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Book ; Online ; Thesis: Körperliche Aktivität bei ambulanten Patient*innen mit psychischen Erkrankungen: Prävalenz, motivationale und volitionale Determinanten als Ansatzpunkte zur Förderung körperlicher Aktivität

2019

Author's details	Moritz Bruno Petzold
Keywords	Medizin, Gesundheit ; Medicine, Health
Subject code	sg610
Language	German
Publisher	Medizinische Fakultät Charité - Universitätsmedizin Berlin
Publishing place	Berlin
Document type	Book ; Online ; Thesis
Database	Digital theses on the web

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Article ; Online: Tracking changes in physical activity during inpatient treatment in a psychiatric clinic in Germany by asking two simple questions.

Roempler, Jannik / Petzold, Moritz Bruno / Bendau, Antonia / Plag, Jens / Ströhle, Andreas

European archives of psychiatry and clinical neuroscience

2023 Volume 273, Issue 4, Page(s) 983–994

Abstract: Increasing physical activity is essential to improve psychiatric patients' physical and mental health. This study aimed to characterise the physical activity levels of inpatients in a general psychiatric clinic and to determine the feasibility of using a ...

Abstract	Increasing physical activity is essential to improve psychiatric patients' physical and mental health. This study aimed to characterise the physical activity levels of inpatients in a general psychiatric clinic and to determine the feasibility of using a simple tool in everyday practice to assess physical activity levels in standard patient documentation. We assessed the level of physical activity undertaken by patients treated on an inpatient basis in a psychiatric hospital over 20 months. A total of 328 patients were included in the analysis. Physical activity was measured using a slightly altered version of the Exercise as a vital sign (EVS) questionnaire. All information was extracted from letters of discharge. During inpatient treatment, moderate to vigorous activity levels increased, and more patients engaged in physical activity. Patients with mood or anxiety disorders displayed the most considerable increase in physical activity. Patients with other diagnoses, such as schizophrenia, benefitted less or not at all. Factors associated with physical activity included-among others-history of substance use, education and month of admission. Investigating the feasibility of standardised documentation of physical activity showed fluctuation in documentation rates throughout the study. The level of physical activity performed by psychiatric patients can be increased during inpatient treatment. Implementing physical activity level as part of standard patient documentation is a first step in gathering data to assess the need for interventions to achieve an optimal physical activity in psychiatric patients throughout inpatient treatment.
MeSH term(s)	Humans ; Mental Disorders/therapy ; Mental Disorders/diagnosis ; Inpatients ; Hospitalization ; Patient Discharge ; Anxiety Disorders ; Exercise
Language	English
Publishing date	2023-02-11
Publishing country	Germany
Document type	Journal Article
ZDB-ID	1045583-8
ISSN	1433-8491 ; 0175-758X ; 0940-1334
ISSN (online)	1433-8491
ISSN	0175-758X ; 0940-1334
DOI	10.1007/s00406-023-01565-2
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Exercise as Treatment for "Stress-Related" Mental Disorders.

Bendau, Antonia / Petzold, Moritz Bruno / Kaminski, Jan / Plag, Jens / Ströhle, Andreas

Current neuropharmacology

2023 Volume 22, Issue 3, Page(s) 420–436

Abstract: The beneficial impact of physical activity on preventing and treating mental disorders has captured growing (research) interest. This article aims to provide a concise overview of essential evidence regarding the effectiveness and underlying mechanisms ... ...

Abstract	The beneficial impact of physical activity on preventing and treating mental disorders has captured growing (research) interest. This article aims to provide a concise overview of essential evidence regarding the effectiveness and underlying mechanisms of physical activity for individuals with mental disorders clustered as "stress-related" conditions. Empirical findings (e.g., longitudinalprospective studies, interventional randomized-controlled-trials, reviews, meta-analyses) regarding the effects of physical activity in the prevention and treatment of stress-related mental disorders are summarized. Furthermore, potential mechanisms underlying these effects are discussed, and recommendations regarding the use of physical activity are outlined. The majority of studies indicate good efficacy of physical activity in prospectively lowering the risk for the incidence of subsequent stress-related mental disorders as well as in the treatment of manifest disorders. Most evidence targets unipolar depressive disorder and, secondly, anxiety disorders. Research regarding posttraumatic stress disorder, obsessive-compulsive disorders, and somatoform disorders is promising but scarce. Physical activity seems to be useful as a stand-alone-treatment as well as in combination with other psychotherapeutic or pharmacological treatments. Multiple intertwined physiological, psychological, and social mechanisms are assumed to mediate the beneficial effects. Recommendations regarding physical activity can orientate on official guidelines but should consider the individual needs and circumstances of each subject. In summary, physical activity seems to be effective in the prevention and treatment of stressrelated mental disorders and, therefore, should be fostered in healthcare-settings. Future studies are needed to clarify partly inconsistent patterns of results and to close research gaps, e.g., concerning somatoform disorders.
MeSH term(s)	Humans ; Anxiety Disorders ; Stress Disorders, Post-Traumatic ; Somatoform Disorders/therapy ; Exercise/psychology ; Depressive Disorder
Language	English
Publishing date	2023-09-14
Publishing country	United Arab Emirates
Document type	Journal Article
ZDB-ID	2192352-8
ISSN	1875-6190 ; 1570-159X
ISSN (online)	1875-6190
ISSN	1570-159X
DOI	10.2174/1570159X22666230927103308
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Article ; Online: Illness anxiety predicts higher mental strain and vaccine willingness-A nine-wave longitudinal study during the first 1.5 years of the COVID-19 pandemic in Germany.

Bendau, Antonia / Petzold, Moritz Bruno / Plag, Jens / Asselmann, Eva / Ströhle, Andreas

Stress and health : journal of the International Society for the Investigation of Stress

2023 Volume 39, Issue 5, Page(s) 1137–1147

Abstract: Illness anxiety may amplify vulnerability to psychopathological symptoms during the COVID-19-pandemic-perhaps especially at the beginning of the pandemic and during high infection waves, but empirical evidence on this is lacking. In addition, considering ...

Abstract	Illness anxiety may amplify vulnerability to psychopathological symptoms during the COVID-19-pandemic-perhaps especially at the beginning of the pandemic and during high infection waves, but empirical evidence on this is lacking. In addition, considering a potentially functional facet of it, illness anxiety might be associated with higher vaccine willingness. We analyzed data of a nine-wave longitudinal online-survey (March 2020-October 2021) with 8148 non-probability sampled adults of the general population in Germany (clinicaltrials.gov: NCT04331106). Using multilevel analysis, we investigated longitudinal associations of dimensionally assessed illness anxiety (worry about illness, bodily preoccupation) with mental strain and vaccine willingness and considered the dynamic of the pandemic (i.e., duration and infection rates). Higher worry about illness and bodily preoccupation were associated with higher COVID-19-related fears, unspecific anxiety, depressive symptoms, and vaccine willingness. Vaccine willingness increased over time and in parallel to higher infection rates. Symptoms of mental strain decreased with continuing duration of the pandemic but increased when infection rates inclined. This decrease and increase, respectively, was steeper in individuals with higher illness anxiety. Our findings suggest that individuals with higher illness anxiety are more vulnerable to experience psychopathological symptoms during the ongoing pandemic, particularly at its beginning and during times of high infection rates. Thus, illness anxiety and associated symptoms should be targeted by adaptive measures. The fluctuation of symptoms parallel to the pandemic situation implies that support should be particularly issued at the beginning of extraordinary situations as well as during phases of high infection rates.
MeSH term(s)	Adult ; Humans ; Pandemics ; Longitudinal Studies ; COVID-19/epidemiology ; COVID-19/prevention & control ; Anxiety/epidemiology ; Germany/epidemiology ; Vaccines ; Depression/epidemiology
Chemical Substances	Vaccines
Language	English
Publishing date	2023-05-09
Publishing country	England
Document type	Journal Article
ZDB-ID	2042041-9
ISSN	1532-2998 ; 1532-3005
ISSN (online)	1532-2998
ISSN	1532-3005
DOI	10.1002/smi.3255
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Article: Mental Health in Health Professionals in the COVID-19 Pandemic.

Bendau, Antonia / Ströhle, Andreas / Petzold, Moritz Bruno

Advances in experimental medicine and biology

2021 Volume 1318, Page(s) 737–757

Abstract: The coronavirus disease 2019 (COVID-19) pandemic has posed enormous challenges to the healthcare systems worldwide, which are mainly shouldered by healthcare workers from all professions. This chapter outlines the potential stressors of the COVID-19 ... ...

Abstract	The coronavirus disease 2019 (COVID-19) pandemic has posed enormous challenges to the healthcare systems worldwide, which are mainly shouldered by healthcare workers from all professions. This chapter outlines the potential stressors of the COVID-19 pandemic for health professionals and describes possible consequences for their mental health as well as potential interventions and coping strategies. The chapter is based on preliminary research on the psychosocial implications of the COVID-19 pandemic in health professionals and is complemented by findings from previous outbreaks of high-risk infectious diseases. High proportions of healthcare workers report acute symptoms of anxiety, depression, high psychological stress, and insomnia in the context of the COVID-19 pandemic. Coping strategies and self-care on an individual level, interventions on an institutional level such as specific training and institutional support, as well as social and psychological support can help to mitigate psychological strain. Further reliable and prospective studies regarding the mental health of health professionals, as well as further measures to protect their short- and long-term mental health, are required.
MeSH term(s)	Anxiety ; COVID-19 ; Health Personnel ; Humans ; Mental Health ; Pandemics ; Prospective Studies ; SARS-CoV-2
Language	English
Publishing date	2021-05-10
Publishing country	United States
Document type	Journal Article
ISSN	2214-8019 ; 0065-2598
ISSN (online)	2214-8019
ISSN	0065-2598
DOI	10.1007/978-3-030-63761-3_41
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Article: Aktiv und zufrieden? Körperliche Aktivität und berufsbezogene Lebensqualität bei Psycholog:innen

Bendau, Antonia / Gerz, George Oliver / Ströhle, Andreas / Petzold, Moritz Bruno

Die Psychotherapie

2023 Volume 68, Issue 3, Page(s) 201–208

Abstract: Hintergrund: Klinisch tätige Psychologinnen und Psychologen sind in ihrer Arbeit mit psychisch erkrankrankten Personen oft zahlreichen Stressoren ausgesetzt; diese können sich in psychischer Belastung und einer verringerten Lebensqualität niederschlagen. ...

Title translation	Active and satisfied? Physical activity and profession-related quality of life in psychologists
Abstract	Hintergrund: Klinisch tätige Psychologinnen und Psychologen sind in ihrer Arbeit mit psychisch erkrankrankten Personen oft zahlreichen Stressoren ausgesetzt; diese können sich in psychischer Belastung und einer verringerten Lebensqualität niederschlagen. Körperliche Aktivität könnte eine protektive Ressource darstellen, diesbezüglich fehlen jedoch bisher empirische Befunde. Methoden: Im Rahmen einer querschnittlichen Online-Befragung über SoSci-Survey (Januar bis April 2020) wurden die körperliche Aktivität und die berufsbezogene Lebensqualität (positive Dimension: Mitgefühlszufriedenheit; negative Dimension: Mitgefühlsmüdigkeit) einer Gelegenheitsstichprobe aus 443 klinisch tätigen Psychologinnen und Psychologen mithilfe etablierter Selbstberichtfragebogen (International Physical Activity Questionnaire - Short Form, IPAQ-SF; Professional Quality of Life Scale ProQOL) erfasst. Ergebnisse: Der Großteil der Befragten erfüllte das von der Weltgesundheitsorganisation empfohlene Mindestmaß an körperlicher Aktivität. Die Mitgefühlszufriedenheit war im Schnitt relativ hoch, während eher geringe bis moderate Ausprägungen an Burn-out-Symptomatik sowie sekundärem traumatischem Stress (Facetten der Mitgefühlsmüdigkeit) berichtet wurden. Außer vereinzelten kleinen negativen Korrelationen zwischen körperlicher Inaktivität und Mitgefühlszufriedenheit bei Psychologinnen und Psychologen in Weiterbildung sowie Burn-out-Symptomen und körperlicher Gesamtaktivität bei Psychologischen Psychotherapeutinnen und -therapeuten waren keine Zusammenhänge zwischen körperlicher Aktivität und berufsbezogener Lebensqualität ersichtlich. Schlussfolgerungen: Psychologinnen und Psychologen scheinen zu großen Teilen eine körperlich aktive und tendenziell zufriedene Berufsgruppe darzustellen. Zusammenhänge zwischen körperlicher Aktivität und Lebensqualität könnten teilweise durch Deckeneffekte verdeckt sein. Des Weiteren könnte eine Analyse der Ursachen für diese adaptiven Ausprägungen in Aktivität und Lebensqualität Anhaltspunkte für Maßnahmen zur Förderung anderer Professionen liefern.
Keywords	Burnout ; Clinical Psychologists ; Compassion Fatigue ; Empathie ; Empathy ; Klinische Psychologinnen und Psychologen ; Körperliche Aktivität ; Mitgefühlserschöpfung ; Physical Activity ; Psychotherapeutinnen und Psychotherapeuten ; Psychotherapists ; Satisfaction ; Zufriedenheit
Language	German
Document type	Article
ISSN	2731-7161
ISSN	2731-7161
DOI	10.1007/s00278-023-00645-x
Database	PSYNDEX

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Article ; Online: Umgang mit psychischer Belastung bei Gesundheitsfachkräften im Rahmen der Covid-19-Pandemie.

Petzold, Moritz Bruno / Plag, Jens / Ströhle, Andreas

Der Nervenarzt

2020 Volume 91, Issue 5, Page(s) 417–421

Abstract: Background: In the current COVID-19 pandemia, health workers from all professions are facing great challenges in coping with the crisis. In this situation health professionals are confronted with specific stressors and risks not only for the physical ... ...

Title translation	Dealing with psychological distress by healthcare professionals during the COVID-19 pandemia.
Abstract	Background: In the current COVID-19 pandemia, health workers from all professions are facing great challenges in coping with the crisis. In this situation health professionals are confronted with specific stressors and risks not only for the physical but also for the mental health. Objective: This article summarizes the first recommendations for the reduction of stress and psychological burden in health professionals during the current COVID-19 pandemia. Methods: The recommendations of the World Health Organization, the United Nations and the International Red Cross Society are summarized. Recommendations for the reduction of stress and psychological distress in health professionals as well as important factors that team leaders can consider in order to reduce psychological distress in employees are presented. Results: The normalization of strong emotions and stress, the fulfillment of basic needs, social support, clear communication and distribution of tasks, flexible working hours and the utilization of psychosocial and psychological help without stigmatization seem to be particularly important measures. Conclusion: This article presents guidelines for health professionals and team leaders in healthcare that help to maintain mental health during the COVID-19 pandemia.
MeSH term(s)	COVID-19 ; Coronavirus Infections ; Health Personnel/psychology ; Humans ; Pandemics ; Pneumonia, Viral ; Psychological Distress ; Stress, Psychological/prevention & control ; Stress, Psychological/psychology ; Workplace/psychology ; World Health Organization
Keywords	covid19
Language	German
Publishing date	2020-03-27
Publishing country	Germany
Document type	Journal Article ; Review
ZDB-ID	123291-5
ISSN	1433-0407 ; 0028-2804
ISSN (online)	1433-0407
ISSN	0028-2804
DOI	10.1007/s00115-020-00905-0
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Article ; Online: Psychological distress and anxiety in Arab refugees and migrants during the COVID-19 pandemic in Germany.

Jumaa, Jinan Abi / Bendau, Antonia / Ströhle, Andreas / Heinz, Andreas / Betzler, Felix / Petzold, Moritz Bruno

Transcultural psychiatry

2022 Volume 60, Issue 1, Page(s) 62–73

Abstract: The COVID-19 pandemic is associated with various psychological stressors due to health-related, social, economic, and individual consequences, especially for minority groups such as refugees and other migrants who live in unstable conditions and have ... ...

Abstract	The COVID-19 pandemic is associated with various psychological stressors due to health-related, social, economic, and individual consequences, especially for minority groups such as refugees and other migrants who live in unstable conditions and have lost their social support groups. The aim of this study was to explore the impacts of the COVID-19 pandemic on this specific population in Germany.This study used a mixed-method approach. A total of 85 migrants took part in an online survey in Germany from April to July 2020. The questionnaire included demographic information and measures of psychological distress, anxiety and depressive symptoms, as well as risk and protective factors for psychological health during the COVID-19 pandemic. Semi-structured interviews with 10 refugees were conducted between May and June 2020. In our sample, 54.5% expressed fear of being infected with COVID-19. Participants spent several hours per day thinking about COVID-19 (
MeSH term(s)	Humans ; COVID-19/epidemiology ; Pandemics ; Arabs ; Refugees ; Transients and Migrants ; SARS-CoV-2 ; Depression/epidemiology ; Depression/psychology ; Anxiety/epidemiology ; Anxiety/psychology ; Germany/epidemiology ; Psychological Distress
Language	English
Publishing date	2022-09-25
Publishing country	England
Document type	Journal Article
ZDB-ID	1378978-8
ISSN	1461-7471 ; 1363-4615
ISSN (online)	1461-7471
ISSN	1363-4615
DOI	10.1177/13634615221122536
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Article ; Online: COVID-19 vaccine hesitancy and related fears and anxiety.

Bendau, Antonia / Plag, Jens / Petzold, Moritz Bruno / Ströhle, Andreas

International immunopharmacology

2021 Volume 97, Page(s) 107724

Abstract: Background: Vaccination is crucial to limit the pandemic spread of SARS-CoV-2/COVID-19. Therefore, besides the development and supply of vaccines, it is essential that sufficient individuals are willing to get vaccinated, but concerning proportions of ... ...

Abstract	Background: Vaccination is crucial to limit the pandemic spread of SARS-CoV-2/COVID-19. Therefore, besides the development and supply of vaccines, it is essential that sufficient individuals are willing to get vaccinated, but concerning proportions of populations worldwide show vaccine hesitancy. This makes it important to determine factors that are associated with vaccine acceptance. Methods: 1779 adults of a non-probability convenience sample in Germany were assessed with an online survey in a cross-sectional survey period from 1st to 11th January 2021 (a few days after the beginning of vaccinations in Germany). Results: 64.5% of the sample stated that they absolutely would accept the vaccination, 13.8% would rather accept it, 10.4% were undecided, and 5.2% would rather not and 6.0% absolutely not get vaccinated. COVID-19-related anxiety, and fears of infection and health-related consequences correlated significantly positively with vaccine acceptance (all p < .001). In contrast, social (p = .006) and economic fears (p < .001) showed significant negative associations with vaccination willingness. The broader constructs of unspecific anxiety and depressive symptoms were not significantly associated with vaccine acceptance. Vaccine acceptance differed between users/non-users of social media and official websites to gain information about the pandemic (p < .001). Conclusions: COVID-19-related anxiety and health-related fears were associated with higher vaccine acceptance, whereas the fear of social and economic consequences showed the contrary direction. These findings highlight the need to differentiate between several types of fears and anxiety to predict their influence on vaccine acceptance, and provide important information and an essential base for future studies and interventions.
MeSH term(s)	Adolescent ; Adult ; Aged ; Aged, 80 and over ; Anxiety ; COVID-19/epidemiology ; COVID-19/prevention & control ; COVID-19 Vaccines/therapeutic use ; Cross-Sectional Studies ; Fear ; Female ; Germany/epidemiology ; Humans ; Male ; Middle Aged ; Patient Acceptance of Health Care/psychology ; Patient Acceptance of Health Care/statistics & numerical data ; Surveys and Questionnaires ; Vaccination/psychology ; Vaccination/statistics & numerical data ; Young Adult
Chemical Substances	COVID-19 Vaccines
Language	English
Publishing date	2021-04-27
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	2043785-7
ISSN	1878-1705 ; 1567-5769
ISSN (online)	1878-1705
ISSN	1567-5769
DOI	10.1016/j.intimp.2021.107724
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Article ; Online: 1.5 years pandemic - Psychological burden over the course of the COVID-19 pandemic in Germany: A nine-wave longitudinal community study.

Bendau, Antonia / Asselmann, Eva / Plag, Jens / Petzold, Moritz Bruno / Ströhle, Andreas

Journal of affective disorders

2022 Volume 319, Page(s) 381–387

Abstract: Background: The dynamic COVID-19 pandemic has been associated with mental strain. However, most studies focused primarily on the beginning of the pandemic and rarely took into account the long-term course. The aim of this prospective-longitudinal study ... ...

Abstract	Background: The dynamic COVID-19 pandemic has been associated with mental strain. However, most studies focused primarily on the beginning of the pandemic and rarely took into account the long-term course. The aim of this prospective-longitudinal study was to investigate levels and changes of pandemic-related fears, unspecific anxiety, depressive symptoms, and psychosocial-behavioral factors over the first 1.5 years of the pandemic. Methods: We conducted a nine-wave longitudinal online-survey from March 2020 to October 2021 with a total of 8148 participants of the adult general population in Germany. Descriptive examination and multilevel analysis were carried out to assess psychological burden, risk-bearing and protective psychosocial-behavioral factors, and associations with sociodemographics and the pandemic's duration and severity over the course of the pandemic. Results: Symptoms of mental strain fluctuated across the pandemic and displayed a relative maximum at the pandemic's early beginning and during the second and third COVID-19 waves. Most participants (approximately 67.4 %-82.1 %) reported mild and transient symptoms, but a substantial portion (approximately 17.9 %-32.6 %) experienced pronounced mental health problems during the pandemic. Symptom severity was negatively associated with the duration of the pandemic and positively associated with the rate of new infections. Limitations: The observational study design, non-probability-sampling methods, and online self-report assessments limit the generalizability of our results. Conclusions: The fluctuating course of psychological burden during the pandemic emphasizes the relevance of continuous monitoring during this challenging time. Particularly individuals with pronounced subclinical symptoms or manifesting mental disorders should be targeted with adequate prevention and early intervention programs.
MeSH term(s)	Adult ; Humans ; Pandemics ; COVID-19/epidemiology ; SARS-CoV-2 ; Longitudinal Studies ; Prospective Studies ; Depression/epidemiology ; Depression/psychology ; Anxiety/epidemiology ; Anxiety/psychology ; Germany/epidemiology
Language	English
Publishing date	2022-09-24
Publishing country	Netherlands
Document type	Observational Study ; Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	135449-8
ISSN	1573-2517 ; 0165-0327
ISSN (online)	1573-2517
ISSN	0165-0327
DOI	10.1016/j.jad.2022.09.105
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