinpsychiatrie

Background

The number of schizophrenic patients admitted to forensic hospitals according to section 63 of the German Criminal Code has increased continuously over the past years. Some researchers assume that these forensic patients form a group of patients with very complex mental disorders, a number of risk factors and insufficient pretreatment in general psychiatry. This study aimed to identify differences regarding the history of treatment of forensic and general psychiatric patients diagnosed with schizophrenia.

Method

The matched samples included 72 male patients from forensic wards and 72 male patients from general psychiatric institutions diagnosed with schizophrenia. The history of psychiatric treatment was reconstructed by interviewing the patients as well as outpatient psychiatrists and patients’ legal custodians and by analyzing patient medical records.

Results

In contrast to the general psychiatric patients, prior to admission forensic patients were less integrated into psychiatric care and showed a lower rate of treatment compliance. They also showed a higher rate of previous compulsory treatment because of aggressive behavior towards other persons as well as higher rates of treatment difficulties and violent behavior during previous inpatient treatment. Furthermore, forensic patients had a higher number of previous criminal convictions and had been convicted more often for violent offences. With regard to other relevant risk factors (e.g. comorbid substance abuse disorder, age, education, conduct disorder, antisocial personality disorder, previous exposure to violent and abusive behavior) the two patient groups were, however, comparable.

Conclusions

Regarding schizophrenic patients with comorbid substance abuse disorders, previous violent delinquency and violent behavior during previous inpatient treatment, an intensive outpatient aftercare should be arranged before they are discharged from general psychiatric institutions.     

The Moderating Role of Locus of Causality in the Relationship Between Source of Information and Psychological Contract Breach Perceptions

Purpose

The purpose of this study was to investigate the role of information-seeking behaviors on the relationship between personality and psychological contract (PC) breach.

Approach

This study takes an interactionist (person × situation) perspective to examine how PC breach can be reduced in organizations. Survey data were obtained from 184 graduate students from psychology departments across the United States on variables related to personality, information-seeking behaviors, and PC breach.

Findings

Results indicated that external locus of causality (LoCa) is positively associated with PC breach, while information seeking from supervisors is negatively associated with breach. From an interactionist perspective, the positive association of external LoCa attribution style with breach was lessened as information seeking from supervisors increased, but heightened for participants who obtained information from peers, but not supervisors.

Implications

Such knowledge can potentially be used to help inform norm-setting strategies of organizations to possibly reduce the unwanted negative effects of PC breach.

Originality

This finding helps advance our theoretic understanding of the intersection between individual differences and situations and is the first study to examine interactions between LoCa and information sources with respect to PC breach.     

Familiarity and sex based stereotypes on instant impressions of male and female faculty

To address the stranger-to-stranger critique of stereotyping research, psychology students $(n= 139)$ and law students $(n = 58)$ rated photographs of familiar or unfamiliar male or female professors on competence. Results from Study 1 indicated that familiar male psychology faculty were rated as more competent than were familiar female faculty, whereas unfamiliar female faculty were rated as more competent than unfamiliar male faculty. By contrast, in Study 2, familiarity had a stronger positive effect on competence ratings of female faculty than it did for male faculty. Among psychology students, familiarity increased sex bias against female faculty, whereas among law students familiarity decreased sex bias. Together, these studies call into question the stranger-to-stranger critique of stereotyping research. Our findings have direct implications for the context of student evaluations. In male-dominated disciplines it is important for students to be exposed to female instructors in order to reduce pre-existing biases against such instructors.     

Team–Member Exchange and Work Engagement: Does Personality Make a Difference?

Purpose

Adopting a person–situation interactionist framework, this study examined the joint effects of employee personality (i.e., extraversion, neuroticism, and conscientiousness) and social exchange relationships with peers (i.e., team–member exchange; TMX) in predicting work engagement.

Methodology

This study is based on survey responses from 235 Chinese employees collected at two time points with 3 months in between. We conducted moderated regression analyses to test the hypotheses that employees higher in extraversion or conscientiousness or lower in neuroticism would demonstrate a stronger TMX–work engagement relation.

Findings

Results from this study showed that the three focal personality traits moderated the TMX–engagement relation simultaneously. Specifically, the positive TMX–engagement relation was stronger for employees with higher extraversion or lower neuroticism than that for their counterparts. Interestingly, the TMX–engagement relation was positive for employees lower in conscientiousness but negative for those higher in conscientiousness.

Implications

These findings support the notion that lateral social exchange relationships in the workplace (i.e., TMX) are an important antecedent of work engagement and, more importantly, their beneficial effects on work engagement are contingent on certain types and/or levels of personality traits.

Originality/Value

This study not only advances our understanding of presumed antecedents of work engagement but also opens a new door for future research on work engagement by highlighting the importance of a person–situation interactionist framework.     

The relationship between intrinsic motivation and academic achievement for first generation Latino college students

Hispanic students are pursuing higher education more than in previous years and they often represent their family as the first member to attend college (Strage in Coll Stud J 33:198–205, 1999). Past educational research has studied the influence of intrinsic motivation on academic achievement in various ethnically diverse elementary, middle school and high school student populations (Areepattamannil in Soc Psychol Educ 15:367–386, 2012; Crumpton and Gregory in J Educ Psychol 104:42–53, 2011; Lepper et al. in J Educ Psychol 92:184–196, 2005). Despite the fact that many studies using college student samples have also shown the positive role of intrinsic motivation with achievement outcomes (Harackiewicz et al. in Educ Psychol 33:1–21, 1998; Simons et al. in Br J Educ Psychol 74:343–360, 2004; Vallerand and Bissonnette in J Pers 60:599–620, 1992), few studies focus on Latino samples. We expect that intrinsic motivation may play an important role in the academic achievement of Latino students, particularly first generation college students. The current review will examine self-determination theory, including intrinsic motivation and extrinsic motivation, as well as relevant research pertaining to the connection between intrinsic motivation and academic achievement. The relationship between intrinsic motivation and academic achievement for first generation Latino college students will be examined along with ways to increase intrinsic motivation and academic achievement in turn. Implications for future research will be discussed.     

Youth’s Negative Self-Statements as Related to Social Self-Efficacy Among Differing Relationships

Background

Cognitive variables are often neglected in child and adolescent populations despite their roles in the development and maintenance of psychopathology. Furthermore, the importance of examining these variables contextually is underestimated.

Objective

The present study aimed to examine the relationship between two theoretically related cognitive variables in a contextually relevant fashion by proposing several models demonstrating the association between negative self-statements and social self-efficacy holistically and among differing relationships (i.e., peers, adults, strangers) using Structural Equation Modeling (SEM) techniques.

Method

As part of a larger study, 126 participants (ages from 11 to 14 years) were recruited for participation from the middle school grades. Participants’ parents were contacted for informed consent, and subsequently, participants were asked to fill out a set of measures in assembly format.

Results

Results indicated that the structural model was well-fitted to the data. Specifically, the frequency of negative self-statements was found to indicate the amount of social self-efficacy present with more negative self-statements being associated with less social self-efficacy. Further, when examined among differing relationships via path analysis, the frequency of negative self-statements was found to be indicative of the social self-self efficacy with peers and adults, but not with strangers.

Conclusions

These findings provide useful information concerning cognitive trends, which are likely relevant for the enhancement of treatment processes in children and adolescents. Implications and recommendations are discussed.     

Engagement in the university context: exploring the role of a sense of justice and social identification

The aim of this study was to investigate how a sense of justice, university identification and student engagement emerge within the educational context and the reciprocal relationships among these constructs. Two correlational studies were conducted: (1) a pilot study aimed at validating the constructs of justice (distributive, procedural, and interactional aspects), social identification and student engagement (rule-abiding and extra-role aspects), within the university context (N \(=\) 280); (2) a study exploring the robustness of and the relationships between those constructs (N \(=\) 429). The results confirmed the presence of a four-factor solution involving a sense of overall justice (comprising distributive, procedural and interactional aspects), social identification, and two types of student engagement (rule-abiding and extra-role behaviours). A sense of justice was found to be related to students’ rule-abiding behaviour and, at the same time, it was related to students’ extra-role behaviour, only for closely identified students. In other words, student identification with the university moderated the relationship between sense of justice and extra-role behaviours. Our results showed the important role of sense justice in promoting student engagement (in both aspects of rule-abiding and extra-role behaviour), providing useful insights for the management of the university level educational system towards a better involvement of students in the attainment of higher academic performances and institutional commitment.     

Job Autonomy as a Predictor of Mental Well-Being: The Moderating Role of Quality-Competitive Environment

Purpose

This study examines the moderating role of quality-competitive environment on the relationships between job autonomy and employees?? mental well-being and organizational commitment. It also investigates the mediating role of organizational commitment on the relationship between job autonomy and mental well-being.

Design/Methodology/Approach

The proposed hypotheses were tested by hierarchical linear modeling using an archival dataset from the Workplace Employment Relations Survey, which was conducted in Great Britain in 2004 and 2005 (12,836 employees and 1,190 managers).

Findings

This study found that quality-competitive environment moderated the relationships between job autonomy and mental well-being and between job autonomy and organizational commitment. That is, job autonomy was more strongly related to mental well-being and organizational commitment in more quality-competitive organizations. The results also indicated that this moderation was partially mediated by organizational commitment.

Implications

Because job autonomy is related to employees?? mental well-being and organizational commitment, organizations need to provide their employees with job autonomy. More importantly, because these positive relationships are stronger in quality-competitive companies, organizations in a highly quality-competitive market in particular should provide their employees with more job autonomy.

Originality/Value

This is one of the first studies that investigated the vertical fit between job autonomy and organizational contexts while focusing on individual employees?? outcomes (attitudes and mental well-being). The results were obtained by data from a nationally representative sample, allowing us to generalize the results. Additionally, since the dataset was collected from multiple sources, self-report and common-method biases are minimized.     

Psychiatrische Versorgung im europäischen Strafvollzug

Objective and methods:

We analysed administrative national data regarding mental health care and psychiatric prevalence in the penitentiary systems of 24 European countries. Data was provided by national experts via questionnaire.

Results:

There is a mixed approach for prison mental health care in European countries that either rely on separated psychiatric prison services or collaborate with specialized forensic or general mental health care services. Care provision in general is assessed as deficient. At all decisive points of detention, adequate screening or diagnostic routines are lacking. As a consequence, nothing is known about the prevalence of mental disorders in European prisons. At the moment, only a very limited number of secondary indicators are available for describing the problem.

Conclusion:

There is an urgent need for improving the reporting routines on mental disorders in prison inmates as a first step for improving substantially the mental health care provision for prisoners in European countries.     

Stressbew?ltigungsintervention am Arbeitsplatz

Background

Occupational stress is considered a major risk factor for a wide range of health outcomes. To examine long-term effects on perceived stress reactivity a randomized controlled trial [1?year after stress management intervention (SMI)] was implemented in a metal working plant.

Method

A total of 174 participants were randomly assigned to an intervention (IG) or a waiting control group (CG) and underwent a group-based program over 2 days, followed by 2-3?h booster sessions. The primary endpoint was perceived stress reactivity (Stress Reactivity Scale, SRS), while secondary endpoints were anxiety and depression (Hospital Anxiety and Depression Scale, HADS), salivary cortisol and alpha-amylase.

Results

SRS scores decreased in both groups. A two factor ANOVA proved greater reduction in the IG. For SRS, the effect size (Cohen??s d) after 1?year was d=0.416 in the IG and d=0.166 in the CG. Alpha-amylase as a measure of sympathetic nervous system activation decreased more strongly in the IG. Reduction of depression and anxiety was higher in the IG but did not reach statistical significance.

Conclusion

The conducted SMI is effective over a longer period in reducing perceived stress reactivity and sympathetic activation.     

Mentalisierungsdefizite bei stationären Patienten

Background

Fonagy (2009) considers the improvement of mentalization, understood as an element of structural change, as a global goal of psychotherapeutic treatment. Yet until now there is little knowledge about the mentalizing skills in clinical populations.

Material and methods

We examined the mentalizing skills in 201 patients on admission for complex psychotherapeutic inpatient treatment with the “Reading the mind in the eyes”-Test (RMET). We explored if there are diagnosis-related differences in the RMET and compared our findings to published data on the RMET in clinical and normal populations.

Results

Compared to normal populations our sample scored significantly lower in the RMET, however, no diagnosis-related differences were found.

Conclusions

Although our data are preliminary, psychotherapeutic inpatient treatment should consider the patients reduced mentalizing skills.     

Werden Psychotherapeuten,Psychiater oder die Psychotherapie stigmatisiert?

Background

In the last decades much has been found out about the stigmatization of persons with mental illnesses. Recently, a potential stigmatization of psychologists, psychiatrists and psychotherapy has been debated.

Aim

The question should be answered whether there is any scientific evidence for stigmatization of psychologists, psychiatrists and psychotherapy by using the conceptualization of stigma as brought forward by Link and Phelan (Ann Rev Sociol 2001; 27:363–385).

Material and methods

For the systematic literature search in 2013 a databank search was carried out in Web of Science using the search terms stigma or discrimination or stereotypes or prejudice AND psychiatrist or psychotherapist or psychotherapy or mental health professional. A total of 2013 publications were identified which were systematically arranged according to the title and abstract with respect to the relevance for the question whether psychotherapy or associated professional groups are stigmatized. Only four of the articles were considered to be relevant. After advice from experts six further relevant articles could be found which did not appear in the databank search.

Results

The review found evidence for both positive and negative stereotypes but not for other components of the stigmatization process.

Conclusion

At present there is no evidence for a stigma related to psychotherapy or to the professions of psychotherapists and psychiatrists.     

A Psychometric Evaluation of the Cognitive-Behavioral Avoidance Scale in Women with Major Depressive Disorder

The Cognitive-Behavioral Avoidance Scale (CBAS; Ottenbreit & Dobson, Behaviour Research and Therapy, 42, 292–313; 2004) is a multidimensional self-report measure designed to assess the construct of dispositional avoidance. Although findings to date support the reliability and validity of the CBAS within student samples, no study has yet evaluated the psychometric properties of the CBAS in a clinical sample of depressed individuals. The primary purpose of the present study was to examine the psychometric properties of the CBAS within a sample of 60 women diagnosed with Major Depressive Disorder. Results supported the internal consistency and 4-month test-retest reliability of the scale. As predicted, the CBAS total scale and subscales were correlated with convergent measures of avoidance as well as depressive symptoms. The results of this study provide support for the psychometric properties of the CBAS in samples of clinically depressed individuals. Study limitations and future research directions are discussed.